Trajectories of symptoms of depression, distress, and resilience in healthcare workers during the COVID-19 pandemic and toward its end in Czechia

The mental health of healthcare workers (HCWs) may have improved after the COVID-19 pandemic. We aimed to model the trajectories of psychological distress, depressive symptoms, and resilience during the COVID-19 pandemic and toward its end in HCWs in Czechia and investigate, which COVID-19 work stre...

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Vydané v:European psychiatry Ročník 67; číslo 1; s. e49
Hlavní autori: Brennan Kearns, Pavla, Csajbók, Zsófia, Janoušková, Miroslava, Kučera, Matěj, Novák, David, Fryčová, Barbora, Kuklová, Marie, Pekara, Jaroslav, Šeblová, Jana, Seblova, Dominika
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Cambridge University Press 13.05.2024
Predmet:
Adult
COVID-19
COVID-19 - epidemiology
COVID-19 - psychology
Czech Republic - epidemiology
Data collection
depression
Depression - epidemiology
Depression - psychology
Female
Health Personnel - psychology
healthcare
Humans
Male
Medical personnel
Mental depression
Mental health
Middle Aged
Occupational Stress - epidemiology
Occupational Stress - psychology
pandemic
Pandemics
Patients
Personal protective equipment
Psychological Distress
Questionnaires
resilience
Resilience (Psychology)
Resilience, Psychological
Review boards
SARS-CoV-2
stress
Stress, Psychological - epidemiology
Stress, Psychological - psychology
Surveys and Questionnaires
Czech Republic
stress
depression
pandemic
resilience
healthcare
ISSN:0924-9338, 1778-3585, 1778-3585
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Shrnutí:The mental health of healthcare workers (HCWs) may have improved after the COVID-19 pandemic. We aimed to model the trajectories of psychological distress, depressive symptoms, and resilience during the COVID-19 pandemic and toward its end in HCWs in Czechia and investigate, which COVID-19 work stressors were associated with these trajectories. The study included 322 HCWs from the Czech arm of the international HEROES Study who participated in an online questionnaire in two waves during the pandemic and one wave toward its end. Growth mixture modeling identified trajectory patterns of depressive symptoms (measured with Patient Health Questionnaire), distress (General Health Questionnaire), and resilience (Brief Resilience Scale). Logistic regression was applied to estimate the association of COVID-19 stressors with mental health trajectories, adjusting for baseline characteristics. Trajectory classes revealed both high and low depressive symptoms (high in 61% of participants), distress (high in 82% of participants), and resilience (low in 32% of participants). Depressive symptoms and distress trajectories demonstrated the same shape, first increasing during the pandemic and decreasing toward its end, while resilience remained constant. Exposure to COVID-19 stressors, in particular, the experience of stigmatization, discrimination, and violence, was associated with high depressive symptoms and distress trajectories, but not with resilience. Interventions provided to HCWs during crises such as pandemic should target distress and depressive symptoms and need to address stigmatization, discrimination, and violence.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0924-9338
1778-3585
1778-3585
DOI:10.1192/j.eurpsy.2024.1752