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. 2022 Jan 1:296:35-40.
doi: 10.1016/j.jad.2021.09.032. Epub 2021 Sep 16.

Posttraumatic growth among health care workers on the frontlines of the COVID-19 pandemic

Jordyn H Feingold  1 , Alicia Hurtado  2 , Adriana Feder  2 , Lauren Peccoralo  3 , Steven M Southwick  4 , Jonathan Ripp  3 , Robert H Pietrzak  5
Affiliations
Free PMC article

Posttraumatic growth among health care workers on the frontlines of the COVID-19 pandemic

Jordyn H Feingold et al. J Affect Disord. .
Free PMC article

Abstract

Background: The COVID-19 pandemic has led to significant mental health consequences for frontline health care workers (FHCWs). However, no known study has examined the prevalence, determinants, or correlates of posttraumatic growth (PTG) in this population.

Methods: Data were analyzed from a prospective cohort of FHCWs at an urban tertiary care hospital in New York City (NYC). Assessments were conducted during the spring 2020 pandemic peak (Wave 1) and seven months later (Wave 2). Multivariable logistic regression analyses were conducted to identify Wave 1 sociodemographic, occupational, and psychosocial factors associated with PTG at Wave 2, and the association between aspects of PTG with burnout and pandemic-related PTSD symptoms at Wave 2.

Results: A total 76.8% of FHCWs endorsed moderate or greater PTG; the most prevalent domains were increased appreciation of life (67.0%), improved relationships (48.7%), and greater personal strength (44.1%). Non-White race/ethnicity, greater levels of positive emotions, pandemic-related PTSD symptoms, dispositional gratitude, and feelings of inspiration were independently associated with PTG. At Wave 2, endorsement of spiritual growth during the pandemic was associated with 52% and 44% lower odds of screening positive for pandemic-related PTSD symptoms and burnout, respectively; greater improvement in relationships was associated with 36% lower odds of screening positive for burnout.

Limitations: Single institution study and use of self-report instruments.

Conclusions: Nearly 4-of-5 FHCWs report pandemic-related PTG, driven largely by salutogenic factors assessed during the pandemic surge. Interventions to bolster these factors may help promote PTG and mitigate risk for burnout and pandemic-related PTSD symptoms in this population.

Keywords: Burnout; COVID-19; Health care workers; Posttraumatic growth; Posttraumatic stress disorder.

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Conflict of interest statement

Feder, A: Dr. Feder is named co-inventor on an issued patent in the United States, and several issued patents outside the U.S., filed by the Icahn School of Medicine at Mount Sinai (ISMMS) for the use of ketamine as a therapy for PTSD. This intellectual property has not been licensed. Southwick, S: Dr. Southwick receives royalties for a book on resilience published by Cambridge University Press.

Figures

Fig. 1
Fig. 1
Prevalence of posttraumatic growth at Wave 2 in frontline health care workers responding to the COVID-19 pandemic.
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