Prevalence of Moral Injury, Burnout, Anxiety, and Depression in Healthcare Workers 2 Years in to the COVID-19 Pandemic.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2023-12-01 DOI:10.1097/NMD.0000000000001705

Robert P Lennon, Jessica Parascando, Simon G Talbot, Shouhao Zhou, Emily Wasserman, Sneha Mantri, Philip G Day, Ryan Liu, Makayla Lagerman, Annette Appiah, David Rabago, Wendy Dean

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Abstract

Abstract: COVID-19 has led to marked increases in healthcare worker distress. Studies of these phenomena are often limited to a particular element of distress or a specific subset of healthcare workers. We administered the Moral Injury Symptom Scale for Healthcare Professionals, Copenhagen Burnout Inventory, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 via online survey to 17,000 employees of a large academic medical center between December 2021 and February 2022. A total of 1945 participants completed the survey. Across all roles, the prevalence of moral injury, burnout, depression, and anxiety were 40.9%, 35.3%-60.6%, 25.4%, and 24.8%, respectively. Furthermore, 8.1% had been bothered by thoughts that they would be better off dead or of hurting themselves for "several days" or more frequently. Healthcare workers across all roles and practice settings are experiencing unsustainable levels of distress, with 1 in 12 regularly experiencing thoughts of self-harm.

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COVID-19大流行2年后医护人员道德伤害、倦怠、焦虑和抑郁的患病率

摘要:2019冠状病毒病(COVID-19)导致医护人员痛苦显著增加。对这些现象的研究往往局限于一个特定的痛苦因素或一个特定的医疗工作者子集。在2021年12月至2022年2月期间，我们通过在线调查对一家大型学术医疗中心的17,000名员工进行了医疗保健专业人员道德伤害症状量表、哥本哈根倦怠量表、患者健康问卷-9和广泛性焦虑症-7。共有1945名参与者完成了这项调查。在所有角色中，道德伤害、倦怠、抑郁和焦虑的患病率分别为40.9%、35.3%-60.6%、25.4%和24.8%。此外，8.1%的受访者曾“数天”或更频繁地被“死了会更好”或“伤害自己”的想法所困扰。所有角色和实践环境中的卫生保健工作者都经历着不可持续的痛苦，每12人中就有1人经常有自残的想法。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.