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dc.contributor.authorHovland, Ingvild Strand
dc.contributor.authorSkogstad, Laila
dc.contributor.authorStafseth, Siv Anna Ulla-Britt Karlsson
dc.contributor.authorHem, Erlend
dc.contributor.authorDiep, Lien My
dc.contributor.authorRæder, Johan
dc.contributor.authorEkeberg, Øivind
dc.contributor.authorLie, Irene
dc.date.accessioned2024-01-15T11:11:24Z
dc.date.available2024-01-15T11:11:24Z
dc.date.issued2023-11-22
dc.description.abstractObjective To report and compare psychological distress as symptoms of anxiety, depression and post-traumatic stress among intensive care units’ (ICU) nurses, physicians and leaders at 12months after the baseline survey (spring 2020), during the COVID-19 pandemic in Norway. Furthermore, to analyse which baseline demographic and COVID ICU-related factors have a significant impact on psychological distress at 12months.<p> <p>Design Prospective, longitudinal, observational cohort study. <p>Setting Nationwide, 27 of 28 hospitals with COVID ICUs in Norway. <p>Participants Nurses, physicians and their leaders. At 12month follow-up 287 (59.3%) of 484 baseline participants responded. Primary and secondary outcome measures Symptoms of anxiety and depression using the Hopkins Symptoms Checklist-10 (HSCL-10). Symptoms of post-traumatic stress using the post-traumatic stress disease checklist for the Diagnostic and Statistical Manual of Mental Disorders 5 (PCL-5). Demographics (included previous symptoms of anxiety and depression) and COVID ICU-related factors (professional preparations, emotional experience and support) impacting distress at 12months. <p>Results Psychological distress, defined as caseness on either or both HSCL-10 and PCL-5, did not change significantly and was present for 13.6% of the participants at baseline and 13.2% at 12month follow-up. Nurses reported significantly higher levels of psychological distress than physicians and leaders. Adjusted for demographics and the COVID ICU-related factors at baseline, previous symptoms of depression and fear of infection were significantly associated with higher levels of anxiety and depression at 12months. Previous symptoms of depression, fear of infection and feeling of loneliness was significantly associated with more symptoms of posttraumatic stress. <p>Conclusion One year into the COVID-19 pandemic 13.2% of the ICUs professionals reported psychological distress, more frequently among the nurses. Fear of infection, loneliness and previous symptoms of depression reported at baseline were associated with higher levels of distress. Protective equipment and peer support are recommended to mitigate distress.en_US
dc.identifier.citationHovland, Skogstad, Stafseth, Hem, Diep, Ræder, Ekeberg, Lie. Prevalence of psychological distress in nurses, physicians and leaders working in intensive care units during the COVID-19 pandemic: a national one-year follow-up study. BMJ Open. 2023;13(12):e075190en_US
dc.identifier.cristinIDFRIDAID 2224363
dc.identifier.doi10.1136/bmjopen-2023-075190
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/32485
dc.language.isoengen_US
dc.publisherBMJen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titlePrevalence of psychological distress in nurses, physicians and leaders working in intensive care units during the COVID-19 pandemic: a national one-year follow-up studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)