ArticleChronic stress (Thousand Oaks, Calif.)
Psychological Impact of the COVID-19 Pandemic on Frontline Health Care Workers During the Pandemic Surge in New York City.
Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
63 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 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
- Racial Differences in Trauma Outcomes After a Mindfulness App Intervention in Frontline Nurses: A Secondary Data Analysis.Issues in mental health nursing · 2025Trial
- "The Only People That Really Understand": A Qualitative Study of Healthcare Workers' COVID-19 Experiences and Implications for Workplace Support.Healthcare (Basel, Switzerland) · 2026Article
- Factors Influencing Perceived Mental Health Service Needs, Self-reported Utilization, and Barriers to Care Among Health System Faculty and Staff.Journal of occupational and environmental medicine · 2026Article
- Fostering Spiritually Supportive Work Environments in Healthcare: Leadership Recommendations From a Narrative Review.Journal of nursing management · 2026Review
- Association of perceived leadership effectiveness and mental health symptoms in health system staff and faculty: a cross-sectional survey study.BMJ leader · 2025Article
- Article
- Relationship between burnout and serum markers in military personnel in plateau and plain areas of China: a cross-sectional study.Frontiers in public health · 2025Article
- Molecular insights into the bidirectional link between anxiety and COVID-19: a combined clinical and bioinformatics approach.Frontiers in psychiatry · 2025Article
- Mental Health and Work: A Systematic Review of the Concept.Healthcare (Basel, Switzerland) · 2024Review
- Promoting Resilience in Healthcare Workers: A Preventative Mental Health Education Program.International journal of environmental research and public health · 2024Article
- Suicidal ideation among non-physician hospital system staff: Prevalence and workplace correlates.Journal of affective disorders · 2024Article
- Article
- Mental Health Service Use, Barriers, and Service Preferences During COVID-19 among Low-Income Housing and Market-Rate Housing Residents of Harlem in New York City.Journal of community health · 2024Article
- Development and initial validation of the Mount Sinai Resilience Scale.Psychological trauma : theory, research, practice and policy · 2024Article
- Psychological Burden of Systemic Racism-Related Distress in New York City Healthcare Workers During the COVID-19 Pandemic.Journal of general internal medicine · 2024Article
- Effectiveness of CBT-Informed Behavioral Health Interventions for Health Care Workers in a Specialized Clinical Service During the COVID-19 Pandemic.American journal of public health · 2024Article
- Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study.BMC primary care · 2024Article
- COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study.BMC primary care · 2023Article
- A Resilience Program for Hospital Security Officers During the COVID-19 Pandemic Using a Community Engagement Model.Journal of community health · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThis study sought to assess the magnitude of and factors associated with mental health outcomes among frontline health care workers (FHCWs) providing care during the Spring 2020 COVID-19 pandemic surge in New York City.
methodsA cross-sectional, survey-based study over 4 weeks during the Spring 2020 pandemic surge was used to assess symptoms of COVID-19-related posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD) in 2,579 FHCWs at the Mount Sinai Hospital. Participants were additionally asked about their occupational and personal exposures to COVID-19. Multivariable logistic regression and relative importance analyses were conducted to identify factors associated with these outcomes.
resultsA total of 3,360 of 6,026 individuals completed the survey (55.8% participation), with 2,579 (76.8%) analyzed based on endorsing frontline responsibilities and providing information related to the three outcomes. 1,005 (39.0%) met criteria for symptoms of COVID-19-related PTSD, MDD, or GAD. 599 (23.3%) screened positively for PTSD symptoms, 683 (26.6%) for MDD symptoms, and 642 (25.0%) for GAD symptoms. Multivariable analyses revealed that past-year burnout was associated with the highest risk of developing symptoms for COVID-19-related PTSD (odds ratio [OR] = 2.10), MDD (OR = 2.83), and GAD (OR = 2.68). Higher perceived support from hospital leadership was associated with a lowest risk of all outcomes [PTSD (OR = 0.75), MDD (OR = 0.72), and GAD (OR = 0.76).
conclusionIn this large sample of FHCWs providing care during the 2020 NYC pandemic surge, 39% experienced symptoms of COVID-19-related PTSD, MDD, and/or GAD and pre-pandemic burnout as well as leadership support were identified as the most highly associated factors. These findings suggest that interventions aimed at reducing burnout and augmenting support from hospital leadership may be appropriate targets to mitigate the risk for developing further psychopathology in this population and others working in the midst of crisis.
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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.