PT - JOURNAL ARTICLE AU - Danielle Lamb AU - Sam Gnanapragasam AU - Neil Greenberg AU - Rupa Bhundia AU - Ewan Carr AU - Matthew Hotopf AU - Reza Razavi AU - Rosalind Raine AU - Sean Cross AU - Amy Dewar AU - Mary Docherty AU - Sarah Dorrington AU - Stephani Hatch AU - Charlotte Wilson-Jones AU - Daniel Leightley AU - Ira Madan AU - Sally Marlow AU - Isabel McMullen AU - Anne-Marie Rafferty AU - Martin Parsons AU - Catherine Polling AU - Danai Serfioti AU - Helen Gaunt AU - Peter Aitken AU - Joanna Morris-Bone AU - Chloe Simela AU - Veronica French AU - Rachel Harris AU - Sharon A M Stevelink AU - Simon Wessely TI - Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic AID - 10.1136/oemed-2020-107276 DP - 2021 Nov 01 TA - Occupational and Environmental Medicine PG - 801--808 VI - 78 IP - 11 4099 - http://oem.bmj.com/content/78/11/801.short 4100 - http://oem.bmj.com/content/78/11/801.full SO - Occup Environ Med2021 Nov 01; 78 AB - Objectives This study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April–June) of the COVID-19 pandemic in the UK.Methods Preliminary cross-sectional data were analysed from a cohort study (n=4378). Clinical and non-clinical staff of three London-based NHS Trusts, including acute and mental health Trusts, took part in an online baseline survey. The primary outcome measure used is the presence of probable common mental disorders (CMDs), measured by the General Health Questionnaire. Secondary outcomes are probable anxiety (seven-item Generalised Anxiety Disorder), depression (nine-item Patient Health Questionnaire), post-traumatic stress disorder (PTSD) (six-item Post-Traumatic Stress Disorder checklist), suicidal ideation (Clinical Interview Schedule) and alcohol use (Alcohol Use Disorder Identification Test). Moral injury is measured using the Moray Injury Event Scale.Results Analyses showed substantial levels of probable CMDs (58.9%, 95% CI 58.1 to 60.8) and of PTSD (30.2%, 95% CI 28.1 to 32.5) with lower levels of depression (27.3%, 95% CI 25.3 to 29.4), anxiety (23.2%, 95% CI 21.3 to 25.3) and alcohol misuse (10.5%, 95% CI 9.2 to 11.9). Women, younger staff and nurses tended to have poorer outcomes than other staff, except for alcohol misuse. Higher reported exposure to moral injury (distress resulting from violation of one’s moral code) was strongly associated with increased levels of probable CMDs, anxiety, depression, PTSD symptoms and alcohol misuse.Conclusions Our findings suggest that mental health support for healthcare workers should consider those demographics and occupations at highest risk. Rigorous longitudinal data are needed in order to respond to the potential long-term mental health impacts of the pandemic.Data are available on reasonable request. Data may be available on request to the corresponding author.