Depression, Anxiety, and Burnout Among Hospital Workers During the COVID-19 Pandemic: A Cross-Sectional Study

Details

• Personal Author:
  Chien A ; Chuang JC ; Costello SC ; Krauth DM ; Leitner SA ; Okoye NM ; Pala AN ; Rodriguez RM ; Sheira LA ; Solomon G ; Weiser SD
• Description:
  Objectives: Healthcare personnel have faced unprecedented mental health challenges during the COVID-19 pandemic. The study objective is to assess differences in depression, anxiety, and burnout among healthcare personnel with various occupational roles and whether financial and job strain were associated with these mental health outcomes. Methods: We employed an anonymous survey between July and August 2020 at an urban county hospital in California, USA. We assessed depression, anxiety, and burnout using validated scales, and asked questions on financial strain and job strain. We performed logistic and linear regression analyses. Results: Nurses (aOR 1.93, 95% CIs 1.12, 3.46), social workers (aOR 2.61, 95% CIs 1.35, 5.17), service workers (aOR 2.55, 95% CIs 1.20, 5.48), and administrative workers (aOR 2.93, 95% CIs 1.57, 5.61) were more likely than physicians to screen positive for depression. The odds of screening positive for anxiety were significantly lower for ancillary workers (aOR 0.32, 95% CIs 0.13-0.72) compared with physicians. Ancillary (aB = -1.77, 95% CIs -1.88, -0.47) and laboratory and pharmacy workers (aB -0.70, 95% CI -1.34, -0.06) reported lower levels of burnout compared with physicians. Financial strain partially accounted for differences in mental health outcomes across job categories. Lack of time to complete tasks and lack of supervisory support were associated with higher odds of screening positive for depression. Less job autonomy was associated with higher odds of screening positive for anxiety and higher burnout levels. Conclusions: We found significant disparities in mental health outcomes across occupational roles. Policies to mitigate the adverse impact of COVID-19 on health workers' mental health should include non-clinical staff and address financial support and job characteristics for all occupational roles. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Health Personnel Mental Health Nervous System Occupational Health Safety Stress, Psychological
• Keywords:
  Coronavirus COVID-19 Cross Sectional Studies Health Care Workers Job Stress Mental Health Occupations Psychological Effects
• ISSN:
  1932-6203
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; New York ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  17
• Issue:
  12
• NIOSHTIC Number:
  nn:20067094
• Citation:
  PLoS One 2022 Dec; 17(12):e0276861
• Contact Point Address:
  Sheri D. Weiser, San Francisco (UCSF) Division of HIV, University of California, Infectious Disease and Global Medicine, San Francisco, CA, United States of America
• Email:
  Sheri.Weiser@ucsf.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  PLoS One
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:99ad7a446b4116a7607a59ede9d432c64316a95f9e763b854702212371f1ce711c833882e85d22adb12ae863e8c095d75c3027afeeedbe394b002d9bd6d747dd
• Download URL:
  https://stacks.cdc.gov/view/cdc/231287/cdc_231287_DS1.pdf
• File Type:
  [PDF - 449.64 KB ]