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Klee L, Fabrice A, Eisenburger N, Feddern S, Gabriel C, Kossow A, Niessen J, Schmidt N, Wiesmüller GA, Grüne B, Joisten C. Coping strategies during legally enforced quarantine and their association to psychological distress level: a cross-sectional study. Public Health 2022; 209:52-60. [PMID: 35809351 PMCID: PMC9197782 DOI: 10.1016/j.puhe.2022.05.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 05/03/2022] [Accepted: 05/31/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The non-pharmacological measures to contain the COVID-19 pandemic may lead to considerable psychological distress. The aim of the CoCo-Fakt study was to investigate possible coping strategies and their effects on psychological distress during legally enforced quarantine of infected persons (IPs) and their close contacts (CPs). STUDY DESIGN This was a cross-sectional cohort study. METHODS From 12 December 2020 to 6 January 2021, all IPs and their CPs (n = 8232) registered by the public health department (Cologne, Germany) were surveyed online. Psychosocial distress and coping were measured using sum scores; free-text answers related to specific strategies were subsequently categorised. RESULTS Psychosocial distress was higher in IPs than in CPs (P < .001). Although the mean coping score did not differ between both groups, it was influenced by the reason for quarantine (IP vs CP) besides gender, age, socio-economic status, living situation, psychological distress, resilience, physical activity and eating behaviour. This final regression model explained 25.9% of the variance. Most participants used active coping strategies, such as contact with the social environment, a positive attitude and hobbies. CONCLUSIONS Although psychological distress was higher in IPs than in CPs during the quarantine period, the mean coping score did not differ. The strategies most frequently used by IPs and CPs were activating social networks, a healthy lifestyle and professional support systems, such as the health department helpline. Appropriate advice should be implemented to prevent long-term psychological consequences when supporting affected people.
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Affiliation(s)
- L Klee
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany; Institute for Occupational Medicine and Social Medicine, University Hospital, Medical Faculty, RWTH Aachen University, Aachen, Germany.
| | - A Fabrice
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany; Institute for Occupational Medicine and Social Medicine, University Hospital, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - N Eisenburger
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
| | - S Feddern
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany
| | - C Gabriel
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany
| | - A Kossow
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany; Institute of Hygiene, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany
| | - J Niessen
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany
| | - N Schmidt
- Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
| | - G A Wiesmüller
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany; Institute for Occupational Medicine and Social Medicine, University Hospital, Medical Faculty, RWTH Aachen University, Aachen, Germany
| | - B Grüne
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany
| | - C Joisten
- Cologne Health Department, Infektions- und Umwelthygiene, Neumarkt 15-21, 50667, Köln, Germany; Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
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Beschoner P, Limbrecht-Ecklundt K, Jerg-Bretzke L. [Mental health among physicians : Burnout, depression, anxiety and substance abuse in the occupational context]. DER NERVENARZT 2019; 90:961-974. [PMID: 31172233 DOI: 10.1007/s00115-019-0739-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The prevalence rates of psychiatric disorders show a high risk for psychological impairment among physicians in Germany. There is evidence that the mental health of physicians exerts a significant influence on the quality of patient care. The estimated prevalence rates for burnout among physicians in Germany vary between 4% and 20% and for depression between 6% and 13%. In addition, there is evidence for impairment in the context of anxiety, suicidal tendencies and substance abuse. Importantly, work-related stress factors play an important role in the development of mental disorders among physicians. In addition to individual prevention and interventions, institutional measures have been shown to be effective as a preventive strategy. It is therefore important to establish effective interventions specifically tailored to physicians to reduce stress factors at work.
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Affiliation(s)
- Petra Beschoner
- Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland.
| | - Kerstin Limbrecht-Ecklundt
- Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland
| | - Lucia Jerg-Bretzke
- Klinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland
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Iskander M. Burnout, Cognitive Overload, and Metacognition in Medicine. MEDICAL SCIENCE EDUCATOR 2019; 29:325-328. [PMID: 34457483 PMCID: PMC8368405 DOI: 10.1007/s40670-018-00654-5] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Morkos Iskander
- Department of Educational Research, Faculty of Social Sciences, Lancaster University, Lancaster, UK
- Health Education North West, Liverpool, Merseyside UK
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Benditz A, Jansen P, Schaible J, Roll C, Grifka J, Götz J. Psychological factors as risk factors for poor hip function after total hip arthroplasty. Ther Clin Risk Manag 2017; 13:237-244. [PMID: 28260910 PMCID: PMC5328130 DOI: 10.2147/tcrm.s127868] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Recovery after total hip arthroplasty (THA) is influenced by several psychological aspects, such as depression, anxiety, resilience, and personality traits. We hypothesized that preoperative depression impedes early functional outcome after THA (primary outcome measure). Additional objectives were perioperative changes in the psychological status and their influence on perioperative outcome. This observational study analyzed depression, anxiety, resilience, and personality traits in 50 patients after primary unilateral THA. Hip functionality was measured by means of the Harris Hip Score. Depression, state anxiety, and resilience were evaluated preoperatively as well as 1 and 5 weeks postoperatively. Trait anxiety and personality traits were measured once preoperatively. Patients with low depression and anxiety levels had significantly better outcomes with respect to early hip functionality. Resilience and personality traits did not relate to hip functionality. Depression and state anxiety levels significantly decreased within the 5-week stay in the acute and rehabilitation clinic, whereas resilience remained at the same level. Our study suggests that low depression and anxiety levels are positively related to early functionality after THA. Therefore, perioperative measurements of these factors seem to be useful to provide the best support for patients with risk factors.
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Affiliation(s)
- Achim Benditz
- Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach
| | - Petra Jansen
- Department of Sport Science, University of Regensburg, Regensburg, Germany
| | - Jan Schaible
- Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach
| | - Christina Roll
- Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach
| | - Joachim Grifka
- Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach
| | - Jürgen Götz
- Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach
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Pera G, Serra-Prat M. [Burnout syndrome: prevalence and associated factors among workers in a district hospital]. GACETA SANITARIA 2002; 16:480-6. [PMID: 12459130 DOI: 10.1016/s0213-9111(02)71968-7] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
AIM Burnout syndrome refers to a kind of occupational stress that can have psychosomatic, behavioral, emotional, familial, and social repercussions; it can also cause absenteeism and loss of efficacy at work. The aim of this study was to determine the prevalence of burnout among staff in a district hospital, as well as the personal and working characteristics associated with the syndrome. METHODS A cross-sectional study was designed in which a representative random sample of 300 workers, stratified according to professional group, was given the Maslach Burnout Inventory to measure the degree of burnout. This questionnaire has three subscales: emotional exhaustion (EE), depersonalization (DP) and personal achievement (PA). RESULTS A high degree of burnout was found for EE in 13.9% of the staff interviewed, in 11.1% for DP and in 6.6% for PA. None of the interviewees had high scores for all three scales while 27% had a high level of burnout in at least one of the scales. In the multivariate analysis, professional category and sex were statistically significantly associated with a high level of burnout. CONCLUSION The prevalence of burnout in Mataró Hospital (Spain) is relatively low and depends mainly on sex and professional group.
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Affiliation(s)
- G Pera
- Unitat de Recerca. Fundació Jaume Esperalba i Terrades del Consorci Sanitari del Maresme. Mataró. Barcelona. Spain
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