Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study

Objective: To characterize the evolution of healthcare workers’ mental health status over the 1-year period following the initial COVID-19 pandemic outbreak and to examine baseline characteristics associated with resolution or persistence of mental health problems over time.Methods: We conducted an...

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Main Authors: Roberto Mediavilla, Eduardo Fernández-Jiménez, Irene Martinez-Morata, Fabiola Jaramillo, Jorge Andreo-Jover, Inés Morán-Sánchez, Franco Mascayano, Berta Moreno-Küstner, Sergio Minué, José Luis Ayuso-Mateos, Richard A. Bryant, María-Fe Bravo-Ortiz, Gonzalo Martínez-Alés
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604553/full
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author Roberto Mediavilla
Roberto Mediavilla
Roberto Mediavilla
Eduardo Fernández-Jiménez
Eduardo Fernández-Jiménez
Irene Martinez-Morata
Irene Martinez-Morata
Fabiola Jaramillo
Fabiola Jaramillo
Jorge Andreo-Jover
Jorge Andreo-Jover
Inés Morán-Sánchez
Franco Mascayano
Franco Mascayano
Berta Moreno-Küstner
Berta Moreno-Küstner
Sergio Minué
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
Richard A. Bryant
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
Gonzalo Martínez-Alés
Gonzalo Martínez-Alés
author_facet Roberto Mediavilla
Roberto Mediavilla
Roberto Mediavilla
Eduardo Fernández-Jiménez
Eduardo Fernández-Jiménez
Irene Martinez-Morata
Irene Martinez-Morata
Fabiola Jaramillo
Fabiola Jaramillo
Jorge Andreo-Jover
Jorge Andreo-Jover
Inés Morán-Sánchez
Franco Mascayano
Franco Mascayano
Berta Moreno-Küstner
Berta Moreno-Küstner
Sergio Minué
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
Richard A. Bryant
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
Gonzalo Martínez-Alés
Gonzalo Martínez-Alés
author_sort Roberto Mediavilla
collection DOAJ
description Objective: To characterize the evolution of healthcare workers’ mental health status over the 1-year period following the initial COVID-19 pandemic outbreak and to examine baseline characteristics associated with resolution or persistence of mental health problems over time.Methods: We conducted an 8-month follow-up cohort study. Eligible participants were healthcare workers working in Spain. Baseline data were collected during the initial pandemic outbreak. Survey-based self-reported measures included COVID-19-related exposures, sociodemographic characteristics, and three mental health outcomes (psychological distress, depression symptoms, and posttraumatic stress disorder symptoms). We examined three longitudinal trajectories in mental health outcomes between baseline and follow-up assessments (namely asymptomatic/stable, recovering, and persistently symptomatic/worsening).Results: We recruited 1,807 participants. Between baseline and follow-up assessments, the proportion of respondents screening positive for psychological distress and probable depression decreased, respectively, from 74% to 56% and from 28% to 21%. Two-thirds remained asymptomatic/stable in terms of depression symptoms and 56% remained symptomatic or worsened over time in terms of psychological distress.Conclusion: Poor mental health outcomes among healthcare workers persisted over time. Occupational programs and mental health strategies should be put in place.
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spelling doaj.art-a7f3217872264af8a2ca8d2ee34731812022-12-22T00:34:44ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-06-016710.3389/ijph.2022.16045531604553Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort StudyRoberto Mediavilla0Roberto Mediavilla1Roberto Mediavilla2Eduardo Fernández-Jiménez3Eduardo Fernández-Jiménez4Irene Martinez-Morata5Irene Martinez-Morata6Fabiola Jaramillo7Fabiola Jaramillo8Jorge Andreo-Jover9Jorge Andreo-Jover10Inés Morán-Sánchez11Franco Mascayano12Franco Mascayano13Berta Moreno-Küstner14Berta Moreno-Küstner15Sergio Minué16José Luis Ayuso-Mateos17José Luis Ayuso-Mateos18José Luis Ayuso-Mateos19Richard A. Bryant20María-Fe Bravo-Ortiz21María-Fe Bravo-Ortiz22María-Fe Bravo-Ortiz23María-Fe Bravo-Ortiz24Gonzalo Martínez-Alés25Gonzalo Martínez-Alés26Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainUniversity Hospital La Paz, La Paz, SpainMailman School of Public Health, Columbia University, New York City, NY, United StatesMurcia BioHealth Research Institute, University of Murcia, Murcia, SpainAndalusian School of Public Health, Granada, SpainUniversity of Chile, Santiago, ChileDepartment of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainMurcia BioHealth Research Institute, University of Murcia, Murcia, SpainMailman School of Public Health, Columbia University, New York City, NY, United StatesNew York State Psychiatric Institute (NYSPI), New York City, NY, United States0Department of Personality, Assessment, and Psychological Treatment, University of Malaga, Málaga, Spain1Instituto de Investigaciones Biomédicas de Málaga, Universidad de Málaga, Málaga, SpainAndalusian School of Public Health, Granada, SpainDepartment of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain2Fundación Biomédica, Hospital de La Princesa, Madrid, Spain3School of Psychology, University of New South Wales, Kensington, NSW, AustraliaDepartment of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainUniversity Hospital La Paz, La Paz, SpainUniversity Hospital La Paz Research Institute (IdiPAZ), Madrid, SpainMailman School of Public Health, Columbia University, New York City, NY, United StatesObjective: To characterize the evolution of healthcare workers’ mental health status over the 1-year period following the initial COVID-19 pandemic outbreak and to examine baseline characteristics associated with resolution or persistence of mental health problems over time.Methods: We conducted an 8-month follow-up cohort study. Eligible participants were healthcare workers working in Spain. Baseline data were collected during the initial pandemic outbreak. Survey-based self-reported measures included COVID-19-related exposures, sociodemographic characteristics, and three mental health outcomes (psychological distress, depression symptoms, and posttraumatic stress disorder symptoms). We examined three longitudinal trajectories in mental health outcomes between baseline and follow-up assessments (namely asymptomatic/stable, recovering, and persistently symptomatic/worsening).Results: We recruited 1,807 participants. Between baseline and follow-up assessments, the proportion of respondents screening positive for psychological distress and probable depression decreased, respectively, from 74% to 56% and from 28% to 21%. Two-thirds remained asymptomatic/stable in terms of depression symptoms and 56% remained symptomatic or worsened over time in terms of psychological distress.Conclusion: Poor mental health outcomes among healthcare workers persisted over time. Occupational programs and mental health strategies should be put in place.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604553/fullanxietymental healthhealthcare workersCOVID-19depressionprospective cohort
spellingShingle Roberto Mediavilla
Roberto Mediavilla
Roberto Mediavilla
Eduardo Fernández-Jiménez
Eduardo Fernández-Jiménez
Irene Martinez-Morata
Irene Martinez-Morata
Fabiola Jaramillo
Fabiola Jaramillo
Jorge Andreo-Jover
Jorge Andreo-Jover
Inés Morán-Sánchez
Franco Mascayano
Franco Mascayano
Berta Moreno-Küstner
Berta Moreno-Küstner
Sergio Minué
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
José Luis Ayuso-Mateos
Richard A. Bryant
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
María-Fe Bravo-Ortiz
Gonzalo Martínez-Alés
Gonzalo Martínez-Alés
Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
International Journal of Public Health
anxiety
mental health
healthcare workers
COVID-19
depression
prospective cohort
title Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
title_full Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
title_fullStr Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
title_full_unstemmed Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
title_short Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study
title_sort sustained negative mental health outcomes among healthcare workers over the first year of the covid 19 pandemic a prospective cohort study
topic anxiety
mental health
healthcare workers
COVID-19
depression
prospective cohort
url https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604553/full
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