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. 2021 Oct 27;22(6):1240–1252. doi: 10.5811/westjem.2021.9.53406

Table 4.

Relationship between pandemic-related factors and psychological distress.

Participant Characteristics Depression Anxiety PTSS Insomnia

% (n) Median (IQR) P Adj. alpha Median (IQR) P Adj. alpha Median (IQR) P Adj. alpha Median (IQR) P Adj. alpha
Surge during time of survey
 Yes 27.7% (70) 5 (2–9) 4.5 (1–9.5) 8 (1.5–15) 10 (3.5–13.5)
 No 72.3% (183) 4 (2–8) .19 .017 4 (1–6) 0.08 .017 5 (1–12) .09 .017 7 (4–11) .12 .007
Infected with COVID-19 (any time)
 Yes 4% (10) 7 (2–12) 5 (2–11) 9 (0–29) 10.5 (5–16)
 No 96% (241) 4 (2–8) .37 .025 4 (1–6) 0.39 .025 6 (1–13) .46 .025 8 (4–12) .36 .013
Isolated self from family at any point
 Yes 24.5% (63) 6 (3–9.5) 6 (1–7) 10 (2.5–21.5) 7 (4–11)
 No 75.5% (194) 4 (1–7) <.001 .006 4 (1–6) .003 .006 5 (1–11) .004 .007 10 (6–14) .002 .006
Adequate PPE at work (throughout COVID-19)
 Yes 41.7% (108) 5 (3–9) 5 (2–7.5) 8 (2–15) 8 (4.5–12)
 No 54.8% (142) 4 (1–7) .03 .007 3 (1–6) .006 .008 4 (.5–10) .01 .008 8 (4–12) .63 .025
Staffing shortages due to COVID-19
 Yes 73.2% (183) 5 (2–8) 5 (2–7) 7 (2–15) 7 (4–11)
 No 26.8% (67) 3 (1–6.5) .06 .01 2 (0–5) .003 .007 3 (1–8.5) .02 .01 8 (4.5–12) .41 .017
Ventilator Shortage (throughout COVID-19)
 Yes 12% (30) 6 (4–9) 5 (4–8) 10 (5–18) 9 (6–12)
 No 88% (219) 4 (2–8) .05 .008 4 (1–6) .013 .01 5 (1–12) .001 .006 8 (4–12) .28 .01
Access to COVID-19 testing (throughout)
 Yes 32.4% (81) 4 (1–7) 3 (1–6) 3 (1–11) 8 (3–11)
 No 67.6% (169) 4 (2–8) .16 .0125 4 (2–7) .02 .0125 6 (2–14) .04 .0125 8 (4–12) .13 .008
Replacement of N95 masks
 At least after 1 day 57.6% (144) 5 (1.5–8) 4 (1–7) 5 (1–14) 8 (4–12)
 > 1 day or never 42.4% (106) 4 (2–8) .62 .05 4 (1–6) .79 .05 6.5 (1–12) .65 .05 7.5 (4–12) .87 .05

Note: P values derived from Mann-Whitney U tests. Bolded P values denote statistical significance.

PTSS, post-traumatic stress symptoms; IQR, interquartile range; Adj, adjusted; COVID-19, coronavirus disease 2019; PPE, personal protective equipment.