Mental health among otolaryngology resident and attending physicians during the COVID‐19 pandemic: National study

Background Otolaryngologists are among the highest risk for COVID‐19 exposure. Methods This is a cross‐sectional, survey‐based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single‐item Mini‐Z Burnout Assessment, 7‐item Generali...

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Veröffentlicht in:Head & neck 2020-07, Vol.42 (7), p.1597-1609
Hauptverfasser: Civantos, Alyssa M., Byrnes, Yasmeen, Chang, Changgee, Prasad, Aman, Chorath, Kevin, Poonia, Seerat K., Jenks, Carolyn M., Bur, Andrés M., Thakkar, Punam, Graboyes, Evan M., Seth, Rahul, Trosman, Samuel, Wong, Anni, Laitman, Benjamin M., Harris, Brianna N., Shah, Janki, Stubbs, Vanessa, Choby, Garret, Long, Qi, Rassekh, Christopher H., Thaler, Erica, Rajasekaran, Karthik
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container_end_page 1609
container_issue 7
container_start_page 1597
container_title Head & neck
container_volume 42
creator Civantos, Alyssa M.
Byrnes, Yasmeen
Chang, Changgee
Prasad, Aman
Chorath, Kevin
Poonia, Seerat K.
Jenks, Carolyn M.
Bur, Andrés M.
Thakkar, Punam
Graboyes, Evan M.
Seth, Rahul
Trosman, Samuel
Wong, Anni
Laitman, Benjamin M.
Harris, Brianna N.
Shah, Janki
Stubbs, Vanessa
Choby, Garret
Long, Qi
Rassekh, Christopher H.
Thaler, Erica
Rajasekaran, Karthik
description Background Otolaryngologists are among the highest risk for COVID‐19 exposure. Methods This is a cross‐sectional, survey‐based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single‐item Mini‐Z Burnout Assessment, 7‐item Generalized Anxiety Disorder Scale, 15‐item Impact of Event Scale, and 2‐item Patient Health Questionnaire, respectively. Results A total of 349 physicians completed the survey. Of them, 165 (47.3%) were residents and 212 (60.7%) were males. Anxiety, distress, burnout, and depression were reported in 167 (47.9%), 210 (60.2%), 76 (21.8%), and 37 (10.6%) physicians, respectively. Attendings had decreased burnout relative to residents (odds ratio [OR] 0.28, confidence interval [CI] [0.11‐0.68]; P = .005). Females had increased burnout (OR 1.93, CI [1.12.‐3.32]; P = .018), anxiety (OR 2.53, CI [1.59‐4.02]; P
doi_str_mv 10.1002/hed.26292
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Methods This is a cross‐sectional, survey‐based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single‐item Mini‐Z Burnout Assessment, 7‐item Generalized Anxiety Disorder Scale, 15‐item Impact of Event Scale, and 2‐item Patient Health Questionnaire, respectively. Results A total of 349 physicians completed the survey. Of them, 165 (47.3%) were residents and 212 (60.7%) were males. Anxiety, distress, burnout, and depression were reported in 167 (47.9%), 210 (60.2%), 76 (21.8%), and 37 (10.6%) physicians, respectively. Attendings had decreased burnout relative to residents (odds ratio [OR] 0.28, confidence interval [CI] [0.11‐0.68]; P = .005). Females had increased burnout (OR 1.93, CI [1.12.‐3.32]; P = .018), anxiety (OR 2.53, CI [1.59‐4.02]; P &lt; .005), and distress (OR 2.68, CI [1.64‐4.37]; P &lt; .005). Physicians in states with greater than 20 000 positive cases had increased distress (OR 2.01, CI [1.22‐3.31]; P = .006). Conclusion During the COVID‐19 pandemic, the prevalence of burnout, anxiety, and distress is high among academic otolaryngologists.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.26292</identifier><identifier>PMID: 32496637</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Anxiety ; Anxiety - epidemiology ; Anxiety disorders ; Betacoronavirus ; Burnout ; Burnout, Professional - epidemiology ; Coronavirus Infections - epidemiology ; COVID-19 ; Cross-Sectional Studies ; Depression - epidemiology ; Female ; Head and neck ; Humans ; Internship and Residency ; Male ; Medical Staff, Hospital - psychology ; Medical Staff, Hospital - statistics &amp; numerical data ; Mental depression ; mental health ; mental wellness ; otolaryngologists ; Otolaryngologists - psychology ; Otolaryngologists - statistics &amp; numerical data ; Otolaryngology ; Otolaryngology‐head and Neck Surgery ; Pandemics ; Pneumonia, Viral - epidemiology ; psychiatric distress ; SARS-CoV-2 ; Sex Factors ; Special Issue ; Stress, Psychological - epidemiology ; Surveys and Questionnaires ; United States - epidemiology</subject><ispartof>Head &amp; neck, 2020-07, Vol.42 (7), p.1597-1609</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4362-78e8b17f17635927542438e71229931c2d7b652a5356ac74930498c4b14a282b3</citedby><cites>FETCH-LOGICAL-c4362-78e8b17f17635927542438e71229931c2d7b652a5356ac74930498c4b14a282b3</cites><orcidid>0000-0003-1226-6634 ; 0000-0003-2148-1643 ; 0000-0002-5586-0273 ; 0000-0002-4961-2441 ; 0000-0001-6879-6453 ; 0000-0003-3766-468X ; 0000-0001-9210-0241 ; 0000-0001-6229-9907</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.26292$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.26292$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32496637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Civantos, Alyssa M.</creatorcontrib><creatorcontrib>Byrnes, Yasmeen</creatorcontrib><creatorcontrib>Chang, Changgee</creatorcontrib><creatorcontrib>Prasad, Aman</creatorcontrib><creatorcontrib>Chorath, Kevin</creatorcontrib><creatorcontrib>Poonia, Seerat K.</creatorcontrib><creatorcontrib>Jenks, Carolyn M.</creatorcontrib><creatorcontrib>Bur, Andrés M.</creatorcontrib><creatorcontrib>Thakkar, Punam</creatorcontrib><creatorcontrib>Graboyes, Evan M.</creatorcontrib><creatorcontrib>Seth, Rahul</creatorcontrib><creatorcontrib>Trosman, Samuel</creatorcontrib><creatorcontrib>Wong, Anni</creatorcontrib><creatorcontrib>Laitman, Benjamin M.</creatorcontrib><creatorcontrib>Harris, Brianna N.</creatorcontrib><creatorcontrib>Shah, Janki</creatorcontrib><creatorcontrib>Stubbs, Vanessa</creatorcontrib><creatorcontrib>Choby, Garret</creatorcontrib><creatorcontrib>Long, Qi</creatorcontrib><creatorcontrib>Rassekh, Christopher H.</creatorcontrib><creatorcontrib>Thaler, Erica</creatorcontrib><creatorcontrib>Rajasekaran, Karthik</creatorcontrib><title>Mental health among otolaryngology resident and attending physicians during the COVID‐19 pandemic: National study</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background Otolaryngologists are among the highest risk for COVID‐19 exposure. Methods This is a cross‐sectional, survey‐based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single‐item Mini‐Z Burnout Assessment, 7‐item Generalized Anxiety Disorder Scale, 15‐item Impact of Event Scale, and 2‐item Patient Health Questionnaire, respectively. Results A total of 349 physicians completed the survey. Of them, 165 (47.3%) were residents and 212 (60.7%) were males. Anxiety, distress, burnout, and depression were reported in 167 (47.9%), 210 (60.2%), 76 (21.8%), and 37 (10.6%) physicians, respectively. Attendings had decreased burnout relative to residents (odds ratio [OR] 0.28, confidence interval [CI] [0.11‐0.68]; P = .005). Females had increased burnout (OR 1.93, CI [1.12.‐3.32]; P = .018), anxiety (OR 2.53, CI [1.59‐4.02]; P &lt; .005), and distress (OR 2.68, CI [1.64‐4.37]; P &lt; .005). Physicians in states with greater than 20 000 positive cases had increased distress (OR 2.01, CI [1.22‐3.31]; P = .006). Conclusion During the COVID‐19 pandemic, the prevalence of burnout, anxiety, and distress is high among academic otolaryngologists.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety disorders</subject><subject>Betacoronavirus</subject><subject>Burnout</subject><subject>Burnout, Professional - epidemiology</subject><subject>Coronavirus Infections - epidemiology</subject><subject>COVID-19</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Head and neck</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Medical Staff, Hospital - psychology</subject><subject>Medical Staff, Hospital - statistics &amp; numerical data</subject><subject>Mental depression</subject><subject>mental health</subject><subject>mental wellness</subject><subject>otolaryngologists</subject><subject>Otolaryngologists - psychology</subject><subject>Otolaryngologists - statistics &amp; numerical data</subject><subject>Otolaryngology</subject><subject>Otolaryngology‐head and Neck Surgery</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>psychiatric distress</subject><subject>SARS-CoV-2</subject><subject>Sex Factors</subject><subject>Special Issue</subject><subject>Stress, Psychological - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>United States - epidemiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctu3CAUhlHVqrku-gIVUlddOIEDBtNFpWhyldJkk2SLsM2MiTxmCriVd32EPGOeJEwniZpFVyD49J3z60foEyUHlBA47Gx7AAIUvEPblChZEMbl-_Wds4IRybfQToz3hBAmOHxEWwy4EoLJbRR_2CGZHnfW9KnDZumHBfbJ9yZMw8L3fjHhYKNrM4bN0GKTkh1al6lVN0XXODNE3I5h_ZI6i2fXdxfHj38eqMKrzNula77hK5OcH_KYmMZ22kMf5qaPdv_53EW3pyc3s_Pi8vrsYnZ0WTScCShkZauayjmVgpUKZMmBs8pKCqAUow20shYlmJKVwjSSK0a4qhpeU26ggprtou8b72qsl7ZtcoRger0KbpnTaW-cfvszuE4v_C8tGSGVgCz48iwI_udoY9L3fgw5R9TAgTBGq4pn6uuGaoKPMdj56wRK9LofnfvRf_vJ7Od_V3olXwrJwOEG-O16O_3fpM9PjjfKJ1SHmts</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Civantos, Alyssa M.</creator><creator>Byrnes, Yasmeen</creator><creator>Chang, Changgee</creator><creator>Prasad, Aman</creator><creator>Chorath, Kevin</creator><creator>Poonia, Seerat K.</creator><creator>Jenks, Carolyn M.</creator><creator>Bur, Andrés M.</creator><creator>Thakkar, Punam</creator><creator>Graboyes, Evan M.</creator><creator>Seth, Rahul</creator><creator>Trosman, Samuel</creator><creator>Wong, Anni</creator><creator>Laitman, Benjamin M.</creator><creator>Harris, Brianna N.</creator><creator>Shah, Janki</creator><creator>Stubbs, Vanessa</creator><creator>Choby, Garret</creator><creator>Long, Qi</creator><creator>Rassekh, Christopher H.</creator><creator>Thaler, Erica</creator><creator>Rajasekaran, Karthik</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1226-6634</orcidid><orcidid>https://orcid.org/0000-0003-2148-1643</orcidid><orcidid>https://orcid.org/0000-0002-5586-0273</orcidid><orcidid>https://orcid.org/0000-0002-4961-2441</orcidid><orcidid>https://orcid.org/0000-0001-6879-6453</orcidid><orcidid>https://orcid.org/0000-0003-3766-468X</orcidid><orcidid>https://orcid.org/0000-0001-9210-0241</orcidid><orcidid>https://orcid.org/0000-0001-6229-9907</orcidid></search><sort><creationdate>202007</creationdate><title>Mental health among otolaryngology resident and attending physicians during the COVID‐19 pandemic: National study</title><author>Civantos, Alyssa M. ; Byrnes, Yasmeen ; Chang, Changgee ; Prasad, Aman ; Chorath, Kevin ; Poonia, Seerat K. ; Jenks, Carolyn M. ; Bur, Andrés M. ; Thakkar, Punam ; Graboyes, Evan M. ; Seth, Rahul ; Trosman, Samuel ; Wong, Anni ; Laitman, Benjamin M. ; Harris, Brianna N. ; Shah, Janki ; Stubbs, Vanessa ; Choby, Garret ; Long, Qi ; Rassekh, Christopher H. ; Thaler, Erica ; Rajasekaran, Karthik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4362-78e8b17f17635927542438e71229931c2d7b652a5356ac74930498c4b14a282b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety disorders</topic><topic>Betacoronavirus</topic><topic>Burnout</topic><topic>Burnout, Professional - epidemiology</topic><topic>Coronavirus Infections - epidemiology</topic><topic>COVID-19</topic><topic>Cross-Sectional Studies</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Head and neck</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Medical Staff, Hospital - psychology</topic><topic>Medical Staff, Hospital - statistics &amp; 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neck</jtitle><addtitle>Head Neck</addtitle><date>2020-07</date><risdate>2020</risdate><volume>42</volume><issue>7</issue><spage>1597</spage><epage>1609</epage><pages>1597-1609</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background Otolaryngologists are among the highest risk for COVID‐19 exposure. Methods This is a cross‐sectional, survey‐based, national study evaluating academic otolaryngologists. Burnout, anxiety, distress, and depression were assessed by the single‐item Mini‐Z Burnout Assessment, 7‐item Generalized Anxiety Disorder Scale, 15‐item Impact of Event Scale, and 2‐item Patient Health Questionnaire, respectively. Results A total of 349 physicians completed the survey. Of them, 165 (47.3%) were residents and 212 (60.7%) were males. Anxiety, distress, burnout, and depression were reported in 167 (47.9%), 210 (60.2%), 76 (21.8%), and 37 (10.6%) physicians, respectively. Attendings had decreased burnout relative to residents (odds ratio [OR] 0.28, confidence interval [CI] [0.11‐0.68]; P = .005). Females had increased burnout (OR 1.93, CI [1.12.‐3.32]; P = .018), anxiety (OR 2.53, CI [1.59‐4.02]; P &lt; .005), and distress (OR 2.68, CI [1.64‐4.37]; P &lt; .005). Physicians in states with greater than 20 000 positive cases had increased distress (OR 2.01, CI [1.22‐3.31]; P = .006). Conclusion During the COVID‐19 pandemic, the prevalence of burnout, anxiety, and distress is high among academic otolaryngologists.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32496637</pmid><doi>10.1002/hed.26292</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-1226-6634</orcidid><orcidid>https://orcid.org/0000-0003-2148-1643</orcidid><orcidid>https://orcid.org/0000-0002-5586-0273</orcidid><orcidid>https://orcid.org/0000-0002-4961-2441</orcidid><orcidid>https://orcid.org/0000-0001-6879-6453</orcidid><orcidid>https://orcid.org/0000-0003-3766-468X</orcidid><orcidid>https://orcid.org/0000-0001-9210-0241</orcidid><orcidid>https://orcid.org/0000-0001-6229-9907</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Anxiety
Anxiety - epidemiology
Anxiety disorders
Betacoronavirus
Burnout
Burnout, Professional - epidemiology
Coronavirus Infections - epidemiology
COVID-19
Cross-Sectional Studies
Depression - epidemiology
Female
Head and neck
Humans
Internship and Residency
Male
Medical Staff, Hospital - psychology
Medical Staff, Hospital - statistics & numerical data
Mental depression
mental health
mental wellness
otolaryngologists
Otolaryngologists - psychology
Otolaryngologists - statistics & numerical data
Otolaryngology
Otolaryngology‐head and Neck Surgery
Pandemics
Pneumonia, Viral - epidemiology
psychiatric distress
SARS-CoV-2
Sex Factors
Special Issue
Stress, Psychological - epidemiology
Surveys and Questionnaires
United States - epidemiology
title Mental health among otolaryngology resident and attending physicians during the COVID‐19 pandemic: National study
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