Effects of Sleep, Exercise, and Leadership Support on Resilience in Frontline Healthcare Workers During the COVID-19
Halley Kaye-Kauderer1, George Loo, James W Murrough
1Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Kaye-Kauderer, Dr Murrough, Dr Feingold, Dr Feder, and Dr Pietrzak); Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Loo); Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York (Loo); Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Peccoralo and Dr Ripp); Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Peccoralo and Dr Ripp); Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Pietrzak); Department of Public Health, Yale School of Medicine, New Haven, Connecticut (Dr Pietrzak).
Objective:
To evaluate the direct and interacting effects of personal and systemic factors that contribute to psychological distress among frontline healthcare workers (FHCWs) during the COVID-19 pandemic.
Methods:
Data were collected using a hospital-wide, cross-sectional survey. A multivariable binary logistic regression and relative importance analysis was conducted to identify factors associated with screening positive for C19-distress.
Results:
A total of 1005 (39.0%, 95%CI - 37.1-40.9%) out of 2579 FHCWs met the prespecified cutoff values for significant symptoms of C19-distress. Fewer sleep hours and lower perceptions of leadership support explained the majority of variance (19.4% relative variance explained [RVE]) in C19-distress, followed by team camaraderie (6.4% RVE), physical exercise (4.9% RVE), and engagement in hobbies (3.2% RVE).
Conclusion:
These results underscore the importance of restorative behaviors as potential targets to help decrease distress and promote resilience in FHCWs.
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