Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies

Background: COVID-19 sanitary crisis is associated with emotional difficulties such as depression, anxiety and reactional post-traumatic symptoms among healthcare workers. Indeed, healthcare workers were particularly exposed to COVID-19 sanitary crisis. This study aimed to investigate the effects of...

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Autores principales: Alexis Vancappel, Eline Jansen, Nawal Ouhmad, Thomas Desmidt, Bruno Etain, Chantal Bergey, Marguerite d'Ussel, Marie-Odile Krebs, Claire Paquet, Christian Réveillère, Coraline Hingray, Wissam El-Hage
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/9d3f6e153f6f474e928cf70d764138f1
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spelling oai:doaj.org-article:9d3f6e153f6f474e928cf70d764138f12021-11-18T07:57:14ZPsychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies1664-064010.3389/fpsyt.2021.701127https://doaj.org/article/9d3f6e153f6f474e928cf70d764138f12021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.701127/fullhttps://doaj.org/toc/1664-0640Background: COVID-19 sanitary crisis is associated with emotional difficulties such as depression, anxiety and reactional post-traumatic symptoms among healthcare workers. Indeed, healthcare workers were particularly exposed to COVID-19 sanitary crisis. This study aimed to investigate the effects of exposure to COVID-19 sanitary crisis on affective symptoms (anxiety, post-traumatic stress, burnout) among French healthcare workers and the mediating role of cognitive emotion regulation strategies (positive re-evaluation and set in perspective) and coping strategies (active coping, planning, instrumental support, emotional support, emotional expression, positive reappraisal, acceptance, denial, blame, humor, religion, distraction, substance use, behavioral disengagement).Method: This cross-sectional survey-based study collected demographic data and mental health measurements from 1,010 volunteers (838 women) who consented online to participate, from March 24 to June 28, 2020, in France. Participants filled out online questionnaires and visual analogic scales that evaluate affective symptoms related to the COVID-19 sanitary crisis, namely symptoms of post-traumatic stress, burnout, emotion regulation abilities, and coping abilities.Results: The majority (57.8%) of the participants presented post-traumatic symptoms. Depending on the sub-dimensions evaluated, a proportion of participants reported moderate (25.9–31.2%) to severe (17.2–40.7%) burnout symptoms. We found a significant effect of the level of exposure to COVID-19 on affective symptoms. Being a woman, having a lower job position and having less experience were associated with higher level of affective symptoms. Moreover, coping strategies had a mediating effect on the relation between stress and burnout, supporting the coping reserve model.Conclusion: Post-traumatic and burnout symptoms were highly prevalent among French healthcare workers at the beginning of the COVID-19 crisis. Exposure to COVID-19 is a determining factor. We can thus promote both coping training and a good environment to limit the emotional consequences of exposure to COVID-19.Alexis VancappelAlexis VancappelAlexis VancappelEline JansenNawal OuhmadThomas DesmidtThomas DesmidtBruno EtainChantal BergeyMarguerite d'UsselMarie-Odile KrebsClaire PaquetChristian RéveillèreCoraline HingrayCoraline HingrayWissam El-HageWissam El-HageWissam El-HageFrontiers Media S.A.articleoutbreakCOVID-19health care workerssanitary crisisburnoutpost-traumaticPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic outbreak
COVID-19
health care workers
sanitary crisis
burnout
post-traumatic
Psychiatry
RC435-571
spellingShingle outbreak
COVID-19
health care workers
sanitary crisis
burnout
post-traumatic
Psychiatry
RC435-571
Alexis Vancappel
Alexis Vancappel
Alexis Vancappel
Eline Jansen
Nawal Ouhmad
Thomas Desmidt
Thomas Desmidt
Bruno Etain
Chantal Bergey
Marguerite d'Ussel
Marie-Odile Krebs
Claire Paquet
Christian Réveillère
Coraline Hingray
Coraline Hingray
Wissam El-Hage
Wissam El-Hage
Wissam El-Hage
Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
description Background: COVID-19 sanitary crisis is associated with emotional difficulties such as depression, anxiety and reactional post-traumatic symptoms among healthcare workers. Indeed, healthcare workers were particularly exposed to COVID-19 sanitary crisis. This study aimed to investigate the effects of exposure to COVID-19 sanitary crisis on affective symptoms (anxiety, post-traumatic stress, burnout) among French healthcare workers and the mediating role of cognitive emotion regulation strategies (positive re-evaluation and set in perspective) and coping strategies (active coping, planning, instrumental support, emotional support, emotional expression, positive reappraisal, acceptance, denial, blame, humor, religion, distraction, substance use, behavioral disengagement).Method: This cross-sectional survey-based study collected demographic data and mental health measurements from 1,010 volunteers (838 women) who consented online to participate, from March 24 to June 28, 2020, in France. Participants filled out online questionnaires and visual analogic scales that evaluate affective symptoms related to the COVID-19 sanitary crisis, namely symptoms of post-traumatic stress, burnout, emotion regulation abilities, and coping abilities.Results: The majority (57.8%) of the participants presented post-traumatic symptoms. Depending on the sub-dimensions evaluated, a proportion of participants reported moderate (25.9–31.2%) to severe (17.2–40.7%) burnout symptoms. We found a significant effect of the level of exposure to COVID-19 on affective symptoms. Being a woman, having a lower job position and having less experience were associated with higher level of affective symptoms. Moreover, coping strategies had a mediating effect on the relation between stress and burnout, supporting the coping reserve model.Conclusion: Post-traumatic and burnout symptoms were highly prevalent among French healthcare workers at the beginning of the COVID-19 crisis. Exposure to COVID-19 is a determining factor. We can thus promote both coping training and a good environment to limit the emotional consequences of exposure to COVID-19.
format article
author Alexis Vancappel
Alexis Vancappel
Alexis Vancappel
Eline Jansen
Nawal Ouhmad
Thomas Desmidt
Thomas Desmidt
Bruno Etain
Chantal Bergey
Marguerite d'Ussel
Marie-Odile Krebs
Claire Paquet
Christian Réveillère
Coraline Hingray
Coraline Hingray
Wissam El-Hage
Wissam El-Hage
Wissam El-Hage
author_facet Alexis Vancappel
Alexis Vancappel
Alexis Vancappel
Eline Jansen
Nawal Ouhmad
Thomas Desmidt
Thomas Desmidt
Bruno Etain
Chantal Bergey
Marguerite d'Ussel
Marie-Odile Krebs
Claire Paquet
Christian Réveillère
Coraline Hingray
Coraline Hingray
Wissam El-Hage
Wissam El-Hage
Wissam El-Hage
author_sort Alexis Vancappel
title Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
title_short Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
title_full Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
title_fullStr Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
title_full_unstemmed Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies
title_sort psychological impact of exposure to the covid-19 sanitary crisis on french healthcare workers: risk factors and coping strategies
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/9d3f6e153f6f474e928cf70d764138f1
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