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Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review.

Authors
  • d'Ettorre, Gabriele1
  • Ceccarelli, Giancarlo2
  • Santinelli, Letizia2
  • Vassalini, Paolo2
  • Innocenti, Giuseppe Pietro2
  • Alessandri, Francesco3
  • Koukopoulos, Alexia E4
  • Russo, Alessandro2
  • d'Ettorre, Gabriella2
  • Tarsitani, Lorenzo4
  • 1 Department of Occupational Medicine, Local Health Authority of Lecce, 73100 Lecce, Italy. , (Italy)
  • 2 Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00161 Rome, Italy. , (Italy)
  • 3 Department of Anesthesia and Intensive Care Medicine, Sapienza University of Rome, 00161 Rome, Italy. , (Italy)
  • 4 Department of Human Neurosciences, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy. , (Italy)
Type
Published Article
Journal
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Publication Date
Jan 12, 2021
Volume
18
Issue
2
Identifiers
DOI: 10.3390/ijerph18020601
PMID: 33445712
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs) facing the current COVID-19 pandemic is a challenge worldwide as HCWs are likely to experience acute and chronic, often unpredictable, occupational stressors leading to PTSS. This review aims to analyze the literature to discover which topics have been focused on and what the latest developments are in managing the occupational risk of PTSS in HCWs during the current pandemic. For the purpose of this review, we searched for publications in MEDLINE/Pubmed using selected keywords. The articles were reviewed and categorized into one or more of the following categories based on their subject matter: risk assessment, risk management, occurrence rates. A total of 16 publications matched our inclusion criteria. The topics discussed were: "Risk Assessment", "Occurrence Rates", and "Risk Management". Young age, low work experience, female gender, heavy workload, working in unsafe settings, and lack of training and social support were found to be predictors of PTSS. This review's findings showed the need for urgent interventions aimed at protecting HCWs from the psychological impact of traumatic events related to the pandemic and leading to PTSS; healthcare policies need to consider preventive and management strategies toward PTSS, and the related psychic sequelae, in HCWs.

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