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The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence.
Curr Psychiatry Rep. 2020 07 10; 22(8):43.CP

Abstract

PURPOSE OF REVIEW

We aim to provide quantitative evidence on the psychological impact of epidemic/pandemic outbreaks (i.e., SARS, MERS, COVID-19, ebola, and influenza A) on healthcare workers (HCWs).

RECENT FINDINGS

Forty-four studies are included in this review. Between 11 and 73.4% of HCWs, mainly including physicians, nurses, and auxiliary staff, reported post-traumatic stress symptoms during outbreaks, with symptoms lasting after 1-3 years in 10-40%. Depressive symptoms are reported in 27.5-50.7%, insomnia symptoms in 34-36.1%, and severe anxiety symptoms in 45%. General psychiatric symptoms during outbreaks have a range comprised between 17.3 and 75.3%; high levels of stress related to working are reported in 18.1 to 80.1%. Several individual and work-related features can be considered risk or protective factors, such as personality characteristics, the level of exposure to affected patients, and organizational support. Empirical evidence underlines the need to address the detrimental effects of epidemic/pandemic outbreaks on HCWs' mental health. Recommendations should include the assessment and promotion of coping strategies and resilience, special attention to frontline HCWs, provision of adequate protective supplies, and organization of online support services.

Authors+Show Affiliations

Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy. emanuele.preti@unimib.it. Centro per lo studio e la terapia dei disturbi della personalità (C.R.E.S.T.), Milan, Italy. emanuele.preti@unimib.it.School of Psychology, Vita-Salute San Raffaele University, Via Olgettina, 58, 20132, Milan, Italy. Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy.Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.Clinical and Health Psychology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy. Centro per lo studio e la terapia dei disturbi della personalità (C.R.E.S.T.), Milan, Italy.Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy. Centro per lo studio e la terapia dei disturbi della personalità (C.R.E.S.T.), Milan, Italy.Department of Psychology, University of Milan-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126, Milan, Italy. Department of Adult Psychiatry, Nîmes University Hospital, 4 Rue du Professeur Robert Debré, 30029, Nimes, France.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32651717

Citation

Preti, Emanuele, et al. "The Psychological Impact of Epidemic and Pandemic Outbreaks On Healthcare Workers: Rapid Review of the Evidence." Current Psychiatry Reports, vol. 22, no. 8, 2020, p. 43.
Preti E, Di Mattei V, Perego G, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep. 2020;22(8):43.
Preti, E., Di Mattei, V., Perego, G., Ferrari, F., Mazzetti, M., Taranto, P., Di Pierro, R., Madeddu, F., & Calati, R. (2020). The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Current Psychiatry Reports, 22(8), 43. https://doi.org/10.1007/s11920-020-01166-z
Preti E, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks On Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep. 2020 07 10;22(8):43. PubMed PMID: 32651717.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. AU - Preti,Emanuele, AU - Di Mattei,Valentina, AU - Perego,Gaia, AU - Ferrari,Federica, AU - Mazzetti,Martina, AU - Taranto,Paola, AU - Di Pierro,Rossella, AU - Madeddu,Fabio, AU - Calati,Raffaella, Y1 - 2020/07/10/ PY - 2020/7/12/entrez PY - 2020/7/12/pubmed PY - 2020/7/18/medline KW - COVID-19 KW - Epidemic KW - Healthcare workers KW - Mental health KW - Pandemic KW - Psychological distress SP - 43 EP - 43 JF - Current psychiatry reports JO - Curr Psychiatry Rep VL - 22 IS - 8 N2 - PURPOSE OF REVIEW: We aim to provide quantitative evidence on the psychological impact of epidemic/pandemic outbreaks (i.e., SARS, MERS, COVID-19, ebola, and influenza A) on healthcare workers (HCWs). RECENT FINDINGS: Forty-four studies are included in this review. Between 11 and 73.4% of HCWs, mainly including physicians, nurses, and auxiliary staff, reported post-traumatic stress symptoms during outbreaks, with symptoms lasting after 1-3 years in 10-40%. Depressive symptoms are reported in 27.5-50.7%, insomnia symptoms in 34-36.1%, and severe anxiety symptoms in 45%. General psychiatric symptoms during outbreaks have a range comprised between 17.3 and 75.3%; high levels of stress related to working are reported in 18.1 to 80.1%. Several individual and work-related features can be considered risk or protective factors, such as personality characteristics, the level of exposure to affected patients, and organizational support. Empirical evidence underlines the need to address the detrimental effects of epidemic/pandemic outbreaks on HCWs' mental health. Recommendations should include the assessment and promotion of coping strategies and resilience, special attention to frontline HCWs, provision of adequate protective supplies, and organization of online support services. SN - 1535-1645 UR - https://www.unboundmedicine.com/medline/citation/32651717/The_Psychological_Impact_of_Epidemic_and_Pandemic_Outbreaks_on_Healthcare_Workers:_Rapid_Review_of_the_Evidence_ L2 - https://dx.doi.org/10.1007/s11920-020-01166-z DB - PRIME DP - Unbound Medicine ER -