ArticleChest2021
Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave: A Cross-Sectional Study.
Article in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06453616 (Cluster Randomized Controlled Trial Evaluating the Effectiveness of the "Hello Bundle" Intervention in Reducing Burnout Among ICU Healthcare Professionals), which is not on this map. Cited by 52 papers, 9 of them syntheses 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.
Cluster Randomized Controlled Trial Evaluating the Effectiveness of the "Hello Bundle" Intervention in Reducing Burnout Among ICU Healthcare Professionals
Who cites it
52 citing papers in PubMed, 9 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit.Intensive care medicine · 2024Guideline
- Physician Posttraumatic Stress Disorder During COVID-19: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Impacts for health and care workers of Covid-19 and other public health emergencies of international concern: living systematic review, meta-analysis and policy recommendations.Human resources for health · 2024Pooled it
- Pooled it
- High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis.Intensive care medicine · 2023Pooled it
- Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.Psychiatry research · 2022Pooled it
- Effects of COVID-19 pandemic on mental health among frontline healthcare workers: A systematic review and meta-analysis.Frontiers in psychology · 2022Pooled it
- A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis.Frontiers in psychiatry · 2022Pooled it
- Meta-analysis of the prevalence of anxiety and depression among frontline healthcare workers during the COVID-19 pandemic.Frontiers in public health · 2022Pooled it
- Emotional Impact of Patient Death and Associated Psychological Distress in Cardiac Physicians.JACC. Advances · 2026Article
- Effect of psychological first aid training for fellows on resident burnout and distress in the intensive care unit.PloS one · 2026Article
- Mental health issues among critical care providers during the COVID-19 pandemic: the multinational PSYCOVID cross-sectional study.Scientific reports · 2025Article
- Burnout among intensive care physicians and nurses in the post-pandemic era in China: a national cross-sectional study.BMJ open · 2025Article
- Posttraumatic Growth in Intensive Care Unit Health Care Professionals After COVID-19.JAMA network open · 2025Article
- Turnover intention among intensive care nurses and the influence of the COVID-19 pandemic: a scoping review.Human resources for health · 2025Article
- Gender sensitivity of the COVID-19 mental health research in Europe: a scoping review.International journal for equity in health · 2024Article
- HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals.Intensive care medicine experimental · 2024Article
- Resilience and Mental-Health Symptoms in ICU Healthcare Professionals Facing Repeated COVID-19 Waves.American journal of respiratory and critical care medicine · 2024Article
- Occurrences of post-traumatic stress disorder, anxiety, depression, and burnout syndrome in ICU staff workers after two-year of the COVID-19 pandemic: the international PSY-CO in ICU study.Annals of general psychiatry · 2024Article
- Perceptions and preferences about family visitation restrictions and psychological distress among critical care clinicians in Brazil: results from a national survey.Critical care science · 2024Article
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Authors and funding
23 authors at 17 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorking in the ICU during the first COVID-19 wave was associated with high levels of mental health disorders. RESEARCH QUESTION: What are the mental health symptoms in health care providers (HCPs) facing the second wave? STUDY DESIGN AND
methodsA cross-sectional study (October 30-December 1, 2020) was conducted in 16 ICUs during the second wave in France. HCPs completed the Hospital Anxiety and Depression Scale, the Impact of Event Scale-Revised (for post-traumatic stress disorder), and the Maslach Burnout Inventory.
resultsOf 1,203 HCPs, 845 responded (70%) (66% nursing staff, 32% medical staff, 2% other professionals); 487 (57.6%) had treated more than 10 new patients with COVID-19 in the previous week. Insomnia affected 320 (37.9%), and 7.7% were taking a psychotropic drug daily. Symptoms of anxiety, depression, post-traumatic stress disorder, and burnout were reported in 60.0% (95% CI, 56.6%-63.3%), 36.1% (95% CI, 32.9%-39.5%), 28.4% (95% CI, 25.4%-31.6%), and 45.1% (95% CI, 41.7%-48.5%) of respondents, respectively. Independent predictors of such symptoms included respondent characteristics (sex, profession, experience, personality traits), work organization (ability to rest and to care for family), and self-perceptions (fear of becoming infected or of infecting family and friends, feeling pressure related to the surge, intention to leave the ICU, lassitude, working conditions, feeling they had a high-risk profession, and "missing the clapping"). The number of patients with COVID-19 treated in the first wave or over the last week was not associated with symptoms of mental health disorders.
interpretationThe prevalence of symptoms of mental health disorders is high in ICU HCPs managing the second COVID-19 surge. The highest tiers of hospital management urgently need to provide psychological support, peer-support groups, and a communication structure that ensure the well-being of HCPs.
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