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Mengin AC, Nourry N, Severac F, Berna F, Bemmouna D, Costache ME, Fritsch A, Frey I, Ligier F, Engel N, Greth P, Khan A, Chauvet-Gelinier JC, Chabridon G, Haffen E, Nicolier M, Zinetti-Bertschy A, Vidailhet P, Weiner L. Efficacy of the my health too online cognitive behavioral therapy program for healthcare workers during the COVID-19 pandemic: A randomized controlled trial. Internet Interv 2024; 36:100736. [PMID: 38617386 PMCID: PMC11015127 DOI: 10.1016/j.invent.2024.100736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 02/23/2024] [Accepted: 03/16/2024] [Indexed: 04/16/2024] Open
Abstract
Background Healthcare workers' mental health has been impacted by the COVID-19 pandemic, emphasizing the need for mental health interventions in this population. Online cognitive behavioral therapy (CBT) is efficient to reduce stress and may reach numerous professionals. We developed "MyHealthToo", an online CBT program to help reduce stress among healthcare workers during the COVID-19 pandemic. Objective The aim of our study is to investigate the efficacy of an online CBT program on stress and mental health conditions among healthcare workers during a health crisis. Methods We performed a multicentric randomized controlled trial among 155 participants allocated either to the experimental or active control group (bibliotherapy). The primary outcome was the decrease of perceived stress scores (PSS-10) post-treatment. Secondary outcomes included depression, insomnia and PTSD symptoms along with self-reported resilience and ruminations. Assessments were scheduled pretreatment, mid-treatment (4 weeks), post-treatment (8 weeks), and at 1-month and 4-months follow-up. Results For both interventions, mean changes on the PSS-10 were significant post-therapy (W8), as at 1-month (W12) and 4-months (W24) follow-ups. The between-group comparison showed no difference at any time point (ps > 0.88). Work-related ruminations significantly decreased in the experimental group with a significant between-group difference at W8 (Δ = -1.83 [-3.57; -0.09], p = 0.04). Posttraumatic stress symptoms significantly decreased in the experimental group with a significant between-group difference at W12 (Δ = -1.41 [-2.68; -0.14], p = 0.03). The decrease in work-related ruminations at W8 mediated the decrease in posttraumatic stress symptoms at W12 (p = 0.048). Conclusion The "MyHealthToo" online CBT intervention may help reduce ruminations about work and posttraumatic stress symptoms among healthcare workers during a major health crisis. Work-related ruminations may represent a relevant target of online interventions to improve mental health among healthcare workers.
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Affiliation(s)
- Amaury C. Mengin
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
- Regional Great East Center for Psychotraumatism, Strasbourg, France
- Strasbourg University, Faculty of Medicine, Strasbourg, France
- INSERM U1329, Strasbourg Translational NEuroscience and Psychiatry (STEP), Team Psychiatry, Strasbourg, France
- Fédération de Médecine Translationnelle de Strasbourg, France
| | - Nathalie Nourry
- Strasbourg University, Faculty of Medicine, Strasbourg, France
- Fédération de Médecine Translationnelle de Strasbourg, France
- Hôpitaux Universitaires de Strasbourg, Service de Pathologies Professionnelles et Médecine du Travail, Strasbourg, France
| | - François Severac
- Hôpitaux Universitaires de Strasbourg, Département de Santé Publique, GMRC, Strasbourg, France
- Université de Strasbourg, Laboratoire de Biostatistique et Informatique Médicale, iCUBE UMR, 7357 Illkirch, France
| | - Fabrice Berna
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
- Strasbourg University, Faculty of Medicine, Strasbourg, France
- INSERM U1329, Strasbourg Translational NEuroscience and Psychiatry (STEP), Team Psychiatry, Strasbourg, France
- Fédération de Médecine Translationnelle de Strasbourg, France
| | - Doha Bemmouna
- Strasbourg University, Faculty of Psychology, Strasbourg, France
| | - Mădălina Elena Costache
- Strasbourg University, Faculty of Psychology, Strasbourg, France
- Laboratoire de Psychologie des Cognitions, Université de Strasbourg, Strasbourg, France
| | - Aurélie Fritsch
- Strasbourg University, Faculty of Psychology, Strasbourg, France
- Laboratoire de Psychologie des Cognitions, Université de Strasbourg, Strasbourg, France
| | - Isabelle Frey
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
| | - Fabienne Ligier
- PUPEA, Centre Psychothérapeutique de Nancy, Laxou; EA 4360 APEMAC, Université de Lorraine, Nancy, France
- Centre Psychothérapeutique de Nancy, Laxou, France
| | - Nadia Engel
- PUPEA, Centre Psychothérapeutique de Nancy, Laxou; EA 4360 APEMAC, Université de Lorraine, Nancy, France
- Centre Psychothérapeutique de Nancy, Laxou, France
| | - Philippe Greth
- Pôle de Psychiatrie et Santé Mentale du Groupe Hospitalier Mulhouse Sud Alsace, Mulhouse, France
| | - Anastasia Khan
- Pôle de Psychiatrie et Santé Mentale du Groupe Hospitalier Mulhouse Sud Alsace, Mulhouse, France
| | - Jean-Christophe Chauvet-Gelinier
- Service de Psychiatrie Adultes, Centre Hospitalier Universitaire Dijon-Bourgogne, Unité INSERM LNC-UMR 1231, Université de Bourgogne, Dijon, France
| | - Guillaume Chabridon
- Service de Psychiatrie Adultes, Centre Hospitalier Universitaire Dijon-Bourgogne, Unité INSERM LNC-UMR 1231, Université de Bourgogne, Dijon, France
| | - Emmanuel Haffen
- Service de Psychiatrie, CIC-1431 INSERM, CHU de Besançon, Laboratoire de Neurosciences, Université Bourgogne-Franche-Comté, Besançon, France
| | - Magali Nicolier
- Service de Psychiatrie, CIC-1431 INSERM, CHU de Besançon, Laboratoire de Neurosciences, Université Bourgogne-Franche-Comté, Besançon, France
| | - Anna Zinetti-Bertschy
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
- Strasbourg University, Faculty of Psychology, Strasbourg, France
| | - Pierre Vidailhet
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
- Regional Great East Center for Psychotraumatism, Strasbourg, France
- Strasbourg University, Faculty of Medicine, Strasbourg, France
- INSERM U1329, Strasbourg Translational NEuroscience and Psychiatry (STEP), Team Psychiatry, Strasbourg, France
- Fédération de Médecine Translationnelle de Strasbourg, France
| | - Luisa Weiner
- Department of Psychiatry, Mental Health & Addictology, Strasbourg University Hospital, Strasbourg, France
- Strasbourg University, Faculty of Psychology, Strasbourg, France
- Laboratoire de Psychologie des Cognitions, Université de Strasbourg, Strasbourg, France
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Konstantinou P, Theofanous V, Karekla M, Kassianos AP. Mapping the needs of healthcare workers caring for COVID-19 patients using the socio-ecological framework: a rapid scoping review. HUMAN RESOURCES FOR HEALTH 2024; 22:29. [PMID: 38773594 PMCID: PMC11110340 DOI: 10.1186/s12960-024-00919-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 05/16/2024] [Indexed: 05/24/2024]
Abstract
Undoubtedly, the mental health of healthcare workers (HCWs) was negatively affected because of caring for patients during the COVID-19 pandemic. However, literature is limited on mapping the challenges and needs of HCWs during COVID-19 pandemic. A widely used framework in public health for mapping evidence includes the socio-ecological models, suggesting behavior can be influenced by individual, interpersonal, organizational, and community factors. The aim of this rapid scoping review was to use the socio-ecological model to map and compile lessons learnt from the literature regarding primarily the challenges and needs and secondly available psychological interventions for HCWs caring for COVID-19 patients. PubMed, CINAHL and Scopus databases were searched, with 21 studies finally included examining challenges and needs of HCWs and 18 studies presenting psychological interventions. Organizational-level challenges and needs such as inadequate staff preparation and supplies of protective equipment, flexible work policies and paid rest periods were the most reported. Individual-level challenges and needs included COVID-19-related fears and reduced mental health, whereas interpersonal-related needs included support provision. Community-level challenges included societal stigma. Certain psychological interventions were found to be promising for HCWs, but these were utilized to address only individual-level challenges and needs. Given that well-being entails an interaction of factors, multi-level interventions addressing multiple socio-ecological levels (interpersonal, organizational, community) and that place HCWs in their social context should be administrated to increase and maintain intervention' effects long-term and possibly aid in better coping with future pandemics.
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Affiliation(s)
| | - Vaso Theofanous
- Department of Psychology, University of Cyprus, Nicosia, Cyprus
| | - Maria Karekla
- Department of Psychology, University of Cyprus, Nicosia, Cyprus
| | - Angelos P Kassianos
- Department of Psychology, University of Cyprus, Nicosia, Cyprus.
- Department of Nursing, Cyprus University of Technology, 3041, Limassol, Cyprus.
- Department of Applied Health Research, UCL, London, United Kingdom.
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Vagnini D, Lamperti N, Molgora S, Barile F, Facchin F, Mazza U, Saita E. Mental Health Issues as a Consequence of the Pandemic: Group Psycho-Educational Intervention to Support Patients Recovered from COVID-19 Infection. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6105. [PMID: 37372692 PMCID: PMC10298194 DOI: 10.3390/ijerph20126105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 06/01/2023] [Accepted: 06/06/2023] [Indexed: 06/29/2023]
Abstract
Common psycho-physical symptoms have emerged in patients who were previously recovered for COVID-19 infection, including traumatic experience and enduring emotional disturbances. A group psycho-educational intervention of seven weekly sessions and a follow-up after three months was proposed to all Italian-speaking patients formally discharged from a public hospital in northern Italy and physically recovered from infection. Eighteen patients were recruited and divided into four age-homogenous groups, each led by two facilitators (psychologists and psychotherapists). The group sessions followed a structured format with thematic modules, including main topics, tasks, and homework assignments. Data were collected through recordings and verbatim transcripts. The objectives of the study were twofold: (1) to analyze the emerging themes and gain insight into the significant aspects of the participants' lived experience of COVID-19, and (2) to examine changes in how participants approached these themes throughout the intervention process. Semantic-pragmatic text analyses, specifically thematic analysis of elementary context and correspondence analysis, were conducted using T-LAB software. Linguistic analysis revealed a congruence between the intervention's objectives and the participants' experiences. The study highlighted an evolution in the narratives, as participants transitioned from a passive and concrete perspective on the disease to a more comprehensive cognitive and emotional elaboration of their personal illness stories. These findings hold potential relevance for healthcare services and professionals working in this field.
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Affiliation(s)
- Denise Vagnini
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy
| | - Nicolò Lamperti
- Clinical Psychology Unit, Department of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
| | - Sara Molgora
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy
| | - Francesca Barile
- Clinical Psychology Unit, Department of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
| | - Federica Facchin
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy
| | - Umberto Mazza
- Clinical Psychology Unit, Department of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy
| | - Emanuela Saita
- Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy
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Li J. Digital technologies for mental health improvements in the COVID-19 pandemic: a scoping review. BMC Public Health 2023; 23:413. [PMID: 36859184 PMCID: PMC9976664 DOI: 10.1186/s12889-023-15302-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 02/21/2023] [Indexed: 03/03/2023] Open
Abstract
Digital technologies have been used to support mental health services for two decades, but the COVID-19 pandemic created a particular opportunity for greater utilization and more data-driven assessment of these digital technologies. This research aims to offer a scoping review of the characteristics and effectiveness of digital interventions that were employed to improve mental health in the real context of COVID-19 pandemic. A combination of search terms was applied for automatic search of publications in the relevant databases. The key features of included studies were extracted, including the intervention, participant, and study details. A total of 20 eligible studies were included in the final review, which were conducted across different geographic regions and among diverse cultural groups. Among them, fourteen studies mainly reported the impact of digital technologies on general population, while only one published study developed specific interventions for the isolated COVID-19 depressed patients in hospitals. Digital technologies identified in this review were mainly developed via web-based and mobile-based platforms, such as social networking and video conferencing applications. But less than half of them were aligned with theoretical approaches from standardized psychological treatments. Most of the studies have reported positive effects of digital technologies, either on improving general mental and emotional well-being or addressing specific conditions (e.g., depression, stress, and anxiety). This scoping review suggests that digital technologies hold promise in bridging the mental health-care gap during and after the COVID-19 pandemic, and calls for more rigorous studies to identify pertinent features that are likely to achieve more effective mental health outcomes.
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Affiliation(s)
- Jinhui Li
- School of Journalism and Communication, Jinan University, 601 Huangpu Ave West, 510632, Guangzhou, Guangdong, China. .,National Media Experimental Teaching Demonstration Center, Jinan University, 601 Huangpu Ave West, 510632, Guangzhou, Guangdong, China.
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Ross M, Sagrera C, McPherson P, Gurgel Smith D, Alfrad Nobel Bhuiyan M, Tinsley M, Goeders N, Patterson J, Murnane K. Use of virtual meeting and survey technology to assess Covid-19-related mental well-being of healthcare workers. ETHICS, MEDICINE, AND PUBLIC HEALTH 2023; 26:100860. [PMID: 36467267 PMCID: PMC9701645 DOI: 10.1016/j.jemep.2022.100860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 11/21/2022] [Indexed: 11/29/2022]
Abstract
Background and aims Healthcare workers (HCWs) throughout the world have been exposed to economic and existential stress during the Covid-19 pandemic. The American Medical Association (AMA) has documented that increased healthcare burden correlates with increased stress, burnout, and psychological burden in HCWs. However, limits on personnel, time, and in person interactions make it challenging to assess mental health outcomes during a pandemic. This pilot study used virtual technology to efficiently assess these outcomes. Setting Data were collected based on voluntary participation in the Coping with Covid-19 for Caregivers Survey created by AMA. The survey was sent out to approximately 300 participants who included local physicians, medical residents, medical students, and allied health professionals and students who attended a virtual Mental Health Summit. Methods The AMA developed survey included questions about demographics, overall stress, fear of infection and transmission of the virus, perceived anxiety or depression due to Covid-19, work overload, childcare issues, and sense of meaning and purpose. The AMA allows for up to five additional questions to be added to their survey, therefore five questions regarding support service utilization, perseverance, and resilience during the Covid-19 pandemic, and two items to further understand students' areas of medical interest. The survey was administered using an online platform through the AMA. The data were analyzed using descriptive statistics. Results There were 81 survey respondents. Based on the results of the survey, "high stress" was found in 52 (64%) participants. 66 (81%) were afraid (moderately or to a great extent) of exposure or transmission, 61 (75%) described high levels of anxiety or depression, and 67 (84%) noted work overload. Despite this increase in stress, most respondents (77%) said they were not likely to reduce their devoted hours to clinical care or research in the next 12 months, and 81% answered that they would not leave their practice or research within two years. Conclusion Covid-19 has negatively affected the well-being of HCWs. This is a similar trend seen during other times of healthcare strain. Mental health support, work modulation, and various provisions should be explored as means to reduce Covid-19-related negative impacts. The use of an online summit and online data collection methods were appropriate for collecting data on the impact of the Covid-19 pandemic on mental health. This pilot study supports the larger scale implementation of this technology for health informatics research.
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Affiliation(s)
- M.M. Ross
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - C. Sagrera
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - P. McPherson
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - D. Gurgel Smith
- Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Department of Public Health, School of Allied Health, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - M. Alfrad Nobel Bhuiyan
- Department of Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - M.S. Tinsley
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Department of Psychiatry and Behavioral Services, Tulane University Health Science Center, New Orleans, LA, USA
| | - N.E. Goeders
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Department of Pharmacology, Toxicology & Neuroscience, School of Graduate Studies, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - J.C. Patterson
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Department of Pharmacology, Toxicology & Neuroscience, School of Graduate Studies, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA
| | - K.S. Murnane
- Department of Psychiatry and Behavioral Medicine, School of Medicine, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Louisiana Addiction Research Center, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Department of Pharmacology, Toxicology & Neuroscience, School of Graduate Studies, Louisiana State University Health Sciences Center–Shreveport, Shreveport, LA, USA,Corresponding author at: Louisiana State University Health Sciences Center–Shreveport, 1501; Kings Highway, PO Box 33932, 71103 Shreveport, LA, USA
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Crawford J, Spence J, Lovegrove T, Tam E, Collins D, Harvey SB, Deady M. Pilot Trial of Workable: A Therapist-Supported Digital Program for Injured Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2460. [PMID: 36767833 PMCID: PMC9916348 DOI: 10.3390/ijerph20032460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/13/2023] [Accepted: 01/14/2023] [Indexed: 06/18/2023]
Abstract
Workplace sickness absence is a major public health and economic problem, and common mental disorders (CMDs) such as anxiety and depression are associated with particularly high rates of long-term sickness absence. Effective return-to-work (RTW) interventions are required. This pilot study investigates the feasibility, acceptability, and potential effectiveness of a new therapist-assisted Web-based RTW intervention (Workable) for injured workers on sick leave for a psychological or physical injury. A single-group open pilot trial design was used, with assessments at pre-treatment and post-treatment. The intervention consisted of 6 weeks of online modules and 6 coaching calls from a psychologist. A total of 13 participants were recruited and 9 completed all questionnaires. Program adherence was high, with 92% of participants completing the 6-week intervention. Participants reported high levels of intervention satisfaction and ease of use. There were large and significant reductions between pre- and post-treatment on measures of depression, anxiety, stress, and workdays missed over the past four weeks, along with a significant increase in self-reported work ability. These results suggest that Workable is a feasible and acceptable intervention for injured workers, with the potential to improve mental health and RTW outcomes. A randomized controlled trial is required to determine the efficacy of the intervention.
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Affiliation(s)
- Joanna Crawford
- Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia
| | - Jay Spence
- Uprise Services Pty Ltd., Sydney, NSW 2000, Australia
| | | | - Edman Tam
- Uprise Services Pty Ltd., Sydney, NSW 2000, Australia
| | - Daniel Collins
- Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia
| | - Samuel B. Harvey
- Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia
| | - Mark Deady
- Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia
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Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010262. [PMID: 35010524 PMCID: PMC8750525 DOI: 10.3390/ijerph19010262] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/21/2021] [Accepted: 12/23/2021] [Indexed: 12/17/2022]
Abstract
Background: Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown. Methods: A web survey invitation was sent to healthcare worker listservs at a NYC medical center (April, 2020). The Primary Care (PC)-PTSD questionnaire was used to screen for PTSD symptoms at baseline and then every 2 weeks for 10 weeks. Incidence and prevalence of PTSD symptoms were determined at each time point. Multivariable generalized estimating equation models were performed to investigate the factors associated with a positive PC-PTSD screen at follow-up. Results: Median age (interquartile range) of N = 230 participants was 36 (31–48) years; 79.6% were women; 82.6% worked in COVID-19-focused settings. The prevalence of PTSD symptoms decreased from 55.2% at baseline to 25.0% at 10 weeks (p < 0.001). Among participants who had a baseline negative screen for PTSD symptoms, the incidence of PTSD at 10 weeks was 12.2% (p-trend 0.034). In multivariable-adjusted analyses, being a nurse (odds ratio [OR]: 1.70, 95% confidence interval [CI]: 1.06–2.71), female (OR: 3.00, 95% CI: 1.59, 5.72), and working in a COVID-19-focused location (OR: 1.51, 95% CI: 1.02, 2.21) were associated with increased odds of PTSD symptoms at 10-weeks. Conclusions: PTSD symptoms improved over 3 months following the first wave of the COVID-19 pandemic. However, one out of four NYC healthcare workers still had an increased risk for PTSD at 10-weeks. Screening healthcare workers for PTSD symptoms should be considered during the COVID-19 pandemic.
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