TY - JOUR
T1 - Levels and Factors Associated with Resilience in Italian Healthcare Professionals during the COVID-19 Pandemic
T2 - A Web-Based Survey
AU - Lisi, Lucia
AU - Ciaffi, Jacopo
AU - Bruni, Antonella
AU - Mancarella, Luana
AU - Brusi, Veronica
AU - Gramegna, Pasquale
AU - Ripamonti, Claudio
AU - Quaranta, Elisabetta
AU - Borlandelli, Elena
AU - Gallo, Gaetano
AU - Garofalo, Eugenio
AU - Chiaravalloti, Agostino
AU - Viola, Pasquale
AU - Ruscitti, Piero
AU - Caio, Giacomo
AU - D'Onghia, Martina
AU - D'Amuri, Andrea
AU - Cimellaro, Antonio
AU - Facchini, Giancarlo
AU - La Regina, Micaela
AU - Spinardi, Luca
AU - De Giorgio, Roberto
AU - Giacomelli, Roberto
AU - Landini, Maria Paola
AU - Berardi, Domenico
AU - Meliconi, Riccardo
AU - Ursini, Francesco
PY - 2020/11/29
Y1 - 2020/11/29
N2 - BACKGROUND: Resilience is defined as the capacity to cope successfully with change or adversity. The aims of our study were to investigate levels of resilience in Italian healthcare professionals (HCPs) during the Coronavirus disease 2019 (COVID-19) pandemic and to identify potential predictors of resilience.METHODS: We performed a web-based survey of HCPs (n = 1009) working in Italian hospitals during the COVID-19 pandemic. The survey contained a 14-item resilience scale (RS14) and questionnaires to evaluate depression and anxiety symptoms. Non-HCP individuals (n = 375) from the general population were used for comparison.RESULTS: HCPs showed significantly lower resilience compared to the control group (p = 0.001). No significant differences were observed after stratification for geographical area, work setting, role, or suspected/confirmed diagnosis of COVID-19. In a linear regression analysis, RS14 was inversely correlated with depression (R2 = 0.227, p < 0.001) and anxiety (R2 = 0.117, p < 0.001) and directly correlated with age (R2 = 0.012, p < 0.001) but not with body mass index (BMI, R2 = 0.002, p = 0.213). In male HCPs, higher depression score (odds ratio (OR) 1.147, p < 0.001) or BMI (OR 1.136, p = 0.011) significantly predicted having low resilience. In female HCPs, higher depression score (OR 1.111, p < 0.0001) and working in a COVID-19 free setting (OR 2.308, p = 0.002) significantly predicted having low resilience. HCPs satisfied with personal protective equipment had higher levels of resilience (p < 0.010).CONCLUSIONS: Our findings suggest that resilience was lower in Italian HCPs than in the general population after the first COVID-19 wave. Specific factors can be identified, and targeted interventions may have an important role to foster resilience of HCPs.
AB - BACKGROUND: Resilience is defined as the capacity to cope successfully with change or adversity. The aims of our study were to investigate levels of resilience in Italian healthcare professionals (HCPs) during the Coronavirus disease 2019 (COVID-19) pandemic and to identify potential predictors of resilience.METHODS: We performed a web-based survey of HCPs (n = 1009) working in Italian hospitals during the COVID-19 pandemic. The survey contained a 14-item resilience scale (RS14) and questionnaires to evaluate depression and anxiety symptoms. Non-HCP individuals (n = 375) from the general population were used for comparison.RESULTS: HCPs showed significantly lower resilience compared to the control group (p = 0.001). No significant differences were observed after stratification for geographical area, work setting, role, or suspected/confirmed diagnosis of COVID-19. In a linear regression analysis, RS14 was inversely correlated with depression (R2 = 0.227, p < 0.001) and anxiety (R2 = 0.117, p < 0.001) and directly correlated with age (R2 = 0.012, p < 0.001) but not with body mass index (BMI, R2 = 0.002, p = 0.213). In male HCPs, higher depression score (odds ratio (OR) 1.147, p < 0.001) or BMI (OR 1.136, p = 0.011) significantly predicted having low resilience. In female HCPs, higher depression score (OR 1.111, p < 0.0001) and working in a COVID-19 free setting (OR 2.308, p = 0.002) significantly predicted having low resilience. HCPs satisfied with personal protective equipment had higher levels of resilience (p < 0.010).CONCLUSIONS: Our findings suggest that resilience was lower in Italian HCPs than in the general population after the first COVID-19 wave. Specific factors can be identified, and targeted interventions may have an important role to foster resilience of HCPs.
U2 - 10.3390/bs10120183
DO - 10.3390/bs10120183
M3 - Article
C2 - 33260390
VL - 10
JO - Behavioral sciences (Basel, Switzerland)
JF - Behavioral sciences (Basel, Switzerland)
SN - 2076-328X
IS - 12
ER -