Occurrences of post-traumatic stress disorder, anxiety, depression, and burnout syndrome in ICU staff workers after two-year of the COVID-19 pandemic: the international PSY-CO in ICU study

• Published in: Annals of general psychiatry Vol. 23; no. 1; p. 3
• Main Authors: Roger, Claire, Ling, Lowel, Petrier, Mélissa, Elotmani, Loubna, Atchade, Enora, Allaouchiche, Bernard, Aubrun, Frédéric, Constantin, Jean-Michel, Dahyot-Fizelier, Claire, Delhaye, Nathalie, Dupont, Hervé, Fischer, Marc-Olivier, Garnier, Marc, Gayat, Etienne, Ichai, Carole, Jaber, Samir, Morel, Jérome, Plaud, Benoit, Rimmelé, Thomas, Robin, Sylvaine, Saba, Renee, Joynt, Gavin M, Lefrant, Jean-Yves, Fabbro-Peray, Pascale, Lipman, Jeffrey, Conejero, Ismael, Laupland, Kevin
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 03-01-2024; BioMed Central; BMC
• Subjects: Anxiety; Australia; Burn out (Psychology); Burnout; Burnout syndrome; Comorbidity; COVID-19; Depression; Diagnosis; Epidemics; France; Health aspects; Hong Kong; ICU staff worker; Intensive care unit; Life Sciences; Medical personnel; Mental depression; Mortality; Pandemics; Patients; Post traumatic stress disorder; Psychological aspects; Risk factors; Surveys; Workers; Australia; Hong Kong; France; Hong Kong China; China; Depression; ICU staff worker; Anxiety; Burnout syndrome; Intensive care unit; Post-traumatic stress disorder
• ISSN: 1744-859X; 1744-859X
• DOI: 10.1186/s12991-023-00488-5

The present study aimed at assessing the prevalences of post-traumatic stress disorder (PTSD) (main objective), anxiety, depression, and burnout syndrome (BOS) and their associated factors in intensive care unit (ICU) staff workers in the second year of the COVID-19 pandemic.
An international cross-sectional multicenter ICU-based online survey was carried out among the ICU staff workers in 20 ICUs across 3 continents. ICUs staff workers (both caregivers and non-caregivers) were invited to complete PCL-5, HADS, and MBI questionnaires for assessing PTSD, anxiety, depression, and the different components of BOS, respectively. A personal questionnaire was used to isolate independent associated factors with these disorders.
PCL-5, HADS, and MBI questionnaires were completed by 585, 570, and 539 responders, respectively (525 completed all questionnaires). PTSD was diagnosed in 98/585 responders (16.8%). Changing familial environment, being a non-caregiver staff worker, having not being involved in a COVID-19 patient admission, having not been provided with COVID-19-related information were associated with PTSD. Anxiety was reported in 130/570 responders (22.8%). Working in a public hospital, being a woman, being financially impacted, being a non-clinical healthcare staff member, having no theoretical or practical training on individual preventive measures, and fear of managing COVID-19 patients were associated with anxiety. Depression was reported in 50/570 responders (8.8%). Comorbidity at risk of severe COVID-19, working in a public hospital, looking after a child, being a non-caregiver staff member, having no information, and a request for moving from the unit were associated with depression. Having received no information and no adequate training for COVID-19 patient management were associated with all 3 dimensions of BOS.
The present study confirmed that ICU staff workers, whether they treated COVID-19 patients or not, have a substantial prevalence of psychological disorders.