Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study

[摘要] Background The COVID-19 pandemic may disproportionately affect themental health of healthcare professionals (HCPs), especiallypatient-facing HCPs.AimsTo longitudinally examine mental health in HCPs versus nonHCPs, and patient-facing HCPs versus non-patient-facing HCPs.MethodOnline surveys were distributed to a cohort at three phases(baseline, July to September 2020; phase 2, 6 weeks post-baseline; phase 3, 4 months post-baseline). Each survey containedvalidated assessments for depression, anxiety, insomnia, burnout and well-being. For each outcome, we conducted mixedeffects logistic regression models (adjusted for a priori confounders) comparing the risk in different groups at each phase.ResultsA total of 1574 HCPs and 147 non-HCPs completed the baselinesurvey. Although there were generally higher rates of variousprobable mental health issues among HCPs versus non-HCPs ateach phase, there was no significant difference, except thatHCPs had 2.5-fold increased risk of burnout at phase 2 (emotional exhaustion: odds ratio 2.50, 95% CI 1.15–5.46, P = 0.021),which increased at phase 3 (emotional exhaustion: odds ratio3.32, 95% CI 1.40–7.87, P = 0.006; depersonalisation: odds ratio3.29, 95% CI 1.12–9.71, P = 0.031). At baseline, patient-facingHCPs (versus non-patient-facing HCPs) had a five-fold increasedrisk of depersonalisation (odds ratio 5.02, 95% CI 1.65–15.26,P = 0.004), with no significant difference in the risk for otheroutcomes. The difference in depersonalisation reduced overtime, but patient-facing HCPs still had a 2.7-fold increasedrisk of emotional exhaustion (odds ratio 2.74, 95% CI 1.28–5.85,P = 0.009) by phase 3.ConclusionsThe COVID-19 pandemic had a huge impact on the mental healthand well-being of both HCPs and non-HCPs, but there is disproportionately higher burnout among HCPs, particularlypatient-facing HCPs.

[学科分类] 计算机科学（综合）

[关键词] Burnout;Mental health;COVID-19;Epidemiology;Healthcare professionals