Fuste, Montserrat

Gilleen, James

Salice, Clara

Santaolalla, Aida

Valdearenas, Lorena

English

Background The coronavirus disease 2019 (COVID-19) pandemic has had a significant psychological impact on healthcare workers (HCWs). Aims There is an urgent need to understand the risk and protective factors associated with poor mental well-being of UK HCWs working during the COVID-19 pandemic. Method Shortly after the April 2020 UK COVID-19 peak 2773 HCWs completed a survey containing measures of anxiety, depression, post-traumatic stress disorder and stress, as well as questions around potential predictors such as roles, COVID-19 risk perception and workplace-related factors. Respondents were classified as high or low symptomatic on each scale and logistic regression revealed factors associated with severe psychiatric symptoms. Change in well-being from pre- to during COVID-19 was also quantified. Results Nearlya third of HCWs reported moderate to severe levels of anxiety and depression, and the number reporting very high symptoms was more than quadruple that pre-COVID-19. Several controllable factors were associated with the most severe level of psychiatric symptoms: insufficient personal protective equipment availability, workplace preparation, training and communication, and higher workload. Being female, 'front line', previous psychiatric diagnoses, traumatic events, and being an allied HCW or manager were also significantly associated with severe psychiatric symptoms. Sharing stress, resilience and ethical support for treatment decisions were significantly associated with low psychiatric symptoms. Front-line workers showed greater worsening of mental health compared with non-front-line HCWs. Conclusions Poor mental well-being was prevalent during the COVID-19 response, however, controllable factors associated with severe psychiatric symptoms are available to be targeted to reduce the detrimental impact of COVID-19 and other pandemics on HCW mental health. </p

Fusté, Montserrat

King's Research Portal

Impact of the COVID-19 pandemic on the mental health and well-being of UK healthcare workers

ObjectiveThe COVID-19 pandemic has placed healthcare workers (HCW) under considerable burden. The study objective was to meet the urgent need to understand the psychological impact of the pandemic on UK HCW and identify the factors which raised risk of, or protected against, poor mental health.DesignThe study reports baseline survey data from a prospective cohort design. The survey contained validated scales of anxiety, depression, PTSD, and stress, and gathered information about roles, workplace, and COVID-19-related factors including COVID-19 preparation and workplace risk management. Participants2773 UK HCWs completed the survey between 22ndApril and 10th May 2020.Main outcome measuresUsing established criteria, respondents were classified as high or low symptomatic on each symptom scale and logistic regressions were conducted to reveal explanatory models of risk and protective factors. Change in wellbeing from pre to during COVID-19 was also quantified and mental health symptom severity of key HCW subgroups was compared.ResultsA large proportion of UK HCW reported high levels of mental health symptoms. Specific clusters of factors conferred risk of high symptoms. ‘Fixed’ factors included being female, being FL, pre-existing mental health diagnosis, and experience of stressful/traumatic events. An additional set of ‘controllable’ factors also significantly increased risk of high symptoms: PPE availability, workload, lack of COVID-19 preparation, training, and communication of clinical procedures. Resilience and sharing stress reduced risk, as did ethics panel support for those making decisions about patient treatment. Allied HCW and especially managers were at risk of high symptoms, particularly PTSD. BAME HCWs were significantly at risk of high PTSD and were more worried than non-BAME about COVID and PPE. Wellbeing across the cohort, but particularly of frontline workers (FL), had significantly worsened compared to pre-COVID-19 levels. ConclusionsPoor mental wellbeing was prevalent in HCW during the UK COVID-19 response. A number of ‘controllable’ factors including reducing perception of preventable risk should be targeted, and protective factors promoted, to reduce the detrimental effect of COVID-19 and other pandemics on HCW mental health. © 2021, CUP. This is an author produced version of a paper published in BJPsych Open uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it

Roehampton University Research Repository

Impact of the COVID-19 pandemic on the mental health and wellbeing of UK healthcare workers

https://pure.roehampton.ac.uk/ws/files/5064363/Gilleen_et_al_2020_Main_Manuscript_Submitted_Resubmission_no_yellow.pdf

Impact of the COVID-19 pandemic on the mental health and wellbeing of UK healthcare workers

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