INTRODUCTION : Previous research has demonstrated the negative impact of the COVID-19 pandemic emergency on the wellbeing of healthcare workers. However, few research contributions reported a longitudinal evaluation of psychological distress and examined determinants of its duration and course over time. The present study aims to explore the impact of the pandemic emergency on HCWs mental health by adopting a longitudinal design and assessing mental health as combination of overlapping clinical symptoms (post-traumatic stress disorder, depression and anxiety).
Methods: Data were collected weekly through a mobile application during and after the first wave of COVID-19 in the province of Quebec, Canada, in 2020.
382 participants were divided int three groups:
- “resilient” (RES) if they did not manifest clinical-level psychological distress during monitoring.
- “short-term distress” (STD) if distress exceeded the clinical threshold for 1–3 weeks.
- “longer-term distress” (LTD) if it occurred for four or more weeks, even if not consecutively.
Results: In our sample, almost two third (59.4%) HCWs did not manifest moderate or severe distress during the monitoring time.
- Short-term distress was the most common distress response, affecting almost one third of participants.
- Longer psychological distress occurred only in a smaller percentage (12.6%) of cases, as a combination of severe posttraumatic, depressive and anxiety symptoms.
- Perceived occupational stress was the most significant risk factor; moreover individual, peritraumatic work and family risk and protective factors, were likely to significantly affect the stress response.
Authors : Filippo Rapisarda, Nicolas Bergeron, Marie-Michèle Dufour, Stéphane Guay, Steve Geoffrion
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