Evidence map›Paper›PMID 35766916›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2022

Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic.

Rima Styra, Laura Hawryluck, Allison McGeer, Michelle Dimas, Eileen Lam, Peter Giacobbe, Gianni Lorello, Neil Dattani, Jack Sheen, Valeria E Rac and 5 more

Abstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

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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

15 authors.

Rima StyraCentre for Mental Health, University Health Network, Toronto, Ontario, Canada.
Laura HawryluckCritical Care Medicine, University Health Network, Toronto, Ontario, Canada.
Allison McGeerDivision of Infectious Diseases, University Health Network and Sinai Health System, Toronto, Ontario, Canada.
Michelle DimasDepartment of Research, William Osler Health System, Brampton, Ontario, Canada.
Eileen LamCentre for Mental Health, University Health Network, Toronto, Ontario, Canada.
Peter GiacobbeDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Gianni LorelloDepartment of Anesthesia and Pain Management, University Health Network, Toronto, Ontario, Canada.
Neil DattaniDepartment of Emergency and Urgent Care, William Osler Health System, Brampton, Ontario, Canada.
Jack SheenInstitute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
Valeria E RacPeter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
Troy FrancisToronto Health Economics and Technology Assessment (THETA) Collaborative, University of Toronto, Toronto, Ontario, Canada.
Peter E WuDivision of General Internal Medicine, University Health Network, Toronto, Ontario, Canada.
Wing-Si LukPatient Safety and Quality Improvement, University Health Network, Toronto, Ontario, Canada.
Jeya NadarajahDivision of Infectious Diseases, Markham Stouffville Hospital, Markham, Ontario, Canada.
Wayne L GoldDivision of Infectious Diseases, University Health Network and Sinai Health System, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study explores the relationship between emotional support, perceived risk and mental health outcomes among health care workers, who face high rates of burnout and mental distress since the beginning of the COVID-19 pandemic.

methodsA cross-sectional, multicentred online survey of health care workers in the Greater Toronto Area, Ontario, Canada, during the first wave of the COVID-19 pandemic evaluated coping strategies, confidence in infection control, impact of previous work during the 2003 SARS outbreak and emotional support. Mental health outcomes were assessed using the Generalized Anxiety Disorder scale, the Impact of Event Scale - Revised and the Patient Health Questionnaire (PHQ-9).

resultsOf 3852 participants, 8.2% sought professional mental health services while 77.3% received emotional support from family, 74.0% from friends and 70.3% from colleagues. Those who felt unsupported in their work had higher odds ratios of experiencing moderate and severe symptoms of anxiety (odds ratio [OR] = 2.23; 95% confidence interval [CI]: 1.84-2.69), PTSD (OR = 1.88; 95% CI: 1.58-2.25) and depression (OR = 1.88; 95% CI: 1.57-2.25). Nearly 40% were afraid of telling family about the risks they were exposed to at work. Those who were able to share this information demonstrated lower risk of anxiety (OR = 0.58; 95% CI: 0.48-0.69), PTSD (OR = 0.48; 95% CI: 0.41-0.56) and depression (OR = 0.55; 95% CI: 0.47-0.65).

conclusionInformal sources of support, including family, friends and colleagues, play an important role in mitigating distress and should be encouraged and utilized more by health care workers.

Indexed as

COVID-19Psychological DistressAnxietyCross-Sectional StudiesDepressionHealth PersonnelHumansOntarioPandemicsSARS-CoV-2anxietyburnoutdepressionhealth care workersinfection controlmental healthposttraumatic stress disorderpsychological supportPTSDsupport

Identifiers

PMID35766916
PMCPMC9584174

What OpenQuestion holds

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Registered trials

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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.