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Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic.
Shechter, Ari; Chiuzan, Codruta; Shang, Yimeng; Ko, Gavin; Diaz, Franchesca; Venner, Hadiah K; Shaw, Kaitlin; Cannone, Diane E; McMurry, Cara L; Sullivan, Alexandra M; Rivera, Reynaldo R; Vose, Courtney; Shapiro, Peter A; Abdalla, Marwah.
  • Shechter A; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Chiuzan C; Institute of Health System Science, Feinstein Institute for Medical Research, Northwell Health, New York, NY 10022, USA.
  • Shang Y; Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
  • Ko G; Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY 10032, USA.
  • Diaz F; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Venner HK; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Shaw K; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Cannone DE; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • McMurry CL; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Sullivan AM; Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
  • Rivera RR; New York-Presbyterian Hospital, New York, NY 10032, USA.
  • Vose C; School of Nursing, Columbia University, New York, NY 10032, USA.
  • Shapiro PA; New York-Presbyterian Hospital, New York, NY 10032, USA.
  • Abdalla M; School of Nursing, Columbia University, New York, NY 10032, USA.
Int J Environ Res Public Health ; 19(1)2021 12 27.
Article in English | MEDLINE | ID: covidwho-1580808
ABSTRACT

BACKGROUND:

Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown.

METHODS:

A web survey invitation was sent to healthcare worker listservs at a NYC medical center (April, 2020). The Primary Care (PC)-PTSD questionnaire was used to screen for PTSD symptoms at baseline and then every 2 weeks for 10 weeks. Incidence and prevalence of PTSD symptoms were determined at each time point. Multivariable generalized estimating equation models were performed to investigate the factors associated with a positive PC-PTSD screen at follow-up.

RESULTS:

Median age (interquartile range) of N = 230 participants was 36 (31-48) years; 79.6% were women; 82.6% worked in COVID-19-focused settings. The prevalence of PTSD symptoms decreased from 55.2% at baseline to 25.0% at 10 weeks (p < 0.001). Among participants who had a baseline negative screen for PTSD symptoms, the incidence of PTSD at 10 weeks was 12.2% (p-trend 0.034). In multivariable-adjusted analyses, being a nurse (odds ratio [OR] 1.70, 95% confidence interval [CI] 1.06-2.71), female (OR 3.00, 95% CI 1.59, 5.72), and working in a COVID-19-focused location (OR 1.51, 95% CI 1.02, 2.21) were associated with increased odds of PTSD symptoms at 10-weeks.

CONCLUSIONS:

PTSD symptoms improved over 3 months following the first wave of the COVID-19 pandemic. However, one out of four NYC healthcare workers still had an increased risk for PTSD at 10-weeks. Screening healthcare workers for PTSD symptoms should be considered during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph19010262

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph19010262