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A prospective, multicenter study was conducted in 3 EDs and an emergency medical service. Healthcare workers who participated in our previous study were invited to participate in a follow\u2010up 16 and 18\u00a0months and completed the questionnaires to assess symptoms of PTSD, burnout, anxiety, depression, jobstrain, and isostrain. Among the 485 healthcare workers asked to participate, 211 (43.5%) completed the survey at inclusion (122 were followed up at 3\u00a0months) and 59 participate to the follow\u2010up study. At 16\u00a0months, 10.9% of healthcare workers had symptoms of PTSD and 17.4% at 18\u00a0months. At inclusion, 33.5% and 11.7% of healthcare workers had symptoms of anxiety and depression, respectively. A decrease in anxiety between inclusion and 16\u00a0months (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.02) and an increase between 16 and 18\u00a0months (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.009) was observed. At inclusion, 40.8% of all healthcare workers had symptoms of burnout. There was an increase in symptoms of burnout between inclusion and 18\u00a0months (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.006). At inclusion, 43.2% and 29.5% of healthcare workers were exposed to jobstrain and isostrain, respectively. Jobstrain were higher among paramedics and administrative staff compared to physicians (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.026, respectively). Successive outbreaks of COVID\u201019 led to long\u2010term mental health consequences among ED healthcare workers that differed according to occupation. This must be taken into account to rethink the management of teams.<\/jats:p>","DOI":"10.1002\/smi.3478","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T10:20:37Z","timestamp":1725704437000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long\u2010term psycho\u2010traumatic consequences of the COVID\u201019 health crisis among emergency department healthcare workers"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1592-4065","authenticated-orcid":false,"given":"Marion","family":"Douplat","sequence":"first","affiliation":[{"name":"Emergency Department Hospices Civils of Lyon Lyon Sud Hospital  Lyon France"},{"name":"Universit\u00e9 Claude Bernard Lyon 1 Research on Healthcare Performance (RESHAPE) INSERM  Lyon France"},{"name":"Aix\u2010Marseille University\/ EFS \/ CNRS  Marseille 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