{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:11:53Z","timestamp":1777378313552,"version":"3.51.4"},"reference-count":34,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The COVID-19 outbreak is significantly affecting the mental health of healthcare workers worldwide. This study aims to investigate the mental health outcomes of healthcare workers in a health system located in southeastern US during the first peak of the pandemic and examine the association of specific factors on the mental well-being of healthcare workers. A cross-sectional survey of 388 healthcare workers was conducted. Data were collected using a 79-item questionnaire, which included the Patient Health Questionnaire (PHQ-9) instrument, the 7-item Generalized Anxiety Disorder (GAD-7) instrument, and the 22-item Impact of Event Scale-Revised (IES-R), to assess symptoms of depression, anxiety, and general distress, respectively. Data were analyzed using descriptive, bivariate, and multivariate statistics. Accordingly, 30.1%, 28.7%, and 39.4% of respondents reported depression, anxiety, and distress symptoms, respectively. Younger workers and females reported higher mental symptomologies. We identified significant, nontraditional factors associated with depression and anxiety symptoms among healthcare workers: healthcare procedure change, concern of exposing family to COVID-19, number of missed shifts, and access to psychological resources\/services. These findings emphasize the importance of providing the proper training to reduce concerns of exposing family members and psychological interventions to promote mental health well-being for healthcare workers during the stressful COVID-19 pandemic.<\/jats:p>","DOI":"10.3390\/ijerph19095420","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T16:49:57Z","timestamp":1651250997000},"page":"5420","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Perceptions of Risk, Work, and Lifestyle Changes on Mental Health of Healthcare Workers Amidst the COVID-19 Pandemic"],"prefix":"10.3390","volume":"19","author":[{"given":"Awatef","family":"Ergai","sequence":"first","affiliation":[{"name":"Department of Industrial and Systems Engineering, Southern Polytechnic College of Engineering and Engineering Technology, Kennesaw State University, Kennesaw, GA 30144, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LeeAnna","family":"Spiva","sequence":"additional","affiliation":[{"name":"Nursing Practice and Operations, Wellstar Health System, Atlanta, GA 30339, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3917-4169","authenticated-orcid":false,"given":"Lin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Industrial and Systems Engineering, Southern Polytechnic College of Engineering and Engineering Technology, Kennesaw State University, Kennesaw, GA 30144, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Breshears","sequence":"additional","affiliation":[{"name":"Wellstar Psychological Services, Marietta, GA 30060, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ginny","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Psychological Science, Norman J. Radow College of Humanities and Social Sciences, Kennesaw, GA 30144, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2020, April 07). Novel Coronavirus (2019-nCoV) Technical Guidance, Available online: https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/technical-guidance."},{"key":"ref_2","unstructured":"Centers for Disease Control and Prevention (2020, April 05). 2019 Novel Coronavirus Wuhan, China. Information for Healthcare Professionals, Available online: https:\/\/www.cdc.gov\/coronavirus\/2019-nCoV\/hcp\/index.html."},{"key":"ref_3","unstructured":"World Health Organization (WHO) (2021, April 07). 18 February 2020. 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