Table 3 Independent factors associated with the depression gradient after multivariate analysis.

From: Post-traumatic stress disorder, anxiety, depression and burnout in nursing home staff in South France during the COVID-19 pandemic

DEPRESSION

N = 494*

Noƚ. /Total No. (%)

Univariate analysisǂ

Multivariate analysis* (N = 476)

OR (95% CI)

p-value

AOR (95% CI)§

p-value

Staff characteristics

People at risk of developing a severe form of COVID-19

     

No

32/370 (75.5)

1 [Reference]

0.001

1 [Reference]

0.003

Yes

18/120 (15.0)

2.0 (1.3–3.1)

 

2.0 (1.3–3.2)

 

Missing data

4 (0.8)

    

Feelings on media communication about personal preventing measures

     

Medium or total confidence

31/337 (9.2)

1 [Reference]

0.006

1 [Reference]

0.01

Distrust or low confidence

19/150 (12.7)

1.8 (1.2–2.7)

 

1.8 (1.1–2.7)

 

Missing Data

7 (1.4)

    

Conflicts with colleagues

     

Never/rarely/sometimes

34/449 (7.6)

1 [Reference]

<0.0001

1 [Reference]

0.02

Frequently/very frequently

15/39 (38.5)

4.0 (2.1–7.7)

 

2.3 (1.1–4.7)

 

Missing data

6 (1.2)

    

Conflicts with residents

     

Never/rarely/sometimes

37/417 (8.9)

1 [Reference]

0.0002

1 [Reference]

0.003

Frequently/very frequently

13/72 (18.1)

2.7 (1.6–4.5)

 

2.3 (1.3–4.0)

 

Missing data

5 (1.0)

    

Reaction to vacation cancellation

     

- Not concerned/It’s normal, I’m there for that, I’m useful to the residents/It’s part of the job, but it’s difficult, I’m tired

34/408 (8.3)

1 [Reference]

<0.0001

1 [Reference]

0.001

- This is part of the job but I think that there are not enough of us and it is always the same people who work more

4/47 (8.5)

1.2 (0.6–2.4)

 

(0.5–2.1)

 

- I’m so tired that I’m thinking of changing my assignment or job

12/29 (41.4)

5.6 (2.7–11.8)

 

4.1 (1.9–8.8)

 

Missing data

10 (2.0)

    

Perception of information about the pandemic in the center

     

Insufficient

16/54 (29.6)

1 [Reference]

<0.0001

1 [Reference]

0.01

Medium

12/169 (7.1)

0.3 (0.2–0.6)

 

0.5 (0.3–1.0)

 

Excellent

22/264 (8.3)

0.3 (0.1–0.5)

 

0.4 (0.2–0.7)

 

Missing data

7 (1.4)

    
  1. This table shows only independent factors significantly associated with the depression gradient after multivariate analysis.
  2. Other variables included in the initial model but not significantly associated with the depression gradient are listed below:
  3. - Fear for managing COVID-19 residents (No/Somewhat versus moderately versus a lot).
  4. - Feelings about the communication of COVID-19 pandemic medical data by the media (medium or total confidence versus distrust or low confidence).
  5. - Feelings on media communication about the means to fight measures (medium or total confidence versus distrust or low confidence).
  6. - Conflicts with resident relatives (never/rarely/sometimes versus frequently/very frequently).
  7. - Level of severity of the episode (FREE-COVID/Unqualified episode versus Severe episode/Critical episode).
  8. - Transfer of COVID residents to another institution (No versus yes).
  9. *According to the order of appearance of the survey forms, an imbalance in the completion rate was noted between the first questionnaire (PCL-5) and the last form (Socio-demographic questionnaire used to research the factors associated with the psychological disorders studied) (higher completion rate for the first questionnaire). In order to evaluate the prevalence associated with psychological disorders, all the answers filled in for each scale of evaluation of the latter were taken into account, although the questionnaire was not completed in full. For this reason, a difference in the numbers analyzed (between those for the prevalence of depression and those for the analysis of associated factors) is observed (see Fig. 1). The search for factors associated with the occurrence of psychological disorders was carried out on 494 people (those who completed all the survey forms).
  10. ƚNo./Total No.: Number of observations/Total number of observations.
  11. ǂThe results presented correspond to the pre-selection of variables at p-value ≤ 20%. A second selection of variables was made at the 5% threshold and then integrated into the multivariate model.
  12. §AOR: Adjusted odd ratio for nursing-home COVID status (FREE-COVID/Unqualified episode versus Severe episode/Critical episode) and all the variables of the table with 95% confidence interval.
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