Evidence map›Paper›PMID 33198084›Full record

ArticleInternational journal of environmental research and public health2020

Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals.

Carmen Trumello, Sonia Monique Bramanti, Giulia Ballarotto, Carla Candelori, Luca Cerniglia, Silvia Cimino, Monia Crudele, Lucia Lombardi, Silvia Pignataro, Maria Luisa Viceconti and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06923436 (FROM THE INVISIBLE TO THE VISIBLE), which is not on this map. Cited by 160 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 3 pooled it
82.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06923436 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

FROM THE INVISIBLE TO THE VISIBLE: Survey on the Psychological Well-being of Hospital Healthcare Workers

Typeobservational_patient_registrySponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2025 to 2026Enrolled500ConditionsHealthy, Psychological Well Being, Stress Response, Professional Quality of LifeArmsPsychological Assessment
3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 3 syntheses or guidelines pooled it, 374 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

100 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Carmen TrumelloDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Sonia Monique BramantiDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Giulia BallarottoDipartimento di Psicologia Dinamica e Clinica, "Sapienza" Università di Roma, 00185 Roma, Italy.ORCID 0000-0001-5773-0539
Carla CandeloriDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Luca CernigliaFacoltà di Psicologia, Università Telematica Internazionale Uninettuno di Roma, 00186 Roma, Italy.ORCID 0000-0002-6115-288X
Silvia CiminoDipartimento di Psicologia Dinamica e Clinica, "Sapienza" Università di Roma, 00185 Roma, Italy.
Monia CrudeleDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Lucia LombardiDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Silvia PignataroDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Maria Luisa VicecontiDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.
Alessandra BaboreDepartment of Psychological, Health and Territorial Sciences, University "G. d'Annunzio" of Chieti, via dei Vestini, 66100 Chieti, Italy.ORCID 0000-0002-7317-3733
University of Chieti-Pescara · ITSapienza University of Rome · ITUniNettuno University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency situations have been associated with negative psychological adjustment outcomes in healthcare professionals, although studies on the impact of the Coronavirus Disease 2019 (COVID-19) pandemic amongst Italian health workers are limited. The main aim of this study was to investigate the psychological adjustment of healthcare professionals during the peak of the COVID-19 pandemic, evaluating differences according to working or not with patients affected by COVID-19 and in areas with a more severe spread of this pandemic. Healthcare professionals' attitudes toward psychological support were analyzed. The levels of anxiety, depression, psychological stress, and professional quality of life (compassion satisfaction, burnout, and compassion fatigue) and attitudes toward psychological support were measured among 627 Italian healthcare workers (mean age = 40.55 years; SD = 11.49; range: 27-72). Significantly higher levels of stress, burnout, secondary trauma, anxiety, and depression were observed among professionals working with COVID-19 patients. Higher levels of stress and burnout and lower levels of compassion satisfaction were detected in professionals working in areas with higher rates of contagion. No interaction effects were found between working (or not) with patients affected by COVID-19 and working (or not) in areas with a more severe diffusion of this pandemic. Finally, in the group of professionals who worked with COVID-19 patients, the percentage of professionals who thought to ask for psychological support was twice that of the group that did not work with COVID-19 patients. The overall findings indicate that the mental health of frontline healthcare workers requires further consideration and that targeted prevention and intervention programs are necessary.

Indexed as

Burnout, ProfessionalCompassion FatigueAdultAgedAnxietyBetacoronavirusCoronavirus InfectionsCOVID-19DepressionEmotional AdjustmentEmpathyHealth PersonnelHumansItalyMiddle AgedPandemicsanxietyburnoutcompassion satisfactionCOVID-19depressionhealthcare workerspandemicpsychological supportsecondary traumastress

Identifiers

PMID33198084
PMCPMC7696387
OpenAlexW3103626392

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.