{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:32:02Z","timestamp":1780547522466,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T00:00:00Z","timestamp":1680566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Though there is a growing body of research establishing a broad negative psychological impact of COVID\u201019 among healthcare workers (HCWs), there are comparably fewer studies evaluating symptom presentation and clinical diagnoses among treatment\u2010seeking HCWs. The present report seeks to fill this gap in the literature by establishing the prevalence of anxiety, depression, post\u2010traumatic stress, alcohol misuse, and well\u2010being among treatment\u2010seeking HCWs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data were collected from 421 treatment\u2010seeking HCWs in an outpatient hospital\u2010based mental health setting. Both self\u2010report measures and semi\u2010structured interviews were utilized to assess symptom severity and render psychiatric diagnosis at intake.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adjustment disorders were the most prevalent diagnosis at 44.2%. Of the 347 who completed self\u2010report measures, over 47% endorsed moderate\u2010to\u2010severe depressive symptoms, with 13% endorsing suicidal ideation (SI). Fifty\u2010eight percent scored in the moderate\u2010to\u2010severe range for anxiety, and 19% screened positive for COVID\u2010related post\u2010traumatic stress disorder. Further analyses revealed that those in medical support roles endorsed significantly greater depression symptoms relative to other groups and also reported SI at greater frequency. Medical trainees also endorsed SI at higher frequencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings are consistent with previous research on the adverse impact of COVID\u201019 stressors on HCWs' mental health. We further identified vulnerable groups that are underrepresented in the literature. These findings highlight the need for targeted outreach and intervention among overlooked HCWs populations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23478","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T07:59:56Z","timestamp":1679644796000},"page":"500-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Symptom characteristics of health care workers seeking outpatient psychiatric care during the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4245-7960","authenticated-orcid":false,"given":"Ashley","family":"Doukas","sequence":"first","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6883-5026","authenticated-orcid":false,"given":"Jonathan","family":"DePierro","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3776-1164","authenticated-orcid":false,"given":"Sydney","family":"Starkweather","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanshdeep","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah B.","family":"Marin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis S.","family":"Charney","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA"},{"name":"Department of Pharmacology Icahn School of Medicine at Mount Sinai New York New York USA"},{"name":"Department of Neuroscience Icahn School of Medicine at Mount Sinai New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.5893"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23205"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.03.007"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2020.7.48684"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.20m13766"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000424"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2470547020977891"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-020-00643-9"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020939596"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106522"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.792925"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720001385"},{"key":"e_1_2_11_14_1","first-page":"1","article-title":"Covid\u201019 pandemic support programs for healthcare workers and implications for occupational mental health: a narrative review","author":"David E","year":"2021","journal-title":"Psychiatr Q"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-020-04772-7"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113426"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114280"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.113763"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-5-200703060-00004"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000376585"},{"key":"e_1_2_11_26_1","unstructured":"World Health Organization. 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