Psychological distress and resilience among italian healthcare workers of geriatric services during the COVID-19 pandemic.

Sonia Mangialavori, Fabiana Riva, Marco Froldi, Simona Carabelli, Barbara Caimi, Pierluigi Rossi, Antonella Delle Fave, Giuseppe Calicchio
Author Information
  1. Sonia Mangialavori: Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy. Electronic address: sonia.mangialavori@unimi.it.
  2. Fabiana Riva: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy.
  3. Marco Froldi: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy; Department of Clinical and Community Sciences, Università degli Studi di Milano, Milan, Italy.
  4. Simona Carabelli: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy.
  5. Barbara Caimi: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy.
  6. Pierluigi Rossi: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy.
  7. Antonella Delle Fave: Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
  8. Giuseppe Calicchio: Institute of Geriatric Rehabilitation Pio Albergo Trivulzio, Milan, Italy; Department of Clinical and Community Sciences, Università degli Studi di Milano, Milan, Italy.

Abstract

The COVID-19 pandemic exposed healthcare workers (HW) to heavy workload and psychological distress. This study was aimed to investigate distress levels among Italian physicians, nurses, rehabilitation professionals and healthcare assistants working in geriatric and long-term care services, and to explore the potential role of resilience as a protective resource. The General Health Questionnaire-12, the Connor-Davidson Resilience Scale, and a demographic survey were completed by 708 Italian HWs. Distress and resilience levels were compared between professionals through ANOVA; the contribution of sex, age, professional role, and resilience to distress was explored through regression analyses. Physicians reported significantly higher resilience and distress levels than rehabilitation professionals and healthcare assistants respectively. Women, HWs aged above 45, physicians, and participants reporting low resilience levels were at higher risk for distress. Findings suggest the importance of supporting HW's resilience to counterbalance the pandemic related distress.

Keywords

References

  1. Front Psychol. 2020 Oct 02;11:567201 [PMID: 33132972]
  2. JAMA Health Forum. 2020 Mar 2;1(3):e200369 [PMID: 36218601]
  3. Geriatr Nurs. 2021 Nov-Dec;42(6):1408-1414 [PMID: 34624698]
  4. J Clin Med. 2021 Apr 02;10(7): [PMID: 33918169]
  5. Int Psychogeriatr. 2011 Feb;23(1):4-9 [PMID: 20478099]
  6. JAMA Netw Open. 2020 Mar 2;3(3):e203976 [PMID: 32202646]
  7. Am J Psychiatry. 2020 Jul 1;177(7):635-636 [PMID: 32605443]
  8. Behav Sci (Basel). 2020 Nov 29;10(12): [PMID: 33260390]
  9. Arch Iran Med. 2020 Apr 01;23(4):268-271 [PMID: 32271601]
  10. J Appl Gerontol. 2021 Mar;40(3):244-256 [PMID: 33025850]
  11. J Affect Disord. 2021 Feb 1;280(Pt B):1-6 [PMID: 33220632]
  12. Soc Psychiatry Psychiatr Epidemiol. 1991 May;26(3):132-8 [PMID: 1887291]
  13. J Psychiatr Res. 2022 Feb;146:228-233 [PMID: 34857369]
  14. Psychol Rep. 2021 Dec;124(6):2567-2586 [PMID: 33050800]
  15. Postgrad Med J. 2019 Mar;95(1121):140-147 [PMID: 30926716]
  16. Acta Psychiatr Scand. 1994 Dec;90(6):432-7 [PMID: 7892776]
  17. J Adv Nurs. 2007 Oct;60(1):1-9 [PMID: 17824934]
  18. Psychiatry Res. 2020 Sep;291:113190 [PMID: 32563745]
  19. Brain Behav Immun. 2020 Aug;88:901-907 [PMID: 32437915]
  20. Psychiatry Res. 2021 May;299:113847 [PMID: 33721785]
  21. J Trauma Stress. 2007 Dec;20(6):1019-28 [PMID: 18157881]
  22. BMC Med Res Methodol. 2021 Aug 10;21(1):163 [PMID: 34376151]
  23. Med Teach. 2020 May;42(5):550-560 [PMID: 31984844]
  24. Compr Psychiatry. 1993 May-Jun;34(3):198-205 [PMID: 8339539]
  25. J Adv Nurs. 2021 Feb;77(2):869-878 [PMID: 33150622]
  26. J Clin Virol. 2020 May;126:104345 [PMID: 32278298]
  27. Front Psychol. 2020 Jul 10;11:1684 [PMID: 32754102]
  28. Front Public Health. 2021 Jul 16;9:669209 [PMID: 34336767]
  29. J Nurs Manag. 2021 Oct;29(7):1893-1905 [PMID: 33843087]
  30. J Am Geriatr Soc. 2020 May;68(5):912-917 [PMID: 32212386]
  31. R Soc Open Sci. 2020 Sep 30;7(9):200880 [PMID: 33047047]
  32. Postgrad Med. 2021 Mar;133(2):223-230 [PMID: 33412973]
  33. Psychiatry Res. 2020 Aug;290:113129 [PMID: 32485487]
  34. Int J Nurs Stud. 2016 Oct;62:81-9 [PMID: 27468116]
  35. J Gerontol A Biol Sci Med Sci. 2020 Sep 16;75(9):e119-e120 [PMID: 32222763]
  36. Geriatr Nurs. 2021 Jul-Aug;42(4):887-893 [PMID: 34091119]
  37. Lancet. 2020 Mar 14;395(10227):e49-e50 [PMID: 32119824]
  38. PLoS One. 2021 Mar 10;16(3):e0246454 [PMID: 33690641]
  39. J Eval Clin Pract. 2020 Dec;26(6):1583-1587 [PMID: 32710481]
  40. Int Psychogeriatr. 2019 Aug;31(8):1203-1216 [PMID: 30421691]
  41. Front Psychol. 2021 Apr 16;12:646435 [PMID: 33935905]
  42. BMC Public Health. 2020 Aug 14;20(1):1238 [PMID: 32795276]
  43. J Nurs Manag. 2020 Oct;28(7):1653-1661 [PMID: 32770780]

MeSH Term

Aged
COVID-19
Female
Health Personnel
Humans
Pandemics
Psychological Distress
Resilience, Psychological

Word Cloud

Created with Highcharts 10.0.0distressresiliencepandemichealthcarelevelsCOVID-19workersprofessionalsamongItalianphysiciansrehabilitationassistantsgeriatricservicesroleResilienceHWshigherPsychologicalexposedHWheavyworkloadpsychologicalstudyaimedinvestigatenursesworkinglong-termcareexplorepotentialprotectiveresourceGeneralHealthQuestionnaire-12Connor-DavidsonScaledemographicsurveycompleted708DistresscomparedANOVAcontributionsexageprofessionalexploredregressionanalysesPhysiciansreportedsignificantlyrespectivelyWomenaged45participantsreportinglowriskFindingssuggestimportancesupportingHW'scounterbalancerelateditalianGeriatricsettingHealthcare

Similar Articles

Cited By (2)