Demographics and PTSD results of HCWs.

Little is known about the mental health consequences of the COVID-19 pandemic in healthcare workers (HCWs). Past literature has shown that chronic strain caused by pandemics can adversely impact a variety of mental health outcomes in HCWs. There is growing recognition of the risk of stress and loss of resilience to HCWs during the COVID-19 pandemic, although the risk of post-traumatic stress disorder (PTSD) symptoms in HCWs during the COVID-19 pandemic remains poorly understood. We wanted to understand the relationship between the COVID-19 pandemic and the risk of PTDS symptoms in HCWs during the COVID-19 pandemic. We surveyed 2038 health care workers enrolled in the Healthcare Worker Exposure Response & Outcomes (HERO) study, which is a large standardized national registry of health care workers. Participants answered questions about demographics, COVID-19 exposure, job burnout, and PTSD symptoms. We characterize the burden of PTSD symptoms among HCWs, and determined the association between high PTSD symptoms and race, gender, professional role, work setting, and geographic region using multivariable regression. In a fully adjusted model, we found that older HCWs were less likely to report high PTSD symptoms compared with younger HCWs. Additionally, we found that physicians were less likely to report high PTSD symptoms compared with nurses. These data add to the growing literature on increased risks of mental health challenges to healthcare workers during the COVID-19 pandemic.目前学界对新型冠状病毒肺炎（COVID-19）大流行对医护人员（healthcare workers, HCWs）造成的心理健康影响尚不明晰。既往研究表明，大流行引发的慢性应激可对医护人员的多项心理健康指标产生负面影响。尽管学界对COVID-19大流行期间医护人员出现创伤后应激障碍（post-traumatic stress disorder, PTSD）症状的风险仍知之甚少，但人们愈发意识到该时期医护人员面临应激风险与韧性丧失的问题。本研究旨在明确COVID-19大流行与医护人员PTSD症状风险之间的关联。我们对纳入「医护人员暴露响应与结局（Healthcare Worker Exposure Response & Outcomes, HERO）」研究的2038名医护人员开展了问卷调查，该研究为一项大型标准化国家级医护人员登记队列。参与者需填写涉及人口学特征、COVID-19暴露情况、职业倦怠及PTSD症状的相关问题。本研究刻画了医护群体中PTSD症状的负担水平，并通过多变量回归分析，探究了重度PTSD症状与种族、性别、职业角色、工作环境及地理区域之间的关联。在完全校正模型中，相较于年轻医护人员，年长医护人员报告重度PTSD症状的概率更低。此外，相较于护士，医师报告重度PTSD症状的概率更低。本研究数据进一步丰富了COVID-19大流行期间医护人员心理健康挑战风险攀升相关的研究文献。