| Title: |
Factors Associated With Longitudinal Psychological and Physiological Stress in Health Care Workers During the COVID-19 Pandemic: Observational Study Using Apple Watch Data |
| Authors: |
Robert P Hirten; Matteo Danieletto; Lewis Tomalin; Katie Hyewon Choi; Micol Zweig; Eddye Golden; Sparshdeep Kaur; Drew Helmus; Anthony Biello; Renata Pyzik; Claudia Calcagno; Robert Freeman; Bruce E Sands; Dennis Charney; Erwin P Bottinger; James W Murrough; Laurie Keefer; Mayte Suarez-Farinas; Girish N Nadkarni; Zahi A Fayad |
| Source: |
Journal of Medical Internet Research, Vol 23, Iss 9, p e31295 (2021) |
| Publisher Information: |
JMIR Publications |
| Publication Year: |
2021 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
Computer applications to medicine. Medical informatics; R858-859.7; Public aspects of medicine; RA1-1270 |
| Description: |
BackgroundThe COVID-19 pandemic has resulted in a high degree of psychological distress among health care workers (HCWs). There is a need to characterize which HCWs are at an increased risk of developing psychological effects from the pandemic. Given the differences in the response of individuals to stress, an analysis of both the perceived and physiological consequences of stressors can provide a comprehensive evaluation of its impact. ObjectiveThis study aimed to determine characteristics associated with longitudinal perceived stress in HCWs and to assess whether changes in heart rate variability (HRV), a marker of autonomic nervous system function, are associated with features protective against longitudinal stress. MethodsHCWs across 7 hospitals in New York City, NY, were prospectively followed in an ongoing observational digital study using the custom Warrior Watch Study app. Participants wore an Apple Watch for the duration of the study to measure HRV throughout the follow-up period. Surveys measuring perceived stress, resilience, emotional support, quality of life, and optimism were collected at baseline and longitudinally. ResultsA total of 361 participants (mean age 36.8, SD 10.1 years; female: n=246, 69.3%) were enrolled. Multivariate analysis found New York City’s COVID-19 case count to be associated with increased longitudinal stress (P=.008). Baseline emotional support, quality of life, and resilience were associated with decreased longitudinal stress (P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
https://www.jmir.org/2021/9/e31295; https://doaj.org/toc/1438-8871; https://doaj.org/article/3f37a1c7c6014379848f566547428423 |
| DOI: |
10.2196/31295 |
| Availability: |
https://doi.org/10.2196/31295; https://doaj.org/article/3f37a1c7c6014379848f566547428423 |
| Accession Number: |
edsbas.562B247E |
| Database: |
BASE |