Publications

Authors:

Busch, Isolde Martina; Mazzi, Maria Angela; Cosci, Fiammetta; Berti, Loretta; Marinelli, Veronica; Moretti, Francesca; Maggioni, Olga; Wu, Albert W; Rimondini, Michela

Title:

Anxiety and Depression and Related Risk Factors in Italian Healthcare Providers Involved in Adverse Events

Year:

2025

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

Elettronico

Referee:

Sì

Name of journal:

HEALTHCARE

ISSN of journal:

2227-9032

N° Volume:

13

Number or Folder:

3

Page numbers:

1-16

Keyword:

adverse events; anxiety; depression; healthcare workers; occupational mental health; risk factors; screening; second victims

Short description of contents:

Background/Objectives: Despite the importance of the second victim phenomenon for healthcare systems, there is limited research on Italian healthcare providers. We assessed emotional distress in individuals impacted by an adverse event using the Withstand-PSY Questionnaire (WS-PSY-Q). Additionally, we aimed to identify potential risk factors for anxiety and depression. Methods: A cross-sectional online survey of 284 participants. Measures included the WS-PSY-Q, Beck Depression Inventory-II (BDI-II), and State-Trait Anxiety Inventory (STAI-Y). Descriptive analyses and seemingly unrelated regression, jointly estimating anxiety and depression, were conducted using Stata (version 18). Results: Fifty-nine percent of the participants tested positive for anxiety (WS-PSY-Q anxiety subscale ≥ 16), thirty-seven percent for depression (WS-PSY-Q depression subscale ≥ 22), and thirty-five percent for both. In the final model, anxiety symptoms following the adverse event were associated with pre-event anxiety levels (p < 0.01), seeking psychological help (p < 0.05), self-perceived responsibility (p < 0.01), severity of the adverse event for the patient (p < 0.05), and punitive workplace climate (p < 0.05). Correlates of post-event depressive symptoms included pre-existing depression (p < 0.01), self-perceived responsibility (p < 0.01), severity of the impact of the adverse event (p < 0.01), punitive or neutral workplace climate (p < 0.05), and seeking psychological help (p < 0.01). Conclusions: This study adds to the growing understanding of the mental health difficulties that healthcare workers in Italy encounter after adverse events, addressing both individual and systemic risk factors. Proactive implementation of mental health measures for healthcare workers could foster their well-being after adverse events and promote a stronger, more just organizational culture.

Web page:

https://doi.org/10.3390/healthcare13030343

Product ID:

144384

Handle IRIS:

11562/1155327

Last Modified:

April 19, 2025

Bibliographic citation:

Busch, Isolde Martina; Mazzi, Maria Angela; Cosci, Fiammetta; Berti, Loretta; Marinelli, Veronica; Moretti, Francesca; Maggioni, Olga; Wu, Albert W; Rimondini, Michela, Anxiety and Depression and Related Risk Factors in Italian Healthcare Providers Involved in Adverse Events «HEALTHCARE» , vol. 13 , n. 3 , 2025 , pp. 1-16

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