Evidence map›Paper›PMID 33407989›Full record

ArticleBJPsych open2021

COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy.

Andrea Naldi, Fabrizio Vallelonga, Alessandra Di Liberto, Roberto Cavallo, Monica Agnesone, Marco Gonella, Maria Domenica Sauta, Piergiorgio Lochner, Giacomo Tondo, Nicola Luigi Bragazzi and 2 more

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
15.9field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  7. Depicting occupational trauma concepts impacting nurse well-being during the COVID-19 pandemic.International journal of qualitative studies on health and well-being · 2024
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  13. Health Workers' Burnout and COVID-19 Pandemic: 1-Year after-Results from a Repeated Cross-Sectional Survey.International journal of environmental research and public health · 2023
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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

12 authors at 6 institutions in 3 countries.

Andrea NaldiRita Levi Montalcini Department of Neuroscience, University of Turin, Italy; and Neurology Unit, San Giovanni Bosco Hospital, Italy.ORCID https://orcid.org/0000-0001-7323-0286
Fabrizio VallelongaDepartment of Emergency Medicine, San Giovanni Bosco Hospital, Italy.
Alessandra Di LibertoNeurology Unit, San Giovanni Bosco Hospital, Italy.
Roberto CavalloNeurology Unit, San Giovanni Bosco Hospital, Italy.
Monica AgnesonePsychology Unit, Local Health Authority of the City of Turin, Italy.
Marco GonellaPsychology Unit, Local Health Authority of the City of Turin, Italy.
Maria Domenica SautaDepartment of Psychology, University of Turin, Italy.
Piergiorgio LochnerDepartment of Neurology, Saarland University Medical Center, Germany.
Giacomo TondoSchool of Psychology, Vita-Salute San Raffaele University, Italy.
Nicola Luigi BragazziDepartment of Mathematics and Statistics, Laboratory for Industrial and Applied Mathematics, York University, Ontario, Canada.
Rossana BottoDepartment of Neuroscience, University of Turin, Italy; and Clinical Psychology Unit, City of Health and Science University Hospital of Turin, Italy.
Paolo LeombruniDepartment of Neuroscience, University of Turin, Italy; and Clinical Psychology Unit, City of Health and Science University Hospital of Turin, Italy.
Ospedale San Giovanni Bosco · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITSaarland University · DEUniversity of Turin · ITVita-Salute San Raffaele University · ITYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused drastic changes in healthcare and severe social restrictions. Healthcare workers (HCWs) are on the front line against the virus and have been highly exposed to pandemic-related stressors, but there are limited data on their psychological involvement for a large sample in Italy.

aimsTo investigate the prevalence of anxiety, distress and burnout in HCWs of North-West Italy during the COVID-19 pandemic, and to detect potential psychosocial factors associated with their emotional response.

methodThis cross-sectional, survey-based study enrolled 797 HCWs. Participants completed the Impact of Event Scale - Revised, the State-Trait Anxiety Inventory - Form Y and the Maslach Burnout Inventory; demographic, family and work characteristics were also collected. Global psychological outcome, differences among professions and independent factors associated with worst psychological outcome were assessed.

resultsAlmost a third of the sample had severe state anxiety and distress, high emotional exhaustion and depersonalisation, and low personal accomplishment. Distress was higher in women and nurses, whereas depersonalisation was higher in men. Family division, increased workload, job changes and frequent contact with COVID-19 were associated with worst psychological outcome. Trait anxiety was associated with significantly higher risk for developing state anxiety, distress and burnout.

conclusionsAn elevated psychological burden related to the COVID-19 pandemic was observed in HCWs of North-West Italy. The identification of family and work characteristics and a psychological pre-existing condition as factors associated with worst psychological outcome may help provide a tailored, preventive, organisational and psychological approach in counteracting the psychological effects of future pandemics.

Indexed as

anxietyburnoutCOVID-19healthcare workersItaly

Identifiers

PMID33407989
PMCPMC7844147
OpenAlexW3118321548

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.