Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping

<h4>Objective</h4> Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. <h4>Methods</h4> A cross-sectional, multi...

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Autores principales:	Rima Styra, Laura Hawryluck, Allison Mc Geer, Michelle Dimas, Jack Sheen, Peter Giacobbe, Neil Dattani, Gianni Lorello, Valeria E. Rac, Troy Francis, Peter E. Wu, Wing-Si Luk, Enoch Ng, Jeya Nadarajah, Kaila Wingrove, Wayne L. Gold
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/06012f7345a54f2ea82d3e2d70017f9d
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spelling	oai:doaj.org-article:06012f7345a54f2ea82d3e2d70017f9d2021-11-18T07:37:11ZSurviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping1932-6203https://doaj.org/article/06012f7345a54f2ea82d3e2d70017f9d2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580217/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4> Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. <h4>Methods</h4> A cross-sectional, multi-centered hospital online survey of HCWs in the Greater Toronto Area, Canada. Mental health outcomes of HCWs who worked during the COVID-19 pandemic and the SARS outbreak were assessed using Impact of Events—Revised scale (IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9). <h4>Results</h4> Among 3852 participants, moderate/severe scores for symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%), and depression (31.5%) were observed among HCWs. Work during the 2003 SARS outbreak was reported by 1116 respondents (29.1%), who had lower scores for symptoms of PTSD (P = .002), anxiety (P < .001), and depression (P < .001) compared to those who had not worked during the SARS outbreak. Multivariable logistic regression analysis showed non-clinical HCWs during this pandemic were at higher risk of anxiety (OR, 1.68; 95% CI, 1.19–2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34–3.07, P < .001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61–4.03, P < .001), those who cared for only 2–5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06–2.38, P = .01), and those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96–1.93, P = .05), were at higher risk of moderate/severe symptoms of PTSD. In addition, deterioration in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74–6.30, P < .001), anxiety (OR, 3.09, 95% CI, 2.11–4.53, P < .001), and depression (OR 5.07, 95% CI, 3.48–7.39, P < .001). <h4>Conclusion</h4> Psychological distress was observed in both clinical and non-clinical HCWs, with no impact from previous SARS work experience. As the pandemic continues, increasing psychological and team support may decrease the mental health impacts.Rima StyraLaura HawryluckAllison Mc GeerMichelle DimasJack SheenPeter GiacobbeNeil DattaniGianni LorelloValeria E. RacTroy FrancisPeter E. WuWing-Si LukEnoch NgJeya NadarajahKaila WingroveWayne L. GoldPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rima Styra Laura Hawryluck Allison Mc Geer Michelle Dimas Jack Sheen Peter Giacobbe Neil Dattani Gianni Lorello Valeria E. Rac Troy Francis Peter E. Wu Wing-Si Luk Enoch Ng Jeya Nadarajah Kaila Wingrove Wayne L. Gold Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
description	<h4>Objective</h4> Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. <h4>Methods</h4> A cross-sectional, multi-centered hospital online survey of HCWs in the Greater Toronto Area, Canada. Mental health outcomes of HCWs who worked during the COVID-19 pandemic and the SARS outbreak were assessed using Impact of Events—Revised scale (IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9). <h4>Results</h4> Among 3852 participants, moderate/severe scores for symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%), and depression (31.5%) were observed among HCWs. Work during the 2003 SARS outbreak was reported by 1116 respondents (29.1%), who had lower scores for symptoms of PTSD (P = .002), anxiety (P < .001), and depression (P < .001) compared to those who had not worked during the SARS outbreak. Multivariable logistic regression analysis showed non-clinical HCWs during this pandemic were at higher risk of anxiety (OR, 1.68; 95% CI, 1.19–2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34–3.07, P < .001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61–4.03, P < .001), those who cared for only 2–5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06–2.38, P = .01), and those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96–1.93, P = .05), were at higher risk of moderate/severe symptoms of PTSD. In addition, deterioration in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74–6.30, P < .001), anxiety (OR, 3.09, 95% CI, 2.11–4.53, P < .001), and depression (OR 5.07, 95% CI, 3.48–7.39, P < .001). <h4>Conclusion</h4> Psychological distress was observed in both clinical and non-clinical HCWs, with no impact from previous SARS work experience. As the pandemic continues, increasing psychological and team support may decrease the mental health impacts.
format	article
author	Rima Styra Laura Hawryluck Allison Mc Geer Michelle Dimas Jack Sheen Peter Giacobbe Neil Dattani Gianni Lorello Valeria E. Rac Troy Francis Peter E. Wu Wing-Si Luk Enoch Ng Jeya Nadarajah Kaila Wingrove Wayne L. Gold
author_facet	Rima Styra Laura Hawryluck Allison Mc Geer Michelle Dimas Jack Sheen Peter Giacobbe Neil Dattani Gianni Lorello Valeria E. Rac Troy Francis Peter E. Wu Wing-Si Luk Enoch Ng Jeya Nadarajah Kaila Wingrove Wayne L. Gold
author_sort	Rima Styra
title	Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
title_short	Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
title_full	Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
title_fullStr	Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
title_full_unstemmed	Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping
title_sort	surviving sars and living through covid-19: healthcare worker mental health outcomes and insights for coping
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/06012f7345a54f2ea82d3e2d70017f9d
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Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping

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