Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.
Identifieur interne : 000539 ( Main/Exploration ); précédent : 000538; suivant : 000540Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.
Auteurs : Elie Azoulay [France] ; Alain Cariou [France] ; Fabrice Bruneel [France] ; Alexandre Demoule [France] ; Achille Kouatchet [France] ; Danielle Reuter [France] ; Virginie Souppart [France] ; Alain Combes [France] ; Kada Klouche [France] ; Laurent Argaud [France] ; François Barbier [France] ; Mercé Jourdain [France] ; Jean Reignier [France] ; Laurent Papazian [France] ; Bertrand Guidet [France] ; Guillaume Géri [France] ; Matthieu Resche-Rigon [France] ; Olivier Guisset [France] ; Vincent Labbé [France] ; Bruno Mégarbane [France] ; Guillaume Van Der Meersch [France] ; Christophe Guitton [France] ; Diane Friedman [France] ; Frederic Pochard [France] ; Michael Darmon [France] ; Nancy Kentish-Barnes [France]Source :
- American journal of respiratory and critical care medicine [ 1535-4970 ] ; 2020.
Abstract
RATIONALE
Frontline healthcare providers (HCPs) during the COVID-19 pandemic are at high risk of mental morbidity.
OBJECTIVE
To assess the prevalence of symptoms of anxiety, depression, and peritraumatic dissociation in HCPs.
METHODS
Cross-sectional study in 21 ICUs in France between April 20 and May 21, 2020. The Hospital Anxiety and Depression Scale and the Peritraumatic Dissociative Experience Questionnaire were used. Factors independently associated with reported symptoms of mental health disorders were identified.
MEASUREMENTS AND MAIN RESULTS
Response rate was 67%, with 1058 respondents (median age 33 y, 71% women, 68% nursing staff). The prevalence of symptoms of anxiety, depression, and peritraumatic dissociation was 50.4%, 30.4%, and 32%, respectively, with the highest rates in nurses. By multivariable analysis, male sex was independently associated with lower prevalence of symptoms of anxiety, depression, and peritraumatic dissociation (Odds Ratio of 0.58(0.42-0.79), 0.57(0.39-0.82) and 0.49(0.34-0.72), respectively. HCPs working in non-university-affiliated hospitals and nursing assistants were at high risk of symptoms of anxiety and peritraumatic dissociation. Importantly, we identified six modifiable determinants of symptoms of mental health disorders: fear of being infected, inability to rest, inability to care for family, struggling with difficult emotions, regret about the restrictions in visitation policies, and witnessing hasty end-of-life decisions.
CONCLUSIONS
HCPs experience high levels of psychological burden during the COVID-19 epidemic. Hospitals, ICU directors, and ICU staff must devise strategies to overcome the modifiable determinants of adverse mental illness symptoms. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).
DOI: 10.1164/rccm.202006-2568OC
PubMed: 32866409
Affiliations:
- France
- Aquitaine, Auvergne-Rhône-Alpes, Grand Est, Hauts-de-France, Languedoc-Roussillon, Lorraine (région), Nord-Pas-de-Calais, Nouvelle-Aquitaine, Occitanie (région administrative), Pays de la Loire, Provence-Alpes-Côte d'Azur, Rhône-Alpes, Île-de-France
- Angers, Bobigny, Bordeaux, Corbeil-Essonnes, Le Mans, Lille, Lyon, Marseille, Montpellier, Nantes, Paris
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.</title><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France; elie.azoulay@aphp.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Cariou, Alain" sort="Cariou, Alain" uniqKey="Cariou A" first="Alain" last="Cariou">Alain Cariou</name><affiliation wicri:level="3"><nlm:affiliation>APHP.Centre - Université de Paris, Medical Intensive Care Unit, Cochin University Hospital, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP.Centre - Université de Paris, Medical Intensive Care Unit, Cochin University Hospital, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Bruneel, Fabrice" sort="Bruneel, Fabrice" uniqKey="Bruneel F" first="Fabrice" last="Bruneel">Fabrice Bruneel</name><affiliation wicri:level="1"><nlm:affiliation>André Mignot Hospital, Intensive Care Unit, Le Chesnay, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>André Mignot Hospital, Intensive Care Unit, Le Chesnay</wicri:regionArea><wicri:noRegion>Le Chesnay</wicri:noRegion><wicri:noRegion>Le Chesnay</wicri:noRegion></affiliation></author><author><name sortKey="Demoule, Alexandre" sort="Demoule, Alexandre" uniqKey="Demoule A" first="Alexandre" last="Demoule">Alexandre Demoule</name><affiliation wicri:level="3"><nlm:affiliation>Groupe Hospitalier Pitié Salpêtrière, Assistance Publique Hopitaux de Paris, Service de Pneumologie et Réanimation Médicale, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Groupe Hospitalier Pitié Salpêtrière, Assistance Publique Hopitaux de Paris, Service de Pneumologie et Réanimation Médicale, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Universite, 27063, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universite, 27063, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kouatchet, Achille" sort="Kouatchet, Achille" uniqKey="Kouatchet A" first="Achille" last="Kouatchet">Achille Kouatchet</name><affiliation wicri:level="3"><nlm:affiliation>Angers Teaching Hospital, Medical Intensive Care Unit, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Angers Teaching Hospital, Medical Intensive Care Unit, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Reuter, Danielle" sort="Reuter, Danielle" uniqKey="Reuter D" first="Danielle" last="Reuter">Danielle Reuter</name><affiliation wicri:level="3"><nlm:affiliation>CHSF, 55461, Corbeil-Essonnes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHSF, 55461, Corbeil-Essonnes</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Corbeil-Essonnes</settlement></placeName></affiliation></author><author><name sortKey="Souppart, Virginie" sort="Souppart, Virginie" uniqKey="Souppart V" first="Virginie" last="Souppart">Virginie Souppart</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Universite, 27063, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition and Service de médecine intensive-réanimation, Institut de Cardiologie, APHP Sorbonne Université Hôpital Pitié-Salpêtrière, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universite, 27063, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition and Service de médecine intensive-réanimation, Institut de Cardiologie, APHP Sorbonne Université Hôpital Pitié-Salpêtrière, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Klouche, Kada" sort="Klouche, Kada" uniqKey="Klouche K" first="Kada" last="Klouche">Kada Klouche</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Lapeyronie, 55045, Department of Intensive Care Unit, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Lapeyronie, 55045, Department of Intensive Care Unit, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Argaud, Laurent" sort="Argaud, Laurent" uniqKey="Argaud L" first="Laurent" last="Argaud">Laurent Argaud</name><affiliation wicri:level="3"><nlm:affiliation>Groupement Hospitalier Edouard Herriot, 36609, Medical Intensive Care Department, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Groupement Hospitalier Edouard Herriot, 36609, Medical Intensive Care Department, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Barbier, Francois" sort="Barbier, Francois" uniqKey="Barbier F" first="François" last="Barbier">François Barbier</name><affiliation wicri:level="1"><nlm:affiliation>Regional Hospital Centre Orleans La Source Hospital, 52817, Medical Intensive Care Unit, Orleans, Centre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Regional Hospital Centre Orleans La Source Hospital, 52817, Medical Intensive Care Unit, Orleans, Centre</wicri:regionArea><wicri:noRegion>Centre</wicri:noRegion><wicri:noRegion>Centre</wicri:noRegion></affiliation></author><author><name sortKey="Jourdain, Merce" sort="Jourdain, Merce" uniqKey="Jourdain M" first="Mercé" last="Jourdain">Mercé Jourdain</name><affiliation wicri:level="3"><nlm:affiliation>CHU Lille, 26902, Department of Intensive Care, Hôpital Roger Salengro, Inserm, Univ Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Lille, 26902, Department of Intensive Care, Hôpital Roger Salengro, Inserm, Univ Lille, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Reignier, Jean" sort="Reignier, Jean" uniqKey="Reignier J" first="Jean" last="Reignier">Jean Reignier</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital Centre, Medical Intensive Care Unit, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital Centre, Medical Intensive Care Unit, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name><affiliation wicri:level="3"><nlm:affiliation>APHM Hôpital Nord, Respiratory and Infectious Diseases ICU, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHM Hôpital Nord, Respiratory and Infectious Diseases ICU, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Université, 27063, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique and AP-HP, Hôpital Saint-Antoine, Service de réanimation, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Université, 27063, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique and AP-HP, Hôpital Saint-Antoine, Service de réanimation, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Geri, Guillaume" sort="Geri, Guillaume" uniqKey="Geri G" first="Guillaume" last="Géri">Guillaume Géri</name><affiliation wicri:level="3"><nlm:affiliation>Ambroise Paré University Hospital, 82241, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Ambroise Paré University Hospital, 82241, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Resche Rigon, Matthieu" sort="Resche Rigon, Matthieu" uniqKey="Resche Rigon M" first="Matthieu" last="Resche-Rigon">Matthieu Resche-Rigon</name><affiliation wicri:level="3"><nlm:affiliation>St-Louis Hospital, Clinical Research Unit, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>St-Louis Hospital, Clinical Research Unit, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Guisset, Olivier" sort="Guisset, Olivier" uniqKey="Guisset O" first="Olivier" last="Guisset">Olivier Guisset</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Bordeaux, Services de réanimation médicale, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Bordeaux, Services de réanimation médicale, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Labbe, Vincent" sort="Labbe, Vincent" uniqKey="Labbe V" first="Vincent" last="Labbé">Vincent Labbé</name><affiliation wicri:level="3"><nlm:affiliation>Tenon University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Tenon University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Megarbane, Bruno" sort="Megarbane, Bruno" uniqKey="Megarbane B" first="Bruno" last="Mégarbane">Bruno Mégarbane</name><affiliation wicri:level="3"><nlm:affiliation>INSERM UMR_S 1144, 129727, Department of Medical and Toxicological Critical Care, APHP, Lariboisière University Hospital and University of Paris, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM UMR_S 1144, 129727, Department of Medical and Toxicological Critical Care, APHP, Lariboisière University Hospital and University of Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Van Der Meersch, Guillaume" sort="Van Der Meersch, Guillaume" uniqKey="Van Der Meersch G" first="Guillaume" last="Van Der Meersch">Guillaume Van Der Meersch</name><affiliation wicri:level="3"><nlm:affiliation>Avicenne University Hospital, Medical-Surgical Intensive Care Unit, APHP, Bobigny, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Avicenne University Hospital, Medical-Surgical Intensive Care Unit, APHP, Bobigny</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Bobigny</settlement></placeName></affiliation></author><author><name sortKey="Guitton, Christophe" sort="Guitton, Christophe" uniqKey="Guitton C" first="Christophe" last="Guitton">Christophe Guitton</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Centre Le Mans, 36680, Medical intensive Care Unit, Le Mans, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Centre Le Mans, 36680, Medical intensive Care Unit, Le Mans</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Le Mans</settlement></placeName></affiliation></author><author><name sortKey="Friedman, Diane" sort="Friedman, Diane" uniqKey="Friedman D" first="Diane" last="Friedman">Diane Friedman</name><affiliation wicri:level="1"><nlm:affiliation>Raymond Poincaré University Hospital, General Intensive Care Unit, APHP, Garches, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Raymond Poincaré University Hospital, General Intensive Care Unit, APHP, Garches</wicri:regionArea><wicri:noRegion>Garches</wicri:noRegion><wicri:noRegion>Garches</wicri:noRegion></affiliation></author><author><name sortKey="Pochard, Frederic" sort="Pochard, Frederic" uniqKey="Pochard F" first="Frederic" last="Pochard">Frederic Pochard</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kentish Barnes, Nancy" sort="Kentish Barnes, Nancy" uniqKey="Kentish Barnes N" first="Nancy" last="Kentish-Barnes">Nancy Kentish-Barnes</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32866409</idno><idno type="pmid">32866409</idno><idno type="doi">10.1164/rccm.202006-2568OC</idno><idno type="wicri:Area/Main/Corpus">000287</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000287</idno><idno type="wicri:Area/Main/Curation">000287</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000287</idno><idno type="wicri:Area/Main/Exploration">000287</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.</title><author><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France; elie.azoulay@aphp.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Cariou, Alain" sort="Cariou, Alain" uniqKey="Cariou A" first="Alain" last="Cariou">Alain Cariou</name><affiliation wicri:level="3"><nlm:affiliation>APHP.Centre - Université de Paris, Medical Intensive Care Unit, Cochin University Hospital, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP.Centre - Université de Paris, Medical Intensive Care Unit, Cochin University Hospital, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Bruneel, Fabrice" sort="Bruneel, Fabrice" uniqKey="Bruneel F" first="Fabrice" last="Bruneel">Fabrice Bruneel</name><affiliation wicri:level="1"><nlm:affiliation>André Mignot Hospital, Intensive Care Unit, Le Chesnay, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>André Mignot Hospital, Intensive Care Unit, Le Chesnay</wicri:regionArea><wicri:noRegion>Le Chesnay</wicri:noRegion><wicri:noRegion>Le Chesnay</wicri:noRegion></affiliation></author><author><name sortKey="Demoule, Alexandre" sort="Demoule, Alexandre" uniqKey="Demoule A" first="Alexandre" last="Demoule">Alexandre Demoule</name><affiliation wicri:level="3"><nlm:affiliation>Groupe Hospitalier Pitié Salpêtrière, Assistance Publique Hopitaux de Paris, Service de Pneumologie et Réanimation Médicale, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Groupe Hospitalier Pitié Salpêtrière, Assistance Publique Hopitaux de Paris, Service de Pneumologie et Réanimation Médicale, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Universite, 27063, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universite, 27063, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kouatchet, Achille" sort="Kouatchet, Achille" uniqKey="Kouatchet A" first="Achille" last="Kouatchet">Achille Kouatchet</name><affiliation wicri:level="3"><nlm:affiliation>Angers Teaching Hospital, Medical Intensive Care Unit, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Angers Teaching Hospital, Medical Intensive Care Unit, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Reuter, Danielle" sort="Reuter, Danielle" uniqKey="Reuter D" first="Danielle" last="Reuter">Danielle Reuter</name><affiliation wicri:level="3"><nlm:affiliation>CHSF, 55461, Corbeil-Essonnes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHSF, 55461, Corbeil-Essonnes</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Corbeil-Essonnes</settlement></placeName></affiliation></author><author><name sortKey="Souppart, Virginie" sort="Souppart, Virginie" uniqKey="Souppart V" first="Virginie" last="Souppart">Virginie Souppart</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Universite, 27063, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition and Service de médecine intensive-réanimation, Institut de Cardiologie, APHP Sorbonne Université Hôpital Pitié-Salpêtrière, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Universite, 27063, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition and Service de médecine intensive-réanimation, Institut de Cardiologie, APHP Sorbonne Université Hôpital Pitié-Salpêtrière, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Klouche, Kada" sort="Klouche, Kada" uniqKey="Klouche K" first="Kada" last="Klouche">Kada Klouche</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Lapeyronie, 55045, Department of Intensive Care Unit, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Lapeyronie, 55045, Department of Intensive Care Unit, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Argaud, Laurent" sort="Argaud, Laurent" uniqKey="Argaud L" first="Laurent" last="Argaud">Laurent Argaud</name><affiliation wicri:level="3"><nlm:affiliation>Groupement Hospitalier Edouard Herriot, 36609, Medical Intensive Care Department, Lyon, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Groupement Hospitalier Edouard Herriot, 36609, Medical Intensive Care Department, Lyon</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Barbier, Francois" sort="Barbier, Francois" uniqKey="Barbier F" first="François" last="Barbier">François Barbier</name><affiliation wicri:level="1"><nlm:affiliation>Regional Hospital Centre Orleans La Source Hospital, 52817, Medical Intensive Care Unit, Orleans, Centre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Regional Hospital Centre Orleans La Source Hospital, 52817, Medical Intensive Care Unit, Orleans, Centre</wicri:regionArea><wicri:noRegion>Centre</wicri:noRegion><wicri:noRegion>Centre</wicri:noRegion></affiliation></author><author><name sortKey="Jourdain, Merce" sort="Jourdain, Merce" uniqKey="Jourdain M" first="Mercé" last="Jourdain">Mercé Jourdain</name><affiliation wicri:level="3"><nlm:affiliation>CHU Lille, 26902, Department of Intensive Care, Hôpital Roger Salengro, Inserm, Univ Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU Lille, 26902, Department of Intensive Care, Hôpital Roger Salengro, Inserm, Univ Lille, Lille</wicri:regionArea><placeName><region type="region">Hauts-de-France</region><region type="old region">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Reignier, Jean" sort="Reignier, Jean" uniqKey="Reignier J" first="Jean" last="Reignier">Jean Reignier</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital Centre, Medical Intensive Care Unit, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University Hospital Centre, Medical Intensive Care Unit, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name><affiliation wicri:level="3"><nlm:affiliation>APHM Hôpital Nord, Respiratory and Infectious Diseases ICU, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHM Hôpital Nord, Respiratory and Infectious Diseases ICU, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Sorbonne Université, 27063, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique and AP-HP, Hôpital Saint-Antoine, Service de réanimation, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne Université, 27063, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique and AP-HP, Hôpital Saint-Antoine, Service de réanimation, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Geri, Guillaume" sort="Geri, Guillaume" uniqKey="Geri G" first="Guillaume" last="Géri">Guillaume Géri</name><affiliation wicri:level="3"><nlm:affiliation>Ambroise Paré University Hospital, 82241, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Ambroise Paré University Hospital, 82241, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Resche Rigon, Matthieu" sort="Resche Rigon, Matthieu" uniqKey="Resche Rigon M" first="Matthieu" last="Resche-Rigon">Matthieu Resche-Rigon</name><affiliation wicri:level="3"><nlm:affiliation>St-Louis Hospital, Clinical Research Unit, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>St-Louis Hospital, Clinical Research Unit, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Guisset, Olivier" sort="Guisset, Olivier" uniqKey="Guisset O" first="Olivier" last="Guisset">Olivier Guisset</name><affiliation wicri:level="3"><nlm:affiliation>CHU de Bordeaux, Services de réanimation médicale, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>CHU de Bordeaux, Services de réanimation médicale, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Labbe, Vincent" sort="Labbe, Vincent" uniqKey="Labbe V" first="Vincent" last="Labbé">Vincent Labbé</name><affiliation wicri:level="3"><nlm:affiliation>Tenon University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Tenon University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Megarbane, Bruno" sort="Megarbane, Bruno" uniqKey="Megarbane B" first="Bruno" last="Mégarbane">Bruno Mégarbane</name><affiliation wicri:level="3"><nlm:affiliation>INSERM UMR_S 1144, 129727, Department of Medical and Toxicological Critical Care, APHP, Lariboisière University Hospital and University of Paris, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM UMR_S 1144, 129727, Department of Medical and Toxicological Critical Care, APHP, Lariboisière University Hospital and University of Paris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Van Der Meersch, Guillaume" sort="Van Der Meersch, Guillaume" uniqKey="Van Der Meersch G" first="Guillaume" last="Van Der Meersch">Guillaume Van Der Meersch</name><affiliation wicri:level="3"><nlm:affiliation>Avicenne University Hospital, Medical-Surgical Intensive Care Unit, APHP, Bobigny, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Avicenne University Hospital, Medical-Surgical Intensive Care Unit, APHP, Bobigny</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Bobigny</settlement></placeName></affiliation></author><author><name sortKey="Guitton, Christophe" sort="Guitton, Christophe" uniqKey="Guitton C" first="Christophe" last="Guitton">Christophe Guitton</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Centre Le Mans, 36680, Medical intensive Care Unit, Le Mans, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Centre Le Mans, 36680, Medical intensive Care Unit, Le Mans</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Le Mans</settlement></placeName></affiliation></author><author><name sortKey="Friedman, Diane" sort="Friedman, Diane" uniqKey="Friedman D" first="Diane" last="Friedman">Diane Friedman</name><affiliation wicri:level="1"><nlm:affiliation>Raymond Poincaré University Hospital, General Intensive Care Unit, APHP, Garches, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Raymond Poincaré University Hospital, General Intensive Care Unit, APHP, Garches</wicri:regionArea><wicri:noRegion>Garches</wicri:noRegion><wicri:noRegion>Garches</wicri:noRegion></affiliation></author><author><name sortKey="Pochard, Frederic" sort="Pochard, Frederic" uniqKey="Pochard F" first="Frederic" last="Pochard">Frederic Pochard</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Kentish Barnes, Nancy" sort="Kentish Barnes, Nancy" uniqKey="Kentish Barnes N" first="Nancy" last="Kentish-Barnes">Nancy Kentish-Barnes</name><affiliation wicri:level="3"><nlm:affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">American journal of respiratory and critical care medicine</title><idno type="eISSN">1535-4970</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>RATIONALE</b></p><p>Frontline healthcare providers (HCPs) during the COVID-19 pandemic are at high risk of mental morbidity.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the prevalence of symptoms of anxiety, depression, and peritraumatic dissociation in HCPs.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Cross-sectional study in 21 ICUs in France between April 20 and May 21, 2020. The Hospital Anxiety and Depression Scale and the Peritraumatic Dissociative Experience Questionnaire were used. Factors independently associated with reported symptoms of mental health disorders were identified.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND MAIN RESULTS</b></p><p>Response rate was 67%, with 1058 respondents (median age 33 y, 71% women, 68% nursing staff). The prevalence of symptoms of anxiety, depression, and peritraumatic dissociation was 50.4%, 30.4%, and 32%, respectively, with the highest rates in nurses. By multivariable analysis, male sex was independently associated with lower prevalence of symptoms of anxiety, depression, and peritraumatic dissociation (Odds Ratio of 0.58(0.42-0.79), 0.57(0.39-0.82) and 0.49(0.34-0.72), respectively. HCPs working in non-university-affiliated hospitals and nursing assistants were at high risk of symptoms of anxiety and peritraumatic dissociation. Importantly, we identified six modifiable determinants of symptoms of mental health disorders: fear of being infected, inability to rest, inability to care for family, struggling with difficult emotions, regret about the restrictions in visitation policies, and witnessing hasty end-of-life decisions.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>HCPs experience high levels of psychological burden during the COVID-19 epidemic. Hospitals, ICU directors, and ICU staff must devise strategies to overcome the modifiable determinants of adverse mental illness symptoms. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32866409</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1535-4970</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Aug</Month><Day>31</Day></PubDate></JournalIssue><Title>American journal of respiratory and critical care medicine</Title><ISOAbbreviation>Am. J. Respir. Crit. Care Med.</ISOAbbreviation></Journal><ArticleTitle>Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1164/rccm.202006-2568OC</ELocationID><Abstract><AbstractText Label="RATIONALE" NlmCategory="BACKGROUND">Frontline healthcare providers (HCPs) during the COVID-19 pandemic are at high risk of mental morbidity.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the prevalence of symptoms of anxiety, depression, and peritraumatic dissociation in HCPs.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Cross-sectional study in 21 ICUs in France between April 20 and May 21, 2020. The Hospital Anxiety and Depression Scale and the Peritraumatic Dissociative Experience Questionnaire were used. Factors independently associated with reported symptoms of mental health disorders were identified.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">Response rate was 67%, with 1058 respondents (median age 33 y, 71% women, 68% nursing staff). The prevalence of symptoms of anxiety, depression, and peritraumatic dissociation was 50.4%, 30.4%, and 32%, respectively, with the highest rates in nurses. By multivariable analysis, male sex was independently associated with lower prevalence of symptoms of anxiety, depression, and peritraumatic dissociation (Odds Ratio of 0.58(0.42-0.79), 0.57(0.39-0.82) and 0.49(0.34-0.72), respectively. HCPs working in non-university-affiliated hospitals and nursing assistants were at high risk of symptoms of anxiety and peritraumatic dissociation. Importantly, we identified six modifiable determinants of symptoms of mental health disorders: fear of being infected, inability to rest, inability to care for family, struggling with difficult emotions, regret about the restrictions in visitation policies, and witnessing hasty end-of-life decisions.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">HCPs experience high levels of psychological burden during the COVID-19 epidemic. Hospitals, ICU directors, and ICU staff must devise strategies to overcome the modifiable determinants of adverse mental illness symptoms. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Azoulay</LastName><ForeName>Elie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France; elie.azoulay@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cariou</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>APHP.Centre - Université de Paris, Medical Intensive Care Unit, Cochin University Hospital, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bruneel</LastName><ForeName>Fabrice</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>André Mignot Hospital, Intensive Care Unit, Le Chesnay, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Demoule</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Groupe Hospitalier Pitié Salpêtrière, Assistance Publique Hopitaux de Paris, Service de Pneumologie et Réanimation Médicale, Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Sorbonne Universite, 27063, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kouatchet</LastName><ForeName>Achille</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Angers Teaching Hospital, Medical Intensive Care Unit, Angers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reuter</LastName><ForeName>Danielle</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>CHSF, 55461, Corbeil-Essonnes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Souppart</LastName><ForeName>Virginie</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Combes</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Sorbonne Universite, 27063, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition and Service de médecine intensive-réanimation, Institut de Cardiologie, APHP Sorbonne Université Hôpital Pitié-Salpêtrière, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klouche</LastName><ForeName>Kada</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Hospital Lapeyronie, 55045, Department of Intensive Care Unit, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Argaud</LastName><ForeName>Laurent</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Groupement Hospitalier Edouard Herriot, 36609, Medical Intensive Care Department, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barbier</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Regional Hospital Centre Orleans La Source Hospital, 52817, Medical Intensive Care Unit, Orleans, Centre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jourdain</LastName><ForeName>Mercé</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>CHU Lille, 26902, Department of Intensive Care, Hôpital Roger Salengro, Inserm, Univ Lille, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reignier</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>University Hospital Centre, Medical Intensive Care Unit, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Papazian</LastName><ForeName>Laurent</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>APHM Hôpital Nord, Respiratory and Infectious Diseases ICU, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guidet</LastName><ForeName>Bertrand</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Sorbonne Université, 27063, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique and AP-HP, Hôpital Saint-Antoine, Service de réanimation, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Géri</LastName><ForeName>Guillaume</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Ambroise Paré University Hospital, 82241, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Resche-Rigon</LastName><ForeName>Matthieu</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>St-Louis Hospital, Clinical Research Unit, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guisset</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>CHU de Bordeaux, Services de réanimation médicale, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Labbé</LastName><ForeName>Vincent</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Tenon University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mégarbane</LastName><ForeName>Bruno</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>INSERM UMR_S 1144, 129727, Department of Medical and Toxicological Critical Care, APHP, Lariboisière University Hospital and University of Paris, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Der Meersch</LastName><ForeName>Guillaume</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Avicenne University Hospital, Medical-Surgical Intensive Care Unit, APHP, Bobigny, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guitton</LastName><ForeName>Christophe</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hospital Centre Le Mans, 36680, Medical intensive Care Unit, Le Mans, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Friedman</LastName><ForeName>Diane</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Raymond Poincaré University Hospital, General Intensive Care Unit, APHP, Garches, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pochard</LastName><ForeName>Frederic</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Darmon</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kentish-Barnes</LastName><ForeName>Nancy</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, Medical Intensive Care Unit, APHP, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>FAMIREA study group</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Respir Crit Care Med</MedlineTA><NlmUniqueID>9421642</NlmUniqueID><ISSNLinking>1073-449X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">intensive care</Keyword><Keyword MajorTopicYN="N">pneumonia</Keyword><Keyword MajorTopicYN="N">post-traumatic stress disorder</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32866409</ArticleId><ArticleId IdType="doi">10.1164/rccm.202006-2568OC</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Auvergne-Rhône-Alpes</li><li>Grand Est</li><li>Hauts-de-France</li><li>Languedoc-Roussillon</li><li>Lorraine (région)</li><li>Nord-Pas-de-Calais</li><li>Nouvelle-Aquitaine</li><li>Occitanie (région administrative)</li><li>Pays de la Loire</li><li>Provence-Alpes-Côte d'Azur</li><li>Rhône-Alpes</li><li>Île-de-France</li></region><settlement><li>Angers</li><li>Bobigny</li><li>Bordeaux</li><li>Corbeil-Essonnes</li><li>Le Mans</li><li>Lille</li><li>Lyon</li><li>Marseille</li><li>Montpellier</li><li>Nantes</li><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Azoulay, Elie" sort="Azoulay, Elie" uniqKey="Azoulay E" first="Elie" last="Azoulay">Elie Azoulay</name></region><name sortKey="Argaud, Laurent" sort="Argaud, Laurent" uniqKey="Argaud L" first="Laurent" last="Argaud">Laurent Argaud</name><name sortKey="Barbier, Francois" sort="Barbier, Francois" uniqKey="Barbier F" first="François" last="Barbier">François Barbier</name><name sortKey="Bruneel, Fabrice" sort="Bruneel, Fabrice" uniqKey="Bruneel F" first="Fabrice" last="Bruneel">Fabrice Bruneel</name><name sortKey="Cariou, Alain" sort="Cariou, Alain" uniqKey="Cariou A" first="Alain" last="Cariou">Alain Cariou</name><name sortKey="Combes, Alain" sort="Combes, Alain" uniqKey="Combes A" first="Alain" last="Combes">Alain Combes</name><name sortKey="Darmon, Michael" sort="Darmon, Michael" uniqKey="Darmon M" first="Michael" last="Darmon">Michael Darmon</name><name sortKey="Demoule, Alexandre" sort="Demoule, Alexandre" uniqKey="Demoule A" first="Alexandre" last="Demoule">Alexandre Demoule</name><name sortKey="Demoule, Alexandre" sort="Demoule, Alexandre" uniqKey="Demoule A" first="Alexandre" last="Demoule">Alexandre Demoule</name><name sortKey="Friedman, Diane" sort="Friedman, Diane" uniqKey="Friedman D" first="Diane" last="Friedman">Diane Friedman</name><name sortKey="Geri, Guillaume" sort="Geri, Guillaume" uniqKey="Geri G" first="Guillaume" last="Géri">Guillaume Géri</name><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><name sortKey="Guisset, Olivier" sort="Guisset, Olivier" uniqKey="Guisset O" first="Olivier" last="Guisset">Olivier Guisset</name><name sortKey="Guitton, Christophe" sort="Guitton, Christophe" uniqKey="Guitton C" first="Christophe" last="Guitton">Christophe Guitton</name><name sortKey="Jourdain, Merce" sort="Jourdain, Merce" uniqKey="Jourdain M" first="Mercé" last="Jourdain">Mercé Jourdain</name><name sortKey="Kentish Barnes, Nancy" sort="Kentish Barnes, Nancy" uniqKey="Kentish Barnes N" first="Nancy" last="Kentish-Barnes">Nancy Kentish-Barnes</name><name sortKey="Klouche, Kada" sort="Klouche, Kada" uniqKey="Klouche K" first="Kada" last="Klouche">Kada Klouche</name><name sortKey="Kouatchet, Achille" sort="Kouatchet, Achille" uniqKey="Kouatchet A" first="Achille" last="Kouatchet">Achille Kouatchet</name><name sortKey="Labbe, Vincent" sort="Labbe, Vincent" uniqKey="Labbe V" first="Vincent" last="Labbé">Vincent Labbé</name><name sortKey="Megarbane, Bruno" sort="Megarbane, Bruno" uniqKey="Megarbane B" first="Bruno" last="Mégarbane">Bruno Mégarbane</name><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name><name sortKey="Pochard, Frederic" sort="Pochard, Frederic" uniqKey="Pochard F" first="Frederic" last="Pochard">Frederic Pochard</name><name sortKey="Reignier, Jean" sort="Reignier, Jean" uniqKey="Reignier J" first="Jean" last="Reignier">Jean Reignier</name><name sortKey="Resche Rigon, Matthieu" sort="Resche Rigon, Matthieu" uniqKey="Resche Rigon M" first="Matthieu" last="Resche-Rigon">Matthieu Resche-Rigon</name><name sortKey="Reuter, Danielle" sort="Reuter, Danielle" uniqKey="Reuter D" first="Danielle" last="Reuter">Danielle Reuter</name><name sortKey="Souppart, Virginie" sort="Souppart, Virginie" uniqKey="Souppart V" first="Virginie" last="Souppart">Virginie Souppart</name><name sortKey="Van Der Meersch, Guillaume" sort="Van Der Meersch, Guillaume" uniqKey="Van Der Meersch G" first="Guillaume" last="Van Der Meersch">Guillaume Van Der Meersch</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidFranceV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000539 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000539 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidFranceV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32866409
|texte= Symptoms of Anxiety, Depression and Peritraumatic Dissociation in Critical Care Clinicians Managing COVID-19 Patients: A Cross-Sectional Study.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32866409" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidFranceV1
| This area was generated with Dilib version V0.6.37. |  |