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. 2020 Aug 25;22(8):e21366.
doi: 10.2196/21366.

Work-Related and Personal Factors Associated With Mental Well-Being During the COVID-19 Response: Survey of Health Care and Other Workers

Bradley A Evanoff  1   2 , Jaime R Strickland  1   2 , Ann Marie Dale  1   2 , Lisa Hayibor  1 , Emily Page  3 , Jennifer G Duncan  1 , Thomas Kannampallil  1 , Diana L Gray  1
Affiliations

Work-Related and Personal Factors Associated With Mental Well-Being During the COVID-19 Response: Survey of Health Care and Other Workers

Bradley A Evanoff et al. J Med Internet Res. .

Erratum in

Abstract

Background: The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19).

Objective: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being.

Methods: All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors.

Results: There were 5550 respondents (overall response rate of 34.3%). Overall, 34% of faculty and 14% of staff (n=915) were providing clinical care, while 61% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors.

Conclusions: Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers.

Keywords: COVID-19; coronavirus; health care workers; mental health; occupational health; pandemic; remote work; worker well-being.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Survey response flowchart.
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References

    1. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 02;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jam... - DOI - DOI - PMC - PubMed
    1. Bettinsoli M, Di RD, Napier J, Moretti L, Bettinsoli P, Delmedico M, Piazzolla A, Moretti B. Psychological Impact and Contextual Factors Associated With Physical and Mental Health Conditions of Italian Healthcare Professionals During the Covid-19 Disease Outbreak. PsyArXiv Preprints. 2020:1–22. doi: 10.31234/osf.io/w89fz. - DOI - PMC - PubMed
    1. Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Annals of Internal Medicine. 2020 Jun 16;172(12):822–823. doi: 10.7326/m20-1236. - DOI - PMC - PubMed
    1. Ripp J, Peccoralo L, Charney D. Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Acad Med. 2020 Aug;95(8):1136–1139. doi: 10.1097/acm.0000000000003414. - DOI - PMC - PubMed
    1. Shanafelt T, Ripp J, Trockel M. Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. JAMA. 2020 Apr 07;323(21):2133. doi: 10.1001/jama.2020.5893. - DOI - PubMed

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