Psychologic Impact of COVID-19 Pandemic on the Hospital Staff of the Nouvelle Aquitaine Area

Study Overview
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Brief Summary
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Evaluation of the psychological impact of the COVID-19 pandemic on hospital staff in the French Nouvelle Aquitaine area, through a longitudinal study with repeated self-administered psychologic scales

Detailed Description
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Evaluation of the psychological impact of Coronavirus disease 2019 (COVID-19) on hospital personnel in Nouvelle Aquitaine. IMPSY-COV Upon recent outbreaks of new diseases (SARS, MERS-CoV, Ebola) have led to the emergence of psychiatric disorders in healthcare workers , such as post-traumatic stress , anxiety (e.g., panic attacks) or depressive episodes. Observed similarities in between propagation patterns of SARS-CoV-2 and SARS, alow us to expect the occurence of similar psychiatric disorders in COVID-19 context to those described (Vignaud, Prieto, 2020). The study is set up to assess the psychological state of hospital personnel in the working conditions of treating COVID-19 suffering patients. 87000 hospital staff workers from the Nouvelle Aquitaine region will be invited to take part in the study. This includes medical and non-medical professionals from general and psychiatric hospitals exposed to COVID-19. Study design. The protocol shows two phases and five measurement timepoints. In the initial phase (T0), eligible persons will be contacted via email. Those wishing to participate will then consent, answer socio-demographic questions and a series of psychology questionnaires. In the longitudinal phase, participants will be again invited to answer the same series of questionnaires four times: one month after the initial phase (T1), 3 months after (T2), 6 months after (T3) and 12 months after (T4). Statistical analysis. In order to identify the consequences generated by COVID-19 in hospital personnel through a longitudinal protocol, several statistical analyses are considered, including logistic and linear regressions as well as ANOVA and MANOVA. Expected outcomes. The study will assess the occurrence and the evolution of psychological distress and identify vulnerability factors that may trigger psychiatric disorders in these situations. The study will also provide an opportunity to improve the supporting actions of professionals affected by the crisis.

Official Title
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Psychologic Impact of COVID-19 Pandemic on the Hospital Staff of the Nouvelle Aquitaine Area : a Prospective Longitudinal Study by Self-administered Questionnaires

Conditions
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Covid19, Personnel, Hospital, Work-Related Condition, Work-Related Stress Disorder

Intervention / Treatment
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* Other: self administered questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or more hospital workers exposed to COVID-19 consented to participate to the study master the french langage Understanding of type, objectives and study methology accept an on-line evaluation Benefit from health insurance Exclusion Criteria: refuse to participate pregnant or breastfeeding woman Be under measure of legal protection: guardianship, curatorship or safeguard of justice.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Interventional Model Description: Prospective Longitudinal Study by Self-administered Questionnaires
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: unique study arm<br>Initial socio-demographic questionnaire 5 timepoints psychologic and self-administered questionnaires | Other: self administered questionnaire<br>* longitunidal descriptive study<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in anxiety disorder overcome | GAD-7 score: > 7 , the anxiety disorder status is supected, [5; 9] corresponds to anxiety evaluation: light [10; 14] corresponds to anxiety evaluation: moderate > 15, corresponds to anxiety evaluation: severe | inclusion, month 1, month 3, month 6, month 12 | 
| Changes in anxiety disorder overcome | PDSR verifies that maximum of the panic state is reached within ten minutes | inclusion, month 1, month 3, month 6, month 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determination and collection of lived traumatic events types | Life Events Checklist for DSM-5 (LEC-5) | inclusion, month 1, month 3, month 6, month 12 | 
| Posttraumatic stress disorder symptoms presence and measurment | Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) PCL-5 score > 32 indicate presence of Posttraumatic Stress Trouble (PST) | inclusion, month 1, month 3, month 6, month 12 | 
| 2-last-week mood assessment | Beck Depression Inventory - Fast Screen - France (BDI-FS FR) score > 13 indicates presence of a depressive trouble | inclusion, month 1, month 3, month 6, month 12 | 
| Identification of coping pattern to stress | Coping Inventory for Stressful Situations (CISS) questionnaire Participant assess from 'little to a lot his tendency to adopt a task, emotion or behaviour based pattern | inclusion, month 1, month 3, month 6, month 12 | 
| Burn out diagnosis | MASLACH BURNOUT INVENTORY (MBI questionnaire) assessment of the 3 aspects from low to high burn out feeling deshumanisation accomplishment at work | inclusion, month 1, month 3, month 6, month 12 | 
| Self evaluation of state of health | considering the 4-last-weeks the participant will assess 8 under-scales for score 0 to 100 (favourable) | inclusion, month 1, month 3, month 6, month 12 | 
| Psycho active drugs intakes and level of intake over the last month | selection of the drug and level of intake will n*be assessed 'none', new, increasing, constant | inclusion, month 1, month 3, month 6, month 12 | 
| Evaluation of the CUMP support to health professionnals | answer yes' or no support has been contacted already or since the last study assessement | inclusion, month 1, month 3, month 6, month 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID-19, Mental health, Anxiety, Hospital personnel, Longitudinal, Pandemic