Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Ari Shechter; Franchesca Diaz; Nathalie Moise; D. Edmund Anstey; Siqin Ye; Sachin Agarwal; Jeffrey L. Birk; Daniel Brodie; Diane E. Cannone; Bernard Chang; Jan Claassen; Talea Cornelius; Lilly Derby; Melissa Dong; Raymond C. Givens; Beth Hochman; Shunichi Homma; Ian M. Kronish; Sung A.J. Lee; Wilhelmina Manzano; Laurel E.S. Mayer; Cara L. McMurry; Vivek Moitra; Patrick Pham; Le Roy Rabbani; Reynaldo R. Rivera; Allan Schwartz; Joseph E. Schwartz; Peter A. Shapiro; Kaitlin Shaw; Alexandra M. Sullivan; Courtney Vose; Lauren Wasson; Donald Edmondson; Marwah Abdalla

doi:10.1016/j.genhosppsych.2020.06.007

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Ari Shechter, Franchesca Diaz, Nathalie Moise, D. Edmund Anstey, Siqin Ye, Sachin Agarwal, Jeffrey L. Birk, Daniel Brodie, Diane E. Cannone, Bernard Chang, Jan Claassen, Talea Cornelius, Lilly Derby, Melissa Dong, Raymond C. Givens, Beth Hochman, Shunichi Homma, Ian M. Kronish, Sung A.J. Lee, Wilhelmina ManzanoLaurel E.S. Mayer, Cara L. McMurry, Vivek Moitra, Patrick Pham, Le Roy Rabbani, Reynaldo R. Rivera, Allan Schwartz, Joseph E. Schwartz, Peter A. Shapiro, Kaitlin Shaw, Alexandra M. Sullivan, Courtney Vose, Lauren Wasson, Donald Edmondson, Marwah Abdalla

Research output: Contribution to journal › Article › peer-review

748 Scopus citations

Abstract

Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	General Hospital Psychiatry
Volume	66
DOIs	https://doi.org/10.1016/j.genhosppsych.2020.06.007
State	Published - 1 Sep 2020
Externally published	Yes

Keywords

Anxiety
COVID-19
Coping
Depression
Distress
Healthcare worker
Insomnia

Access to Document

10.1016/j.genhosppsych.2020.06.007

Cite this

Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., Birk, J. L., Brodie, D., Cannone, D. E., Chang, B., Claassen, J., Cornelius, T., Derby, L., Dong, M., Givens, R. C., Hochman, B., Homma, S., Kronish, I. M., Lee, S. A. J., ... Abdalla, M. (2020). Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry, 66, 1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007

@article{cf999fb267ea4989a76a5c5e92cf1950,

title = "Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic",

abstract = "Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.",

keywords = "Anxiety, COVID-19, Coping, Depression, Distress, Healthcare worker, Insomnia",

author = "Ari Shechter and Franchesca Diaz and Nathalie Moise and Anstey, {D. Edmund} and Siqin Ye and Sachin Agarwal and Birk, {Jeffrey L.} and Daniel Brodie and Cannone, {Diane E.} and Bernard Chang and Jan Claassen and Talea Cornelius and Lilly Derby and Melissa Dong and Givens, {Raymond C.} and Beth Hochman and Shunichi Homma and Kronish, {Ian M.} and Lee, {Sung A.J.} and Wilhelmina Manzano and Mayer, {Laurel E.S.} and McMurry, {Cara L.} and Vivek Moitra and Patrick Pham and Rabbani, {Le Roy} and Rivera, {Reynaldo R.} and Allan Schwartz and Schwartz, {Joseph E.} and Shapiro, {Peter A.} and Kaitlin Shaw and Sullivan, {Alexandra M.} and Courtney Vose and Lauren Wasson and Donald Edmondson and Marwah Abdalla",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2020",

month = sep,

day = "1",

doi = "10.1016/j.genhosppsych.2020.06.007",

language = "English",

volume = "66",

pages = "1--8",

journal = "General Hospital Psychiatry",

issn = "0163-8343",

publisher = "Elsevier Inc.",

}

Shechter, A, Diaz, F, Moise, N, Anstey, DE, Ye, S, Agarwal, S, Birk, JL, Brodie, D, Cannone, DE, Chang, B, Claassen, J, Cornelius, T, Derby, L, Dong, M, Givens, RC, Hochman, B, Homma, S, Kronish, IM, Lee, SAJ, Manzano, W, Mayer, LES, McMurry, CL, Moitra, V, Pham, P, Rabbani, LR, Rivera, RR, Schwartz, A, Schwartz, JE, Shapiro, PA, Shaw, K, Sullivan, AM, Vose, C, Wasson, L, Edmondson, D & Abdalla, M 2020, 'Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic', General Hospital Psychiatry, vol. 66, pp. 1-8. https://doi.org/10.1016/j.genhosppsych.2020.06.007

TY - JOUR

T1 - Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

AU - Shechter, Ari

AU - Diaz, Franchesca

AU - Moise, Nathalie

AU - Anstey, D. Edmund

AU - Ye, Siqin

AU - Agarwal, Sachin

AU - Birk, Jeffrey L.

AU - Brodie, Daniel

AU - Cannone, Diane E.

AU - Chang, Bernard

AU - Claassen, Jan

AU - Cornelius, Talea

AU - Derby, Lilly

AU - Dong, Melissa

AU - Givens, Raymond C.

AU - Hochman, Beth

AU - Homma, Shunichi

AU - Kronish, Ian M.

AU - Lee, Sung A.J.

AU - Manzano, Wilhelmina

AU - Mayer, Laurel E.S.

AU - McMurry, Cara L.

AU - Moitra, Vivek

AU - Pham, Patrick

AU - Rabbani, Le Roy

AU - Rivera, Reynaldo R.

AU - Schwartz, Allan

AU - Schwartz, Joseph E.

AU - Shapiro, Peter A.

AU - Shaw, Kaitlin

AU - Sullivan, Alexandra M.

AU - Vose, Courtney

AU - Wasson, Lauren

AU - Edmondson, Donald

AU - Abdalla, Marwah

PY - 2020/9/1

Y1 - 2020/9/1

N2 - Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

AB - Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

KW - Anxiety

KW - COVID-19

KW - Coping

KW - Depression

KW - Distress

KW - Healthcare worker

KW - Insomnia

UR - http://www.scopus.com/inward/record.url?scp=85086702203&partnerID=8YFLogxK

U2 - 10.1016/j.genhosppsych.2020.06.007

DO - 10.1016/j.genhosppsych.2020.06.007

M3 - Article

C2 - 32590254

AN - SCOPUS:85086702203

SN - 0163-8343

VL - 66

SP - 1

EP - 8

JO - General Hospital Psychiatry

JF - General Hospital Psychiatry

ER -

Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

Abstract

Keywords

Access to Document

Fingerprint

Cite this