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The Impact of Physicians' COVID-19 Pandemic Occupational Experiences on Mental Health
Rebecca M Schwartz1, Molly McCann-Pineo, Mayer Bellehsen
1The Feinstein Institutes for Medical Research, Northwell Health, Great Neck, New York (Dr Schwartz, Dr McCann-Pineo, Rasul, Corley, Dr Jan); Department of Occupational Medicine Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Schwartz, Dr McCann-Pineo, Rasul, Corley); Center Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, New York (Dr Schwartz, Dr McCann-Pineo, Dr Bellehsen, Rasul, Corley); Unified Behavioral Health Center for Military Veterans and their Families, Northwell Health, Great Neck, New York (Dr Bellehsen); Division of Infectious Disease, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Singh, Dr Malhotra); Division of Pediatrics and Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Jan); Division of Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York (Dr Jan); Department of Psychiatry and Resident Mental Health Program, Lenox Hill Hospital, New York, New York (Dr Parashar); Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Parashar, Dr Young); Division of Hospital Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr George); Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Yacht); Department of Psychiatry, Zucker Hillside Hospital at Northwell Health, Glen Oaks, New York (Dr Young).
Objective:
To examine the association between a number of negative COVID-19 occupational experiences and probable anxiety, depression, and PTSD among physicians.
Methods:
Cross-sectional examination of longitudinal registry data consisting of physician personal and occupational well-being. Multivariable logistic regressions were performed to determine the association between negative COVID-19 experiences and outcomes.
Results:
Of the 620 eligible physicians, approximately half were female (49%), and 71% white with a mean age of 46.51 (SD = 13.28). A one-point increase in negative experience score was associated with a 23% increase in probable anxiety (OR = 1.23, 95% CI: 1.14-1.34), a 23% increase in probable depression (OR = 1.23, 95% CI: 1.13-1.33), and a 41% increase in probable PTSD (OR = 1.41, 95% CI: 1.30-1.52).
Conclusions:
Negative pandemic experiences were strongly associated with adverse mental health outcomes while greater resilience was protective.
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