Effects of Sleep, Exercise, and Leadership Support on Resilience in Frontline Healthcare Workers During the COVID-19 Pandemic

Halley Kaye-Kauderer; George Loo; James W Murrough; Jordyn H Feingold; Adriana Feder; Lauren Peccoralo; Jonathan Ripp; Robert H Pietrzak

doi:10.1097/JOM.0000000000002460

Effects of Sleep, Exercise, and Leadership Support on Resilience in Frontline Healthcare Workers During the COVID-19 Pandemic

J Occup Environ Med. 2022 May 1;64(5):416-420. doi: 10.1097/JOM.0000000000002460. Epub 2021 Dec 21.

Authors

Halley Kaye-Kauderer¹, George Loo, James W Murrough, Jordyn H Feingold, Adriana Feder, Lauren Peccoralo, Jonathan Ripp, Robert H Pietrzak

Affiliation

¹ Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Kaye-Kauderer, Dr Murrough, Dr Feingold, Dr Feder, and Dr Pietrzak); Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Loo); Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York (Loo); Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Peccoralo and Dr Ripp); Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Peccoralo and Dr Ripp); Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Pietrzak); Department of Public Health, Yale School of Medicine, New Haven, Connecticut (Dr Pietrzak).

PMID: 34935678
DOI: 10.1097/JOM.0000000000002460

Abstract

Objective: To evaluate the direct and interacting effects of personal and systemic factors that contribute to psychological distress among frontline healthcare workers (FHCWs) during the COVID-19 pandemic.

Methods: Data were collected using a hospital-wide, cross-sectional survey. A multivariable binary logistic regression and relative importance analysis was conducted to identify factors associated with screening positive for C19-distress.

Results: A total of 1005 (39.0%, 95%CI - 37.1-40.9%) out of 2579 FHCWs met the prespecified cutoff values for significant symptoms of C19-distress. Fewer sleep hours and lower perceptions of leadership support explained the majority of variance (19.4% relative variance explained [RVE]) in C19-distress, followed by team camaraderie (6.4% RVE), physical exercise (4.9% RVE), and engagement in hobbies (3.2% RVE).

Conclusion: These results underscore the importance of restorative behaviors as potential targets to help decrease distress and promote resilience in FHCWs.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

COVID-19* / epidemiology
Cross-Sectional Studies
Exercise
Health Personnel / psychology
Humans
Leadership
Pandemics
SARS-CoV-2
Sleep