Abstract

Background: The COVID-19 pandemic has led to ongoing challenges for healthcare systems across the world. Previous research has provided evidence for an increased prevalence of depression and anxiety as well as post-traumatic stress disorder (PTSD). In Germany, however, only scarce data on correlates and predictors for PTSD symptomatology in the context of the COVID-19 pandemic among healthcare workers (HCW) are available.Methods: This research is part of a large prospective web-based survey (egePan-VOICE study) among HCW in Germany. The current sample (N = 4,724) consisted of physicians (n = 1,575), nurses (n = 1,277), medical technical assistants (MTA, n = 1,662), and psychologists (n = 210). PTSD symptomatology was measured using the abbreviated version of the Impact of Event Scale (IES-6). In addition, sociodemographic, occupational, COVID-19-related, psychological (e.g., depressive symptoms and generalized anxiety), as well as work-related variables were assessed.Results: Our findings revealed significant higher PTSD symptoms with medium effect sizes among HCW reporting an increased self-report burden during the pandemic, increased fear of becoming infected or infecting relatives with the virus, sleep problems, feeling physically or mentally exhausted, as well as increased levels of depressiveness and generalized anxiety. According to multiple linear regression analysis, the most relevant predictors for higher IES-6 scores were increased level of generalized anxiety and depressiveness, increased fear of infecting relatives, as well as medical profession (MTA compared to physicians).Conclusion: Despite the cross-sectional design of our study, the here identified associations with PTSD symptomatology may provide a basis for future preventive interventions.

Highlights

  • Besides having adverse effects on physical health, the COVID-19 pandemic has been associated with an increase in psychological distress [i.e, emotional suffering related to stressors and demands that are difficult to cope with in daily life; [1]] and detrimental effects on mental health and well-being

  • Concerning medical profession, we aimed to investigate whether our previous finding of increased depressiveness and generalized anxiety among medical technical assistants (MTA) [10] would generalize to post-traumatic stress disorder (PTSD) symptoms, followed by nurses

  • The best predictors for higher IES-6 scores were an increased level of generalized anxiety (GAD-2; p < 0.001, β = 0.141), depressiveness (PHQ-2; p < 0.001, β = 0.136), increased fear of infecting family or relatives (p < 0.001, β = 0.112), and belonging to medical profession of MTA compared to physicians (p < 0.001, β = 0.103)

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Summary

Introduction

Besides having adverse effects on physical health, the COVID-19 pandemic has been associated with an increase in psychological distress [i.e, emotional suffering related to stressors and demands that are difficult to cope with in daily life; [1]] and detrimental effects on mental health and well-being. This has been documented by increasing evidence across the world [e.g., [2,3,4]]. In Germany, only scarce data on correlates and predictors for PTSD symptomatology in the context of the COVID-19 pandemic among healthcare workers (HCW) are available

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