Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy.

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Tytuł:: Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy.
Autorzy:: Lasalvia A; UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Bonetto C; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Porru S; Section of Occupational Medicine, Department of Diagnostics and Public Health, University of Verona and Clinical Unit of Occupational Medicine, Integrated University Hospital of Verona, Italy.
Carta A; Section of Occupational Medicine, Department of Diagnostics and Public Health, University of Verona and Clinical Unit of Occupational Medicine, Integrated University Hospital of Verona, Italy.
Tardivo S; Section of Hygiene, Department of Diagnostic and Public Health, University of Verona, Italy.
Bovo C; Health Director, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
Ruggeri M; UOC Psichiatria, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Amaddeo F; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.; UOC Psicosomatica e Psicologia Medica, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
Źródło:: Epidemiology and psychiatric sciences [Epidemiol Psychiatr Sci] 2020 Dec 17; Vol. 30, pp. e1. Date of Electronic Publication: 2020 Dec 17.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Cambridge : Cambridge University Press
MeSH Terms:: COVID-19/*psychology
Health Personnel/*psychology
Mental Disorders/*epidemiology
Adult ; Female ; Humans ; Italy/epidemiology ; Male ; Middle Aged ; Pandemics ; Risk Factors ; SARS-CoV-2 ; Sex Factors ; Tertiary Care Centers/statistics & numerical data
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Contributed Indexing:: Keywords: Anxiety; COVID-19; depression; health workers; mental health; post-traumatic stress
Entry Date(s):: Date Created: 20201217 Date Completed: 20210118 Latest Revision: 20210118
Update Code:: 20240105
PubMed Central ID:: PMC7804082
DOI:: 10.1017/S2045796020001158
PMID:: 33331255
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Aims: Healthcare workers exposed to coronavirus 2019 (COVID-19) patients could be psychologically distressed. This study aims to assess the magnitude of psychological distress and associated factors among hospital staff during the COVID-19 pandemic in a large tertiary hospital located in north-east Italy.
Methods: All healthcare and administrative staff working in the Verona University Hospital (Veneto, Italy) during the COVID-19 pandemic were asked to complete a web-based survey from 21 April to 6 May 2020. Symptoms of post-traumatic distress, anxiety and depression were assessed, respectively, using the Impact of Event Scale (IES-R), the Self-rating Anxiety Scale (SAS) and the Patient Health Questionnaire (PHQ-9). Personal socio-demographic information and job characteristics were also collected, including gender, age, living condition, having pre-existing psychological problems, occupation, length of working experience, hospital unit (ICUs and sub-intensive COVID-19 units vs. non-COVID-19 units). A multivariable logistic regression analysis was performed to identify factors associated with each of the three mental health outcomes.
Results: A total of 2195 healthcare workers (36.9% of the overall hospital staff) participated in the study. Of the participants, 35.7% were nurses, 24.3% other healthcare staff, 16.4% residents, 13.9% physicians and 9.7% administrative staff. Nine per cent of healthcare staff worked in ICUs, 8% in sub-intensive COVID-19 units and 7.6% in other front-line services, while the remaining staff worked in hospital units not directly engaged with COVID-19 patients. Overall, 63.2% of participants reported COVID-related traumatic experiences at work and 53.8% (95% CI 51.0%-56.6%) showed symptoms of post-traumatic distress; moreover, 50.1% (95% CI 47.9%-52.3%) showed symptoms of clinically relevant anxiety and 26.6% (95% CI 24.7%-28.5%) symptoms of at least moderate depression. Multivariable logistic regressions showed that women, nurses, healthcare workers directly engaged with COVID-19 patients and those with pre-existing psychological problems were at increased risk of psychopathological consequences of the pandemic.
Conclusions: The psychological impact of the COVID-19 pandemic on healthcare staff working in a highly burdened geographical of north-east Italy is relevant and to some extent greater than that reported in China. The study provides solid grounds to elaborate and implement interventions pertaining to psychology and occupational health.

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