Psychological distress among healthcare providers during the COVID-19 pandemic: patterns over time

作者：Iris Gutmanis, Brenda L. Coleman, Kelly Ramsay, Robert Maunder, Susan J. Bondy, CCS Working Group, Curtis Cooper, Kevin Katz, Mark Loeb, Shelly McNeil, Matthew Muller, Jeff Powis, Robyn Harrison, Joanne M. Langley, Samira Mubareka, Jeya Nadarajah, Louis Valiquette, Marek Smieja, Sarah A. Bennett, Julia Policelli, Ayodele Sanni, Nicole Robertson, Kanchan, Allison McGeer · 发表于：BMC Health Services Research · 年份：2024 · DOI：10.1186/s12913-024-11577-w · 被引用次数：8 · 研究领域：COVID-19 and Mental Health、Healthcare professionals’ stress and burnout、Posttraumatic Stress Disorder Research

BACKGROUND: COVID-19 added to healthcare provider (HCP) distress, but patterns of change remain unclear. This study sought to determine if and how emotional distress varied among HCP between March 28, 2021 and December 1, 2023. METHODS: This longitudinal study was embedded within the 42-month prospective COVID-19 Cohort Study that recruited HCP from four Canadian provinces. Information was collected at enrollment, from annual exposure surveys, and vaccination and illness surveys. The 10-item Kessler Psychological Distress Scale (K10) was completed approximately every six months after March 28, 2021. Linear mixed effects models, specifically random intercept models, were generated to determine the impact of time on emotional distress while accounting for demographic and work-related factors. RESULTS: Between 2021 and 2023, the mean K10 score fell by 3.1 points, indicating decreased distress, but scores increased during periods of high levels of mitigation strategies against transmission of SARS-CoV-2, during winter months, and if taking antidepression, anti-anxiety or anti-insomnia medications. K10 scores were significantly lower for HCP who were male, older, had more children in their household, experienced prior COVID-19 illness(es), and for non-physician but regulated HCP versus nurses. A sensitivity analysis that included only those who had submitted at least five K10 surveys consisted of the factors in the full model excluding previous COVID-19 illness, occupation, and se...