Clinical and psychopathologic features of psychiatric disorders in frontline healthcare workers during the COVID-19 pandemic
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Mosolova ES, Shport SV. [Clinical and psychopathologic features of psychiatric disorders in frontline healthcare workers during the COVID-19 pandemic]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2024;(6):11-23. Russian
This original clinical study aims to assess clinical and psychopathological features of psychiatric disorders and their dynamics in frontline healthcare workers during the COVID-19 pandemic. Interviews were conducted with 72 healthcare workers, of whom 51 were included in the study. The most frequent psychiatric disorders among frontline healthcare workers according to ICD-10 were depressive episode (43.1%), adjustment disorder (25.5%), neurasthenia (19.6%) and panic disorder (11.8%). Moreover, 72.5% of healthcare workers also had symptoms of emotional burnout according to ICD-11 criteria. A trend towards improvement of the condition of frontline healthcare workers was observed among both those who received psychological or psychiatric care and those who did not. At the same time, the most significant positive dynamics of anxiety symptoms among healthcare workers were seen in those who received treatment. Based on the structural-dynamic psychopathological analysis of mental disorders in frontline healthcare workers, three main clinical variants have been identified: asthenic-depressive, with predominant symptoms of emotional burnout, with predominant symptoms of stress and adjustment disorder. The obtained results highlight the importance of organizing psychological and psychiatric care for healthcare workers during increased workload (using the COVID-19 pandemic as an example) in order to preserve their mental health and professional longevity.
Keywords clinical and psychopathological features; mental health; healthcare workers; frontline; coronavirus; COVID-19
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