{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T11:12:10Z","timestamp":1793185930620,"version":"4.5.0"},"reference-count":37,"publisher":"American Medical Association (AMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Posttraumatic growth (PTG) refers to positive psychological changes following adversity, including deeper relationships and a greater appreciation for life.<\/jats:p><\/jats:sec>Objective<\/jats:title>To assess PTG among intensive care unit (ICU) health care professionals 4 years after the COVID-19 pandemic and explore its association with resilience, anxiety, and depression.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This cross-sectional study invited ICU health care professionals (nursing staff, medical staff [residents, interns, clinical fellows, and senior intensivists], and other professionals providing patient care) in ICUs in general or university-affiliated hospitals in France and Belgium to complete online questionnaires between March 15 and May 15, 2024.<\/jats:p><\/jats:sec>Exposures<\/jats:title>PTG, resilience, anxiety, and depression.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>The primary outcome was PTG, and secondary outcomes were anxiety, depression, and resilience. Participants completed validated self-reported questionnaires, including the Posttraumatic Growth Inventory (PTGI), Hospital Anxiety and Depression Scale (HADS), and 10-item Connor-Davidson Resilience Scale (CD-RISC 10). Visual analog scales (VASs) assessed professional experiences and psychological impact. Multivariate linear regression identified factors associated with PTG.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 1371 health care professionals in 23 ICUs, 850 (62%) responded (median age, 39 years [IQR, 32-46 years]; 574 [68%] women). The median PTGI score was 50 (IQR, 33-64), with nursing staff reporting higher PTG than medical staff (51 [IQR, 34-65] vs 47 [IQR, 28-61]; P<\/jats:italic>\u2009=\u2009.02), mainly in personal strength, spiritual change, and appreciation of life. Anxiety and depression symptoms were present in 492 respondents (58%) and 219 respondents (26%), respectively. Lower PTG was associated with psychological fatigue (regression coefficient, 1.43; 95% CI, 0.91-1.96; P<\/jats:italic>\u2009&amp;lt;\u2009.001), ICU conflicts (regression coefficient, 0.62; 95% CI, 0.05-1.19; P<\/jats:italic>\u2009=\u2009.03), and perceived deterioration in family-centered care (regression coefficient, \u22127.47; 95% CI, \u22121.10 to \u221213.80; P<\/jats:italic>\u2009=\u2009.02). Higher PTG was correlated with higher resilience (Spearman correlation coefficient,\u20090.24; 95% CI, 0.17-0.30; P<\/jats:italic>\u2009&amp;lt;\u2009.001) and was associated with a change in personal life since the pandemic (regression coefficient, 1.80 [95% CI, 1.13-2.47] per VAS point; P<\/jats:italic>\u2009&amp;lt;\u2009.001).<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>In this cross-sectional study performed 4 years after the start of the COVID-19 pandemic, ICU health care professionals, particularly nursing staff, exhibited significant PTG. Resilience, rather than psychological distress, emerged as a key driver of PTG, and deterioration in family-centered care was a major contributing factor, underscoring the need for targeted well-being and resilience-building strategies to enhance health care professionals\u2019 mental health and professional fulfillment while also improving patient and family care.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2025.27443","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T15:31:07Z","timestamp":1756135867000},"page":"e2527443","source":"Crossref","is-referenced-by-count":10,"title":["Posttraumatic Growth in Intensive Care Unit Health Care Professionals After COVID-19"],"prefix":"10.1001","volume":"8","author":[{"given":"\u00c9lie","family":"Azoulay","sequence":"first","affiliation":[{"name":"Medical Intensive Care Unit, Assistance Publique\u2013H\u00f4pitaux de Paris, Saint-Louis Hospital, Paris-Cit\u00e9 University, Paris, France, INSERM 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