Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2

ObjectiveThe study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy’s first lockdown.MethodsA cross-sectional investigation using convenience sampling method was conducted in It...

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Main Authors: Luca Moderato, Davide Lazzeroni, Annalisa Oppo, Francesco Dell’Orco, Paolo Moderato, Giovambattista Presti
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660156/full
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author Luca Moderato
Davide Lazzeroni
Annalisa Oppo
Francesco Dell’Orco
Paolo Moderato
Paolo Moderato
Giovambattista Presti
Giovambattista Presti
author_facet Luca Moderato
Davide Lazzeroni
Annalisa Oppo
Francesco Dell’Orco
Paolo Moderato
Paolo Moderato
Giovambattista Presti
Giovambattista Presti
author_sort Luca Moderato
collection DOAJ
description ObjectiveThe study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy’s first lockdown.MethodsA cross-sectional investigation using convenience sampling method was conducted in Italy during April 2020. Eight hundred fifty-eight health workers participated in the research filling out self-report measures including Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Insomnia Severity Index (ISI), and Impact of Event Scale–Revised (IES-R).ResultsModerate/severe depression was found in 28.9% (95% CI, 25.8–32.04), moderate/severe anxiety in 55.4% (95% CI, 51.9–58.8), insomnia in 15% (95% CI, 12.5–17.5), and distress in 52.5% (95% CI, 48.5%–56.6) of participants. The 3% of health workers reported frequent suicidal thoughts. Female sex, working for >15 h/week in a COVID-19 unit, and living apart from family were associated with a significantly higher risk of distress, anxiety, insomnia, depression, and functional impairment. Four profiles were identified on the basis of psychopathological measures: Profile_0 included 44% (N = 270); Profile_1, 25.6% (N = 157); Profile_2, 19.1% (N = 117); and Profile_3, 11.3% (N = 69) of participants. Results showed a significant effect for Profiles X IES-R (η2 = 0.079; f = 0.29), indicating that in all profiles, except for Profile_0, avoidance scale is lower than hyperarousal and intrusion symptoms scales of the IES-R. This characteristic could be a probable index of the control exerted by the responders to not fly away from their job.ConclusionThe identification of specific profiles could help psychiatrists and emergency psychologists to build specific interventions in terms of both primary and secondary prevention to face future waves of the COVID-19 outbreak.
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spelling doaj.art-86c32135aea94229a80b0a9d04171b742022-12-21T21:29:10ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-05-011210.3389/fpsyg.2021.660156660156Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2Luca Moderato0Davide Lazzeroni1Annalisa Oppo2Francesco Dell’Orco3Paolo Moderato4Paolo Moderato5Giovambattista Presti6Giovambattista Presti7Guglielmo da Saliceto Hospital, Piacenza, ItalyIRCCS Fondazione Don Gnocchi, Florence, ItalyDepartment of Psychology, Sigmund Freud University, Milan, ItalyIstituto Europeo per lo Studio del Comportamento Umano, ONLUS, Parma, ItalyIstituto Europeo per lo Studio del Comportamento Umano, ONLUS, Parma, ItalyDepartment BLEC, Libera Università di Lingue e Comunicazione IULM, Milan, ItalyIstituto Europeo per lo Studio del Comportamento Umano, ONLUS, Parma, ItalyDepartment of Human and Social Sciences, Kore University of Enna, Enna, ItalyObjectiveThe study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy’s first lockdown.MethodsA cross-sectional investigation using convenience sampling method was conducted in Italy during April 2020. Eight hundred fifty-eight health workers participated in the research filling out self-report measures including Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Insomnia Severity Index (ISI), and Impact of Event Scale–Revised (IES-R).ResultsModerate/severe depression was found in 28.9% (95% CI, 25.8–32.04), moderate/severe anxiety in 55.4% (95% CI, 51.9–58.8), insomnia in 15% (95% CI, 12.5–17.5), and distress in 52.5% (95% CI, 48.5%–56.6) of participants. The 3% of health workers reported frequent suicidal thoughts. Female sex, working for >15 h/week in a COVID-19 unit, and living apart from family were associated with a significantly higher risk of distress, anxiety, insomnia, depression, and functional impairment. Four profiles were identified on the basis of psychopathological measures: Profile_0 included 44% (N = 270); Profile_1, 25.6% (N = 157); Profile_2, 19.1% (N = 117); and Profile_3, 11.3% (N = 69) of participants. Results showed a significant effect for Profiles X IES-R (η2 = 0.079; f = 0.29), indicating that in all profiles, except for Profile_0, avoidance scale is lower than hyperarousal and intrusion symptoms scales of the IES-R. This characteristic could be a probable index of the control exerted by the responders to not fly away from their job.ConclusionThe identification of specific profiles could help psychiatrists and emergency psychologists to build specific interventions in terms of both primary and secondary prevention to face future waves of the COVID-19 outbreak.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660156/fullSARS-CoV-2PTSD profilesdistress symptomshealth workersdescriptive survey studyCOVID-19
spellingShingle Luca Moderato
Davide Lazzeroni
Annalisa Oppo
Francesco Dell’Orco
Paolo Moderato
Paolo Moderato
Giovambattista Presti
Giovambattista Presti
Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
Frontiers in Psychology
SARS-CoV-2
PTSD profiles
distress symptoms
health workers
descriptive survey study
COVID-19
title Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
title_full Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
title_fullStr Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
title_full_unstemmed Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
title_short Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2
title_sort acute stress response profiles in health workers facing sars cov 2
topic SARS-CoV-2
PTSD profiles
distress symptoms
health workers
descriptive survey study
COVID-19
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660156/full
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