Differential impact of COVID-19 on mental health and burnout.
Occup Med (Lond)
; 74(1): 45-52, 2024 02 19.
Article
in En
| MEDLINE
| ID: mdl-37040624
ABSTRACT
BACKGROUND:
There may be differential impact of the COVID-19 pandemic on mental health and burnout rates of healthcare professionals (HCPs) performing different roles.AIMS:
To examine mental health and burnout rates, and possible drivers for any disparities between professional roles.METHODS:
In this cohort study, online surveys were distributed to HCPs in July-September 2020 (baseline) and re-sent 4 months later (follow-up; December 2020) assessing for probable major depressive disorder (MDD), generalized anxiety disorder (GAD), insomnia, mental well-being and burnout (emotional exhaustion and depersonalization). Separate logistic regression models (at both phases) compared the risk of outcomes between roles healthcare assistants (HCAs), nurses and midwives (nurses), allied health professionals (AHPs) and doctors (reference group). Separate linear regression models were also developed relating the change in scores to professional role.RESULTS:
At baseline (n = 1537), nurses had a 1.9-fold and 2.5-fold increased risk of MDD and insomnia, respectively. AHPs had a 1.7-fold and 1.4-fold increased risk of MDD and emotional exhaustion, respectively. At follow-up (n = 736), the disproportionate risk between doctors and others worsened nurses and HCAs were at 3.7-fold and 3.6-fold increased risk of insomnia, respectively. Nurses also had a significantly increased risk of MDD, GAD, poor mental well-being and burnout. Nurses also had significantly worsened anxiety, mental well-being and burnout scores over time, relative to doctors.CONCLUSIONS:
Nurses and AHPs had excess risk of adverse mental health and burnout during the pandemic, and this difference worsened over time (in nurses especially). Our findings support adoption of targeted strategies accounting for different HCP roles.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Burnout, Professional
/
Depressive Disorder, Major
/
COVID-19
/
Sleep Initiation and Maintenance Disorders
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Occup Med (Lond)
Journal subject:
MEDICINA OCUPACIONAL
Year:
2024
Type:
Article
Affiliation country:
United kingdom