Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study
Background The COVID-19 pandemic may disproportionately affect the mental health of healthcare professionals (HCPs), especially patient-facing HCPs. Aims To longitudinally examine mental health in HCPs versus non-HCPs, and patient-facing HCPs versus non-patient-facing HCPs. Method Online surveys...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-09-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422005798/type/journal_article |
| _version_ | 1811156937012674560 |
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| author | Vikas Kapil George Collett Thomas Godec Jaya Gupta Carmela Maniero Sher M. Ng Iris McIntosh Abhishek Kumar Satheesh Nair Ashish Kotecha Azara Janmohamed Sotiris Antoniou Rehan Khan Mohammed Y. Khanji Imrana Siddiqui Ajay Gupta |
| author_facet | Vikas Kapil George Collett Thomas Godec Jaya Gupta Carmela Maniero Sher M. Ng Iris McIntosh Abhishek Kumar Satheesh Nair Ashish Kotecha Azara Janmohamed Sotiris Antoniou Rehan Khan Mohammed Y. Khanji Imrana Siddiqui Ajay Gupta |
| author_sort | Vikas Kapil |
| collection | DOAJ |
| description |
Background
The COVID-19 pandemic may disproportionately affect the mental health of healthcare professionals (HCPs), especially patient-facing HCPs.
Aims
To longitudinally examine mental health in HCPs versus non-HCPs, and patient-facing HCPs versus non-patient-facing HCPs.
Method
Online surveys were distributed to a cohort at three phases (baseline, July to September 2020; phase 2, 6 weeks post-baseline; phase 3, 4 months post-baseline). Each survey contained validated assessments for depression, anxiety, insomnia, burnout and well-being. For each outcome, we conducted mixed-effects logistic regression models (adjusted for a priori confounders) comparing the risk in different groups at each phase.
Results
A total of 1574 HCPs and 147 non-HCPs completed the baseline survey. Although there were generally higher rates of various probable mental health issues among HCPs versus non-HCPs at each phase, there was no significant difference, except that HCPs had 2.5-fold increased risk of burnout at phase 2 (emotional exhaustion: odds ratio 2.50, 95% CI 1.15–5.46, P = 0.021), which increased at phase 3 (emotional exhaustion: odds ratio 3.32, 95% CI 1.40–7.87, P = 0.006; depersonalisation: odds ratio 3.29, 95% CI 1.12–9.71, P = 0.031). At baseline, patient-facing HCPs (versus non-patient-facing HCPs) had a five-fold increased risk of depersonalisation (odds ratio 5.02, 95% CI 1.65–15.26, P = 0.004), with no significant difference in the risk for other outcomes. The difference in depersonalisation reduced over time, but patient-facing HCPs still had a 2.7-fold increased risk of emotional exhaustion (odds ratio 2.74, 95% CI 1.28–5.85, P = 0.009) by phase 3.
Conclusions
The COVID-19 pandemic had a huge impact on the mental health and well-being of both HCPs and non-HCPs, but there is disproportionately higher burnout among HCPs, particularly patient-facing HCPs.
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| first_indexed | 2024-04-10T04:58:21Z |
| format | Article |
| id | doaj.art-bcd83158d2c04cb5ac12020b0f64f73a |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:58:21Z |
| publishDate | 2022-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-bcd83158d2c04cb5ac12020b0f64f73a2023-03-09T12:29:21ZengCambridge University PressBJPsych Open2056-47242022-09-01810.1192/bjo.2022.579Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP studyVikas Kapil0https://orcid.org/0000-0001-5778-6188George Collett1https://orcid.org/0000-0002-5725-8921Thomas Godec2Jaya Gupta3Carmela Maniero4Sher M. Ng5Iris McIntosh6https://orcid.org/0000-0002-5061-2895Abhishek Kumar7Satheesh Nair8Ashish Kotecha9Azara Janmohamed10Sotiris Antoniou11Rehan Khan12Mohammed Y. Khanji13https://orcid.org/0000-0002-5903-4454Imrana Siddiqui14Ajay Gupta15https://orcid.org/0000-0001-5807-8503Barts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UK; William Harvey Research Institute, Queen Mary University of London, UK; and Department of Clinical Pharmacology, The Royal London Hospital, Barts Health NHS Trust, UKWilliam Harvey Research Institute, Queen Mary University of London, UKWilliam Harvey Research Institute, Queen Mary University of London, UKChild and Adolescent Mental Health Service, South West London and St George's Mental Health NHS Trust, UKBarts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UK; and William Harvey Research Institute, Queen Mary University of London, UKBarts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UKIslington Learning Disability Partnership, Camden & Islington Foundation Trust, UKDepartment of Cardiology, Wrightington, Wigan and Leigh NHS Foundation Trust, UKDepartment of Cardiology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, UKDepartment of Cardiology, Royal Devon and Exeter Hospital, UKDepartment of Clinical Pharmacology, St George's University Hospitals NHS Foundation Trust, UKBarts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UK; and Cardiovascular Health, UCLPartners, UKDepartment of Obstetrics and Gynaecology, The Royal London Hospital, Barts Health NHS Trust, UKBarts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UK; William Harvey Research Institute, Queen Mary University of London, UK; Cardiovascular Health, UCLPartners, UK; and Department of Cardiology, Newham University Hospital, Barts Health NHS Trust, UKWellbeing Hub, Newham Training Hub, UK; NHS North East London Integrated Care Board (ICB), UK; and Woodgrange Medical Practice, UKBarts Heart Centre, St. Bartholomew's Hospital, Barts Health NHS Trust, UK; William Harvey Research Institute, Queen Mary University of London, UK; and Department of Clinical Pharmacology, The Royal London Hospital, Barts Health NHS Trust, UK Background The COVID-19 pandemic may disproportionately affect the mental health of healthcare professionals (HCPs), especially patient-facing HCPs. Aims To longitudinally examine mental health in HCPs versus non-HCPs, and patient-facing HCPs versus non-patient-facing HCPs. Method Online surveys were distributed to a cohort at three phases (baseline, July to September 2020; phase 2, 6 weeks post-baseline; phase 3, 4 months post-baseline). Each survey contained validated assessments for depression, anxiety, insomnia, burnout and well-being. For each outcome, we conducted mixed-effects logistic regression models (adjusted for a priori confounders) comparing the risk in different groups at each phase. Results A total of 1574 HCPs and 147 non-HCPs completed the baseline survey. Although there were generally higher rates of various probable mental health issues among HCPs versus non-HCPs at each phase, there was no significant difference, except that HCPs had 2.5-fold increased risk of burnout at phase 2 (emotional exhaustion: odds ratio 2.50, 95% CI 1.15–5.46, P = 0.021), which increased at phase 3 (emotional exhaustion: odds ratio 3.32, 95% CI 1.40–7.87, P = 0.006; depersonalisation: odds ratio 3.29, 95% CI 1.12–9.71, P = 0.031). At baseline, patient-facing HCPs (versus non-patient-facing HCPs) had a five-fold increased risk of depersonalisation (odds ratio 5.02, 95% CI 1.65–15.26, P = 0.004), with no significant difference in the risk for other outcomes. The difference in depersonalisation reduced over time, but patient-facing HCPs still had a 2.7-fold increased risk of emotional exhaustion (odds ratio 2.74, 95% CI 1.28–5.85, P = 0.009) by phase 3. Conclusions The COVID-19 pandemic had a huge impact on the mental health and well-being of both HCPs and non-HCPs, but there is disproportionately higher burnout among HCPs, particularly patient-facing HCPs. https://www.cambridge.org/core/product/identifier/S2056472422005798/type/journal_articleBurnoutMental healthCOVID-19EpidemiologyHealthcare professionals |
| spellingShingle | Vikas Kapil George Collett Thomas Godec Jaya Gupta Carmela Maniero Sher M. Ng Iris McIntosh Abhishek Kumar Satheesh Nair Ashish Kotecha Azara Janmohamed Sotiris Antoniou Rehan Khan Mohammed Y. Khanji Imrana Siddiqui Ajay Gupta Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study BJPsych Open Burnout Mental health COVID-19 Epidemiology Healthcare professionals |
| title | Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study |
| title_full | Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study |
| title_fullStr | Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study |
| title_full_unstemmed | Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study |
| title_short | Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study |
| title_sort | longitudinal comparisons of mental health burnout and well being in patient facing non patient facing healthcare professionals and non healthcare professionals during the covid 19 pandemic findings from the cope hcp study |
| topic | Burnout Mental health COVID-19 Epidemiology Healthcare professionals |
| url | https://www.cambridge.org/core/product/identifier/S2056472422005798/type/journal_article |
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