Post‐traumatic stress and stress disorders during the COVID‐19 pandemic: Survey of emergency physicians

Catherine A. Marco · Gregory Luke Larkin · V. Ramana Feeser · James E. Monti · Laura E. Vearrier

55 citations0/0 files storedJournal of the American College of Emergency Physicians Open

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COVID-19 and Mental Health Posttraumatic Stress Disorder Research Healthcare professionals’ stress and burnout

Abstract

Objective Emergency physicians routinely encounter stressful clinical situations, including treating victims of crime, violence, and trauma; facing the deaths of patients; and delivering bad news. During a pandemic, stress may be increased for healthcare workers. This study was undertaken to identify symptoms of post-traumatic stress disorder (PTSD) among emergency physicians during the coronavirus disease 2019 (COVID-19) pandemic. Methods This cross-sectional survey was developed using the Life Events Checklist for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 (DSM-5) and the PTSD Checklist for DSM-5 (PCL-5). The survey was distributed to members of the American College of Emergency Physicians from May 21, 2020, through June 22, 2020. Results Among 1300 emergency physicians, a significant number of participants (22.3%; 95% confidence interval, 20.3–24.3%) reported symptoms of stress consistent with PTSD (PCL score ≥ 33). Higher PCL-5 scores were associated with age younger than 50 years (P < 0.05) and <10 years in practice (P < 0.05). The major sources of stress identified by participants included disinformation about COVID-19, computer work/electronic medical record, personal protective equipment concerns, and workload. The most common consequences of workplace stress were feeling distant or cut off from other people and sleep disturbance, such as trouble falling or staying asleep. Conclusions A significant number of emergency physicians reported symptoms of stress consistent with PTSD. Higher PCL-5 scores were associated with age younger than 50 years and <10 years in practice.

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2015Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (PCL-5) in veterans.2020A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak 2020Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic 2011Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian, and specific versions 2020Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics 2020Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic 2020The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence 2020PTSD symptoms in healthcare workers facing the three coronavirus outbreaks: What can we expect after the COVID-19 pandemic

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