Title :

Resilience and Mental-Health Symptoms in ICU Healthcare Professionals Facing Repeated COVID-19 Waves

Author(s) :

Azoulay, Elie [Auteur]
Pochard, Frédéric [Auteur]
Argaud, Laurent [Auteur]
Cariou, Alain [Auteur]
Clere-Jehl, Raphael [Auteur]
Guisset, Olivier [Auteur]
Labbé, Vincent [Auteur]
Tamion Fabienne [Auteur]
Bruneel, Fabrice [Auteur]
Jourdain, Mercedes [Auteur]
Hôpital Roger Salengro [Lille]
Recherche translationnelle sur le diabète (RTD) - U1190
Reuter, Danielle [Auteur]
Klouche, Kada [Auteur]
Kouatchet, Achille [Auteur]
Souppart, Virginie [Auteur]
Lautrette, Alexandre [Auteur]
Bohé, Julien [Auteur]
Vieillard Baron, Antoine [Auteur]
Dellamonica, Jean [Auteur]
Papazian, Laurent [Auteur]
Reignier, Jean [Auteur]
Barbier, François [Auteur]
Dumas, Guillaume [Auteur]
Kentish-Barnes, Nancy [Auteur]

Journal title :

American Journal of Respiratory and Critical Care Medicine

Abbreviated title :

Am J Respir Crit Care Med

Volume number :

209

Pages :

573-585

Publisher :

American Thoracic Society

Publication date :

2024-03-01

ISSN :

1535-4970

English keyword(s) :

coronavirus
acute respiratory distress syndrome
post-traumatic growth
post-traumatic stress disorder
vulnerability

HAL domain(s) :

Sciences du Vivant [q-bio]
Sciences du Vivant [q-bio]/Médecine humaine et pathologie

English abstract : [en]

Rationale: Psychological resilience (the ability to thrive in adversity) may protect against mental-health symptoms in healthcare professionals during coronavirus disease (COVID-19) waves. Objectives: To identify ...
Show more >Rationale: Psychological resilience (the ability to thrive in adversity) may protect against mental-health symptoms in healthcare professionals during coronavirus disease (COVID-19) waves. Objectives: To identify determinants of resilience in ICU staff members. Methods: In this cross-sectional survey in 21 French ICUs, staff members completed the 10-item Connor-Davidson Resilience Scale, Hospital Anxiety and Depression Scale, and Impact of Event Scale–Revised (for post-traumatic stress disorder [PTSD]). Factors independently associated with resilience were identified. Measurements and Main Results: The response rate was 73.1% (950 of 1,300). The median 10-item Connor-Davidson Resilience Scale score was 29 (interquartile range, 25–32). Symptoms of anxiety, depression, and PTSD were present in 61%, 39%, and 36% of staff members, respectively. Distress associated with the COVID-19 infodemic was correlated with symptoms of depression and PTSD. More resilient respondents less often had symptoms of anxiety, depression, and PTSD. Greater resilience was independently associated with male sex, having provided intensive care during the early waves, having managed more than 50 patients with COVID-19, and, compared with earlier waves, working longer hours, having greater motivation, and more often involving families in end-of-life decisions. Independent risk factors for lower resilience were having managed more than 10 patients who died of COVID-19, having felt frightened or isolated, and greater distress from the COVID-19 infodemic. Conclusions: This study identifies modifiable determinants of resilience among ICU staff members. Longitudinal studies are needed to determine whether prior resilience decreases the risk of mental ill health during subsequent challenges. Hospital and ICU managers, for whom preserving mental well-being among staff members is a key duty, should pay careful attention to resilience.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Recherche translationnelle sur le diabète (RTD) - U1190

Submission date :

2024-06-26T21:38:15Z
2024-09-10T10:42:28Z