Evidence map›Paper›PMID 34089117›Full record

ArticleAnnals of intensive care2021

Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic.

Alexandra Laurent, Alicia Fournier, Florent Lheureux, Guillaume Louis, Saad Nseir, Gwenaelle Jacq, Cyril Goulenok, Grégoire Muller, Julio Badie, Bélaïd Bouhemad and 45 more

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Article in Annals of intensive care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

55 authors.

Alexandra LaurentLaboratoire de Psychologie: Dynamiques Relationnelles et Processus Identitaires (PsyDREPI), Université de Bourgogne Franche-Comté, Dijon, France.
Alicia FournierLaboratoire de Psychologie: Dynamiques Relationnelles et Processus Identitaires (PsyDREPI), Université de Bourgogne Franche-Comté, Dijon, France.
Florent LheureuxLaboratoire de Psychologie, Université de Bourgogne Franche-Comté, Besançon, France.
Guillaume LouisService de Réanimation Polyvalente et USC, Hôpital de Mercy, CHR Metz-Thionville, Thionville, France.
Saad NseirCritical Care Center, CHU Lille and Lille University, Lille, France.
Gwenaelle JacqMedical-Surgical Intensive Care Unit, CH de Versailles, Le Chesnay, France.
Cyril GoulenokMedical-Surgical Intensive Care Unit, Ramsay Générale de Santé, Hôpital Privé Jacques Cartier, Massy, France.
Grégoire MullerService de Médecine Intensive-Réanimation, CHR d'Orléans, Orléans, France.
Julio BadieService de Réanimation Polyvalente-USC, Hôpital Nord Franche-Comté, Trevenans, France.
Bélaïd BouhemadDepartment of Anaesthesiology and Critical Care Medicine, Dijon University Medical Centre, Dijon, France.
Marjolaine GeorgesService de Pneumologie, CHU Dijon, Dijon, France.
Paul-Michel MertesDepartment of Anesthesia and Intensive Care, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.
Hamid MerdjiFaculté de Médecine, Université de Strasbourg (UNISTRA), Strasbourg, France.
Vincent CastelainHôpitaux Universitaires de Strasbourg, Médecine Intensive - Réanimation, Hôpital de Hautepierre, Strasbourg, France.
Caroline AbdulmalakService de Médecine Intensive-Réanimation, CH de Chalon sur Saône, Chalon sur Saône, France.
Olivier LesieurIntensive Care Unit, Groupement Hospitalier La Rochelle-Ré-Aunis, La Rochelle, France.
Gaëtan PlantefeveService de Réanimation Polyvalente et USC, Argenteuil, France.
Jean-Claude LacheradeService de Médecine Intensive-Réanimation, CH de La Roche-sur-Yon, Chalon sur Saône, France.
Jean-Philippe RigaudService de Médecine Intensive-Réanimation, CH de Dieppe, Dieppe, France.
Nicholas SedillotRéanimation Polyvalente, CH de Bourg-en-Bresse, Bourg-en-Bresse, France.
Damien RouxService de Médecine Intensive Réanimation, Assistance Publique - Hôpitaux de Paris, Hôpital Louis Mourier, Colombes, France.
Nicolas TerziService de Réanimation Médicale, CHU de Grenoble, Grenoble, France.
Pascal BeuretService de Réanimation-Soins Continus du CH de Roanne, Roanne, France.
Antoine MonselMultidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Anne-Laure PoujolMultidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Khaldoun KuteifanService de Réanimation Médicale, CH de Mulhouse, France.
Thierry VanderlindenService de Médecine Intensive Réanimation, Groupe des Hôpitaux de L'Institut Catholique de Lille (GHICL), France, Université Catholique de Lille, Lille, France.
Anne RenaultService de Réanimation Médicale et Urgences Médicales, CHU de Brest, Brest, France.
Bérengère VivetService de Réanimation Polyvalente, Groupe Hospitalier Intercommunal de La Haute-Saône, Site de Vesoul, Luxeuil-les-Bains, France.
Christophe VinsonneauService de Médecine Intensive Réanimation-Unité de Sevrage Ventilatoire et Réhabilitation, CH de Bethune, Bethune, France.
Saber Davide BarbarService des Réanimations, Faculté de Médecine de Montpellier-Nîmes, CHU de Nîmes, France and Université de Montpellier, Nîmes, France.
Gilles CapellierRéanimation Médicale, University Hospital Besançon, Besançon, France.
Jean DellamonicaMedical ICU University Hospital of Nice/UR2CA, Tours, France.
Stephan EhrmannService de Médecine Intensive-Réanimation, Tours, France.
Thomas RimmeléAnesthesiology and Intensive Care Medicine, Edouard Herriot Hospital, Lyon, France.
Julien BohéService D'anesthésie - Réanimation-Médecine Intensive, CH Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite, Tours, France.
Pierre BoujuService Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud, Lorient, France.
Sébastien GibotService de Réanimation Médicale, Hôpital Central, Nancy, France.
Bruno LévyService de Réanimation Médicale, Centre Hospitalier Universitaire Nancy Brabois, Nancy-France-Institut du Cœur et des Vaisseaux. Groupe Choc, équipe 2, Inserm U1116. Faculté de Médecine, Nancy-Brabois, France.
Johanna TemimeService de Réanimation Polyvalente, Lens, France.
Cyrille PichotUnité de Surveillance Continue, CH de Dôle, Dôle, France.
David SchnellService de Réanimation Polyvalente et USC, CH d'Angoulême, Angoulême, France.
Diane FriedmanService de Médecine Intensive et Réanimation, Hôpital Raymond Poincaré, Garches, France.
Pierre AsfarDépartement de Médecine Intensive-Réanimation, CHU Angers, Angers, France.
Eddy LebasService de Réanimation-USC de Bretagne Atlantique, Vannes, France.
Philippe MateuService de Médecine Intensive-Réanimation-Unité de Recherche Clinique Ardennes Nord, CH de Charleville-Mézieres, Charleville-Mézieres, France.
Kada KloucheIntensive Care Medicine Department, Lapeyronie Hospital, University Hospital of Montpellier-PhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France.
Juliette AudibertService de Réanimation Polyvalente, CH de Chartres, Hôpital Louis Pasteur, Le Coudray, France.
Fiona EcarnotDepartment of Cardiology, University Hospital, Besançon, and EA3920, University of Burgundy-Franche-Comté, Besançon, France.
Nicolas Meunier-BeillardCIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France.
Mélanie LoiseauService de Médecine Légale CHU Dijon, Cellule D'Urgence Médico-Psychologique de Bourgogne Franche-Comté, Dijon, France.
Irène François-PursellService de Médecine Légale CHU Dijon, Cellule D'Urgence Médico-Psychologique de Bourgogne Franche-Comté, Dijon, France.
Christine BinquetInserm et CHU Dijon-Bourgogne, CIC1432, Module Epidémiologie Clinique, Dijon, France.
Jean-Pierre QuenotService de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, France-Equipe Lipness, centre de recherche INSERM UMR1231 et LabEx LipSTIC, Université de Bourgogne-Franche Comté, Dijon, France. jean-pierre.quenot@chu-dijon.fr.ORCID http://orcid.org/0000-0003-2351-682X
PsyCOVID-ICU Trial Investigators and the CRICS TRIGGERSEP Group (Clinical Research in Intensive Care and Sepsis Trial Group for Global Evaluation and Research in Sepsis)

Funding

Direction Générale de l'offre de Soins PHRC 2020
6 · The paper itself

Abstract

backgroundWe investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France.

methodsThis cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses.

resultsIn total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08-0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09-0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02-0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = - 0.32, 95% CI = - 0.54, - 0.11.

conclusionCOVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

Indexed as

COVID-19Healthcare professionalsICUMental healthStress factors

Identifiers

PMID34089117
PMCPMC8177250

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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.