Review: Mental health outcomes among front-line and second-line healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy

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Review: Mental health outcomes among front-line and second-line healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy

Review: Mental health outcomes among front-line and second-line healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy

This cross-sectional study found a substantial proportion of mental health issues in healthcare workers (HCWs) during the pandemic, particularly among women and front-line healthcare workers. 

  • Cross-sectional, web-based study collected data between March 27 and March 31, 2020 (days immediately preceding the COVID-19 peak in Italy), using an online questionnaire spread via social networks using a snowball technique and sponsored social network advertisements, making it impossible to determine response rate.
  • Key mental health outcomes were posttraumatic stress symptoms (PTSS), symptoms of depression, anxiety, insomnia, and perceived stress were assessed.
  • A total of 1379 HCWs completed the questionnaire
    • 49.38% endorsed PTSS
    • 24.73% endorsed symptoms of depression
    • 19.80% endorsed symptoms of anxiety
    • 8.27% endorsed insomnia
    • 21.90% endorsed high perceived stress
  • Having a colleague deceased was associated with PTSS (OR, 2.60; 95% CI, 1.30-5.19; P = .007) and symptoms of depression (OR, 2.07; 95% CI, 1.05-4.07; P = .04) and insomnia (OR, 2.94; 95% CI, 1.21-7.18; P = .02)
  • Having a colleague hospitalized was associated with PTSS (OR, 1.54; 95% CI, 1.10-2.16; P = .01) and higher perceived stress (OR, 1.93; 95% CI, 1.30-2.85; P = .001)
  • Being exposed to contagion was associated with symptoms of depression (OR, 1.54; 95% CI, 1.11-2.14; P = .01)
|2020-05-29T11:17:04-04:00May 28th, 2020|COVID-19 Literature|0 Comments

About the Author: Megan McHenry

Megan McHenry
Megan S. McHenry, MD, MS, FAAP is a pediatrician and an Assistant Professor of Pediatrics in the Ryan White Center for Pediatric Infectious Disease and Global Health at Indiana University School of Medicine. Dr. McHenry's research focuses on early childhood development in children living in resource-limited settings. This work is frequently aligned with community-engaged research and dissemination and implementation science frameworks. She primarily conducts research in collaboration with the Academic Model for Providing Access to Healthcare (AMPATH) Research Network in Kenya. Dr. McHenry currently has a career development award through the National Institutes of Health to develop a neurodevelopmental screening program for children born to HIV-infected mothers in Kenya. Dr. McHenry is also the Director of Pediatric Global Health Education and a co-Director of the Morris Green Physician-Scientist Development Program at Indiana University School of Medicine. In additional to global health lectures, she also educates residents and students on early childhood development, basic biostatistical techniques, research methodologies, and research ethics. She mentors multiple pediatric fellows, residents, and medical students interested in early childhood development within global contexts.

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