TY  - JOUR
PY  - 2020//
TI  - Symptoms of anxiety, depression and peritraumatic dissociation in critical care clinicians managing CoViD-19 patients: a cross-sectional study
JO  - American journal of respiratory and critical care medicine
A1  - Azoulay, Elie
A1  - Cariou, Alain
A1  - Bruneel, Fabrice
A1  - Demoule, Alexandre
A1  - Kouatchet, Achille
A1  - Reuter, Danielle
A1  - Souppart, Virginie
A1  - Combes, Alain
A1  - Klouche, Kada
A1  - Argaud, Laurent
A1  - Barbier, François
A1  - Jourdain, Mercé
A1  - Reignier, Jean
A1  - Papazian, Laurent
A1  - Guidet, Bertrand
A1  - Géri, Guillaume
A1  - Resche-Rigon, Matthieu
A1  - Guisset, Olivier
A1  - Labbé, Vincent
A1  - Megarbane, Bruno
A1  - Van Der Meersch, Guillaume
A1  - Guitton, Christophe
A1  - Friedman, Diane
A1  - Pochard, Frédéric
A1  - Darmon, Michael
A1  - Kentish-Barnes, Nancy
A1  - FAMIREA study group, 
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - RATIONALE: Frontline healthcare providers (HCPs) during the COVID-19 pandemic are at high risk of mental morbidity.     OBJECTIVE: To assess the prevalence of symptoms of anxiety, depression, and peritraumatic dissociation in HCPs.     METHODS: Cross-sectional study in 21 ICUs in France between April 20 and May 21, 2020. The Hospital Anxiety and Depression Scale and the Peritraumatic Dissociative Experience Questionnaire were used. Factors independently associated with reported symptoms of mental health disorders were identified.     MEASUREMENTS AND MAIN RESULTS: Response rate was 67%, with 1058 respondents (median age 33 y, 71% women, 68% nursing staff). The prevalence of symptoms of anxiety, depression, and peritraumatic dissociation was 50.4%, 30.4%, and 32%, respectively, with the highest rates in nurses. By multivariable analysis, male sex was independently associated with lower prevalence of symptoms of anxiety, depression, and peritraumatic dissociation (Odds Ratio of 0.58(0.42-0.79), 0.57(0.39-0.82) and 0.49(0.34-0.72), respectively. HCPs working in non-university-affiliated hospitals and nursing assistants were at high risk of symptoms of anxiety and peritraumatic dissociation. Importantly, we identified six modifiable determinants of symptoms of mental health disorders: fear of being infected, inability to rest, inability to care for family, struggling with difficult emotions, regret about the restrictions in visitation policies, and witnessing hasty end-of-life decisions.     CONCLUSIONS: HCPs experience high levels of psychological burden during the COVID-19 epidemic. Hospitals, ICU directors, and ICU staff must devise strategies to overcome the modifiable determinants of adverse mental illness symptoms. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).<p />  <p>Language: en</p>
LA  - en
SN  - 1073-449X
UR  - http://dx.doi.org/10.1164/rccm.202006-2568OC
ID  - ref1
ER  -