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From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers During the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study
Pappa, S.; Athanasiou, N.; Sakkas, N.; Patrinos, S.; Sakka, E.; Barmparessou, Z.; Tsikrika, S.; Adraktas, A.; Pataka, A.; Migdalis, I.; Gida, S.; Katsaounou, P. From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study. Int. J. Environ. Res. Public Health2021, 18, 2390.
Pappa, S.; Athanasiou, N.; Sakkas, N.; Patrinos, S.; Sakka, E.; Barmparessou, Z.; Tsikrika, S.; Adraktas, A.; Pataka, A.; Migdalis, I.; Gida, S.; Katsaounou, P. From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 2390.
Pappa, S.; Athanasiou, N.; Sakkas, N.; Patrinos, S.; Sakka, E.; Barmparessou, Z.; Tsikrika, S.; Adraktas, A.; Pataka, A.; Migdalis, I.; Gida, S.; Katsaounou, P. From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study. Int. J. Environ. Res. Public Health2021, 18, 2390.
Pappa, S.; Athanasiou, N.; Sakkas, N.; Patrinos, S.; Sakka, E.; Barmparessou, Z.; Tsikrika, S.; Adraktas, A.; Pataka, A.; Migdalis, I.; Gida, S.; Katsaounou, P. From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 2390.
Abstract
COVID-19 pandemic has the potential to adversely affect the mental health of healthcare workers (HCWs). The public healthcare system in Greece was already facing serious challenges at the outset of the outbreak following years of austerity and an escalating refugee crisis. The multi-center, cross-sectional study aims to assess the levels and associated risk factors of anxiety, depression, traumatic stress and burnout of frontline staff in Greece. A total of 464 HCWs in six reference hospitals completed a self-administered questionnaire comprising of sociodemographic and work-related information and psychometric scales. The proportion of HCWs with symptoms of moderate/severe depression, anxiety and traumatic stress were 30%, 25% and 33% respectively. Burnout levels were particularly high with 65% of respondents scoring moderate/severe in Emotional Exhaustion, 92% severe in Depersonalization and 51% low/moderate in Personal Accomplishment. Predictive factors of adverse psychological outcomes included fear, perceived stress, risk of infection, lack of protective equipment and low social support. The psychological burden associated with Covid-19 in healthcare professionals in Greece is considerable with more than half experiencing at least mild mental health difficulties. Findings signal the need for immediate organizational and individually tailored interventions to enhance resilience and support wellbeing under pandemic conditions.
Keywords
COVID-19; health care workers; Greece; mental health; depression; anxiety; traumatic stress; burnout
Subject
Medicine and Pharmacology, Psychiatry and Mental Health
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.