ArticleSocial psychiatry and psychiatric epidemiology2022
The impact of the COVID-19 pandemic on the mental health of healthcare workers: study protocol for the COVID-19 HEalth caRe wOrkErS (HEROES) study.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.
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44 citing papers in PubMed, 101 citations in OpenAlex.
- Working conditions and mental health among doctors and nurses in the European Union, Iceland, and Norway: a cross-sectional survey.The Lancet regional health. Europe · 2026Article
- Inconsistency in trauma reporting: role of PTSD, depression and psychological distress in a longitudinal study among healthcare workers.BJPsych open · 2026Article
- Childhood adversities and post-traumatic stress: predictive pathways through acute stress disorder.BJPsych open · 2026Article
- Navigating dual crises: mental health of Czech health care workers during the Ukrainian refugee influx and COVID-19 pandemic.European journal of psychotraumatology · 2025Article
- Co-RESPOND: a federated network of cohorts on mental health and adversity during the COVID-19 pandemic. Challenges, solutions and recommendations for retrospective data harmonization.European journal of psychotraumatology · 2025Observational
- Recall bias secondary to major trauma: results from a prospective study of the Beirut Port Blast.European journal of psychotraumatology · 2025Article
- Navigating turbulence: analyzing the resilience of Lebanon's healthcare system in a multi-crisis scenario.Health research policy and systems · 2025Article
- Resilience changes and occupational resilience factors among healthcare workers during and after the COVID-19 pandemic: A 2-year prospective cohort study.Scientific reports · 2025Article
- Unveiling the neglected role of the intensity of acute stress disorder in the prediction of full- and sub-threshold posttraumatic stress disorder: looking beyond the diagnosis.Social psychiatry and psychiatric epidemiology · 2025Article
- Psychological distress in health care workers during the beginning, the middle, and the last part of the COVID-19 pandemic.Scientific reports · 2025Article
- Longitudinal tracking of healthcare professionals: a methodological scoping review.BMC medical research methodology · 2025Article
- Positive mental health, depression and burnout in healthcare workers during the second wave of COVID-19 pandemic.Journal of psychiatric and mental health nursing · 2025Article
- The hidden risk factors behind of suicidal behavior in medical students: a cross-sectional cohort study in Mexico.Frontiers in psychiatry · 2025Article
- Trusting in times of the COVID-19 crisis: Workplace and government trust and depressive symptoms among healthcare workers.Global mental health (Cambridge, England) · 2025Article
- Suicidality Among Healthcare Workers in Lebanon: Associations With Childhood Adversities Amid Recent Overlapping Crises.International journal of public health · 2025Article
- Article
- Rethinking students' mental health assessment through GHQ-12: evidence from the IRT approach.BMC psychology · 2024Article
- Trajectories of symptoms of depression, distress, and resilience in healthcare workers during the COVID-19 pandemic and toward its end in Czechia.European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Experiences of stigma, discrimination and violence and their impact on the mental health of health care workers during the COVID-19 pandemic.Scientific reports · 2024Article
- Development of mental health first-aid guidelines for a person after a potentially traumatic event: A Delphi expert consensus study in Argentina and Chile.BMC psychiatry · 2024Article
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Authors and funding
43 authors at 20 institutions in 21 countries.
Funding
Abstract
backgroundPreliminary country-specific reports suggest that the COVID-19 pandemic has a negative impact on the mental health of the healthcare workforce. In this paper, we summarize the protocol of the COVID-19 HEalth caRe wOrkErS (HEROES) study, an ongoing, global initiative, aimed to describe and track longitudinal trajectories of mental health symptoms and disorders among health care workers at different phases of the pandemic across a wide range of countries in Latin America, Europe, Africa, Middle-East, and Asia.
methodsParticipants from various settings, including primary care clinics, hospitals, nursing homes, and mental health facilities, are being enrolled. In 26 countries, we are using a similar study design with harmonized measures to capture data on COVID-19 related exposures and variables of interest during two years of follow-up. Exposures include potential stressors related to working in healthcare during the COVID-19 pandemic, as well as sociodemographic and clinical factors. Primary outcomes of interest include mental health variables such as psychological distress, depressive symptoms, and posttraumatic stress disorders. Other domains of interest include potentially mediating or moderating influences such as workplace conditions, trust in the government, and the country's income level.
resultsAs of August 2021, ~ 34,000 health workers have been recruited. A general characterization of the recruited samples by sociodemographic and workplace variables is presented. Most participating countries have identified several health facilities where they can identify denominators and attain acceptable response rates. Of the 26 countries, 22 are collecting data and 2 plan to start shortly.
conclusionsThis is one of the most extensive global studies on the mental health of healthcare workers during the COVID-19 pandemic, including a variety of countries with diverse economic realities and different levels of severity of pandemic and management. Moreover, unlike most previous studies, we included workers (clinical and non-clinical staff) in a wide range of settings.
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