Socio-economic and psychological impact of the COVID-19 outbreak on private practice and public hospital radiologists.
Identifieur interne : 000593 ( Main/Exploration ); précédent : 000592; suivant : 000594Socio-economic and psychological impact of the COVID-19 outbreak on private practice and public hospital radiologists.
Auteurs : Marie Florin [France] ; Ugo Pinar [France] ; Eric Chavigny [France] ; Mehdi Bouaboula [France] ; Lamia Jarboui [France] ; Adamfa Coulibaly [France] ; Cédric Lemogne [France] ; Laure Fournier [France]Source :
- European journal of radiology [ 1872-7727 ] ; 2020.
Abstract
PURPOSE
The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists.
MATERIAL AND METHODS
French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression.
RESULTS
1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1-2.7], 1.5[1.1-2.2], and 2.5[1.8-3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2-2.3], 2[1.1-3.4], 1.5[1.1-2], 1.2[1-1.4], and 2.1[1.5-3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2-0.7], 0.6[0.4-0.9], and 0.5[0.3-0.8]).
CONCLUSIONS
During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice.
DOI: 10.1016/j.ejrad.2020.109285
PubMed: 32957001
Affiliations:
- France
- Aquitaine, Nouvelle-Aquitaine, Poitou-Charentes, Île-de-France
- Dax, Paris, Poitiers, Saint-Denis (Seine-Saint-Denis)
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Electronic address: Marie.florin@aphp.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Pinar, Ugo" sort="Pinar, Ugo" uniqKey="Pinar U" first="Ugo" last="Pinar">Ugo Pinar</name><affiliation wicri:level="3"><nlm:affiliation>Sorbonne université, APHP, Hôpital la Pitié-Salpêtrière, Urology and Renal Transplantation Department, F-75013, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Sorbonne université, APHP, Hôpital la Pitié-Salpêtrière, Urology and Renal Transplantation Department, F-75013, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Chavigny, Eric" sort="Chavigny, Eric" uniqKey="Chavigny E" first="Eric" last="Chavigny">Eric Chavigny</name><affiliation wicri:level="3"><nlm:affiliation>Centre d'imagerie des landes, 40100, Dax, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre d'imagerie des landes, 40100, Dax</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Dax</settlement></placeName></affiliation></author><author><name sortKey="Bouaboula, Mehdi" sort="Bouaboula, Mehdi" uniqKey="Bouaboula M" first="Mehdi" last="Bouaboula">Mehdi Bouaboula</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Jarboui, Lamia" sort="Jarboui, Lamia" uniqKey="Jarboui L" first="Lamia" last="Jarboui">Lamia Jarboui</name><affiliation wicri:level="3"><nlm:affiliation>Centre cardiologique du nord, Radiology Department, 93200, Saint-Denis, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre cardiologique du nord, Radiology Department, 93200, Saint-Denis</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Saint-Denis (Seine-Saint-Denis)</settlement></placeName></affiliation></author><author><name sortKey="Coulibaly, Adamfa" sort="Coulibaly, Adamfa" uniqKey="Coulibaly A" first="Adamfa" last="Coulibaly">Adamfa Coulibaly</name><affiliation wicri:level="3"><nlm:affiliation>Centre hospitalier de Poitiers, Radiology Department, 86000, Poitiers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Centre hospitalier de Poitiers, Radiology Department, 86000, Poitiers</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Poitiers</settlement></placeName></affiliation></author><author><name sortKey="Lemogne, Cedric" sort="Lemogne, Cedric" uniqKey="Lemogne C" first="Cédric" last="Lemogne">Cédric Lemogne</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, INSERM, Institut de Psychiatrie et Neurosciences de Paris (IPNP), UMR_S1266, 102-108 rue de la Santé, F-75014, Paris, France; AP-HP Centre-Université de Paris, Hôpital européen Georges Pompidou, service de psychiatrie et d'addictologie de l'adulte et du sujet agé, F-75015, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, INSERM, Institut de Psychiatrie et Neurosciences de Paris (IPNP), UMR_S1266, 102-108 rue de la Santé, F-75014, Paris, France; AP-HP Centre-Université de Paris, Hôpital européen Georges Pompidou, service de psychiatrie et d'addictologie de l'adulte et du sujet agé, F-75015, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Fournier, Laure" sort="Fournier, Laure" uniqKey="Fournier L" first="Laure" last="Fournier">Laure Fournier</name><affiliation wicri:level="3"><nlm:affiliation>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">European journal of radiology</title><idno type="eISSN">1872-7727</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>PURPOSE</b></p><p>The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1-2.7], 1.5[1.1-2.2], and 2.5[1.8-3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2-2.3], 2[1.1-3.4], 1.5[1.1-2], 1.2[1-1.4], and 2.1[1.5-3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2-0.7], 0.6[0.4-0.9], and 0.5[0.3-0.8]).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32957001</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-7727</ISSN><JournalIssue CitedMedium="Internet"><Volume>132</Volume><PubDate><Year>2020</Year><Month>Sep</Month><Day>15</Day></PubDate></JournalIssue><Title>European journal of radiology</Title><ISOAbbreviation>Eur J Radiol</ISOAbbreviation></Journal><ArticleTitle>Socio-economic and psychological impact of the COVID-19 outbreak on private practice and public hospital radiologists.</ArticleTitle><Pagination><MedlinePgn>109285</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0720-048X(20)30474-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejrad.2020.109285</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1-2.7], 1.5[1.1-2.2], and 2.5[1.8-3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2-2.3], 2[1.1-3.4], 1.5[1.1-2], 1.2[1-1.4], and 2.1[1.5-3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2-0.7], 0.6[0.4-0.9], and 0.5[0.3-0.8]).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Florin</LastName><ForeName>Marie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France. Electronic address: Marie.florin@aphp.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pinar</LastName><ForeName>Ugo</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Sorbonne université, APHP, Hôpital la Pitié-Salpêtrière, Urology and Renal Transplantation Department, F-75013, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chavigny</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Centre d'imagerie des landes, 40100, Dax, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bouaboula</LastName><ForeName>Mehdi</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jarboui</LastName><ForeName>Lamia</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre cardiologique du nord, Radiology Department, 93200, Saint-Denis, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coulibaly</LastName><ForeName>Adamfa</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre hospitalier de Poitiers, Radiology Department, 86000, Poitiers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lemogne</LastName><ForeName>Cédric</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Université de Paris, INSERM, Institut de Psychiatrie et Neurosciences de Paris (IPNP), UMR_S1266, 102-108 rue de la Santé, F-75014, Paris, France; AP-HP Centre-Université de Paris, Hôpital européen Georges Pompidou, service de psychiatrie et d'addictologie de l'adulte et du sujet agé, F-75015, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fournier</LastName><ForeName>Laure</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Université de Paris, AP-HP, Hôpital Européen Georges Pompidou, Radiology Department, 20 rue Leblanc, F-75015, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Eur J Radiol</MedlineTA><NlmUniqueID>8106411</NlmUniqueID><ISSNLinking>0720-048X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Economics</Keyword><Keyword MajorTopicYN="N">Mental health</Keyword><Keyword MajorTopicYN="N">Radiology</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>08</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>21</Day><Hour>20</Hour><Minute>17</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32957001</ArticleId><ArticleId IdType="pii">S0720-048X(20)30474-5</ArticleId><ArticleId IdType="doi">10.1016/j.ejrad.2020.109285</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li><li>Poitou-Charentes</li><li>Île-de-France</li></region><settlement><li>Dax</li><li>Paris</li><li>Poitiers</li><li>Saint-Denis (Seine-Saint-Denis)</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Florin, Marie" sort="Florin, Marie" uniqKey="Florin M" first="Marie" last="Florin">Marie Florin</name></region><name sortKey="Bouaboula, Mehdi" sort="Bouaboula, Mehdi" uniqKey="Bouaboula M" first="Mehdi" last="Bouaboula">Mehdi Bouaboula</name><name sortKey="Chavigny, Eric" sort="Chavigny, Eric" uniqKey="Chavigny E" first="Eric" last="Chavigny">Eric Chavigny</name><name sortKey="Coulibaly, Adamfa" sort="Coulibaly, Adamfa" uniqKey="Coulibaly A" first="Adamfa" last="Coulibaly">Adamfa Coulibaly</name><name sortKey="Fournier, Laure" sort="Fournier, Laure" uniqKey="Fournier L" first="Laure" last="Fournier">Laure Fournier</name><name sortKey="Jarboui, Lamia" sort="Jarboui, Lamia" uniqKey="Jarboui L" first="Lamia" last="Jarboui">Lamia Jarboui</name><name sortKey="Lemogne, Cedric" sort="Lemogne, Cedric" uniqKey="Lemogne C" first="Cédric" last="Lemogne">Cédric Lemogne</name><name sortKey="Pinar, Ugo" sort="Pinar, Ugo" uniqKey="Pinar U" first="Ugo" last="Pinar">Ugo Pinar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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