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Snapshot Impact of COVID-19 on Mental Wellness in Nonphysician Otolaryngology Health Care Workers: A National Study.
Prasad, Aman; Civantos, Alyssa M; Byrnes, Yasmeen; Chorath, Kevin; Poonia, Seerat; Chang, Changgee; Graboyes, Evan M; Bur, Andrés M; Thakkar, Punam; Deng, Jie; Seth, Rahul; Trosman, Samuel; Wong, Anni; Laitman, Benjamin M; Shah, Janki; Stubbs, Vanessa; Long, Qi; Choby, Garret; Rassekh, Christopher H; Thaler, Erica R; Rajasekaran, Karthik.
  • Prasad A; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Civantos AM; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Byrnes Y; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Chorath K; Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Poonia S; Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Chang C; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Graboyes EM; Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Bur AM; Department of Otolaryngology, School of Medicine, University of Kansas, Kansas City, Kansas, USA.
  • Thakkar P; Department of Otolaryngology, George Washington University, Washington, DC, USA.
  • Deng J; Department of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Seth R; Department of Otolaryngology, University of San Francisco, San Francisco, California, USA.
  • Trosman S; Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.
  • Wong A; Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.
  • Laitman BM; Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.
  • Shah J; Department of Otolaryngology, Cleveland Clinic, Cleveland, Ohio, USA.
  • Stubbs V; Department of Otolaryngology, University of Miami, Miami, Florida, USA.
  • Long Q; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Choby G; Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.
  • Rassekh CH; Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Thaler ER; Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Rajasekaran K; Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
OTO Open ; 4(3): 2473974X20948835, 2020.
Article in English | MEDLINE | ID: covidwho-729457
ABSTRACT

OBJECTIVE:

Nonphysician health care workers are involved in high-risk patient care during the COVID-19 pandemic, placing them at high risk of mental health burden. The mental health impact of COVID-19 in this crucial population has not been studied thus far. Thus, the objective of this study is to assess the psychosocial well-being of these providers. STUDY

DESIGN:

National cross-sectional online survey (no control group).

SETTING:

Academic otolaryngology programs in the United States. SUBJECTS AND

METHODS:

We distributed a survey to nonphysician health care workers in otolaryngology departments across the United States. The survey incorporated a variety of validated mental health assessment tools to measure participant burnout (Mini-Z assessment), anxiety (Generalized Anxiety Disorder-7), distress (Impact of Event Scale), and depression (Patient Health Questionnaire-2). Multivariable logistic regression analysis was performed to determine predictive factors associated with these mental health outcomes.

RESULTS:

We received 347 survey responses 248 (71.5%) nurses, 63 (18.2%) administrative staff, and 36 (10.4%) advanced practice providers. A total of 104 (30.0%) respondents reported symptoms of burnout; 241 (69.5%), symptoms of anxiety; 292 (84.1%), symptoms of at least mild distress; and 79 (22.8%), symptoms of depression. Upon further analysis, development of these symptoms was associated with factors such as occupation, practice setting, and case load.

CONCLUSION:

Frontline otolaryngology health care providers exhibit high rates of mental health complications, particularly anxiety and distress, in the wake of COVID-19. Adequate support systems must be put into place to address these issues.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: OTO Open Year: 2020 Document Type: Article Affiliation country: 2473974X20948835

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: OTO Open Year: 2020 Document Type: Article Affiliation country: 2473974X20948835