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. 2020 Dec 29;7(1):e24.
doi: 10.1192/bjo.2020.150.

Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK

Kasun Wanigasooriya  1 , Priyanka Palimar  2 , David N Naumann  3 , Khalida Ismail  4 , Jodie L Fellows  3 , Peter Logan  5 , Christopher V Thompson  6 , Helen Bermingham  1 , Andrew D Beggs  1 , Tariq Ismail  3
Affiliations

Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK

Kasun Wanigasooriya et al. BJPsych Open. .

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic is likely to lead to a significant increase in mental health disorders among healthcare workers (HCW).

Aims: We evaluated the rates of anxiety, depressive and post-traumatic stress disorder (PTSD) symptoms in a population of HCW in the UK.

Method: An electronic survey was conducted between the 5 June 2020 and 31 July 2020 of all hospital HCW in the West Midlands, UK using clinically validated questionnaires: the 4-item Patient Health Questionnaire(PHQ-4) and the Impact of Event Scale-Revised (IES-R). Univariate analyses and adjusted logistic regression analyses were performed to estimate the strengths in associations between 24 independent variables and anxiety, depressive or PTSD symptoms.

Results: There were 2638 eligible participants who completed the survey (female: 79.5%, median age: 42 years, interquartile range: 32-51). The rates of clinically significant symptoms of anxiety, depression and PTSD were 34.3%, 31.2% and 24.5%, respectively. In adjusted analysis a history of mental health conditions was associated with clinically significant symptoms of anxiety (odds ratio (OR) = 2.3, 95% CI 1.9-2.7, P < 0.001), depression (OR = 2.5, 95% CI 2.1-3.0, P < 0.001) and PTSD (OR = 2.1, 95% CI 1.7-2.5, P < 0.001). The availability of adequate personal protective equipment (PPE), well-being support and lower exposure to moral dilemmas at work demonstrated significant negative associations with these symptoms (P ≤ 0.001).

Conclusions: We report higher rates of clinically significant mental health symptoms among hospital HCW following the initial COVID-19 pandemic peak in the UK. Those with a history of mental health conditions were most at risk. Adequate PPE availability, access to well-being support and reduced exposure to moral dilemmas may protect hospital HCW from mental health symptoms.

Keywords: Anxiety; COVID-19; depression; healthcare workers; post-traumatic stress disorder (PTSD).

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Conflict of interest statement

None.

References

    1. John Hopkins University (JHU). Mortality Analyses – Coronavirus Resource Centre. JHU, 2020. (https://coronavirus.jhu.edu/data/mortality).
    1. CovidSurg Collaborative. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg 2020; 107: 1440–9. - PMC - PubMed
    1. Rosa WE, Ferrell BR, Wiencek C. Increasing critical care nurse engagement of palliative care during the COVID-19 pandemic. Crit Care Nurse. [Epub ahead of print] 23 July 2020. Available from: 10.4037/ccn2020946. - DOI - PMC - PubMed
    1. Zhan M, Qin Y, Xue X, Zhu S. Death from Covid-19 of 23 health care workers in China. N Engl J Med 2020; 382: 2267–68. - PMC - PubMed
    1. Cook T, Kursumovic E, Lennane S. Exclusive: deaths of NHS staff from Covid-19 analysed. Health Serv J 2020, April 22 (https://www.hsj.co.uk/exclusive-deaths-of-nhs-staff-from-covid-19-analys...).