Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy; Department of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Department of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
J Affect Disord. 2022 Aug 15;311:78-83. doi: 10.1016/j.jad.2022.05.006. Epub 2022 May 6.
The aim of this study was to explore the psychopathological burden related to COVID-19 together with coping strategies in healthcare workers, focusing on differences between frontline and second-line workers.
This is a cross-sectional study part of the COvid Mental hEalth Trial (COMET). Participants' socio-demographic and COVID-19-related information was collected through an online survey. Psychiatric symptoms and coping strategies were also investigated. Multivariate analyses, corrected for demographic characteristics, were adopted to assess differences between frontline and second-line workers.
The sample consisted of 20,720 individuals. Healthcare workers (n = 2907) presented with significantly higher risk for mental health disturbances as compared to the rest of the sample (p < 0.001). Healthcare professionals working versus not working on the front line differed in living in severely impacted areas (p < 0.001), precautionary isolation by COVID-19 (p < 0.001), infection by COVID-19 (p < 0.001). Frontline workers also reported significantly increased insomnia (p < 0.001), depression (p = 0.007), anxiety (p < 0.001), obsessive-compulsive symptoms (p < 0.001), non-specific chronic and acute traumatic stress (p < 0.001; p < 0.001), as well as more adaptive coping strategies (p = 0.001).
The survey was conducted between March and June 2020, at the peak of the COVID-19 outbreak in Italy. Accordingly, the mental health impact of the COVID-19 pandemic might have changed over time. The survey design involved online invitation and it was not possible to assess the participation rate.
To our knowledge, this is the largest study addressing the psychopathological burden of Italian healthcare professionals during the COVID-19 outbreak and associated coping strategies. Empowering supportive interventions is crucial for the whole healthcare workforce.
本研究旨在探讨与 COVID-19 相关的心理病理学负担以及医护人员的应对策略，重点关注一线和二线工作人员之间的差异。
这是 COvid Mental hEalth Trial（COMET）的一项横断面研究。通过在线调查收集参与者的社会人口学和 COVID-19 相关信息。还调查了精神症状和应对策略。采用多变量分析，校正人口统计学特征，评估一线和二线工作人员之间的差异。
样本由 20720 人组成。与样本中的其他人相比，医护人员（n=2907）的心理健康障碍风险明显更高（p<0.001）。在居住在受影响严重地区（p<0.001）、因 COVID-19 进行预防性隔离（p<0.001）、感染 COVID-19 方面，在一线工作的医护人员与不在一线工作的医护人员不同（p<0.001）。一线工作人员还报告说失眠（p<0.001）、抑郁（p=0.007）、焦虑（p<0.001）、强迫症状（p<0.001）、非特异性慢性和急性创伤后应激（p<0.001;p<0.001）明显增加，以及更多的适应性应对策略（p=0.001）。
该调查于 2020 年 3 月至 6 月期间在意大利 COVID-19 爆发高峰期进行。因此，COVID-19 大流行对心理健康的影响可能随时间而变化。调查设计涉及在线邀请，无法评估参与率。
据我们所知，这是最大规模的研究，探讨了 COVID-19 爆发期间意大利医护人员的心理病理学负担以及相关的应对策略。为整个医疗保健劳动力提供支持性干预措施至关重要。
