Evolution of burnout and psychological distress in healthcare workers during the COVID-19 pandemic: a 1-year observational study

BMC Psychiatry

Research

Christine Genest¹  Jacques Forest²  Stéphane Guay³  Marie-France Marin⁴  Simon Ducharme⁵  Mélanie Labrosse⁶  Camille Rosa⁷  Marie-Claude Guertin⁷  Judith Brouillette⁸  Cylia Houchi⁸  Marie-Joelle Marcil⁸  Jean-Claude Tardif⁹  Shaun Selcer⁹  Alain Vadeboncoeur⁹  Patrick Lavoie^1,10  Samuel Cyr^1,11 

[1] Centre d’étude sur le Trauma, Research Centre, Institut universitaire en santé mentale de Montréal, 7331 Hochelaga Street, Montreal, H1N 3V2, Québec, Canada;Faculty of Nursing, Université de Montréal, Marguerite-d’Youville Pavilion, P.O. Box 6128, Downtown Branch, Montreal, H3C 3J7, Québec, Canada;Department of Organization and Human Resources, ESG UQAM, P.O. Box 8888, Downtown Branch, Montreal, H3C 3P8, Québec, Canada;Department of Psychiatry and Addiction, Université de Montréal, Roger-Gaudry Pavilion, Faculty of Medicine, P.O. Box 6128, Downtown Branch, Montréal, H3C 3J7, Québec, Canada;Centre d’étude sur le Trauma, Research Centre, Institut universitaire en santé mentale de Montréal, 7331 Hochelaga Street, Montreal, H1N 3V2, Québec, Canada;Department of Psychiatry and Addiction, Université de Montréal, Roger-Gaudry Pavilion, Faculty of Medicine, P.O. Box 6128, Downtown Branch, Montréal, H3C 3J7, Québec, Canada;Department of Psychology, UQAM, 100 Sherbrooke Street West, Montréal, H2X 3P2, Québec, Canada;Research Centre, Institut universitaire en santé mentale de Montréal, 7331 Hochelaga Street, Montreal, H1N 3V2, Québec, Canada;Department of Psychiatry, Douglas Mental Health University Institute, McGill University, 6875 LaSalle Boulevard, Verdun, H4H 1R3, Québec, Canada;McConnell Brain Imaging Centre, Montreal Neurological Institute, McGill University, 3801 University St, Montreal, H3A 2B4, Québec, Canada;Faculty of Medicine, Université de Montréal, P.O. Box 6128, Downtown Branch, Montreal, H3C 3J7, Québec, Canada;Department of Pediatrics, Division of Emergency Medicine, Centre Hospitalier Universitaire Sainte-Justine, 3175 Côte-Sainte-Catherine Road, Montreal, H3T 1C5, Québec, Canada;Montreal Health Innovations Coordinating Centre, 5000 Belanger street, Montreal, H1T 1C8, Québec, Canada;Research Centre, Montreal Heart Institute, 5000 Belanger street, Montreal, H1T 1C8, Québec, Canada;Department of Psychiatry and Addiction, Université de Montréal, Roger-Gaudry Pavilion, Faculty of Medicine, P.O. Box 6128, Downtown Branch, Montréal, H3C 3J7, Québec, Canada;Research Centre, Montreal Heart Institute, 5000 Belanger street, Montreal, H1T 1C8, Québec, Canada;Faculty of Medicine, Université de Montréal, P.O. Box 6128, Downtown Branch, Montreal, H3C 3J7, Québec, Canada;Research Centre, Montreal Heart Institute, 5000 Belanger street, Montreal, H1T 1C8, Québec, Canada;Faculty of Nursing, Université de Montréal, Marguerite-d’Youville Pavilion, P.O. Box 6128, Downtown Branch, Montreal, H3C 3J7, Québec, Canada;Research Centre, Montreal Heart Institute, 5000 Belanger street, Montreal, H1T 1C8, Québec, Canada;Faculty of Pharmacy, Université de Montréal, P.O. Box 6128, Downtown Branch, Montreal, H3C 3J7, Québec, Canada;

关键词: Burnout;    Anxiety;    Depression;    Posttraumatic stress disorder;    COVID-19;    Health personnel;   

DOI  :  10.1186/s12888-022-04457-2

 received in 2022-02-07, accepted in 2022-12-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundLong-term psychological impacts of the COVID-19 pandemic on healthcare workers remain unknown. We aimed to determine the one-year progression of burnout and mental health since pandemic onset, and verify if protective factors against psychological distress at the beginning of the COVID-19 pandemic (Cyr et al. in Front Psychiatry; 2021) remained associated when assessed several months later.MethodsWe used validated questionnaires (Maslach Burnout Inventory, Hospital Anxiety and Depression and posttraumatic stress disorder [PTSD] Checklist for DSM-5 scales) to assess burnout and psychological distress in 410 healthcare workers from Quebec, Canada, at three and 12 months after pandemic onset. We then performed multivariable regression analyses to identify protective factors of burnout and mental health at 12 months. As the equivalent regression analyses at three months post-pandemic onset had already been conducted in the previous paper, we could compare the protective factors at both time points.ResultsPrevalence of burnout and anxiety were similar at three and 12 months (52% vs. 51%, p = 0.66; 23% vs. 23%, p = 0.91), while PTSD (23% vs. 11%, p < 0.0001) and depression (11% vs. 6%, p = 0.001) decreased significantly over time. Higher resilience was associated with a lower probability of all outcomes at both time points. Perceived organizational support remained significantly associated with a reduced risk of burnout at 12 months. Social support emerged as a protective factor against burnout at 12 months and persisted over time for studied PTSD, anxiety, and depression.ConclusionsHealthcare workers’ occupational and mental health stabilized or improved between three and 12 months after the pandemic onset. The predominant protective factors against burnout remained resilience and perceived organizational support. For PTSD, anxiety and depression, resilience and social support were important factors over time.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

Fig. 1