ArticleInternational journal of environmental research and public health2022
Longitudinal Study Comparing Mental Health Outcomes in Frontline Emergency Department Healthcare Workers through the Different Waves of the COVID-19 Pandemic.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Psychological Distress Among Primary Care Professionals in Singapore: Repeated-Measures Analyses of Two Independent Observation Windows (HADS and GHQ-12).Healthcare (Basel, Switzerland) · 2026Article
- Textual analysis in suicidal crisis management. Clinical case report and proposal of an intervention methodology.Frontiers in psychology · 2026Article
- Analyzing Health Care Professionals' Resilience and Emotional Responses to COVID-19 via Twitter: Retrospective Cohort and Matched Comparison Group Study.Journal of medical Internet research · 2025Article
- Social support, financial status, and depression among French healthcare workers one year after the onset of the COVID-19 pandemic.BMC public health · 2025Article
- Self-efficacy as a psychological resource in the management of stress suffered by ICU nurses during the COVID-19 pandemic: A prospective study on emotional exhaustion.Nursing in critical care · 2025Observational
- Depression and anxiety among nurses during the COVID-19 pandemic: Longitudinal results over 2 years from the multicentre VOICE-EgePan study.Journal of clinical nursing · 2025Article
- Mental health of health care workers during and after the COVID-19 pandemic - A longitudinal cohort study.PLOS mental health · 2025Article
- Nurse resilience, burnout, pandemic stress, and post-traumatic stress: A secondary analysis of a longitudinal cohort.PloS one · 2025Article
- A longitudinal study of healthcare workers' mental health during Western Australia's unique policy response to COVID-19.BJPsych open · 2024Article
- COVID-19 and mental distress among health professionals in eight European countries during the third wave: a cross-sectional survey.Scientific reports · 2024Article
- Level of patient contact and Impact of Event scores among Canadian healthcare providers during the COVID-19 pandemic.BMC health services research · 2024Article
- Risk and protection factors of mental stress among medical staff in the third year of the COVID-19 pandemic.Frontiers in psychiatry · 2024Article
- Changes in hospital staff' mental health during the Covid‑19 pandemic: Longitudinal results from the international COPE-CORONA study.PloS one · 2023Article
- Evolution of psychopathology, purpose in life, and moral courage in healthcare workers during the COVID-19 pandemic: a longitudinal study.Frontiers in public health · 2023Article
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7 authors.
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Abstract
As countries transition from the COVID-19 pandemic to endemic status, healthcare systems continue to be under pressure. We aimed to quantify changes in depression, anxiety, stress and post-traumatic stress disorder (PTSD) between 3 cohorts (2020, 2021 and 2022) of our Emergency Department (ED) healthcare workers (HCWs) and those who had worked through all 3 phases of the pandemic; and identify factors associated with poorer mental health outcomes (MHOs). In this longitudinal single-centre study in Singapore, three surveys were carried out yearly (2020, 2021 and 2022) since the COVID-19 outbreak. Depression, anxiety and stress were measured using DASS-21, and PTSD was measured using IES-R. A total of 327 HCWs (90.1%) participated in 2020, 279 (71.5%) in 2021 and 397 (92.8%) in 2022. In 2022, ED HCWs had greater concerns about workload (Mean score ± SD: 2022: 4.81 ± 0.86, vs. 2021: 4.37 ± 0.89, vs. 2020: 4.04 ± 0.97) and perceived to have less workplace support (2022: 4.48 ± 0.76, vs. 2021: 4.66 ± 0.70, vs. 2020: 4.80 ± 0.69). There was overall worsening depression (27.5% in 2020, 29.7% in 2021 and 32.2% in 2022) and stress (12.2% in 2020, 14.0% in 2021 and 17.4% in 2022). Healthcare assistants as a subgroup had improving MHOs. ED HCWs who were female and had psychiatric history, were living with the elderly, and had concerns about their working environment, workload and infection had poorer MHOs. This study will guide us in refining existing and devising more focused interventions to further support our ED HCWs' wellbeing.
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