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Evaluation of stress and anxiety caused by the coronavirus disease 2019 (COVID-19) pandemic in pediatric radiology

. 2021 Aug;51(9):1589-1596. doi: 10.1007/s00247-021-05088-7. Epub 2021 May 14. Evaluation of stress and anxiety caused by the coronavirus disease 2019 (COVID-19) pandemic in pediatric radiology

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Evaluation of stress and anxiety caused by the coronavirus disease 2019 (COVID-19) pandemic in pediatric radiology

Rama S Ayyala et al. Pediatr Radiol. 2021 Aug.

. 2021 Aug;51(9):1589-1596. doi: 10.1007/s00247-021-05088-7. Epub 2021 May 14. Affiliations

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Abstract

Background: Work-related stress and burnout were documented to be high among pediatric radiologists prior to the coronavirus disease 2019 (COVID-19) pandemic. New challenges arose from the COVID-19 pandemic, potentially introducing new stressors and anxieties.

Objective: To evaluate potential sources of stress and anxiety for pediatric radiology faculty during the early phase of the COVID-19 pandemic.

Materials and methods: We conducted a survey of attending physician members of the Society for Pediatric Radiology in North America from April 27, 2020, to May 22, 2020. The response rate was 21% (251/1,206). Survey questions included demographic information and questions regarding working remotely, personal protective equipment, redeployment, personal wellness, wellness resources and financial concerns. A psychometrician reviewed the questions to ensure minimal risk of misinterpretation.

Results: Median age of respondents was 48 years (range 33-70 years) with median number of years in practice of 14 (range 1-45 years). Fifty-three percent of respondents were women and 46% were men. Because of an increase in remote work, 69% of respondents endorsed feeling more isolated from a lack of regular interaction with colleagues. Fifty-three percent of respondents indicated that it is challenging to work remotely while overseeing home schooling for children. In comparison to men, women reported overall higher work-related stress and anxiety (P=0.02), higher feelings of guilt from radiology staff (i.e. technologists and nurses) being more exposed to COVID-19 (P=0.02) and higher levels of stress providing for dependents (P=0.04). Most respondents thought that departmental leadership was effective and respondents were not concerned about meeting financial obligations or job loss.

Conclusion: The early phase of the COVID-19 pandemic caused additional stress and anxiety for pediatric radiology faculty and disproportionally affected women. Given the continuously evolving state of the COVID-19 pandemic, these results could aid in planning and implementation of future strategies to combat burnout in radiology. Specific attention should be directed to different stressors experienced by female versus male radiologists, especially in regard to dependent care.

Keywords: Anxiety; Burnout; COVID-19; Coronavirus; Pediatric radiology; Radiologists; Stress; Women.

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Conflict of interest statement

None

Figures

Fig. 1

Perceptions of challenges associated with…

Fig. 1

Perceptions of challenges associated with remote working. The question asked the respondents, “Since…

Fig. 1

Perceptions of challenges associated with remote working. The question asked the respondents, “Since starting working remotely at home because of social distancing, please rate how much you agree with the following statements:” A. I am able to communicate easily with clinicians at the hospital regarding clinical work. B. I am able to communicate easily with technologists/nurses/radiology department staff at the hospital while working remotely at home. C. Compared to the time prior to increased social distancing, I now feel more isolated because of lack of interaction with colleagues regularly. D. It has been a challenge to balance working remotely from home with overseeing home schooling for children. E. I have adequate support from my department leadership while dealing with the newfound challenges of working from home. F. My contribution to patient care is as effective while working remotely from home compared to working at the hospital

Fig. 2

Work-related stress/anxiety during the early…

Fig. 2

Work-related stress/anxiety during the early phases of the COVID-19 pandemic by years in…

Fig. 2

Work-related stress/anxiety during the early phases of the COVID-19 pandemic by years in practice. Respondents were asked how much they agreed with the following statement: “My work-related stress/anxiety has increased because of mandatory changes implemented due to COVID-19 pandemic.” The line is the slope between years of practice and level of agreement. The shaded area is the 95% confidence band around the slope

Fig. 3

Perceptions of importance of social…

Fig. 3

Perceptions of importance of social interactions by years in practice. Respondents were asked…

Fig. 3

Perceptions of importance of social interactions by years in practice. Respondents were asked how much they agreed with the following statement: “The lack of regular social interactions with colleagues in the department due to mandated social distancing guidelines has made doing my job less enjoyable.” The line is the slope between years of practice and level of agreement. The shaded area is the 95% confidence band around the slope

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