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Changes over time in anxiety, depression, and stress symptoms among healthcare workers in French emergency departments during the first COVID-19 outbreak
- Source :
- Journal of Affective Disorders, Journal of Affective Disorders, 2022, 316, pp.194-200. ⟨10.1016/j.jad.2022.08.028⟩
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- International audience; Study objective: Assess the changes in anxiety, depression, and stress levels over time and identify risk factors among healthcare workers in French emergency departments (EDs) during the first COVID-19 outbreak.Method: A prospective, multicenter study was conducted in 4 EDs and an emergency medical service (SAMU). During 3 months, participants completed fortnightly questionnaires to assess anxiety, depression, and stress using the Hospital Anxiety and Depression and the Chamoux-Simard scale. The changes in anxiety, depression, and stress levels over time were modelled by a linear mixed model including a period effect and a continuous time effect within periods.Results: A total of 211 respondents (43.5 %) completed the survey at inclusion. There was a decrease in mean anxiety (from 7.33 to 5.05, p < 0.001), mean depression (from 4.16 to 3.05, p = 0.009), mean stress at work (from 41.2 to 30.2, p = 0.008), and mean stress at home (from 33.0 to 26.0, p = 0.031) at the beginning of each period. The mean anxiety level was higher for administrative staff (+0.53) and lower for paramedics (-0.61, p = 0.047) compared to physicians. The anxiety level increased with the number of day and night shifts (0.13/day, p < 0.001, 0.12/night, p = 0.025) as did stress at work (1.6/day, p < 0.001, 1.1/night, p = 0.007). Reassigned healthcare workers were at higher risk of stress particularly compared to SAMU workers (stress at work: p = 0.015, at home: p = 0.021, in life in general: p = 0.018).Conclusion: Although anxiety, depression, and stress decreased over time, anxiety was higher among physicians and administrative staff. Reassignment and working hours were identified as potential risk factors for mental health distress in EDs.Trial registration: ClinicalTrials.gov NCT04383886.
- Subjects :
- MESH: Humans
MESH: Anxiety
MESH: Depression
Depression
SARS-CoV-2
Emergency department
Health Personnel
COVID-19
Anxiety
Stress
MESH: Prospective Studies
Disease Outbreaks
[SHS]Humanities and Social Sciences
Psychiatry and Mental health
Clinical Psychology
MESH: Emergency Service, Hospital
Humans
Healthcare workers
MESH: COVID-19
MESH: Health Personnel
MESH: SARS-CoV-2
[SHS] Humanities and Social Sciences
Prospective Studies
MESH: Disease Outbreaks
Emergency Service, Hospital
Subjects
Details
- ISSN :
- 01650327 and 15732517
- Volume :
- 316
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....fdfdd1f7ab54ca3e38860ee9c7765c75