Occurrences of Post-traumatic Stress Disorder, Anxiety, Depression, and Burnout Syndrome in ICU Staff Workers After Two-year of the COVID-19 Pandemic: the International PSY-CO in ICU Study

Overview

Journal Ann Gen Psychiatry

Publisher Biomed Central

Specialty Psychiatry

Date 2024 Jan 4

PMID 38172994

Authors

Claire Roger

Lowel Ling

Melissa Petrier

Loubna Elotmani

Enora Atchade

Bernard Allaouchiche

Frederic Aubrun

Jean-Michel Constantin

Claire Dahyot-Fizelier

Nathalie Delhaye

Herve Dupont

Marc-Olivier Fischer

Marc Garnier

Etienne Gayat

Carole Ichai

Samir Jaber

Jerome Morel

Benoit Plaud

Thomas Rimmele

Sylvaine Robin

Renee Saba

Gavin M Joynt

Jean-Yves Lefrant

Pascale Fabbro-Peray

Jeffrey Lipman

Ismael Conejero

Kevin Laupland

Affiliations

Soon will be listed here.

Abstract

Purpose: The present study aimed at assessing the prevalences of post-traumatic stress disorder (PTSD) (main objective), anxiety, depression, and burnout syndrome (BOS) and their associated factors in intensive care unit (ICU) staff workers in the second year of the COVID-19 pandemic.

Materials And Methods: An international cross-sectional multicenter ICU-based online survey was carried out among the ICU staff workers in 20 ICUs across 3 continents. ICUs staff workers (both caregivers and non-caregivers) were invited to complete PCL-5, HADS, and MBI questionnaires for assessing PTSD, anxiety, depression, and the different components of BOS, respectively. A personal questionnaire was used to isolate independent associated factors with these disorders.

Results: PCL-5, HADS, and MBI questionnaires were completed by 585, 570, and 539 responders, respectively (525 completed all questionnaires). PTSD was diagnosed in 98/585 responders (16.8%). Changing familial environment, being a non-caregiver staff worker, having not being involved in a COVID-19 patient admission, having not been provided with COVID-19-related information were associated with PTSD. Anxiety was reported in 130/570 responders (22.8%). Working in a public hospital, being a woman, being financially impacted, being a non-clinical healthcare staff member, having no theoretical or practical training on individual preventive measures, and fear of managing COVID-19 patients were associated with anxiety. Depression was reported in 50/570 responders (8.8%). Comorbidity at risk of severe COVID-19, working in a public hospital, looking after a child, being a non-caregiver staff member, having no information, and a request for moving from the unit were associated with depression. Having received no information and no adequate training for COVID-19 patient management were associated with all 3 dimensions of BOS.

Conclusion: The present study confirmed that ICU staff workers, whether they treated COVID-19 patients or not, have a substantial prevalence of psychological disorders.

Citing Articles

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Li X, Tian Y, Yang J, Ning M, Chen Z, Yu Q Crit Care. 2025; 29(1):39.

PMID: 39838475 PMC: 11753002. DOI: 10.1186/s13054-025-05282-1.

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