Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic

ObjectivesThis study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April–June) of the COVID-19 pandemic in the UK.MethodsPreliminary cross-sectional data were analysed from a cohort...

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Vydáno v:	Occupational and environmental medicine (London, England) Ročník 78; číslo 11; s. 801 - 808
Hlavní autoři:	Lamb, Danielle, Gnanapragasam, Sam, Greenberg, Neil, Bhundia, Rupa, Carr, Ewan, Hotopf, Matthew, Razavi, Reza, Raine, Rosalind, Cross, Sean, Dewar, Amy, Docherty, Mary, Dorrington, Sarah, Hatch, Stephani, Wilson-Jones, Charlotte, Leightley, Daniel, Madan, Ira, Marlow, Sally, McMullen, Isabel, Rafferty, Anne-Marie, Parsons, Martin, Polling, Catherine, Serfioti, Danai, Gaunt, Helen, Aitken, Peter, Morris-Bone, Joanna, Simela, Chloe, French, Veronica, Harris, Rachel, Stevelink, Sharon A M, Wessely, Simon
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England BMJ Publishing Group Ltd 01.11.2021 BMJ Publishing Group LTD BMJ Publishing Group
Edice:	Original research
Témata:	Adult Alcohol Alcohols Anxiety Anxiety - epidemiology Anxiety - etiology Anxiety disorders Cohort analysis Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - psychology Cross-Sectional Studies Data collection Demography Depression - epidemiology Depression - etiology Ethnicity Female Health care health personnel Health Personnel - psychology Health Personnel - statistics & numerical data Humans Injuries Injury analysis Male Medical personnel Mental depression Mental disorders Mental health Middle Aged Moral injury Occupational Diseases - epidemiology Occupational Diseases - etiology Occupational Diseases - psychology Occupational exposure Pandemics Pandemics - statistics & numerical data Population Post traumatic stress disorder post-traumatic Prevalence psychiatry Psychological stress Psychology Questionnaires Severe acute respiratory syndrome Signs and symptoms Social networks Sociodemographics stress disorders Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - etiology Suicidal Ideation Suicides & suicide attempts Surveys and Questionnaires Trust Trusts United Kingdom - epidemiology Well being Working conditions Workplace United Kingdom United Kingdom > UK post-traumatic psychiatry psychology stress disorders mental health health personnel
ISSN:	1351-0711, 1470-7926, 1470-7926
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Shrnutí:	ObjectivesThis study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April–June) of the COVID-19 pandemic in the UK.MethodsPreliminary cross-sectional data were analysed from a cohort study (n=4378). Clinical and non-clinical staff of three London-based NHS Trusts, including acute and mental health Trusts, took part in an online baseline survey. The primary outcome measure used is the presence of probable common mental disorders (CMDs), measured by the General Health Questionnaire. Secondary outcomes are probable anxiety (seven-item Generalised Anxiety Disorder), depression (nine-item Patient Health Questionnaire), post-traumatic stress disorder (PTSD) (six-item Post-Traumatic Stress Disorder checklist), suicidal ideation (Clinical Interview Schedule) and alcohol use (Alcohol Use Disorder Identification Test). Moral injury is measured using the Moray Injury Event Scale.ResultsAnalyses showed substantial levels of probable CMDs (58.9%, 95% CI 58.1 to 60.8) and of PTSD (30.2%, 95% CI 28.1 to 32.5) with lower levels of depression (27.3%, 95% CI 25.3 to 29.4), anxiety (23.2%, 95% CI 21.3 to 25.3) and alcohol misuse (10.5%, 95% CI 9.2 to 11.9). Women, younger staff and nurses tended to have poorer outcomes than other staff, except for alcohol misuse. Higher reported exposure to moral injury (distress resulting from violation of one’s moral code) was strongly associated with increased levels of probable CMDs, anxiety, depression, PTSD symptoms and alcohol misuse.ConclusionsOur findings suggest that mental health support for healthcare workers should consider those demographics and occupations at highest risk. Rigorous longitudinal data are needed in order to respond to the potential long-term mental health impacts of the pandemic.
Bibliografie:	Original research ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 DL and SG are joint first authors.
ISSN:	1351-0711 1470-7926 1470-7926
DOI:	10.1136/oemed-2020-107276