ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021
Emergency physician stressors, concerns, and behavioral changes during COVID-19: A longitudinal study.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Prevalence of post-traumatic stress disorder in healthcare workers before and during COVID-19: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Prevalence of posttraumatic stress symptoms among physicians - A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Physician Posttraumatic Stress Disorder During COVID-19: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- The prevalence of probable mental health disorders among hospital healthcare workers during COVID-19: A systematic review and meta-analysis.Journal of affective disorders · 2023Pooled it
- The global evolution of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis of longitudinal studies.Journal of affective disorders · 2022Pooled it
- Alleviating stressfeeding in the emergency department: Elucidating the tensions induced by workplace lactation space issues.Journal of the American College of Emergency Physicians open · 2024Article
- Stress and Anxiety Among Correctional Health Care Professionals in a U.S. State Prison System During COVID-19.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2024Article
- Changes in anxiety and depression among public health workers during the COVID-19 pandemic response.International archives of occupational and environmental health · 2023Article
- Depressive and anxiety symptoms in the course of the COVID-19 pandemic among physicians in hospitals: results of the longitudinal, multicenter VOICE-EgePan survey over two years.BMC psychology · 2023Article
- Physicians' mental health and coping during the COVID-19 pandemic: One year exploration.Heliyon · 2023Article
- "I've kept going" - a multisite repeated cross-sectional study of healthcare workers' pride in personal performance during the COVID-19 pandemic.BMC health services research · 2023Article
- Doctors' Professional and Personal Reflections: A Qualitative Exploration of Physicians' Views and Coping during the COVID-19 Pandemic.International journal of environmental research and public health · 2023Article
- Reported effects of the COVID-19 pandemic on the psychological status of emergency healthcare workers: A scoping review.Australasian emergency care · 2022Article
- In their own words: Experiences of emergency health care workers during the COVID-19 pandemic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- The perceived work environment and well-being: A survey of emergency health care workers during the COVID-19 pandemic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Documenting response to COVID-individual and systems successes and challenges: a longitudinal qualitative study.BMC health services research · 2022Article
- Differences in Work-Life Experiences of Physicians by Parenting Status, Gender, and Training Level During the COVID-19 Pandemic.Rhode Island medical journal (2013) · 2022Article
- Frontline physician burnout during the COVID-19 pandemic: national survey findings.BMC health services research · 2022Article
- Roles and Challenges for Village Doctors in COVID-19 Pandemic Prevention and Control in Rural Beijing, China: A Qualitative Study.Frontiers in public health · 2022Article
- Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective was to provide a longitudinal assessment of anxiety levels and work and home concerns of U.S. emergency physicians during the COVID-19 pandemic.
methodsWe performed a longitudinal, cross-sectional email survey of clinically active emergency physicians (attending, fellow, and resident) at seven academic emergency departments. Follow-up surveys were sent 4 to 6 weeks after the initial survey and assessed the following: COVID-19 patient exposure, availability of COVID-19 testing, levels of home and workplace anxiety/stress, changes in behaviors, and performance on a primary care posttraumatic stress disorder screen (PC-PTSD-5). Logistic regression explored factors associated with a high PC-PTSD-5 scale score (≥3), indicating increased risk for PTSD.
resultsOf the 426 surveyed initial respondents, 262 (61.5%) completed the follow-up survey. While 97.3% (255/262) reported treating suspected COVID-19 patients, most physicians (162/262, 61.8%) had not received testing themselves. In follow-up, respondents were most concerned about the relaxing of social distancing leading to a second wave (median score = 6, IQR = 4-7). Physicians reported a consistently high ability to order COVID-19 tests for patients (median score = 6, IQR = 5-7) and access to personal protective equipment (median score = 6, IQR = 5-6). Women physicians were more likely to score ≥ 3 than men on the PC-PTSD-5 screener on the initial survey (43.3% vs. 22.5%; Δ 20.8%, 95% confidence interval [CI] = 9.3% to 31.5%), and despite decreases in overall proportions, this discrepancy remained in follow-up (34.7% vs. 16.8%; Δ 17.9%, 95% CI = 7.1% to 28.1%). In examining the relationship between demographics, living situations, and institution location on having a PC-PTSD-5 score ≥ 3, only female sex was associated with a PC-PTSD-5 score ≥ 3 (adjusted odds ratio = 2.48, 95% CI = 1.28 to 4.79).
conclusionsWhile exposure to suspected COVID-19 patients was nearly universal, stress levels in emergency physicians decreased with time. At both initial and follow-up assessments, women were more likely to test positive on the PC-PTSD-5 screener compared to men.
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