Affordable Access

Access to the full text

Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic

Authors
  • Laurent, Alexandra1, 2
  • Fournier, Alicia1
  • Lheureux, Florent3
  • Louis, Guillaume4
  • Nseir, Saad5
  • Jacq, Gwenaelle6
  • Goulenok, Cyril7
  • Muller, Grégoire8
  • Badie, Julio9
  • Bouhemad, Bélaïd2
  • Georges, Marjolaine10
  • Mertes, Paul-Michel11
  • Merdji, Hamid12, 11
  • Castelain, Vincent13, 14
  • Abdulmalak, Caroline15
  • Lesieur, Olivier16
  • Plantefeve, Gaëtan17
  • Lacherade, Jean-Claude18
  • Rigaud, Jean-Philippe19, 20
  • Sedillot, Nicholas21
  • And 34 more
  • 1 Université de Bourgogne Franche-Comté, Dijon, France , Dijon (France)
  • 2 Dijon University Medical Centre, Dijon, France , Dijon (France)
  • 3 Université de Bourgogne Franche-Comté, Besançon, France , Besançon (France)
  • 4 Hôpital de Mercy, CHR Metz-Thionville, Thionville, France , Thionville (France)
  • 5 CHU Lille and Lille University, Lille, France , Lille (France)
  • 6 Medical‐Surgical Intensive Care Unit, CH de Versailles, Le Chesnay, France , Le Chesnay (France)
  • 7 Ramsay Générale de Santé, Hôpital Privé Jacques Cartier, Massy, France , Massy (France)
  • 8 Service de Médecine Intensive-Réanimation, CHR d’Orléans, Orléans, France , Orléans (France)
  • 9 Service de Réanimation Polyvalente-USC, Hôpital Nord Franche-Comté, Trevenans, France , Trevenans (France)
  • 10 Service de Pneumologie, CHU Dijon, Dijon, France , Dijon (France)
  • 11 Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France , Strasbourg (France)
  • 12 Université de Strasbourg (UNISTRA), Strasbourg, France , Strasbourg (France)
  • 13 Hôpitaux Universitaires de Strasbourg, Médecine Intensive – Réanimation, Hôpital de Hautepierre, Strasbourg, France , Strasbourg (France)
  • 14 Université de Strasbourg, Strasbourg, France , Strasbourg (France)
  • 15 Service de Médecine Intensive-Réanimation, CH de Chalon sur Saône, Chalon sur Saône, France , Chalon sur Saône (France)
  • 16 Groupement Hospitalier La Rochelle-Ré-Aunis, La Rochelle, France , La Rochelle (France)
  • 17 Service de Réanimation Polyvalente et USC, Argenteuil, France , Argenteuil (France)
  • 18 Service de Médecine Intensive-Réanimation, CH de La Roche-sur-Yon, Chalon sur Saône, France , Chalon sur Saône (France)
  • 19 Service de Médecine Intensive-Réanimation, CH de Dieppe, Dieppe, France , Dieppe (France)
  • 20 Université de Caen, Caen, France , Caen (France)
  • 21 Réanimation Polyvalente, CH de Bourg-en-Bresse, Bourg-en-Bresse, France , Bourg-en-Bresse (France)
  • 22 Assistance Publique - Hôpitaux de Paris, Hôpital Louis Mourier, Colombes, France , Colombes (France)
  • 23 Université de Paris, INSERM, UMR 1137 Infection, Antimicrobials, Modelling, Evolution, Paris, France , Paris (France)
  • 24 Service de Réanimation Médicale, CHU de Grenoble, Grenoble, France , Grenoble (France)
  • 25 Service de Réanimation-Soins Continus du CH de Roanne, Roanne, France , Roanne (France)
  • 26 La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France , Paris (France)
  • 27 Sorbonne University, INSERM, UMR-S 959, Immunology-Immunopathology-Immunotherapy (I3), Paris, France , Paris (France)
  • 28 Hôpital Pitié-Salpêtrière, AP-HP, Paris, France , Paris (France)
  • 29 Équipe VCR, École de Psychologues Praticiens, Université Catholique de Paris, EA, Paris, 7403, France , Paris (France)
  • 30 Université de Lorraine, EA 4360, Université́ de Lorraine, Metz, France , Metz (France)
  • 31 Service de Réanimation Médicale, CH de Mulhouse, France , CH de Mulhouse (France)
  • 32 Université Catholique de Lille, Lille, France , Lille (France)
  • 33 Service de Réanimation Médicale et Urgences Médicales, CHU de Brest, Brest, France , Brest (France)
  • 34 Groupe Hospitalier Intercommunal de La Haute-Saône, Site de Vesoul, Luxeuil-les-Bains, France , Luxeuil-les-Bains (France)
  • 35 Service de Médecine Intensive Réanimation-Unité de Sevrage Ventilatoire et Réhabilitation, CH de Bethune, Bethune, France , Bethune (France)
  • 36 CHU de Nîmes, France and Université de Montpellier, Nîmes, France , Nîmes (France)
  • 37 Réanimation Médicale, University Hospital Besançon, Besançon, France , Besançon (France)
  • 38 EA3920, University of Burgundy-Franche-Comté, Besançon, France , Besançon (France)
  • 39 Medical ICU University Hospital of Nice/UR2CA, Tours, France , Tours (France)
  • 40 Service de Médecine Intensive-Réanimation, Tours, France , Tours (France)
  • 41 CRICS-TriggerSep Network, Tours, France , Tours (France)
  • 42 Université de Tours, Tours, U1100, France , Tours (France)
  • 43 Edouard Herriot Hospital, Lyon, France , Lyon (France)
  • 44 CH Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite, Tours, France , Tours (France)
  • 45 Groupe Hospitalier Bretagne Sud, Lorient, France , Lorient (France)
  • 46 Hôpital Central, Nancy, France , Nancy (France)
  • 47 Centre Hospitalier Universitaire Nancy Brabois, Nancy-France-Institut du Cœur et des Vaisseaux. Groupe Choc, équipe 2, Inserm U1116. Faculté de Médecine, Nancy-Brabois, France , Nancy-Brabois (France)
  • 48 Service de Réanimation Polyvalente, Lens, France , Lens (France)
  • 49 Unité de Surveillance Continue, CH de Dôle, Dôle, France , Dôle (France)
  • 50 Service de Réanimation Polyvalente et USC, CH d’Angoulême, Angoulême, France , Angoulême (France)
  • 51 Hôpital Raymond Poincaré, Garches, France , Garches (France)
  • 52 CHU Angers, Angers, France , Angers (France)
  • 53 Service de Réanimation-USC de Bretagne Atlantique, Vannes, France , Vannes (France)
  • 54 CH de Charleville-Mézieres, Charleville-Mézieres, France , Charleville-Mézieres (France)
  • 55 Lapeyronie Hospital, University Hospital of Montpellier-PhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France , Montpellier (France)
  • 56 Hôpital Louis Pasteur, Le Coudray, France , Le Coudray (France)
  • 57 University Hospital, Besançon, and EA3920, University of Burgundy-Franche-Comté, Besançon, France , Besançon (France)
  • 58 University of Burgundy, Dijon, France , Dijon (France)
  • 59 DRCI, USMR, Francois Mitterrand University Hospital, Dijon, France , Dijon (France)
  • 60 Cellule D’Urgence Médico-Psychologique de Bourgogne Franche-Comté, Dijon, France , Dijon (France)
  • 61 Inserm et CHU Dijon-Bourgogne, CIC1432, Module Epidémiologie Clinique, Dijon, France , Dijon (France)
  • 62 Université de Bourgogne-Franche Comté, Dijon, France , Dijon (France)
  • 63 INSERM, Module Épidémiologie Clinique, Université de Bourgogne Franche-Comté, CIC 1432, Dijon, France , Dijon (France)
  • 64 Espace de Réflexion Éthique Bourgogne Franche-Comté (EREBFC), Besançon, France , Besançon (France)
  • 65 University Hospital François Mitterrand, 14 rue Paul Gaffarel, Dijon, 21079, France , Dijon (France)
Type
Published Article
Journal
Annals of Intensive Care
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Jun 04, 2021
Volume
11
Issue
1
Identifiers
DOI: 10.1186/s13613-021-00880-y
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundWe investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France.MethodsThis cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses.ResultsIn total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08–0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09–0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02–0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = − 0.32, 95% CI = − 0.54, − 0.11.ConclusionCOVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

Report this publication

Statistics

Seen <100 times