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Posttraumatic Growth in Intensive Care Unit Health Care Professionals After COVID-19
Élie Azoulay1, Laurent Argaud2, Vincent Labbé3
1Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Paris, Saint-Louis Hospital, Paris-Cité University, Paris, France, INSERM UMR1342 Institut de Recherche Saint-Louis.
JAMA Network Open
|August 25, 2025
Summary
Intensive care unit (ICU) health care professionals showed significant posttraumatic growth (PTG) 4 years after COVID-19. Resilience, not distress, drove PTG, highlighting the need for well-being strategies.
Area of Science:
- Psychiatry
- Psychology
- Healthcare Management
Background:
- Posttraumatic growth (PTG) involves positive psychological changes after adversity.
- The COVID-19 pandemic significantly impacted intensive care unit (ICU) health care professionals' mental health.
- Understanding PTG in this population is crucial for developing targeted support.
Purpose of the Study:
- To assess PTG among ICU health care professionals 4 years post-COVID-19 pandemic.
- To explore the association between PTG and resilience, anxiety, and depression.
- To identify factors influencing PTG in this high-stress environment.
Main Methods:
- A cross-sectional study involving ICU health care professionals in France and Belgium.
- Online questionnaires assessed PTG (PTGI), anxiety/depression (HADS), and resilience (CD-RISC 10).
- Multivariate linear regression analyzed factors associated with PTG.
Main Results:
- 850 ICU professionals (62% response rate) participated; 58% reported anxiety, 26% depression.
- Nursing staff reported higher PTG than medical staff, particularly in personal strength and appreciation of life.
- Lower PTG was linked to psychological fatigue and ICU conflicts; higher PTG correlated with greater resilience.
Conclusions:
- Significant PTG was observed in ICU health care professionals 4 years after the pandemic's start.
- Resilience emerged as a key driver of PTG, surpassing psychological distress.
- Deterioration in family-centered care was a significant negative factor, emphasizing the need for well-being and resilience programs.
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