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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

Author

Listed:
  • Ari Shechter

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Codruta Chiuzan

    (Institute of Health System Science, Feinstein Institute for Medical Research, Northwell Health, New York, NY 10022, USA)

  • Yimeng Shang

    (Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Gavin Ko

    (Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY 10032, USA)

  • Franchesca Diaz

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Hadiah K. Venner

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Kaitlin Shaw

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Diane E. Cannone

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Cara L. McMurry

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Alexandra M. Sullivan

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Reynaldo R. Rivera

    (New York-Presbyterian Hospital, New York, NY 10032, USA
    School of Nursing, Columbia University, New York, NY 10032, USA)

  • Courtney Vose

    (New York-Presbyterian Hospital, New York, NY 10032, USA
    School of Nursing, Columbia University, New York, NY 10032, USA)

  • Peter A. Shapiro

    (Department of Psychiatry, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Marwah Abdalla

    (Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA)

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.

Suggested Citation

  • Ari Shechter & Codruta Chiuzan & Yimeng Shang & Gavin Ko & Franchesca Diaz & Hadiah K. Venner & Kaitlin Shaw & Diane E. Cannone & Cara L. McMurry & Alexandra M. Sullivan & Reynaldo R. Rivera & Courtne, 2021. "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," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:262-:d:712046
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    References listed on IDEAS

    as
    1. Nicola Magnavita & Paolo Maurizio Soave & Massimo Antonelli, 2021. "A One-Year Prospective Study of Work-Related Mental Health in the Intensivists of a COVID-19 Hub Hospital," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    2. Kavita Batra & Tejinder Pal Singh & Manoj Sharma & Ravi Batra & Nena Schvaneveldt, 2020. "Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis," IJERPH, MDPI, vol. 17(23), pages 1-33, December.
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