The sustained psychological impact of coronavirus disease 2019 pandemic on hospital workers 2 years after the outbreak: a repeated cross-sectional study in Kobe

BMC Psychiatry. 2023 May 4;23(1):313. doi: 10.1186/s12888-023-04788-8.

Abstract

Background: Healthcare workers who are exposed to coronavirus disease 2019 are psychologically distressed. This study aimed to evaluate the mental health outcomes of hospital workers 2 years after the outbreak of coronavirus disease 2019 and to identify changes in the stress of hospital workers and predicted risk factors.

Methods: This survey was conducted 2 years after the initial evaluation performed under the first emergency declaration of the coronavirus disease 2019 pandemic among hospital workers at the same hospital in an ordinance-designated city in Japan from June to July 2022. Sociodemographic data, 19 stress-related question responses, the Impact of Event Scale-Revised, and the Maslach burnout inventory-general survey were collected. Multiple regression models were used to identify factors associated with each of the mental health outcomes 2 years after the coronavirus disease 2019 outbreak.

Results: We received 719 valid responses. Between 2020 and 2022, hospital workers' anxiety about infection decreased, whereas their exhaustion and workload increased. Multiple regression analysis revealed that 2 years after the coronavirus disease 2019 outbreak, nurses and young people were at a higher risk of experiencing stress and burnout due to emotional exhaustion, respectively.

Conclusions: This is the first study to examine the long-term stress of hospital workers measured in Japan. Exhaustion and workload were worsened 2 years into the pandemic. Therefore, health and medical institutions should continuously monitor the physical and psychological health of staff members.

Keywords: Burnout; COVID-19 pandemic; Healthcare workers; Psychological distress; Questionnaire.

MeSH terms

  • Adolescent
  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / psychology
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Disease Outbreaks
  • Health Personnel / psychology
  • Hospitals
  • Humans
  • Pandemics
  • Personnel, Hospital
  • SARS-CoV-2