key: cord-0753712-2p1iv4eq authors: Horn, Mathilde; Wathelet, Marielle; Fovet, Thomas; Collet, François; Vaiva, Guillaume; D'Hondt, Fabien; Amad, Ali title: Psychological impact of the COVID-19 pandemic on non-frontline healthcare workers date: 2021-02-18 journal: Gen Hosp Psychiatry DOI: 10.1016/j.genhosppsych.2021.01.013 sha: fa94e160b2634d8271f84f1524216c0e3dacc8d3 doc_id: 753712 cord_uid: 2p1iv4eq nan Questionnaire for Depression and Anxiety score (PHQ-4) [7] . Ethical approval was obtained via the Commission Nationale Informatique et Liberté (CNIL) and the Local Data Protection Service (DEC20-155). Two hundred and twenty-five HCW fulfilled the questionnaires. Among them, 45.7% were between 30 and 50 years old, 35.6% under 30, and 16.9% over 50; 84% were women; 43% were nurses, 8% were doctors, and 23% work night shifts. Based on previous conflicting results, we distinguished: (i) frontline HCW, (ii) non-frontline HCW who were impacted in their activity (i.e. "impacted/non-frontline HCW") and (iii) non-frontline HCW whose activity was not impacted by the epidemic (i.e. "non-impacted/non-frontline HCW"). We performed a multivariate linear regression model explaining PHQ-4 score, according to the activity status (frontline HCW, impacted/non-frontline HCW, and non-impacted/non-frontline HCW) adjusted for age, gender, seniority, occupation, and work shift (day or night). Interestingly, we found that impacted/non-frontline HCW had a higher score of depression and anxiety than both frontline HCW and non-impacted/non-frontline HCW (Figure) . This suggests that the most important stress factor for HCW is the confrontation to rapid and unplanned work reorganization, which mainly concerns non-frontline/impacted HCW who had to urgently replace a colleague in a different ward, or rapidly modify their activity depending on the pandemic situation and the situation in the frontline units, for example. This reorganization was stressful because of rapidly changing information, insufficient psychological support, and little training on personal protective equipment.Indeed, in the context of the covid-19 pandemic, many governments and hospitals have formulated a series of actions to support HCW, including supplementary external material, human resources, and psychological support, but these exceptional measures have been mainly deployed for The mental health of frontline and non-frontline medical workers during the coronavirus disease 2019 (COVID-19) outbreak in China: A case-control study Psychological impact of the COVID-19 pandemic on healthcare workers: a crosssectional study in China Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore Vicarious traumatization: A psychological problem that cannot be ignored during the COVID-19 pandemic An ultra-brief screening scale for anxiety and depression: the PHQ-4 Role and importance of consultation-liaison psychiatry during the Covid-19 epidemic Epidemic psychiatry: The opportunities and challenges of COVID-19 A Systematic Review and Provisional Metanalysis on Psychopathologic Burden on Health Care Workers of Coronavirus Outbreaks. Front Psychiatry Acknowledgements: We would like to thank the professionals of the consultation-liaison psychiatry service of the University Medical Center of Lille for their hard work with patients, but also with healthcare professionals, during this unprecedented sanitary crisis.We would like to thank the Fondation de France, for the financial support to our consultationliaison psychiatry service.