ArticleInternational journal of environmental research and public health2023
COVID-19 and Psychosocial Well-Being: Did COVID-19 Worsen U.S. Frontline Healthcare Workers' Burnout, Anxiety, and Depression?
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 43 citations in OpenAlex.
- A decade of evaluating burnout among American medical students using the OLBI-MS.Scientific reports · 2026Article
- Depression, anxiety, and stress among the nursing students during clinical placement in Sylhet, Bangladesh.Discover mental health · 2026Article
- Article
- Burnout among healthcare workers in Lebanon: a multicentred cross-sectional study.BMJ public health · 2026Article
- Factors Influencing Perceived Mental Health Service Needs, Self-reported Utilization, and Barriers to Care Among Health System Faculty and Staff.Journal of occupational and environmental medicine · 2026Article
- Revisiting Public Trust and Media Influence During COVID-19 Post-Vaccination Era-Waning of Anxiety and Depression Levels Among Skilled Workers and Students in Serbia.Behavioral sciences (Basel, Switzerland) · 2025Article
- Workers' well-being during viral pandemics and epidemics: A scoping review.Comprehensive psychoneuroendocrinology · 2025Review
- Resident Physician Intentions Regarding Unionization.JAMA network open · 2025Article
- Network analysis of depressive symptoms, cognitive functioning, and life satisfaction among healthcare workers.Frontiers in psychiatry · 2025Article
- Evolution of burnout syndrome in Spanish healthcare professionals during and after the COVID-19 pandemic: psychosocial variables involved.Frontiers in medicine · 2025Article
- Development and Pilot Testing of Children's National Hospital's New Faculty Orientation Program.Journal of clinical psychology in medical settings · 2024Article
- Factors affecting healthcare workers burnout and their conceptual models: scoping review.BMC psychology · 2024Article
- Anxiety Evolution among Healthcare Workers-A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables.Medicina (Kaunas, Lithuania) · 2024Article
- Resiliency and Mental Health in the ICU.American journal of respiratory and critical care medicine · 2024Article
- U.S. Physicians' Training and Experience in Providing Trauma-Informed Care in Clinical Settings.International journal of environmental research and public health · 2024Article
- Article
- Prevalence and Determinants of Anxiety and Depression Among Healthcare Workers in Liaoning Province, China.Risk management and healthcare policy · 2024Article
- Factors affecting occupational burnout in medical staff: a path analysis based on the job demands-resources perspective.Frontiers in psychiatry · 2024Article
- Availability and use of institutional support programs for emergency department healthcare personnel during the COVID-19 pandemic.PloS one · 2024Article
- COVID-19 crisis management of German ICU clinicians in leadership - a metaphor analysis.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Healthcare workers are highly regarded for their compassion, dedication, and composure. However, COVID-19 created unprecedented demands that rendered healthcare workers vulnerable to increased burnout, anxiety, and depression. This cross-sectional study assessed the psychosocial impact of COVID-19 on U.S. healthcare frontliners using a 38-item online survey administered by Reaction Data between September and December 2020. The survey included five validated scales to assess self-reported burnout (Maslach Summative Burnout Scale), anxiety (GAD-7), depression (PHQ-2), resilience (Brief Resilience Coping Scale), and self-efficacy (New Self-Efficacy Scale-8). We used regression to assess the relationships between demographic variables and the psychosocial scales index scores and found that COVID-19 amplified preexisting burnout (54.8%), anxiety (138.5%), and depression (166.7%), and reduced resilience (5.70%) and self-efficacy (6.5%) among 557 respondents (52.6% male, 47.5% female). High patient volume, extended work hours, staff shortages, and lack of personal protective equipment (PPE) and resources fueled burnout, anxiety, and depression. Respondents were anxious about the indefinite duration of the pandemic/uncertain return to normal (54.8%), were anxious of infecting family (48.3%), and felt conflicted about protecting themselves versus fulfilling their duty to patients (44.3%). Respondents derived strength from their capacity to perform well in tough times (74.15%), emotional support from family/friends (67.2%), and time off work (62.8%). Strategies to promote emotional well-being and job satisfaction can focus on multilevel resilience, safety, and social connectedness.
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Registered trials
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