Longitudinal Impact of the COVID-19 Pandemic on Stress and Occupational Well-Being of Mental Health Professionals: An International Study.
Journal: The international journal of neuropsychopharmacology
Volume: 26
Issue: 10
Year of Publication: 2023
Affiliated Institutions:
School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.
Centro de Investigación y Docencia Económica, Mexico City, Mexico.
Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Center for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.
Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
Training and Research Centre, Mental-health clinic No. named after N.A. Alekseev, Moscow, Russian Federation.
Japanese Society of Psychiatry and Neurology, Tokyo, Japan.
Shanghai Mental Health Center and Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Faculty of Psychology, National Autonomous University of Mexico and Center for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico.
WHO Collaborating Centre for Research and Training in Mental Health, Neuroscience, Drug and Alcohol Abuse, Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.
Department of Psychiatry, Neuroscience Institute, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa.
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Kyushu University, Fukuoka and Japan Depression Center, Tokyo, Japan.
Departments of Biostatistics and Psychiatry, Columbia University and New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA.
Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA.
Departments of Psychiatry and Epidemiology, Columbia University Irving Medical Center, New York, New York, USA.
Department of Psychiatry, Universidad Autónoma de Madrid, Instituto de Salud Carlos III, Centro de Investigacíon Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Investigacíon Sanitaria La Princesa, Madrid, Spain.
Department of Sociology and Anthropology, Carleton University, Ottawa, Ontario, Canada.
Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA.
Abstract summary
Increased levels of occupational stress among health professionals during the COVID-19 pandemic have been documented. Few studies have examined the effects of the pandemic on mental health professionals despite the heightened demand for their services.A multilingual, longitudinal, global survey was conducted at 3 time points during the pandemic among members of the World Health Organization's Global Clinical Practice Network. A total of 786 Global Clinical Practice Network members from 86 countries responded to surveys assessing occupational distress, well-being, and posttraumatic stress symptoms.On average, respondents' well-being deteriorated across time while their posttraumatic stress symptoms showed a modest improvement. Linear growth models indicated that being female, being younger, providing face-to-face health services to patients with COVID-19, having been a target of COVID-related violence, and living in a low- or middle-income country or a country with a higher COVID-19 death rate conveyed greater risk for poor well-being and higher level of stress symptoms over time. Growth mixed modeling identified trajectories of occupational well-being and stress symptoms. Most mental health professions demonstrated no impact to well-being; maintained moderate, nonclinical levels of stress symptoms; or showed improvements after an initial period of difficulty. However, some participant groups exhibited deteriorating well-being approaching the clinical threshold (25.8%) and persistently high and clinically significant levels of posttraumatic stress symptoms (19.6%) over time.This study indicates that although most mental health professionals exhibited stable, positive well-being and low stress symptoms during the pandemic, a substantial minority of an already burdened global mental health workforce experienced persistently poor or deteriorating psychological status over the course of the pandemic.
Authors & Co-authors:
Kogan Cary S CS
Garcia-Pacheco José A JA
Rebello Tahilia J TJ
Montoya Madeline I MI
Robles Rebeca R
Khoury Brigitte B
Kulygina Maya M
Matsumoto Chihiro C
Huang Jingjing J
Medina-Mora María Elena ME
Gureje Oye O
Stein Dan J DJ
Sharan Pratap P
Gaebel Wolfgang W
Kanba Shigenobu S
Andrews Howard F HF
Roberts Michael C MC
Pike Kathleen M KM
Zhao Min M
Ayuso-Mateos José Luis JL
Sadowska Karolina K
Maré Karen K
Denny Keith K
Reed Geoffrey M GM
Study Outcome
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