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1.
PLoS One ; 16(11): e0258893, 2021.
Article in English | MEDLINE | ID: covidwho-1700707

ABSTRACT

OBJECTIVE: Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. METHODS: A cross-sectional, multi-centered hospital online survey of HCWs in the Greater Toronto Area, Canada. Mental health outcomes of HCWs who worked during the COVID-19 pandemic and the SARS outbreak were assessed using Impact of Events-Revised scale (IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9). RESULTS: Among 3852 participants, moderate/severe scores for symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%), and depression (31.5%) were observed among HCWs. Work during the 2003 SARS outbreak was reported by 1116 respondents (29.1%), who had lower scores for symptoms of PTSD (P = .002), anxiety (P < .001), and depression (P < .001) compared to those who had not worked during the SARS outbreak. Multivariable logistic regression analysis showed non-clinical HCWs during this pandemic were at higher risk of anxiety (OR, 1.68; 95% CI, 1.19-2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34-3.07, P < .001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61-4.03, P < .001), those who cared for only 2-5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06-2.38, P = .01), and those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96-1.93, P = .05), were at higher risk of moderate/severe symptoms of PTSD. In addition, deterioration in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74-6.30, P < .001), anxiety (OR, 3.09, 95% CI, 2.11-4.53, P < .001), and depression (OR 5.07, 95% CI, 3.48-7.39, P < .001). CONCLUSION: Psychological distress was observed in both clinical and non-clinical HCWs, with no impact from previous SARS work experience. As the pandemic continues, increasing psychological and team support may decrease the mental health impacts.


Subject(s)
COVID-19/epidemiology , COVID-19/psychology , Health Personnel/psychology , Severe Acute Respiratory Syndrome/epidemiology , Severe Acute Respiratory Syndrome/psychology , Adaptation, Psychological/physiology , Adolescent , Adult , Allied Health Personnel , Anxiety/psychology , Anxiety/virology , Anxiety Disorders/psychology , Anxiety Disorders/virology , COVID-19/virology , Canada , Cross-Sectional Studies , Depression/psychology , Depression/virology , Disease Outbreaks , Female , Humans , Male , Mental Health , Middle Aged , Outcome Assessment, Health Care , Pandemics/statistics & numerical data , Patient Health Questionnaire , Psychological Distress , SARS-CoV-2/pathogenicity , Severe Acute Respiratory Syndrome/virology , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/virology , Surveys and Questionnaires , Young Adult
2.
PLoS One ; 16(11): e0258893, 2021.
Article in English | MEDLINE | ID: covidwho-1511820

ABSTRACT

OBJECTIVE: Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. METHODS: A cross-sectional, multi-centered hospital online survey of HCWs in the Greater Toronto Area, Canada. Mental health outcomes of HCWs who worked during the COVID-19 pandemic and the SARS outbreak were assessed using Impact of Events-Revised scale (IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9). RESULTS: Among 3852 participants, moderate/severe scores for symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%), and depression (31.5%) were observed among HCWs. Work during the 2003 SARS outbreak was reported by 1116 respondents (29.1%), who had lower scores for symptoms of PTSD (P = .002), anxiety (P < .001), and depression (P < .001) compared to those who had not worked during the SARS outbreak. Multivariable logistic regression analysis showed non-clinical HCWs during this pandemic were at higher risk of anxiety (OR, 1.68; 95% CI, 1.19-2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34-3.07, P < .001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61-4.03, P < .001), those who cared for only 2-5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06-2.38, P = .01), and those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96-1.93, P = .05), were at higher risk of moderate/severe symptoms of PTSD. In addition, deterioration in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74-6.30, P < .001), anxiety (OR, 3.09, 95% CI, 2.11-4.53, P < .001), and depression (OR 5.07, 95% CI, 3.48-7.39, P < .001). CONCLUSION: Psychological distress was observed in both clinical and non-clinical HCWs, with no impact from previous SARS work experience. As the pandemic continues, increasing psychological and team support may decrease the mental health impacts.


Subject(s)
COVID-19/epidemiology , COVID-19/psychology , Health Personnel/psychology , Severe Acute Respiratory Syndrome/epidemiology , Severe Acute Respiratory Syndrome/psychology , Adaptation, Psychological/physiology , Adolescent , Adult , Allied Health Personnel , Anxiety/psychology , Anxiety/virology , Anxiety Disorders/psychology , Anxiety Disorders/virology , COVID-19/virology , Canada , Cross-Sectional Studies , Depression/psychology , Depression/virology , Disease Outbreaks , Female , Humans , Male , Mental Health , Middle Aged , Outcome Assessment, Health Care , Pandemics/statistics & numerical data , Patient Health Questionnaire , Psychological Distress , SARS-CoV-2/pathogenicity , Severe Acute Respiratory Syndrome/virology , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/virology , Surveys and Questionnaires , Young Adult
3.
CMAJ ; 192(43): E1341-E1342, 2020 10 26.
Article in French | MEDLINE | ID: covidwho-962950
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