{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T15:57:11Z","timestamp":1788796631351,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Covid\u201019 outbreak hit the world forcing public institutions to rethink their core functioning. Healthcare workers (HCWs) were particularly at risk for negative mental health outcomes, given their direct exposure to many pandemic\u2010related stressors. Our study aimed to assess the psychological outcomes of French HCWs during the Covid\u201019 pandemic, including PTSD, depression and burn\u2010out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study presents the baseline data of a large cohort study conducted during the pandemic. Participants were 849 French HCWs (mostly single women, working as nurses) assessed for PTSD with the PCL\u20105 (PTSD Checklist for DSM\u20105), for depression with the PHQ\u20109 (Patient Health Questionnaire), and for burn\u2010out and compassion satisfaction with the ProQOL (Professional Quality of Life). Other pandemic\u2010related variables were also collected, including characteristics related to participants' Covid\u201019 experience, as well as psychological and clinical measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence rates of PTSD, moderately severe depression, and high risk for burn\u2010out were 17.7% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009146), 14.0% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009118) and 0.9% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097), respectively. Further, findings suggested that working conditions were challenging, though they still found pride in their work. Univariate analyses showed that being a woman, not being a physician, and lacking protective equipment were each associated with higher scores on several negative psychological outcomes (PTSD, depression, burn\u2010out and secondary traumatic stress), though not consistently across all dimensions. Notably, satisfaction scores on the ProQOL did not differ by gender and were higher among physicians. In the multivariate analyses, not being a physician was independently associated with higher levels of PTSD, depression and burn\u2010out symptoms. Being a woman was independently associated with increased PTSD symptom severity. Higher levels of positivity\u2014defined as a general tendency to view life and experiences with an optimistic and constructive outlook, as measured by the Positivity Scale\u2014were associated with lower symptom scores across all three psychological outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the considerable psychological toll of the Covid\u201019 pandemic on French HCWs, particularly among nurses and women, and underscores the protective role of individual psychological resources such as positivity. As one of the largest cohort studies conducted during the pandemic in France, it provides critical evidence to guide public health strategies, institutional policies and mental health interventions. The findings emphasise the urgent need to strengthen occupational mental health support systems and to promote resilience\u2010building approaches among healthcare professionals facing prolonged crisis conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70401","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T07:43:49Z","timestamp":1755762229000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["High Psychological Impact of Covid\u201019 on French Healthcare Workers: An Observational Cohort Study of PTSD, Depression and Burn\u2010Out"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3877-0855","authenticated-orcid":false,"given":"Wissam","family":"El\u2010Hage","sequence":"first","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme CVL, CHRU de Tours Tours France"},{"name":"UMR 1253, iBraiN, Universit\u00e9 de Tours, Inserm Tours France"},{"name":"CIC1415, CHRU de Tours, Inserm Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Lem\u00e9","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional du Psychotraumatisme CVL, CHRU de Tours Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Blanchin","sequence":"additional","affiliation":[{"name":"SPHERE U1246, Universit\u00e9 de Tours, Universit\u00e9 de Nantes, Inserm Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1413-6473","authenticated-orcid":false,"given":"Eric","family":"Bui","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Caen Normandie et CHU Caen Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5509-6471","authenticated-orcid":false,"given":"Hala","family":"Kerbage","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry Saint Eloi University Hospital Montpellier France"},{"name":"Center for Epidemiology and Population Health (CESP), INSERM U1018, Developmental Psychiatry Paris\u2010Saclay University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ibouhsissen","sequence":"additional","affiliation":[{"name":"CIC1415, CHRU de Tours, Inserm Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5311-1191","authenticated-orcid":false,"given":"Aude","family":"Allemang\u2010Trivalle","sequence":"additional","affiliation":[{"name":"CIC1415, CHRU de Tours, Inserm Tours 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