Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic

Alexandra Laurent (1) , Alicia Fournier , Florent Lheureux , Guillaume Louis , Saad Nseir , Gwenaelle Jacq , Cyril Goulenok , Grégoire Muller , Julio Badie , Bélaïd Bouhemad , Marjolaine Georges , Paul-Michel Mertes , Hamid Merdji , Vincent Castelain , Caroline Abdulmalak , Olivier Lesieur , Gaëtan Plantefeve , Jean-Claude Lacherade , Jean-Philippe Rigaud , Nicholas Sedillot , Damien Roux , Nicolas Terzi , Pascal Beuret , Antoine Monsel , Anne-Laure Poujol , Khaldoun Kuteifan , Thierry Vanderlinden , Anne Renault , Bérengère Vivet , Christophe Vinsonneau , Saber Davide Barbar , Gilles Capellier , Jean Dellamonica , Stephan Ehrmann , Thomas Rimmelé , Julien Bohé , Pierre Bouju , Sébastien Gibot , Bruno Lévy , Johanna Temime , Cyrille Pichot , David Schnell , Diane Friedman , Pierre Asfar , Eddy Lebas , Philippe Mateu , Kada Klouche , Juliette Audibert , Fiona Ecarnot , Nicolas Meunier-Beillard , Mélanie Loiseau , Irène François-Pursell , Christine Binquet , Jean-Pierre Quenot

1 PSY-DREPI - Laboratoire de psychologie : dynamiques relationnelles et processus identitaires [Dijon]

Background: We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. Methods: This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. Results: In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08-0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09-0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02-0.20).

Mots clés: Mental health; Stress factors; ICU; Healthcare professionals; COVID-19

Domaines: Sciences de l'Homme et Société

Alexandra Laurent, Alicia Fournier, Florent Lheureux, Guillaume Louis, Saad Nseir, et al.. Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic. Annals of Intensive Care, 2021, 11, ⟨10.1186/s13613-021-00880-y⟩. ⟨hal-03545672⟩