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Socio-economic and psychological impact of the COVID-19 outbreak on private practice and public hospital radiologists.

Authors
  • Florin, Marie1
  • Pinar, Ugo2
  • Chavigny, Eric3
  • Bouaboula, Mehdi4
  • Jarboui, Lamia5
  • Coulibaly, Adamfa6
  • Lemogne, Cédric7
  • Fournier, Laure4
  • 1 Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France. Electronic address: [email protected] , (France)
  • 2 Sorbonne université, APHP, Hôpital la Pitié-Salpêtrière, Urology and Renal Transplantation Department, F-75013, Paris, France. , (France)
  • 3 Centre d'imagerie des landes, 40100, Dax, France. , (France)
  • 4 Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France. , (France)
  • 5 Centre cardiologique du nord, Radiology Department, 93200, Saint-Denis, France. , (France)
  • 6 Centre hospitalier de Poitiers, Radiology Department, 86000, Poitiers, France. , (France)
  • 7 Université de Paris, INSERM, Institut de Psychiatrie et Neurosciences de Paris (IPNP), UMR_S1266, 102-108 rue de la Santé, F-75014, Paris, France; AP-HP Centre-Université de Paris, Hôpital européen Georges Pompidou, service de psychiatrie et d'addictologie de l'adulte et du sujet agé, F-75015, Paris, France. , (France)
Type
Published Article
Journal
European journal of radiology
Publication Date
Sep 15, 2020
Volume
132
Pages
109285–109285
Identifiers
DOI: 10.1016/j.ejrad.2020.109285
PMID: 32957001
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists. French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression. 1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1-2.7], 1.5[1.1-2.2], and 2.5[1.8-3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2-2.3], 2[1.1-3.4], 1.5[1.1-2], 1.2[1-1.4], and 2.1[1.5-3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2-0.7], 0.6[0.4-0.9], and 0.5[0.3-0.8]). During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice. Copyright © 2020 Elsevier B.V. All rights reserved.

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