Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has been shown to increase levels of psychological distress among healthcare workers. Little is known, however, about specific positive and negative individual and organizational factors that affect the mental health of emergency physici...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Erin Dehon, Kori S. Zachrison, Jennifer Peltzer-Jones, Ramin R. Tabatabai, Elizabeth Clair, Michael A. Puskarich, Amy Ondeyka, Katherine Dixon-Gordon, Lauren A. Walter, Elaine H. Situ-LaCasse, Megan L. Fix
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/51992ceceb2e45ee877cc2167193e019
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:51992ceceb2e45ee877cc2167193e019
record_format	dspace
spelling	oai:doaj.org-article:51992ceceb2e45ee877cc2167193e0192021-11-17T15:19:27ZSources of Distress and Coping Strategies Among Emergency Physicians During COVID-191936-901810.5811/westjem.2021.9.53406https://doaj.org/article/51992ceceb2e45ee877cc2167193e0192021-09-01T00:00:00Zhttps://escholarship.org/uc/item/6ft1r7rchttps://doaj.org/toc/1936-9018Introduction: The coronavirus disease 2019 (COVID-19) pandemic has been shown to increase levels of psychological distress among healthcare workers. Little is known, however, about specific positive and negative individual and organizational factors that affect the mental health of emergency physicians (EP) during COVID-19. Our objective was to assess these factors in a broad geographic sample of EPs in the United States. Methods: We conducted an electronic, prospective, cross-sectional national survey of EPs from October 6–December 29, 2020. Measures assessed negative mental health outcomes (depression, anxiety, post-traumatic stress, and insomnia), positive work-related outcomes, and strategies used to cope with COVID-19. After preliminary analyses and internal reliability testing, we performed four separate three-stage hierarchical multiple regression analyses to examine individual and organizational predictive factors for psychological distress. Results: Response rate was 50%, with 517 EPs completing the survey from 11 different sites. Overall, 85% of respondents reported negative psychological effects due to COVID-19. Participants reported feeling more stressed (31%), lonelier (26%), more anxious (25%), more irritable (24%) and sadder (17.5%). Prevalence of mental health conditions was 17% for depression, 13% for anxiety, 7.5% for post-traumatic stress disorder (PTSD), and 18% for insomnia. Regular exercise decreased from 69% to 56%, while daily alcohol use increased from 8% to 15%. Coping strategies of behavioral disengagement, self-blame, and venting were significant predictors of psychological distress, while humor and positive reframing were negatively associated with psychological distress. Conclusion: Emergency physicians have experienced high levels of psychological distress during the COVID-19 pandemic. Those using avoidant coping strategies were most likely to experience depression, anxiety, insomnia, and PTSD, while humor and positive reframing were effective coping strategies.Erin DehonKori S. ZachrisonJennifer Peltzer-JonesRamin R. TabatabaiElizabeth ClairMichael A. PuskarichAmy OndeykaKatherine Dixon-GordonLauren A. WalterElaine H. Situ-LaCasseMegan L. FixeScholarship Publishing, University of CaliforniaarticleMedicineRMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENWestern Journal of Emergency Medicine, Vol 22, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medicine R Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Erin Dehon Kori S. Zachrison Jennifer Peltzer-Jones Ramin R. Tabatabai Elizabeth Clair Michael A. Puskarich Amy Ondeyka Katherine Dixon-Gordon Lauren A. Walter Elaine H. Situ-LaCasse Megan L. Fix Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
description	Introduction: The coronavirus disease 2019 (COVID-19) pandemic has been shown to increase levels of psychological distress among healthcare workers. Little is known, however, about specific positive and negative individual and organizational factors that affect the mental health of emergency physicians (EP) during COVID-19. Our objective was to assess these factors in a broad geographic sample of EPs in the United States. Methods: We conducted an electronic, prospective, cross-sectional national survey of EPs from October 6–December 29, 2020. Measures assessed negative mental health outcomes (depression, anxiety, post-traumatic stress, and insomnia), positive work-related outcomes, and strategies used to cope with COVID-19. After preliminary analyses and internal reliability testing, we performed four separate three-stage hierarchical multiple regression analyses to examine individual and organizational predictive factors for psychological distress. Results: Response rate was 50%, with 517 EPs completing the survey from 11 different sites. Overall, 85% of respondents reported negative psychological effects due to COVID-19. Participants reported feeling more stressed (31%), lonelier (26%), more anxious (25%), more irritable (24%) and sadder (17.5%). Prevalence of mental health conditions was 17% for depression, 13% for anxiety, 7.5% for post-traumatic stress disorder (PTSD), and 18% for insomnia. Regular exercise decreased from 69% to 56%, while daily alcohol use increased from 8% to 15%. Coping strategies of behavioral disengagement, self-blame, and venting were significant predictors of psychological distress, while humor and positive reframing were negatively associated with psychological distress. Conclusion: Emergency physicians have experienced high levels of psychological distress during the COVID-19 pandemic. Those using avoidant coping strategies were most likely to experience depression, anxiety, insomnia, and PTSD, while humor and positive reframing were effective coping strategies.
format	article
author	Erin Dehon Kori S. Zachrison Jennifer Peltzer-Jones Ramin R. Tabatabai Elizabeth Clair Michael A. Puskarich Amy Ondeyka Katherine Dixon-Gordon Lauren A. Walter Elaine H. Situ-LaCasse Megan L. Fix
author_facet	Erin Dehon Kori S. Zachrison Jennifer Peltzer-Jones Ramin R. Tabatabai Elizabeth Clair Michael A. Puskarich Amy Ondeyka Katherine Dixon-Gordon Lauren A. Walter Elaine H. Situ-LaCasse Megan L. Fix
author_sort	Erin Dehon
title	Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
title_short	Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
title_full	Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
title_fullStr	Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
title_full_unstemmed	Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19
title_sort	sources of distress and coping strategies among emergency physicians during covid-19
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/51992ceceb2e45ee877cc2167193e019
work_keys_str_mv	AT erindehon sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT koriszachrison sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT jenniferpeltzerjones sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT raminrtabatabai sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT elizabethclair sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT michaelapuskarich sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT amyondeyka sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT katherinedixongordon sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT laurenawalter sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT elainehsitulacasse sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19 AT meganlfix sourcesofdistressandcopingstrategiesamongemergencyphysiciansduringcovid19
_version_	1718425414604423168

Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19

Ejemplares similares