Stress and substance abuse among workers during the COVID-19 pandemic in an intensive care unit: A cross-sectional study

PLoS One. 2022 Feb 10;17(2):e0263892. doi: 10.1371/journal.pone.0263892. eCollection 2022.

Abstract

Objective: Professionals working in intensive care units (ICUs) during the COVID-19 pandemic have been exposed to stressful situations and increased workload. The association between symptoms of traumatic stress disorders, substance abuse and personal/occupational characteristics of Brazilian COVID-19-ICU workers is still to be addressed. Our aim was to evaluate the prevalence of those conditions and to find if those associations exist.

Methods: In this observational, single-center, cross-sectional study, all professionals working in a COVID-19 ICU were invited to fill an anonymous form containing screening tools for traumatic stress disorders and substance abuse, and a section with questions regarding personal and occupational information.

Results: Three hundred seventy-six ICU professionals participated. Direct exposure to patients infected by COVID-19, history of relatives infected by COVID-19, and sex (female) were significantly associated with signs and symptoms of traumatic stress disorders. 76.5% of the participants had scores compatible with a diagnosis of traumatic stress disorders. Moreover, the prevalence of scores suggestive of Tobacco and Alcohol abuse were 11.7% and 24.7%, respectively.

Conclusion: ICU workers had significantly elevated scores on both screening forms. Providing psycho-social support to ICU professionals may prevent future problems with traumatic stress disorders or substance abuse.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • COVID-19 / epidemiology*
  • COVID-19 / psychology*
  • Cross-Sectional Studies
  • Female
  • Health Personnel / psychology*
  • Humans
  • Intensive Care Units*
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Pandemics*
  • Prevalence
  • Stress, Psychological / psychology*
  • Substance-Related Disorders / psychology*

Grants and funding

The author(s) received no specific funding for this work.