Academic Journal
The Impact of the COVID-19 Pandemic on Mental Health, Occupational Functioning, and Professional Retention Among Health Care Workers and First Responders
| العنوان: | The Impact of the COVID-19 Pandemic on Mental Health, Occupational Functioning, and Professional Retention Among Health Care Workers and First Responders |
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| المؤلفون: | Hendrickson, Rebecca C., Slevin, Roisín A., Hoerster, Katherine D., Chang, Bernard P., Sano, Ellen, McCall, Catherine A., Monty, Gillian R., Thomas, Ronald G., Raskind, Murray A. |
| المساهمون: | Veterans Affairs Puget Sound Health Care System, VA Clinical Sciences Research and Development, VA Northwest Network MIRECC, Foundation for the National Institutes of Health, VA Health Services Research & Development |
| المصدر: | Journal of General Internal Medicine ; volume 37, issue 2, page 397-408 ; ISSN 0884-8734 1525-1497 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2021 |
| الوصف: | Background The COVID-19 pandemic has greatly affected front-line health care workers (HCW) and first responders (FR). The specific components of COVID-19 related occupational stressors (CROS) associated with psychiatric symptoms and reduced occupational functioning or retention remain poorly understood. Objectives Examine the relationships between total and factored CROS, psychiatric symptoms, and occupational outcomes. Design Observational, self-report, single time-point online assessment. Participants A total of 510 US HCW ( N = 301) and FR ( N = 200) with occupational duties affected by the COVID-19 pandemic. Main Outcomes and Measures CROS were assessed using a custom 17-item questionnaire. Post-traumatic stress disorder (PTSD), depression, insomnia, and generalized anxiety symptoms were assessed using the PTSD Checklist-5 (PCL5), Patient Health Questionnaire-9 (PHQ9), Insomnia Severity Index (ISI), and General Anxiety Disorder-7 (GAD7). Respondents’ likelihood of leaving current field and occupational functioning were assessed with 2-item PROMIS subscales. Relationships were modeled using multivariable regression. Open-ended responses were coded using rapid template analysis. Results CROS total scores correlated significantly with all four psychiatric symptom domains ( R ’s = .42–.53), likelihood of leaving one’s current occupation ( R = .18), and trouble doing usual work ( R = .28), all p’ s < .001. Half of HCW indicated a decreased likelihood of staying in their current occupation as a result of the pandemic. CROS were fit to a 3-factor model consisting of risk, demoralization, and volume factors. All CROS factors were associated with psychiatric symptom burden, but demoralization was most prominently associated with psychiatric symptoms and negative occupational outcomes. Among psychiatric symptoms, PTSD symptoms were most strongly associated with negative occupational outcomes. Open-ended statements emphasized lack of protection and support, increased occupational demands, and emotional ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1007/s11606-021-07252-z |
| DOI: | 10.1007/s11606-021-07252-z.pdf |
| DOI: | 10.1007/s11606-021-07252-z/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1007/s11606-021-07252-z https://link.springer.com/content/pdf/10.1007/s11606-021-07252-z.pdf https://link.springer.com/article/10.1007/s11606-021-07252-z/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.1B1198B1 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s11606-021-07252-z |
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