Evidence map›Paper›PMID 35907872›Full record

Observational studyItalian journal of pediatrics2022

The COVID-related mental health load of neonatal healthcare professionals: a multicenter study in Italy.

Luigi Gagliardi, Serena Grumi, Marzia Gentile, Roberta Cacciavellani, Giulia Placidi, Angelina Vaccaro, Claudia Maggi, Beatrice Gambi, Letizia Magi, Laura Crespin and 7 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Italian journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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  7. Community-Based Model:Iranian journal of nursing and midwifery research
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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

17 authors at 11 institutions in 1 country.

Luigi GagliardiDivision of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy. l.gagliardi@neonatalnet.org.ORCID http://orcid.org/0000-0001-6074-8975
Serena GrumiDevelopmental Psychobiology Research Center , IRCCS Fondazione Mondino, Pavia, Italy.ORCID http://orcid.org/0000-0003-4353-3803
Marzia GentileDivision of Neonatology, Azienza Ospedaliero-Universitaria di Pisa, Pisa, Italy.
Roberta CacciavellaniDivision of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy.
Giulia PlacidiDivision of Neonatology and Pediatrics, Versilia Hospital, Azienda USL Toscana Nord Ovest, Viareggio, Pisa, Italy.
Angelina VaccaroDivision of Neonatology and Pediatrics, Ospedale San Luca, AUSL Toscana NordOvest, Lucca, Italy.
Claudia MaggiDivision of Neonatology and Pediatrics, Ospedale Lotti, AUSL Toscana NordOvest, Pontedera, Pisa, Italy.
Beatrice GambiDivision of Neonatology, Ospedale San Giovanni di Dio, AUSL Toscana Centro, Florence, Italy.
Letizia MagiDivision of Neonatology and Pediatrics, Ospedale San Donato, AUSL Toscana Sud Est, Arezzo, Italy.
Laura CrespinDivision of Neonatology and Pediatrics, Ospedale di Barga, AUSL Toscana Nord Ovest, Barga, Pisa, Italy.
Graziano MemminiDivision of Neonatology and Pediatrics, Nuovo Ospedale Apuano, AUSL Toscana NordOvest, Massa, Pisa, Italy.
Marcello DeFilippoDivision of Neonatology and Pediatrics, Ospedale di Grosseto, AUSL Toscana Sud Est, Grosseto, Italy.
Elena VerucciDivision of Neonatology and Pediatrics, Ospedale di Livorno, AUSL Toscana Nord Ovest, Livorno, Pisa, Italy.
Liliana MalandraDivision of Neonatology and Pediatrics, Ospedale di Cecina, AUSL Toscana Nord Ovest, Cecina, Pisa, Italy.
Laura MeleDivision of Neonatology and Pediatrics, Ospedale di Prato, AUSL Toscana Centro, Prato, Florence, Italy.
Angelo AzzaràDivision of Neonatology, Azienda Ospedaliero-Universitaria Meyer, Florence, Italy.
Livio ProvenziDevelopmental Psychobiology Research Center , IRCCS Fondazione Mondino, Pavia, Italy.ORCID http://orcid.org/0000-0001-7424-8744
Ospedale Versilia · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Usl Toscana Centro · ITFondazione FADOI · ITMeyer Children's Hospital · ITNuovo Ospedale San Giovanni di Dio · ITOspedale di Livorno · ITOspedale di Prato Santo Stefano · ITOspedale Misericordia - Grosseto · ITOspedale San Donato · ITUniversity of Pavia · IT

Funding

Regione Toscana 7731
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has dramatically affected healthcare professionals' lives. We investigated the potential mental health risk faced by healthcare professionals working in neonatal units in a multicentre cross-sectional observational study.

methodsWe included all healthcare personnel of seven level-3 and six level-2 neonatal units in Tuscany, Italy. We measured the level of physical exposure to COVID-19 risk, self-reported pandemic-related stress, and mental health load outcomes (anxiety, depression, burnout, psychosomatic symptoms, and post-traumatic symptoms) using validated, self-administered, online questionnaires during the second pandemic wave in Italy (October 2020 to March 2021).

resultsWe analyzed 314 complete answers. Scores above the clinical cutoff were reported by 91% of participants for symptoms of anxiety, 29% for post-traumatic symptoms, 13% for burnout, and 3% for symptoms of depression. Moreover, 50% of the participants reported at least one psychosomatic symptom. Pandemic-related stress was significantly associated with all the measured mental health load outcomes, with an Odds Ratio of 3.31 (95% confidence interval: 1.87, 5.88) for clinically relevant anxiety, 2.46 (1.73, 3.49) for post-traumatic symptoms, 1.80 (1.17, 2.79) for emotional exhaustion, and 2.75 (1.05, 7.19) for depression. Female health care professionals displayed a greater risk of anxiety, and male health care professionals and nurses, of depressive symptoms.

conclusionsDespite the low direct clinical impact of COVID-19 in newborns, neonatal professionals, due to both living in a situation of uncertainty and personal exposure to contacts with parents and other relatives of the newborns, and having to carry out activities once routine and now fraught with uncertainty, displayed clear signs of mental health load outcomes. They must be considered a specific population at risk for psychological consequences during the pandemic.

Indexed as

Burnout, ProfessionalCOVID-19Cross-Sectional StudiesDelivery of Health CareFemaleHumansInfant, NewbornMaleMental HealthPandemicsSARS-CoV-2BurnoutCOVID-19Healthcare professionalsNICUNursesStress

Identifiers

PMID35907872
PMCPMC9338560
OpenAlexW4288748918

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.