Table 3.
Post hoc analysis of acute and post-acute surge variables
| Persistent distress vs no/low distress | RRR (95% CI) |
|---|---|
| Acute surge variables | |
| Worries | |
| Worries about infecting colleagues | 1.23 (1.01–1.53) |
| Worries about the effect of the pandemic on personal relationships | 1.66 (1.29–2.14) |
| Worries about not being able to do enough for COVID-19 patients | 1.51 (1.16–1.95) |
| Coping | |
| Substance use | 2.68 (1.13–6.3) |
| Behavioral disengagement | 3.02 (1.08–8.47) |
| Dispositional optimism | 0.73 (0.61–0.86) |
| Value/support | |
| Felt valued by leadership | 0.72 (0.55–0.95) |
| Felt emotional support | 0.67 (0.53–0.84) |
| Post-Acute Surge Variables | |
| Having to make difficult decisions prioritizing COVID-19 patients | 3.52 (1.60–7.75) |
| Medically high risk | 4.50 (1.53–13.33) |
| Persistent distress vs no/low distress | RRR (95% CI) |
|---|---|
| Acute surge variables | |
| Felt emotional support | 0.69 (0.54–0.88) |
| Post-acute surge variables | |
| Medically high risk | 4.44 (1.42–13.89) |
| New distress vs no/low distress | RRR (95% CI) |
|---|---|
| Acute surge variables | |
| Caring for patients who died | 1.71 (1.03–3.89) |
| Post-acute surge variables | |
| Medically high risk | 2.52 (1.43–6.37) |
Distress = psychological distress (positive screen for MDD, GAD, and PTSD symptoms)
RRR Relative Risk Ratio, 95% CI 95% confidence interval