Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study

Source avec lien : American Journal of Respiratory and Critical Care Medicine, 202(10), août 2020. 10.1164/rccm.202006-2568OC

Le personnel de santé de première ligne qui prend en charge des patients atteints de maladies à coronavirus (COVID-19) présentent une forte prévalence de symptômes de troubles mentaux. Cette étude vise à évaluer la prévalence des symptômes d’anxiété, de dépression et de dissociation péritraumatique chez le personnel de santé et à identifier les facteurs associés à la charge psychologique qui peuvent être susceptibles de changer.

Scientific Knowledge on the Subject Frontline healthcare providers (HCPs) managing patients with coronavirus disease (COVID-19) exhibit a high prevalence of symptoms of mental health disorders. However, data on critical care HCPs are scarce. Moreover, no study has focused on factors associated with psychological burden that may be amenable to change, thus enabling the development of strategies to preserve mental well-being and to prevent mental morbidity. What This Study Adds to the Field Symptoms of anxiety, depression, and peritraumatic dissociation were found in 50.4%, 30.4%, and 32% of the respondents, respectively, with the highest prevalence in nursing assistants and nurses. Fear of being infected, inability to care for one’s own family, inability to rest, struggling with difficult emotions, experiencing regret about restricted visitation policies, and witnessing hasty end-of-life decisions were independently associated with the presence of psychological burden. Interventions targeting these modifiable factors may help with the early detection and prevention of mental morbidity among critical care HCPs managing patients with COVID-19.

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