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Fostering resilience in healthcare professionals during and in the aftermath of the COVID-19 pandemic

Published online by Cambridge University Press:  20 April 2023

Catarina Vitorino*
Affiliation:
PhD Fellow in Clinical Psychology and a researcher at the Center for Research in Neuropsychology and Cognitive-Behavioral Intervention (CINEICC) in the Faculty of Psychology and Educational Sciences, University of Coimbra, Portugal. Her current research is focused on the examination of adaptation processes and outcomes following the COVID-19 pandemic.
Maria Cristina Canavarro
Affiliation:
Full Professor in the Faculty of Psychology and Educational Sciences, and a researcher and coordinator in the Unit of Cognitive-Behavioral Clinical Psychology (UPC3) and the Relationships, Development and Health Research Group of CINEICC at the University of Coimbra, Portugal.
Carlos Carona
Affiliation:
Academic Researcher at CINEICC, University of Coimbra, Portugal. He is also a clinical psychologist, and a lecturer/trainer in the fields of cognitive–behavioural intervention and developmental psychopathology. His main clinical and research interests include cognitive–behavioural therapy, developmental psychopathology and clinical communication.
*
Correspondence Catarina Vitorino. Email: catarina.alves.vitorino@gmail.com

Summary

The emergence of the COVID-19 pandemic has had a substantial negative psychosocial impact due to both the outbreak and the global response to it. As we know from previous health crises, front-line workers are among the risk groups for developing serious mental health problems. As a result of the continuous exposure to highly stressful circumstances, directly in their jobs and indirectly through media consumption and related societal pressures, healthcare professionals are at increased risk for distress, compassion fatigue, burnout and emotional disorders. Recent studies have been revealing specific stressors faced by healthcare workers during the COVID-19 outbreak, such as limited resources, work overload, fear of infecting significant others and isolation/loneliness. However, research has shown heterogeneity in adaptation to adversities, with many individuals being able to bounce back. Based on this growing evidence, this article provides a clinical working framework to empower healthcare professionals, by critically discussing resilience-promoting strategies along the intra- and interpersonal dimensions of control, coherence and connectedness.

Type
Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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References

Ahola, K, Väänänen, A, Koskinen, A, et al (2010) Burnout as a predictor of all-cause mortality among industrial employees: a 10-year prospective register-linkage study. Journal of Psychosomatic Research, 69: 51–7.CrossRefGoogle ScholarPubMed
Bambra, C, Riordan, R, Ford, J (2020) The COVID-19 pandemic and health inequalities. Journal of Epidemiology and Community Health, 74: 964–8.Google ScholarPubMed
Bargellini, A, Barbieri, A, Rovesti, S, et al (2000) Relation between immune variables and burnout in a sample of physicians. Occupational & Environmental Medicine, 57: 453–7.CrossRefGoogle Scholar
Bonanno, GA, Ho, SMY, Chan, JCK, et al (2008) Psychological resilience and dysfunction among hospitalized survivors of the SARS Epidemic in Hong Kong: a latent class approach. Health Psychology, 27: 659–67.CrossRefGoogle Scholar
Brooks, SK, Webster, RK, Smith, LE, et al (2020) The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395: 912–20.CrossRefGoogle ScholarPubMed
Dahne, J, Lejuez, CW, Diaz, VA, et al (2019) Pilot randomized trial of a self-help behavioral activation mobile app for utilization in primary care. Behavior Therapy, 50: 817–27.CrossRefGoogle ScholarPubMed
Freeston, M, Tiplady, A, Mawn, L, et al (2020) Towards a model of uncertainty distress in the context of Coronavirus (COVID-19). Cognitive Behaviour Therapist, 13: e31.CrossRefGoogle Scholar
Galvin, G (2021) Nearly 1 in 5 health care workers have quit their jobs during the pandemic. Morning Consult, 4 Oct (https://morningconsult.com/2021/10/04/health-care-workers-series-part-2-workforce/).Google Scholar
García-Fernández, L, Romero-Ferreiro, V, Padilla, S, et al (2022) Different emotional profile of health care staff and general population during the COVID-19 outbreak. Psychological Trauma: Theory, Research, Practice and Policy, 14: 266–72.CrossRefGoogle ScholarPubMed
Germer, CK (2009) The Mindful Path to Self-Compassion: Freeing Yourself from Destructive Thoughts and Emotions. Guilford Press.Google Scholar
Gilbert, P (2009) The Compassionate Mind. New Harbinger Publications.Google Scholar
Giusti, EM, Pedroli, E, D'Aniello, GE, et al (2020) The psychological impact of the COVID-19 outbreak on health professionals: a cross-sectional study. Frontiers in Psychology, 11: 1684.CrossRefGoogle ScholarPubMed
Hall, DL, Millstein, RA, Luberto, CM, et al (2020) Responding to COVID-19 stress: disseminating mind-body resiliency approaches. Global Advances in Health and Medicine, 9: 2164956120976554.CrossRefGoogle ScholarPubMed
Hayes, SC, Strosahl, KD, Wilson, KG (2012) Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2nd edn). Guilford Press.CrossRefGoogle Scholar
Houston, JB, Spialek, ML, First, J (2018) Disaster media effects: a systematic review and synthesis based on the differential susceptibility to media effects model. Journal of Communication, 68: 734–57.CrossRefGoogle Scholar
Kira, IA, Shuwiekh, HAM, Ashby, JS, et al (2023) The impact of COVID-19 traumatic stressors on mental health: is COVID-19 a new trauma type. International Journal of Mental Health and Addiction, 21: 51–70.CrossRefGoogle ScholarPubMed
Li, Y, Scherer, N, Felix, L, et al (2021) Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. PLoS ONE, 16(3): e0246454.CrossRefGoogle ScholarPubMed
Liu, JJW, Ein, N, Gervasio, J, et al (2022) The pursuit of resilience: a meta-analysis and systematic review of resilience-promoting interventions. Journal of Happiness Studies, 23: 1771–91.CrossRefGoogle Scholar
Martell, CR, Dimidjian, S, Herman-Dunn, R (2010) Behavioral Activation for Depression: A Clinician's Guide. Guilford Press.Google Scholar
Maslach, C, Jackson, SE (1981) The measurement of experienced burnout. Journal of Occupational Behaviour, 2: 99113.CrossRefGoogle Scholar
Masten, A, Lucke, C, Nelson, K, et al (2021) Resilience in development and psychopathology: multisystem perspectives. Annual Review of Clinical Psychology, 17: 521–49.CrossRefGoogle ScholarPubMed
Morgan, R, Tan, H, Oveisi, N, et al (2022) Women healthcare workers’ experiences during COVID-19 and other crises: a scoping review. International Journal of Nursing Studies Advances, 4: 100066.CrossRefGoogle ScholarPubMed
Ntontis, E, Drury, J, Amlôt, R, et al (2021) Collective resilience in the disaster recovery period: emergent social identity and observed social support are associated with collective efficacy, well-being, and the provision of social support. British Journal of Social Psychology, 60: 1075–95.CrossRefGoogle ScholarPubMed
Pennebaker, JW, Seagal, JD (1999) Forming a story: the health benefits of narrative. Journal of Clinical Psychology, 55: 1243–54.3.0.CO;2-N>CrossRefGoogle Scholar
Pilcher, JJ, Bryant, SA (2016) Implications of social support as a self-control resource. Frontiers in Behavioral Neuroscience, 10: 228.CrossRefGoogle ScholarPubMed
Polizzi, C, Lynn, SJ, Perry, A (2020) Stress and coping in the time of COVID-19: pathways to resilience and recovery. Clinical Neuropsychiatry, 17: 5962.Google ScholarPubMed
Procaccia, R, Segre, G, Tamanza, G, et al (2021) Benefits of expressive writing on healthcare workers’ psychological adjustment during the COVID-19 pandemic. Frontiers in Psychology, 12: 624176.CrossRefGoogle ScholarPubMed
Rauvola, RS, Vega, DM, Lavigne, KN (2019) Compassion fatigue, secondary traumatic stress, and vicarious traumatization: a qualitative review and research agenda. Occupational Health Science, 3: 297–36.CrossRefGoogle Scholar
Reich, JW (2006) Three psychological principles of resilience in natural disasters. Disaster Prevention and Management, 15: 793–8.CrossRefGoogle Scholar
Sampogna, G, Di Vincenzo, M, Giallonardo, V, et al (2022) The psychiatric consequences of long-COVID: a scoping review. Journal of Personalized Medicine, 12(11): 1767.CrossRefGoogle ScholarPubMed
Slavich, GM, Roos, LG, Zaki, J (2021) Social belonging, compassion, and kindness: key ingredients for fostering resilience, recovery, and growth from the COVID-19 pandemic. Anxiety, Stress, & Coping, 35(1): 18.CrossRefGoogle ScholarPubMed
Stapleton, SR (1998) Team-building making collaborative practice work. Journal of Nurse-Midwifery, 43: 12–8.CrossRefGoogle ScholarPubMed
Thompson, SC (2002) The role of personal control in adaptive functioning. In Handbook of Positive Psychology (eds Snyder, CR, Lopez, SJ): 202–13. Oxford University Press.Google Scholar
Unadkat, S, Farquhar, M (2020) Doctors’ wellbeing: self-care during the covid-19 pandemic. BMJ, 368: m1150.CrossRefGoogle ScholarPubMed
Vasterman, P, Yzermans, JC, Dirkzwager, AJE (2005) The role of the media and media hypes in the aftermath of disasters. Epidemiologic Reviews, 27: 107–14.CrossRefGoogle ScholarPubMed
Vukčević Marković, MV, Bjekić, J, Priebe, S (2020) Effectiveness of expressive writing in the reduction of psychological distress during the covid-19 pandemic: a randomized controlled trial. Frontiers in Psychology, 11: 587282.CrossRefGoogle ScholarPubMed
Williams, R, Kemp, V (2020) Caring for healthcare practitioners. BJPsych Advances, 26: 116–28.CrossRefGoogle Scholar
Williams, R, Ntontis, E, Alfadhli, K, et al (2021) A social model of secondary stressors in relation to disasters, major incidents and conflict: implications for practice. International Journal of Disaster Risk Reduction, 63: 102436.CrossRefGoogle Scholar
World Health Organization (2020) Novel Coronavirus (2019-nCoV): Situation Report 13. WHO (https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200202-sitrep-13-ncov-v3.pdf).Google Scholar
Zautra, AJ, Hall, JS, Murray, KE (2008) Resilience: a new integrative approach to health and mental health research. Health Psychology Review, 2: 4164.CrossRefGoogle Scholar
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