Published January 1, 2024
| Version v1
Journal article
Resilience and Mental-Health Symptoms in ICU Healthcare Professionals Facing Repeated COVID-19 Waves
Creators
- Azoulay, Elie
- Pochard, Frédéric
- Argaud, Laurent
- Cariou, Alain
- Clere-Jehl, Raphael
- Guisset, Olivier
- Labbé, Vincent
- Tamion, Fabienne
- Bruneel, Fabrice
- Jourdain, Mercé
- Reuter, Danielle
- Klouche, Kada
- Kouatchet, Achille
- Souppart, Virginie
- Lautrette, Alexandre
- Bohé, Julien
- Vieillard Baron, Antoine
- Dellamonica, Jean
- Papazian, Laurent
- Reignier, Jean
- Barbier, Francois
- Dumas, Guillaume
- Kentish-Barnes, Nancy
Contributors
Others:
- Hopital Saint-Louis [AP-HP] (AP-HP) ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
- Université Paris Cité (UPCité)
- Hôpital Edouard Herriot [CHU - HCL] ; Hospices Civils de Lyon (HCL)
- Hôpital Cochin [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
- Hôpital de Hautepierre [Strasbourg]
- Hôpital Saint-André
- CHU Tenon [AP-HP] ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
- CHU Rouen ; Normandie Université (NU)
- Centre Hospitalier de Versailles André Mignot (CHV)
- Hôpital Roger Salengro [Lille]
- Centre Hospitalier Sud Francilien
- Hôpital Lapeyronie [Montpellier] (CHU)
- Centre Hospitalier Universitaire d'Angers (CHU Angers) ; PRES Université Nantes Angers Le Mans (UNAM)
- Centre Jean Perrin [Clermont-Ferrand] (UNICANCER/CJP) ; UNICANCER
- Centre Hospitalier Lyon Sud [CHU - HCL] (CHLS) ; Hospices Civils de Lyon (HCL)
- Hôpital Ambroise Paré [AP-HP]
- Centre Hospitalier Universitaire de Nice (CHU Nice)
- Unité de Recherche Clinique de la Côte d'Azur (URRIS UR2CA) ; Centre Hospitalier Universitaire de Nice (CHU Nice)-Université Côte d'Azur (UniCA)
- Hôpital Nord [CHU - APHM]
- Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes)
- Motricité, interactions, performance UR 4334 / Movement - Interactions - Performance (MIP) ; Le Mans Université (UM)-Nantes Université - UFR des Sciences et Techniques des Activités Physiques et Sportives (Nantes Univ - UFR STAPS) ; Nantes Université - pôle Santé ; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)-Nantes Université - pôle Santé ; Nantes Université (Nantes Univ)-Nantes Université (Nantes Univ)
- Centre Hospitalier Régional d'Orléans (CHRO)
Description
Rationale: Psychological resilience (the ability to thrive in adversity) may protect against mental-health symptoms in healthcare professionals during coronavirus disease (COVID-19) waves.Objectives: To identify determinants of resilience in ICU staff members.Methods: In this cross-sectional survey in 21 French ICUs, staff members completed the 10-item Connor-Davidson Resilience Scale, Hospital Anxiety and Depression Scale, and Impact of Event Scale–Revised (for post-traumatic stress disorder [PTSD]). Factors independently associated with resilience were identified.Measurements and Main Results: The response rate was 73.1% (950 of 1,300). The median 10-item Connor-Davidson Resilience Scale score was 29 (interquartile range, 25–32). Symptoms of anxiety, depression, and PTSD were present in 61%, 39%, and 36% of staff members, respectively. Distress associated with the COVID-19 infodemic was correlated with symptoms of depression and PTSD. More resilient respondents less often had symptoms of anxiety, depression, and PTSD. Greater resilience was independently associated with male sex, having provided intensive care during the early waves, having managed more than 50 patients with COVID-19, and, compared with earlier waves, working longer hours, having greater motivation, and more often involving families in end-of-life decisions. Independent risk factors for lower resilience were having managed more than 10 patients who died of COVID-19, having felt frightened or isolated, and greater distress from the COVID-19 infodemic.Conclusions: This study identifies modifiable determinants of resilience among ICU staff members. Longitudinal studies are needed to determine whether prior resilience decreases the risk of mental ill health during subsequent challenges. Hospital and ICU managers, for whom preserving mental well-being among staff members is a key duty, should pay careful attention to resilience.
Abstract
International audienceAdditional details
Identifiers
- URL
- https://hal.science/hal-04592419
- URN
- urn:oai:HAL:hal-04592419v1
Origin repository
- Origin repository
- UNICA