Evidence map›Paper›PMID 35064838›Full record

ArticleInternational archives of occupational and environmental health2022

A prospective cohort study of the psychological consequences of the COVID-19 pandemic on frontline healthcare workers in New York City.

Lauren A Peccoralo, Robert H Pietrzak, Jordyn H Feingold, Shumayl Syed, Chi C Chan, James W Murrough, Carly Kaplan, Jaclyn Verity, Adriana Feder, Dennis S Charney and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in International archives of occupational and environmental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Lauren A PeccoraloDepartment of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1087, New York, NY, 10029, USA. lauren.peccoralo@mountsinai.org.ORCID 0000-0002-7233-1381
Robert H PietrzakU.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, CT, USA.
Jordyn H FeingoldDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Shumayl SyedDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Chi C ChanDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
James W MurroughDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Carly KaplanDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jaclyn VerityDepartment of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1087, New York, NY, 10029, USA.
Adriana FederDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Dennis S CharneyDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Steven M SouthwickDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Jonathan A RippDepartment of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1087, New York, NY, 10029, USA.
Icahn School of Medicine at Mount Sinai · USCenter for Anxiety and Depression · USJames J. Peters VA Medical Center · USMount Sinai Medical Center · USUnited States Department of Veterans Affairs · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to describe the course and correlates of psychological distress in frontline healthcare workers (FHCWs) during the COVID-19 pandemic in New York City (NYC).

methodsA prospective cohort study of FHCWs at the Mount Sinai Hospital was conducted during the initial 2020 surge (T1) and 7 months later (T2). Psychological distress [i.e., positive screen for pandemic-related post-traumatic stress disorder (PTSD), major depressive disorder (MDD), and/or generalized anxiety disorder (GAD)], occupational and personal exposures to COVID-19, coping strategies, and psychosocial characteristics were assessed. Four courses of psychological distress response were identified: no/minimal, remitted, persistent, and new-onset. Multinomial logistic regression and relative importance analyses were conducted to identify factors associated with courses of distress.

resultsOf 786 FHCWs, 126 (16.0%) FHCWs had persistent distress; 150 (19.1%) remitted distress; 35 (4.5%) new-onset distress; and 475 (60.4%) no/minimal distress. Relative to FHCWs with no/minimal distress, those with persistent distress reported greater relationship worries [19.8% relative variance explained (RVE)], pre-pandemic burnout (18.7% RVE), lower dispositional optimism (9.8% RVE), less emotional support (8.6% RVE), and feeling less valued by hospital leadership (8.4% RVE). Relative to FHCWs with remitted symptoms, those with persistent distress reported less emotional support (29.7% RVE), fewer years in practice (28.3% RVE), and psychiatric history (23.6% RVE).

conclusionsOne-fifth of FHCWs in our study experienced psychological distress 7 months following the COVID-19 surge in NYC. Pandemic-related worries, pre-pandemic burnout, emotional support, and feeling valued by leaders were linked to persistent distress. Implications for prevention, treatment, and organizational efforts to mitigate distress in FHCWs are discussed.

Indexed as

Burnout, ProfessionalCOVID-19Major Depressive DisorderHealth PersonnelHumansNew York CityPandemicsProspective StudiesSARS-CoV-2BurnoutCOVID-19 pandemicHealthcare workersMental HealthPsychological distress

Identifiers

PMID35064838
PMCPMC8783588
OpenAlexW4207085028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.