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Martínez-Arriaga RJ, Dominguez-Rodriguez A, Herdoiza-Arroyo PE, Robles-Garcia R, de la Rosa-Gómez A, Figueroa González JA, Muñoz Anacona YA. Suicide risk and associated factors in healthcare workers seeking psychological support during COVID-19: a cross-sectional study. PSYCHOL HEALTH MED 2023; 28:3076-3090. [PMID: 37224286 DOI: 10.1080/13548506.2023.2216469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Accepted: 05/16/2023] [Indexed: 05/26/2023]
Abstract
Healthcare workers have been one of the groups most severely affected by the COVID-19 pandemic, leaving them with serious psychological effects. Some of these effects have not been treated promptly, leading to further psychological symptoms. The objective of this study was to evaluate suicide risk in healthcare workers seeking psychological help during the COVID-19 pandemic, and factors associated with this risk on participants that were searching for treatment during the COVID-19 pandemic. This is a cross-sectional study analyzing data from 626 Mexican healthcare workers seeking psychological help due to the COVID-19 pandemic through the www.personalcovid.com platform. Before they entered treatment, the Plutchik Suicide Risk Scale, the Depression Scale of the Center for Epidemiologic Studies, the Pittsburgh Sleep Quality Index, and the Professional Quality of Life Measure, were administered. Results: 49.4% (n = 308) presented suicide risk. The most severely affected groups were nurses (62%, n = 98) and physicians (52.7%, n = 96). Predictors of suicide risk in healthcare workers were secondary traumatic stress, high depressive affect, low positive affect, emotional insecurity and interpersonal problems, and medication use. Conclusions: The suicidal risk detected was high, found mostly in nurses and doctors. This study suggests the presence of psychological effects on healthcare workers, despite the time that has elapsed since the onset of the pandemic.
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Affiliation(s)
- Reyna Jazmín Martínez-Arriaga
- Departamento de Clínicas de Salud Mental, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, Mexico
| | - Alejandro Dominguez-Rodriguez
- Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands
- Health Sciences Area, Valencian International University, Valencia, Spain
| | | | - Rebeca Robles-Garcia
- Epidemiological and Psychosocial Research Directorate, Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñiz", Mexico City, Mexico
| | - Anabel de la Rosa-Gómez
- Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Mexico City, Mexico
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Usher K, Jackson D. Nurses were at high risk of suicide before the COVID-19 pandemic: Is the worst still to come? Int J Ment Health Nurs 2023; 32:1512-1514. [PMID: 37823348 DOI: 10.1111/inm.13241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 09/27/2023] [Indexed: 10/13/2023]
Affiliation(s)
- Kim Usher
- Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
- Sydney Nursing School, The University of Sydney, Sydney, New South Wales, Australia
| | - Debra Jackson
- Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
- Sydney Nursing School, The University of Sydney, Sydney, New South Wales, Australia
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Robles R, Infante S, Feria M, Arango I, Tirado E, Rodríguez-Delgado A, Miranda E, Fresán A, Becerra C, Escamilla R, Madrigal de León EA. Remote crisis intervention and suicide risk management in COVID-19 frontline healthcare workers. Front Psychol 2023; 14:1253179. [PMID: 38022932 PMCID: PMC10645097 DOI: 10.3389/fpsyg.2023.1253179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 10/12/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Despite the propagation of virtual mental health services for vulnerable groups during COVID-19 pandemic, the implementation and evaluation of remote evidence-based practices (EBP) to manage them in low- and middle-income countries remains scarce. In the current study, we describe and evaluate the implementation process and clinical impact of brief, remote, manualized EBP for crisis intervention and suicide risk management among healthcare workers attending patients with COVID-19 (COVID-19-HCWs) in Mexico. Methods The implementation process comprised community engagement of volunteer mental health specialists, creation of new clinical teams with different disciplines and skills, intervention systematization through manuals and education through 4-h remote training as main strategies. Mexican COVID-19-HCWs who had used a free 24-h helpline rated their pre- and post-intervention emotional distress. Therapists recorded patients' pre-intervention diagnosis, severity, and suicide risk, the techniques used in each case, and their post-treatment perception of COVID-19-HCWs' improvement at the end of the intervention. Results All techniques included in the intervention manual were employed at least in one case (n = 51). At the beginning of the intervention, 65.9% of the COVID-19-HCWs were considered moderately ill or worse according to Clinical Global Impression-Severity (CGI-S) scores, whereas at the end, 79.4% of them were perceived as much or very much improved according to CGI-Improvement scores (CGI-I), and their emotional distress had been significantly reduced (p < 0.001). Discussion This prospective study provides evidence that implementation of remote EBP is feasible and useful to reduce emotional distress and suicide risk among COVID-19-HCWs from a middle-income country. However, this study was limited by lack of a control group, improvement ratings provided by therapists and non-anonymous satisfaction ratings.
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Affiliation(s)
- Rebeca Robles
- Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Sara Infante
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Miriam Feria
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Iván Arango
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Elsa Tirado
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Andrés Rodríguez-Delgado
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Edgar Miranda
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Ana Fresán
- Laboratory of Clinical Epidemiology, Subdirectorate of Clinical Research, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Claudia Becerra
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Raul Escamilla
- Directorate of Clinical Services, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
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Kogan CS, Garcia-Pacheco JA, Rebello TJ, Montoya MI, Robles R, Khoury B, Kulygina M, Matsumoto C, Huang J, Medina-Mora ME, Gureje O, Stein DJ, Sharan P, Gaebel W, Kanba S, Andrews HF, Roberts MC, Pike KM, Zhao M, Ayuso-Mateos JL, Sadowska K, Maré K, Denny K, Reed GM. Longitudinal Impact of the COVID-19 Pandemic on Stress and Occupational Well-Being of Mental Health Professionals: An International Study. Int J Neuropsychopharmacol 2023; 26:747-760. [PMID: 37531283 PMCID: PMC10586039 DOI: 10.1093/ijnp/pyad046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 07/31/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND Increased levels of occupational stress among health professionals during the COVID-19 pandemic have been documented. Few studies have examined the effects of the pandemic on mental health professionals despite the heightened demand for their services. METHOD A multilingual, longitudinal, global survey was conducted at 3 time points during the pandemic among members of the World Health Organization's Global Clinical Practice Network. A total of 786 Global Clinical Practice Network members from 86 countries responded to surveys assessing occupational distress, well-being, and posttraumatic stress symptoms. RESULTS On average, respondents' well-being deteriorated across time while their posttraumatic stress symptoms showed a modest improvement. Linear growth models indicated that being female, being younger, providing face-to-face health services to patients with COVID-19, having been a target of COVID-related violence, and living in a low- or middle-income country or a country with a higher COVID-19 death rate conveyed greater risk for poor well-being and higher level of stress symptoms over time. Growth mixed modeling identified trajectories of occupational well-being and stress symptoms. Most mental health professions demonstrated no impact to well-being; maintained moderate, nonclinical levels of stress symptoms; or showed improvements after an initial period of difficulty. However, some participant groups exhibited deteriorating well-being approaching the clinical threshold (25.8%) and persistently high and clinically significant levels of posttraumatic stress symptoms (19.6%) over time. CONCLUSIONS This study indicates that although most mental health professionals exhibited stable, positive well-being and low stress symptoms during the pandemic, a substantial minority of an already burdened global mental health workforce experienced persistently poor or deteriorating psychological status over the course of the pandemic.
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Affiliation(s)
- Cary S Kogan
- School of Psychology, University of Ottawa, Ottawa, Ontario, Canada
| | | | - Tahilia J Rebello
- Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA
| | | | - Rebeca Robles
- Center for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Brigitte Khoury
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Maya Kulygina
- Training and Research Centre, Mental-health clinic No.1 named after N.A. Alekseev, Moscow, Russian Federation
| | | | - Jingjing Huang
- Shanghai Mental Health Center and Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - María Elena Medina-Mora
- Faculty of Psychology, National Autonomous University of Mexico and Center for Global Mental Health Research, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico
| | - Oye Gureje
- WHO Collaborating Centre for Research and Training in Mental Health, Neuroscience, Drug and Alcohol Abuse, Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
| | - Dan J Stein
- Department of Psychiatry, Neuroscience Institute, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa
- SAMRC Unit on Risk and Resilience on Mental Disorders, Department of Psychiatry, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa
| | - Pratap Sharan
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
| | - Wolfgang Gaebel
- Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany
| | - Shigenobu Kanba
- Kyushu University, Fukuoka and Japan Depression Center, Tokyo, Japan
| | - Howard F Andrews
- Departments of Biostatistics and Psychiatry, Columbia University and New York State Psychiatric Institute, Columbia University Medical Center, New York, New York, USA
| | - Michael C Roberts
- Clinical Child Psychology Program, University of Kansas, Lawrence, Kansas, USA
| | - Kathleen M Pike
- Departments of Psychiatry and Epidemiology, Columbia University Irving Medical Center, New York, New York, USA
| | - Min Zhao
- Shanghai Mental Health Center and Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autónoma de Madrid, Instituto de Salud Carlos III, Centro de Investigacíon Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Investigacíon Sanitaria La Princesa, Madrid, Spain
| | - Karolina Sadowska
- Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA
| | - Karen Maré
- Department of Psychiatry, Neuroscience Institute, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Observatory, South Africa
| | - Keith Denny
- Department of Sociology and Anthropology, Carleton University, Ottawa, Ontario, Canada
| | - Geoffrey M Reed
- Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA
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Thu Pham H, Viet Cao T, Bich Le N, T-T Nguyen N, Thi Ngoc Vuong B, Vu Dieu Pham L, Thu Hoang T, Thi Hanh Pham T, Ngoc Nguyen T, Thi Thu Bui H, Van Tran T, Thuy Vu L, Thi Le P. Depression, anxiety and stress among healthcare workers in the context of the COVID-19 pandemic: a cross-sectional study in a tertiary hospital in Northern Vietnam. Front Public Health 2023; 11:1231326. [PMID: 37794894 PMCID: PMC10546943 DOI: 10.3389/fpubh.2023.1231326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 08/15/2023] [Indexed: 10/06/2023] Open
Abstract
Introduction The outbreak of coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) had significant effects on the mental well-being in general, particularly for healthcare professionals. This study examined the prevalence of depression, anxiety, and stress, and identified the associated risk factors amongst healthcare workers during the COVID-19 outbreak in a tertiary hospital located in Vietnam. Methods We conducted a cross-sectional study at a tertiary-level hospital, where the Depression Anxiety and Stress Scale 21 (DASS-21) web-based questionnaire was employed. We analyzed the determinant factors by employing multivariate logistic models. Results The prevalence of depression, anxiety, and stress symptoms were 19.2%, 24.7%, and 13.9%, respectively. Factors such as engaging in shift work during the pandemic, taking care of patients with COVID-19, and staff's health status were associated with mental health issues among health professionals. In addition, having alternate rest periods was likely to reduce the risk of stress. Conclusion The prevalence of mental health problems in healthcare workers during the COVID-19 pandemic was relatively high. Having resting periods could potentially mitigate the development of stress among health professionals. Our findings could be taken into account for improving mental health of the health professional population.
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Affiliation(s)
- Hien Thu Pham
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Tung Viet Cao
- Heart Center, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Ngoc Bich Le
- Faculty of Fundamental Sciences, Hanoi University of Public Health, Hanoi, Vietnam
| | - Nhung T-T Nguyen
- Faculty of Fundamental Sciences, Hanoi University of Public Health, Hanoi, Vietnam
| | - Bich Thi Ngoc Vuong
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Linh Vu Dieu Pham
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Trang Thu Hoang
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Trang Thi Hanh Pham
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Thuy Ngoc Nguyen
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Huong Thi Thu Bui
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Tho Van Tran
- Department of Biochemistry, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Linh Thuy Vu
- International medical Center, Vietnam National Children’s Hospital, Hanoi, Vietnam
| | - Phuong Thi Le
- Department of Human Resources, Vietnam National Children’s Hospital, Hanoi, Vietnam
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6
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Qian YF, Liu Y, Wang L, Li Q, Sun RQ. Current status of post-traumatic stress disorder among emergency nurses and the influencing factors. Front Psychiatry 2023; 14:1203782. [PMID: 37732073 PMCID: PMC10507613 DOI: 10.3389/fpsyt.2023.1203782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 08/03/2023] [Indexed: 09/22/2023] Open
Abstract
Objective To gain a better understanding of the current state of traumatic stress experienced by emergency nurses of Grade III Level A hospitals in Jiangsu Province, as well as their coping styles after experiencing such traumatic events. Additionally, this study aims to identify the primary factors that influence the responses of these nurses to traumatic events. Methods Using a cluster random sampling method, we enrolled 265 nurses working in the emergency departments of five Grade III Level A hospitals in Jiangsu Province. These nurses participated in a questionnaire survey that included inquiries regarding general information, previous traumatic experiences, and a post-traumatic stress disorder self-assessment scale (PCL-C) for emergency department nurses. Results A total of 290 questionnaires were distributed, resulting in 265 valid questionnaires and an effective rate of 91.38%. These findings indicated that emergency nurses who participated in public health emergencies such as the COVID-19 pandemic (45.66%) and sudden health deterioration and death of patients (43.77%) encountered the most traumatic events. The top two traumatic events that had a moderate or greater impact on emergency nurses were verbal abuse from patients or their family members (39.24%) and verbal or physical threats by patients or their family members (35.09%). The mean PCL-C score of nurses who experienced traumatic events was 33.62 ± 11.37, with a positive rate of 26.04%. Results from the one-way analysis of variance and multiple linear regression analysis demonstrated that the working years, monthly income, and personal health status of emergency nurses were the main factors contributing to post-traumatic stress disorder. Conclusion Emergency nurses are susceptible to severe traumatic stress following traumatic events, and effective interventions are necessary to address the diverse factors that contribute to their psychological well-being.
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Affiliation(s)
- Yu-Fei Qian
- Department of Emergency, The Second Affiliated Hospital of Nantong University, Nantong, China
| | - Ying Liu
- Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, China
| | - Li Wang
- Department of Emergency, The Second Affiliated Hospital of Nantong University, Nantong, China
| | - Qing Li
- Department of Emergency, The Second Affiliated Hospital of Nantong University, Nantong, China
| | - Rong-Qian Sun
- Department of Emergency, The Second Affiliated Hospital of Nantong University, Nantong, China
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González-Becerra K, Avalos-Navarro G, Rangel-Villalobos H. [Mental and nutritional habits at the beginning of the COVID-19 pandemic: impact, perspectives and recommendations]. REVISTA MEDICA DEL INSTITUTO MEXICANO DEL SEGURO SOCIAL 2023; 61:645-652. [PMID: 37769136 PMCID: PMC10599769 DOI: 10.5281/zenodo.8316463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 03/13/2023] [Indexed: 09/30/2023]
Abstract
Besides the severe impact on the mortality rate in the world, the COVID-19 pandemic demonstrated the importance of having an optimal physical and mental health, since subjects with chronic diseases were the most affected. The aim of this review was to describe the consequences of nutritional and mental health during the beginning of the pandemic. In developing countries, such as Mexico, the prevalence of mental illnesses including depression, anxiety, stress, and suicide increased considerably. In addition, it was found an increase rate of sedentary lifestyles due to the confinement established as a preventive measure to avoid COVID-19 infections. Concerning eating habits, it was reported a decrease in fruits and vegetables consumption and an increase in energy-dense foods, as well as alcohol consumption or smoking, as compensatory measures for mental disorders of anxiety and depression. Based on the information we look up on the impact of COVID-19 on human health, we suggest as prevention measures multidisciplinary care strategies aimed at promoting mental health, diet, and physical activity habits in a comprehensive context. Likewise, information it is highlighted the importance of establishing care and monitoring programs for patients with chronic diseases, because this factor was decisive for mortality after COVID-19 infection.
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Affiliation(s)
- Karina González-Becerra
- Universidad de Guadalajara, Centro Universitario de la Ciénega, Instituto de Investigación en Genética Molecular, Departamento de Ciencias Médicas y de la Vida. Ocotlán, Jalisco, MéxicoUniversidad de GuadalajaraMéxico
| | - Guadalupe Avalos-Navarro
- Universidad de Guadalajara, Centro Universitario de la Ciénega, Instituto de Investigación en Genética Molecular, Departamento de Ciencias Médicas y de la Vida. Ocotlán, Jalisco, MéxicoUniversidad de GuadalajaraMéxico
| | - Héctor Rangel-Villalobos
- Universidad de Guadalajara, Centro Universitario de la Ciénega, Instituto de Investigación en Genética Molecular, Departamento de Ciencias Médicas y de la Vida. Ocotlán, Jalisco, MéxicoUniversidad de GuadalajaraMéxico
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8
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Thibaut F, ELNahas G. Women's Mental Health and Lessons Learnt from the COVID-19 Pandemic. Psychiatr Clin North Am 2023; 46:415-426. [PMID: 37500241 PMCID: PMC10110924 DOI: 10.1016/j.psc.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
Women are at the highest risk of pandemic adversities as they represent the majority of health and frontline workers in addition to their essential roles at home. We review gender differences during the COVID-19 pandemic by demonstrating risk-exposure during specific situations such as pregnancy, women's mental health fallouts, COVID-19 disease itself and exposure to different forms of violence. We discuss the particularities that women face in developing countries with depicted examples from some countries in Africa and the Middle East. Women mental health care service stands out as an essential component of the national response to pandemics. Women's integration and leadership in the national pandemic response planning is crucial.
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Affiliation(s)
- Florence Thibaut
- University Paris Cité, Paris, France; INSERM U1266 Institute of Psychiatry and Neurosciences, Department of Psychiatry and Addiction, University Hospital Cochin (Site Tarnier), AP-HP.
| | - Gihan ELNahas
- NeuroPsychiatry Department Faculty of Medicine, Ain Shams University, Egypt
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Mahmoud MA, Abolashamat KT, Quronfulah BS, Rajeh MT, Badawoud AM, Alzhrani AM, Abdouh IM, Badri HM. The Effects of Social Media Addiction, Psychological Distress, and Loneliness on Suicide Ideations and Attempts Among Healthcare Professionals in Saudi Arabia. Cureus 2023; 15:e44234. [PMID: 37772254 PMCID: PMC10523106 DOI: 10.7759/cureus.44234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2023] [Indexed: 09/30/2023] Open
Abstract
INTRODUCTION Recently, there has been an alarming increase in psychological distress in many populations. One of the reasons can be attributed to the rapid development of technology and social media, which could adversely affect the mental health of individuals, including those working in healthcare. This study aimed to assess the influence of social media addiction, psychological distress, and loneliness on suicidal ideations and suicide attempts among healthcare students and professionals in Saudi Arabia. MATERIALS AND METHODS This cross-sectional study collected data from healthcare students and professionals using a five-part questionnaire: (i) demographics, (ii) the Bergen Social Media Addiction Scale (BSMAS), (iii) the Kessler Psychological Distress Scale (K10), (iv) the De Jong Gierveld Loneliness Scale (DGLS), and (v) suicide ideation and attempts scale. RESULTS There were 800 participants from 33 cities who completed the questionnaire. A total of 31.37% reported lifelong thoughts of suicide, regardless of whether they would actually go through with it (S1), 18.38% had suicidal thoughts within the last 12 months (S2), and 11% had attempted suicide (S3). Of those who attempted suicide, 79 (89.77%) reported seeking help. Multiple logistic regression showed that lifetime suicidal thoughts were predicted by psychological distress, emotional loneliness (EL), social loneliness (SL), and age. Having had suicidal thoughts within the prior 12 months was predicted by psychological distress, SL, and age. Suicidal attempts were predicted by psychological distress, EL, age, and social media addiction. CONCLUSIONS Our findings demonstrated that psychological distress and loneliness are strongly associated with suicidal ideas and suicide attempts. Such results could serve as a warning call that assists healthcare professionals and mental health teams in arranging and planning effective interventions and actions to raise awareness, as well as reduce the levels of psychological distress and loneliness that could lead to grave consequences.
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Affiliation(s)
- Mahmoud A Mahmoud
- Public Health, Imam Muhammad Ibn Saud Islamic University, Riyadh, SAU
| | | | - Baraa S Quronfulah
- Health Promotion and Health Education, Umm Al-Qura University, Makkah, SAU
| | - Mona T Rajeh
- Public Health Dentistry, King Abdulaziz University, Jeddah, SAU
| | - Amal M Badawoud
- Pharmacy Practice, Princess Nourah Bint Abdul Rahman University, Riyadh, SAU
| | | | - Ismail M Abdouh
- Oral Basic and Clinical Sciences, Taibah University, Al Madinah Al Munawara, SAU
| | - Hatim M Badri
- Environmental Health, Umm Al-Qura University, Makkah, SAU
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Kim Y, Yang SC, Jang J, Park SY, Kim SS, Kim C, Kwon D, Lee SW. COVID-19 Cases and Deaths among Healthcare Personnel with the Progression of the Pandemic in Korea from March 2020 to February 2022. Trop Med Infect Dis 2023; 8:308. [PMID: 37368726 DOI: 10.3390/tropicalmed8060308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 06/29/2023] Open
Abstract
Healthcare personnel (HCP) are vulnerable to COVID-19 infection due to their higher risk of contact with infected persons. The numbers of cases and deaths among HCP in Korea were divided into four periods associated with different major variants of SARS-CoV-2: GH clade, Alpha, Delta, and Omicron. To evaluate the implication of HCP infection in Korea, we overviewed the pandemic status in Korea and in other countries: the cases, deaths, excess mortality, and vaccination rates in Germany, Israel, Italy, Japan, the United Kingdom, and the United States. In about two years, there were 10,670 HCP cases among all COVID-19 cases (1.15% of 925,975 cases). HCP cases had a lower death rate (%) compared to that for all cases (0.14 versus 0.75). Nurses were the most infected (55.3%), followed by HCP of other categories (28.8%) and doctors (15.9%), while deaths were mostly reported among doctors (9 out of 15, 60%). Cases among HCP gradually increased, but the death rate decreased as the pandemic progressed. Compared to five of the other countries examined, Korea had a higher incidence of cases but a lower mortality, lower excess mortality, and a higher vaccination rate.
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Affiliation(s)
- Yeonju Kim
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Sung-Chan Yang
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Jinhwa Jang
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Shin Young Park
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Seong Sun Kim
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Chansoo Kim
- AI/R Lab, AI-Robot Department, University of Science and Technology, Seoul 02792, Republic of Korea
- AI/R Lab, Computational Science Center & ASSIST, Korea Institute of Science and Technology, Seoul 02792, Republic of Korea
| | - Donghyok Kwon
- Division of Public Health Emergency Response Research, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
- Division of Epidemiological Investigation Analysis, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
| | - Sang-Won Lee
- Public Health Emergency Preparedness, Korea Disease Control and Prevention Agency (KDCA), Cheongju 28159, Republic of Korea
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García-Dolores F, Tendilla-Beltrán H, Flores F, Carbajal-Rimoldi LA, Mendoza-Morales RC, Gómez-Mendoza LE, Vázquez-Hernández AJ, de la Cruz F, Genis-Mendoza AD, Nicolini H, Flores G. Increased suicide rates in Mexico City during the COVID-19 pandemic outbreak: An analysis spanning from 2016 to 2021. Heliyon 2023; 9:e16420. [PMID: 37274652 PMCID: PMC10228161 DOI: 10.1016/j.heliyon.2023.e16420] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 05/06/2023] [Accepted: 05/16/2023] [Indexed: 06/06/2023] Open
Abstract
Objective Coronavirus disease 2019 (COVID-19) has impacted mental health worldwide, and suicide can be a serious outcome of this. Thus, suicide characteristics were examined before and during the COVID-19 pandemic in Mexico City. Methods This is a retrospective study including all Mexico City residents who had a coroner's record with a cause of death of intentional self-harm (ICD-10) from January 2016 to December 2021. Results From 2016 to 2021, 3636 people committed suicide, of which 2869 were males (78.9%) and 767 females (21.1%). From 2016 to 2019 the suicide rate remained constant (∼6 per 100000) and dramatically increased in 2020 (10.45 per 100,000), to return to the levels of the previous year in 2021 (6.95 per 100000). The suicide rate in 2020 specifically increased from January to June (COVID-19 outbreak) in all age groups. Moreover, every year young people (15-24 years) have the maximum suicide rate and depression was the main suicide etiology. Conclusion The COVID-19 pandemic outbreak increased the suicide rate, regardless of age, but suicide prevalence was higher in males and young people, regardless of the COVID-19 pandemic. These findings confirm that suicide is a complex and multifactorial problem and will allow the establishment of new guidelines for prevention and care strategies.
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Affiliation(s)
- Fernando García-Dolores
- Instituto de Ciencias Forenses, Tribunal Superior de Justicia de la Ciudad de México (TSJCDMX), Mexico City, Mexico
| | - Hiram Tendilla-Beltrán
- Instituto de Fisiología, Benemérita Universidad Autónoma de Puebla (BUAP), Puebla, Mexico
| | | | | | | | | | | | - Fidel de la Cruz
- Escuela Nacional de Ciencias Biológicas (ENCB), Instituto Politécnico Nacional (IPN), Mexico City, Mexico
| | - Alma Delia Genis-Mendoza
- Instituto Nacional de Medicina Genómica (INMEGEN), Mexico City, Mexico
- Hospital Psiquiátrico Infantil Dr. Juan N. Navarro, Mexico City, Mexico
| | - Humberto Nicolini
- Instituto Nacional de Medicina Genómica (INMEGEN), Mexico City, Mexico
| | - Gonzalo Flores
- Instituto de Fisiología, Benemérita Universidad Autónoma de Puebla (BUAP), Puebla, Mexico
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Cohen M, Cruz LN, Cardoso RB, Albuquerque MDFPMD, Montarroyos UR, de Souza WV, Ludermir AB, de Carvalho MR, da Silva Vicente JD, Viegas Filho MP, Cortes FJM, de Siqueira Silva MT, Almeida CMC, Lima LNGC, Veras MADSM, Kendall C, Kerr LRFS, Martelli CMT, Camey SA. Impact of the COVID-19 pandemic on the mental health of frontline healthcare workers in a highly affected region in Brazil. BMC Psychiatry 2023; 23:255. [PMID: 37069533 PMCID: PMC10107551 DOI: 10.1186/s12888-023-04702-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 03/20/2023] [Indexed: 04/19/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic had a major impact on the mental health of healthcare workers (HCWs), especially in low and middle-income countries, which had to face additional political, social, and economic challenges. We thus aimed to assess the prevalence of mental health outcomes and the associated factors in HCWs treating COVID-19 patients in one of the most affected regions in Brazil. METHODS We used the Respondent-Driven Sampling method to assess the risks of COVID-19 infection and symptoms of mental disorders in nurses, nursing technicians, and physicians who worked on the frontline in the metropolitan region of Recife. 865 healthcare workers completed a survey regarding sociodemographic data, work-related risks, and symptoms of mental disorders - SRQ-20 for common mental disorders (CMD); AUDIT-C for problematic alcohol use; GAD-7 for anxiety; PHQ-9 for depression; PCL-5 for post-traumatic stress disorder (PTSD). Gile's successive sampling estimator was used to produce the weighted estimates by professional category. A Poisson regression model with robust variance was used to analyze factors associated with a positive screening for CMD. We will present the results of a cross-sectional analysis of the mental health outcomes after the first peak of COVID-19 - from August 2020 to February 2021. RESULTS The prevalence ratios for a positive screening for CMD were 34.9% (95% CI: 27.8-41.9) in nurses, 28.6% (95% CI: 21.3-36.0) in physicians, and 26.6% (95% CI: 16.8-36.5) in nursing technicians. Nurses presented a higher prevalence of depressive symptoms (23%). Positive screening for problematic alcohol use (10.5 to14.0%), anxiety (10.4 to 13.3%), and PTSD (3.3 to 4.4%) were similar between the professional categories. The main factors associated with CMD in nurses and physicians were related to an intrinsic susceptibility to mental illness, such as previous or family history of psychiatric disorder, and female sex. Among nurse technicians, work-related factors, such as accidents with biological material, presented the strongest association with CMD. CONCLUSION The mental health of HCWs fighting COVID-19 in Recife was severely affected. It is crucial that healthcare services provide adequate working conditions and psychological support, investing in programs to promote and protect HCWs mental health.
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Affiliation(s)
- Mírian Cohen
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Ramiro Barcelos St, 2400, 2nd fl, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil.
- National Institute of Science and Technology for Health Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil.
| | - Luciane Nascimento Cruz
- National Institute of Science and Technology for Health Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil
- Hospital Moinhos de Vento (HMV), Porto Alegre, Rio Grande do Sul, Brazil
| | - Ricardo Bertoglio Cardoso
- Graduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Ramiro Barcelos St, 2400, 2nd fl, Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
- National Institute of Science and Technology for Health Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil
| | | | | | | | | | | | | | | | - Fanny Julia Mireille Cortes
- National Institute of Science and Technology for Health Technology Assessment (IATS), Porto Alegre, Rio Grande do Sul, Brazil
| | | | | | | | | | - Carl Kendall
- Department of Community Health, Federal University of Ceará, Fortaleza, Ceará, Brazil
- Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | | | | | - Suzi Alves Camey
- Statistics Department, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
- Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Rio Grande do Sul, Brazil
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13
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Groves S, Lascelles K, Hawton K. Suicide, self-harm, and suicide ideation in nurses and midwives: A systematic review of prevalence, contributory factors, and interventions. J Affect Disord 2023; 331:393-404. [PMID: 36933670 DOI: 10.1016/j.jad.2023.03.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 03/08/2023] [Accepted: 03/11/2023] [Indexed: 03/20/2023]
Abstract
BACKGROUND Nurses have been identified as an occupational group at increased risk of suicide. This systematic review examines the prevalence of, and factors influencing, suicide and related behaviours among nurses and midwives (PROSPERO pre-registration CRD42021270297). METHODS MEDLINE, PsycINFO, and CINAHL were searched. Articles published from 1996 onwards exploring suicidal thoughts and behaviours among nurses and midwives were included. Quality of included studies was assessed. Articles were subjected to narrative synthesis informed by suicide data examined, study design, and quality. PRISMA guidelines were followed. RESULTS A total of 100 studies were eligible for inclusion in the review. Articles examining suicide exclusively among midwives were absent from the literature. Several studies confirmed that nursing professionals, especially female, are at increased risk of suicide, particularly by self-poisoning. Factors contributing to risk include psychiatric disorders, alcohol and substance misuse, physical health problems, and occupational and interpersonal difficulties. In studies of non-fatal suicidal behaviours, including during the COVID-19 pandemic, psychiatric, psychological, physical and occupational factors were contributory. There has been little investigation of interventions for prevention of suicide in nurses. LIMITATIONS Only articles published in English language were reviewed. CONCLUSIONS The findings highlight the risk of suicide in nurses. They also show a combination of factors contribute to suicide and non-fatal suicidal behaviour in nurses, with psychiatric, psychological, physical health, occupational and substance misuse (especially alcohol) problems being particularly important. The limited evidence regarding prevention measures indicates a major need to develop primary and secondary interventions for this at-risk occupational group, for example, education regarding enhancing wellbeing and safe alcohol use, alongside accessible psychological support.
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Affiliation(s)
- Samantha Groves
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland
| | - Karen Lascelles
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland
| | - Keith Hawton
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland; Centre for Suicide Research, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, United Kingdom of Great Britain and Northern Ireland.
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14
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Olivares-Tirado P, Zanga-Pizarro R. Impact of COVID-19 pandemic outbreak on mental health of the hospital front-line healthcare workers in Chile: a difference-in-differences approach. J Public Health (Oxf) 2023; 45:e57-e64. [PMID: 35137226 PMCID: PMC8903375 DOI: 10.1093/pubmed/fdac008] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Most of the evidence about impact of COVID-19 pandemic on the mental health of healthcare workers (HCWs) comes from symptom questionnaires. It is important to evaluate main mental health diagnoses in hospital front-line HCW's during the early acute phase of the COVID-19 pandemic in Chile. METHODS An individual-level cross-sectional study using administrative data was conducted. A Difference-in-Difference (DiD) approach was used to estimate the impact of the COVID-19 pandemic on sick leave rates of depression, anxiety and acute stress reaction among hospital front-line HCW's in comparison with other private insured workers. RESULTS DiD estimates showed a significant reduction of depression (17%), anxiety (8%) and acute stress reaction (8%) sick leave rate, in the front-line HCWs during the COVID-19 pandemic. Reduction of the three mental disorders sick leave rates was higher in men than women. Except for depression, front-line HCW's from the Santiago region's sick leave rates of anxiety and acute stress reaction decreased more than other regions'. CONCLUSION Opposite to our hypothesis the results suggests a remarkable resilience level and compromise of front-line HCW's. To address threats to the mental health of HCW's is key to promotes programs for their psychological well-being and safety.
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Affiliation(s)
- Pedro Olivares-Tirado
- Research and Development Department, Superintendency of Health of Chile, Santiago, Chile.,Health Service Development Research Center. University of Tsukuba, 7921501 Tsukuba, Japan
| | - Rosendo Zanga-Pizarro
- Research and Development Department, Superintendency of Health of Chile, Santiago, Chile.,School of Public Health, Faculty of Medicine, University of Chile, 7921501 Santiago, Chile
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15
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Rodríguez AL, Aranda Z, Brun E, DiChiara S, Esquinca A, González E, González S, Jiménez A, Molina-Orozco CU, Martínez L, Mullen J, Vargas B, Vázquez S, Chacón-Hernández S. A comprehensive and healthcare equity promoting response by a civil society-public partnership to COVID-19 in Chiapas, Mexico. BMJ Glob Health 2023; 8:bmjgh-2022-011244. [PMID: 36941004 PMCID: PMC10030274 DOI: 10.1136/bmjgh-2022-011244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 02/22/2023] [Indexed: 03/23/2023] Open
Abstract
Following the first COVID-19 case in Chiapas, Mexico in March 2020, the non-governmental organisation Compañeros En Salud (CES) and the state's Ministry of Health (MOH) decided to join forces to respond to the global pandemic. The collaboration was built over 8 years of partnership to bring healthcare to underserved populations in the Sierra Madre region. The response consisted of a comprehensive SARS-CoV-2 infection prevention and control programme, which included prevention through communication campaigns to combat misinformation and stigma related to COVID-19, contact tracing of suspected and confirmed COVID-19 cases and their contacts, outpatient and inpatient care for patients with respiratory symptoms, and CES-MOH collaboration on anti-COVID-19 immunisation campaigns. In this article, we describe these interventions and their principal outcomes, as well as reflect on notable pitfalls identified during the collaboration, and we suggest a series of recommendations to prevent and mitigate their occurrence. As with many cities and towns across the globe, the poor preparedness of the local health system for a pandemic and pandemic response led to the collapse of the medical supply chain, the saturation of public medical facilities and the exhaustion of healthcare personnel, which had to be overcome through adaptation, collaboration and innovation. For our programme in particular, the lack of a formal definition of roles and clear lines of communication between CES and the MOH; thoughtful planning, monitoring and evaluation and active engagement of the communities served in the design and implementation of health interventions affected the outcomes of our efforts.
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Affiliation(s)
- Ana Laura Rodríguez
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Instituto Nacional de Salud Publica, Cuernavaca, Mexico
| | - Zeus Aranda
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Departamento de Salud, El Colegio de la Frontera Sur, San Cristobal de las Casas, Mexico
| | - Elvire Brun
- Compañeros En Salud, Ángel Albino Corzo, Mexico
| | - Samuel DiChiara
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Tulane University, New Orleans, Louisiana, USA
| | | | - Erick González
- Secretaria de Salud del Estado de Chiapas, Ángel Albino Corzo, Mexico
- Brandeis University, Waltham, Massachusetts, USA
| | - Sebastián González
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | | | | | - Laura Martínez
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Socios En Salud Sucursal Peru, Lima, Peru
| | | | | | | | - Selene Chacón-Hernández
- Compañeros En Salud, Ángel Albino Corzo, Mexico
- Instituto Nacional de Salud Publica, Cuernavaca, Mexico
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Granados Villalpando JM, Baeza Flores GDC, Ble Castillo JL, Celorio Méndez KDS, Juárez Rojop IE, Morales Contreras JA, Olvera Hernández V, Quiroz Gómez S, Romero Tapia SDJ, Ruíz Quiñones JA, Guzmán Priego CG. Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4230. [PMID: 36901239 PMCID: PMC10001768 DOI: 10.3390/ijerph20054230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Revised: 02/22/2023] [Accepted: 02/24/2023] [Indexed: 06/18/2023]
Abstract
Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.
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Affiliation(s)
- Jesús Maximiliano Granados Villalpando
- Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Guadalupe del Carmen Baeza Flores
- Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Jorge Luis Ble Castillo
- Metabolic Disease Biochemistry, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Karla del Socorro Celorio Méndez
- Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Isela Esther Juárez Rojop
- Lipid Metabolism, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - José Antonio Morales Contreras
- Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Viridiana Olvera Hernández
- Metabolic Disease Biochemistry, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Sergio Quiroz Gómez
- Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Sergio de Jesús Romero Tapia
- Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
| | - Jesús Arturo Ruíz Quiñones
- Research Center for Tropical and Emerging Diseases, High Specialty Regional Hospital “Juan Graham Casasús”, Villahermosa 86126, Mexico
| | - Crystell Guadalupe Guzmán Priego
- Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico
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17
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T R, Kumar N, Hegde K, Unnikrishnan B, Mithra P, Holla R, Bhagawan D. The COVID-19 pandemic and mental health outcomes - A cross-sectional study among health care workers in Coastal South India. F1000Res 2023; 11:676. [PMID: 37224327 PMCID: PMC10186062 DOI: 10.12688/f1000research.111193.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/15/2023] [Indexed: 09/05/2023] Open
Abstract
Background: Frontline health care workers (HCWs) are at increased risk of developing unfavourable mental health outcomes and burnout, especially during the COVID-19 pandemic. Recognizing the early warning signs of mental distress is very important to ensure the provision of quality patient care. Methods: In this facility-based cross-sectional study, HCWs of the teaching hospitals affiliated to Kasturba Medical College, Mangalore were assessed regarding their mental health status using a semi-structured questionnaire. All doctors and nurses who were willing to participate from these teaching hospitals were included in the study. Data was collected over a period of four months (1 st March -30 th June 2021) till the required sample size was reached and analysed using IBM SPSS and expressed using mean (standard deviation), median (interquartile range), and proportions. Univariate analysis was done to identify the factors associated with mental health outcomes among the HCWs and the corresponding unadjusted odds ratio and 95% confidence interval were reported. Results: A total of 245 HCWs [52.2% (n=128) doctors and 47.8% (n=117) nurses] were included in our study. The proportion of participants with depressive symptoms, anxiety, and insomnia assessed using PHQ-9, GAD-7, and ISI-7 scales were 49% (n=119), 38% (n=93), and 42% (n=102) respectively. Depression, anxiety, and insomnia were more likely to be experienced by HCWs aged > 27 years, females, and involved in COVID-19 patient care. (p>0.05) Conclusions: Our findings that 38% of the examined HCWs had clinically relevant anxiety symptoms and 49% had clinically relevant depression symptoms draws attention to the importance of systematically tracking the mental health of HCWs during this ongoing pandemic. HCWs should monitor their stress reactions and seek appropriate help both on a personal and professional level. Appropriate workplace interventions including psychological support should be provided to HCWs, to ensure provision of uncompromised quality patient care.
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Affiliation(s)
- Rekha T
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Nithin Kumar
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Kausthubh Hegde
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Bhaskaran Unnikrishnan
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Prasanna Mithra
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Ramesh Holla
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Darshan Bhagawan
- Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
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Dominguez-Espinosa ADC, Fontaine JRJ. It Is Not the Virus Exposure: Differentiating Job Demands and Resources That Account for Distress during the COVID-19 Pandemic among Health Sector Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1212. [PMID: 36673966 PMCID: PMC9859370 DOI: 10.3390/ijerph20021212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 01/02/2023] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
A cross-sectional study of 3860 health-sector workers across two data collections was conducted to identify the predictive power of different job demands and job resources during the COVID-19 pandemic based on four indicators of distress (COVID-19 traumatic stress, burnout, generalised anxiety, and depression) among health-sector workers. Exploratory and confirmatory factor analyses, measurement invariance checks, and structural equation models were used to evaluate the dimensionality and the effect of the job demands and resources on distress indictors. The identified job demands were workload, confinement, loss, and virus exposure, while the identified job resources were self-efficacy, momentary recuperation, and meaning making. Loss and workload predicted the distress indicators best, while confinement and virus exposure mainly predicted COVID-19 traumatic stress and were less important for the other distress outcomes. Self-efficacy and meaning making negatively predicted distress, while momentary recuperation, controlled for the other demands and resources, was positively related to the distress indicators. Of the typical pandemic-related demands and resources, the experience of loss due to COVID-19 infection was the most important predictor of distress outcomes. Confinement, and especially the awareness of virus exposure, were far less important predictors.
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Affiliation(s)
| | - Johnny R. J. Fontaine
- Department of Work, Organization and Society, Faculty of Psychology and Educational Sciences, Ghent University, 9000 Ghent, Belgium
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Patel H, Easterbrook B, D'Alessandro-Lowe AM, Andrews K, Ritchie K, Hosseiny F, Rodrigues S, Malain A, O'Connor C, Schielke H, McCabe RE, Nicholson AA, Lanius R, McKinnon MC. Associations between trauma and substance use among healthcare workers and public safety personnel during the SARS-CoV-2 (COVID-19) pandemic: the mediating roles of dissociation and emotion dysregulation. Eur J Psychotraumatol 2023; 14:2180706. [PMID: 36930578 PMCID: PMC10026820 DOI: 10.1080/20008066.2023.2180706] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
BACKGROUND Given the highly stressful environment surrounding the SARS-CoV-2 pandemic, healthcare workers (HCW) and public safety personnel (PSP) are at an elevated risk for adverse psychological outcomes, including posttraumatic stress disorder (PTSD) and alcohol/substance use problems. As such, the study aimed to identify associations between PTSD severity, related dissociation and emotion dysregulation symptoms, and alcohol/substance use problems among HCWs and PSP. METHODS A subset of data (N = 498; HCWs = 299; PSP = 199) was extracted from a larger study examining psychological variables among Canadian HCWs and PSP during the pandemic. Structural equation modelling assessed associations between PTSD symptoms and alcohol/substance use-related problems with dissociation and emotion dysregulation as mediators. RESULTS Among HCWs, dissociation fully mediated the relation between PTSD and alcohol-related problems (indirect effect β = .133, p = .03) and emotion dysregulation partially mediated the relation between PTSD and substance-related problems (indirect effect β = .151, p = .046). In PSP, emotion dysregulation fully mediated the relation between PTSD and alcohol-related problems (indirect effects β = .184, p = .005). For substance-related problems among PSP, neither emotion dysregulation nor dissociation (ps >.05) had any effects. CONCLUSION To our knowledge, this is the first study examining associations between PTSD severity and alcohol/substance use-related problems via mediating impacts of emotion dysregulation and dissociation among HCWs and PSP during the SARS-CoV-2 pandemic. These findings highlight dissociation and emotion dysregulation as important therapeutic targets for structured interventions aimed at reducing the burden of PTSD and/or SUD among Canadian HCWs or PSP suffering from the adverse mental health impacts of the SARS-CoV-2 pandemic.
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Affiliation(s)
- Herry Patel
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Bethany Easterbrook
- Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Canada
| | | | - Krysta Andrews
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
| | - Kimberly Ritchie
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
- Homewood Research Institute, Guelph, Canada
| | | | - Sara Rodrigues
- The Atlas Institute for Veterans and Families, Ottawa, Canada
| | | | | | | | - Randi E McCabe
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
- Department of Psychology, Neuroscience, and Behaviour, McMaster University, Hamilton, Canada
- Mental Health and Addictions Program, St. Joseph's Healthcare Hamilton, Hamilton, Canada
| | - Andrew A Nicholson
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
- Homewood Research Institute, Guelph, Canada
| | - Ruth Lanius
- Department of Psychiatry, Western University, London, Canada
- Homewood Research Institute, Guelph, Canada
| | - Margaret C McKinnon
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada
- Homewood Research Institute, Guelph, Canada
- Mental Health and Addictions Program, St. Joseph's Healthcare Hamilton, Hamilton, Canada
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Genest C, Bergeron N, Provost-Tremblay É, Dufour MM, Guay S, Geoffrion S. Suicidal Ideation of Healthcare Workers During COVID-19: An Ecological Momentary Assessment. SCIENCE OF NURSING AND HEALTH PRACTICES 2022. [DOI: 10.7202/1095201ar] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Introduction: The COVID-19 pandemic had an impact on the psychological health of healthcare workers (HCWs). Cross-sectional studies report suicidal ideation in this population during this period, but no longitudinal study has examined the evolution of these ideas over time.
Objectives: To assess the evolution of suicidal ideation of HCWs during the first two waves of the COVID-19 pandemic among Quebec (Canada) HCWs and to identify the risk factors involved.
Methods: A longitudinal study among Quebec (Canada) HCWs using ecological momentary assessment was conducted between May 8, 2020, and March 31, 2021 (corresponding to the second half of the first wave to the end of the second). Participants (n=865) answered weekly questions related to anxiety (GAD-7), depression (PHQ-9), suicidal ideation (PHQ-9 Q.9), exposure to COVID-19, exposure to COVID-19-related deaths, their infection status and that of their co-workers and loved ones, as well as the amount of time they spent consuming news related to COVID-19.
Results: Proportion of suicidal ideation increased from May to June 2020 (second half of the first wave) peaking at 18% before declining up to March 2021. Anxiety and depression symptoms severity increased those ideations as well as having a colleague confirmed positive to COVID-19. Social support does not appear to be a protective factor for suicidal ideation. Suicidal thoughts are associated with media consumption and appear to be mediated by the presence of clinical distress expressed as depressive or anxiety states.
Discussion and conclusion: Media consumption in a pandemic context is associated with anxiety and depression, the more severe states of which may express suicidal ideation. Without inferring causality relationship, it seems advisable for HCWs to limit their media exposure during a disaster such as a pandemic.
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21
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Groves S, Hawley M, Lascelles KM, Hawton K. News reporting of suicide in nurses: A content analysis study. Int J Ment Health Nurs 2022; 31:1513-1522. [PMID: 36008915 PMCID: PMC9804535 DOI: 10.1111/inm.13057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/06/2022] [Indexed: 01/05/2023]
Abstract
Media impact on suicide is well-established. Groups at heightened risk of suicide, such as nurses, may be particularly influenced by poor news reporting. This study aimed to examine UK newspaper reporting of suicide of nurses and student nurses, including during the COVID-19 pandemic. Print and online newspaper reports about suicide in nurses (including students) published in the UK between January 2018 and August 2021 were obtained and data extracted for analysis in collaboration with Samaritans' media advisory team. Content and quality of newspaper reports were examined using a content analysis approach. The study was compliant with the STROBE checklist. Nurse or student nurse suicides were reported in 134 articles, including 50 individual suicides. Most articles were acceptable against Samaritans' media guidelines. However, common problems included absence of signposting to support organizations and lack of suicide prevention messages. A minority of articles included methods of suicide within article headlines (18, 13.4%) and sensationalist or romanticizing language (14, 10.7%). Most contained occupation-related content. Many named the individual's specific hospital or university and a substantial proportion included occupation-related images. Working on the frontline was the most reported link between COVID-19 and nurse suicide. While reporting on suicide among nurses and students was largely acceptable, quality of reporting was variable. Occupation was often discussed, and most articles published during COVID-19 linked suicide to the pandemic. The research findings can help shape guidance on reporting of suicide in specific professions and occupations, including nursing, to encourage responsible reporting and reduce inadvertent promotion of suicide.
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Affiliation(s)
- Samantha Groves
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK
| | | | | | - Keith Hawton
- Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.,Centre for Suicide Research, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
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22
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Flesch BD, Cruzeiro ALS, de Carvalho MP, Goularte LM, Delpino FM, Fassa AG. Major depressive episode in hospital workers during the Covid-19 pandemic in Brazil. Rev Saude Publica 2022; 56:107. [PMID: 36629699 PMCID: PMC9749737 DOI: 10.11606/s1518-8787.2022056004668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 06/29/2022] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVES To estimate prevalence and factors associated with major depressive episode (MDE), emphasizing occupational aspects, in workers of a public teaching hospital that is a reference for Covid-19 treatment. METHODS A cross-sectional study was carried out between October and December 2020, after the first peak of the pandemic, interviewing 1,155 workers. The prevalence of MDE was estimated using the Patient Health Questionnaire (PHQ-9) algorithm. Multivariate hierarchical analysis was conducted using Poisson regression to assess associated factors. RESULTS MDE prevalence was 15.3% (95%CI: 13.3-17.5) and was higher among young, white and female workers, those with a family history of depression, resident professionals, nursing professionals, workers who were exposed to three or more situations of moral dilemma, and those who had to put off a physiological need until later. Having a risk factor for Covid-19, being a smoker and being physically inactive were also positively associated with MDE. CONCLUSIONS The study points to the considerable prevalence of MDE among tertiary health care workers; reviewing work processes is essential to reduce occupational stress and minimize the effects of the pandemic on mental health, preventing those problems from becoming chronic.
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Affiliation(s)
- Betina Daniele Flesch
- Universidade Federal de PelotasDepartamento de Medicina SocialPrograma de Pós-graduação em EpidemiologiaPelotasRSBrasil Universidade Federal de Pelotas. Departamento de Medicina Social. Programa de Pós-graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Ana Laura Sica Cruzeiro
- Universidade Federal de PelotasFaculdade de MedicinaPelotasRSBrasilUniversidade Federal de Pelotas. Faculdade de Medicina. Curso de Psicologia. Pelotas, RS, Brasil
| | - Maitê Peres de Carvalho
- Universidade Federal de PelotasFaculdade de MedicinaPelotasRSBrasil Universidade Federal de Pelotas. Faculdade de Medicina. Curso de Terapia Ocupacional. Pelotas, RS, Brasil
| | - Laura Moreira Goularte
- Universidade Federal de PelotasDepartamento de Medicina SocialPrograma de Pós-graduação em EpidemiologiaPelotasRSBrasil Universidade Federal de Pelotas. Departamento de Medicina Social. Programa de Pós-graduação em Epidemiologia. Pelotas, RS, Brasil
| | - Felipe Mendes Delpino
- Universidade Federal de PelotasFaculdade de EnfermagemPrograma de Pós-graduação em EnfermagemPelotasRSBrasil Universidade Federal de Pelotas. Faculdade de Enfermagem. Programa de Pós-graduação em Enfermagem. Pelotas, RS, Brasil
| | - Anaclaudia Gastal Fassa
- Universidade Federal de PelotasDepartamento de Medicina SocialPrograma de Pós-graduação em EpidemiologiaPelotasRSBrasil Universidade Federal de Pelotas. Departamento de Medicina Social. Programa de Pós-graduação em Epidemiologia. Pelotas, RS, Brasil
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23
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Lins-Kusterer L, de Azevedo CF, Netto EM, Menezes MS, Aguiar CVN, de Azevedo RA, Cavalcante WC, Sarmento VA, Brites C. Impact of Anxiety on Health-Related Quality of Life and Symptoms of Burnout in Multi-Professional Residents in Brazil During the COVID-19 Pandemic. APPLIED RESEARCH IN QUALITY OF LIFE 2022; 18:229-247. [PMID: 36405034 PMCID: PMC9651893 DOI: 10.1007/s11482-022-10117-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 02/05/2022] [Indexed: 06/16/2023]
Abstract
We aimed to determine the prevalence of anxiety and to identify associated factors among multi-professional residents in Brazil during the early days of the COVID-19 pandemic. A cross-sectional study included a sample of 752 multi-professional residents selected by snowball technique. Symptoms of anxiety were measured by the Beck anxiety inventory scale (≥ 16 cut-off). We used WHOQOL-BREF to access the health-related quality of life and the Maslach Burnout Inventory to measure the burnout syndrome. PR and respective 95% confidence intervals (CI) were calculated using the Poisson regression model. The prevalence of anxiety was 41.2% (310/752). Some variables were strongly associated with anxiety: afraid of getting COVID-19; extra work demand during COVID-19 pandemic; sweating/wheezing/increased heart rate during work; feeling safe when using personal protective equipment at work, and psychological support from residence preceptors. Residents with symptoms of anxiety showed high emotional exhaustion at work (36.6 ± 9.6 vs. 24.7 ± 10.7, P = 0.001) and depersonalization (8.9 ± 6.0 vs. 5.6 ± 4.9, P = 0.001). Correlations coefficients between emotional exhaustion versus Physical WHOQOL-BREF and between emotional exhaustion versus Psychological WHOQOL-BREF were significantly lower among residents without anxiety (P = 0.027 and P = 0,03, respectively). The prevalence of anxiety was high and strongly associated with several variables, particularly with being afraid of getting COVID-19, the perception of workload, somatization (sweating, wheezing and increased heart rate during work), feeling unsafe when using personal protective equipment, and lack of psychological support from residence preceptors. Anxiety was associated with increased emotional exhaustion and depersonalization and low health-related quality of life during the COVID-19 pandemic in Brazil. Low WHOQOL-BREF environment domain, and high emotional exhaustion MBI domain increased the chances of presenting symptoms of anxiety.
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Affiliation(s)
- Liliane Lins-Kusterer
- Postgraduate Program in Medicine and Health, School of Medicine, Federal University of Bahia, Avenida Reitor Miguel Calmon s/n, CEP 40110-100 Salvador, Bahia Brazil
| | - Carolina Franco de Azevedo
- Postgraduate Program in Medicine and Health, School of Medicine, Federal University of Bahia, Avenida Reitor Miguel Calmon s/n, CEP 40110-100 Salvador, Bahia Brazil
| | - Eduardo Martins Netto
- Postgraduate Program in Medicine and Health, School of Medicine, Federal University of Bahia, Avenida Reitor Miguel Calmon s/n, CEP 40110-100 Salvador, Bahia Brazil
| | | | | | | | | | | | - Carlos Brites
- Postgraduate Program in Medicine and Health, School of Medicine, Federal University of Bahia, Avenida Reitor Miguel Calmon s/n, CEP 40110-100 Salvador, Bahia Brazil
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24
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Andhavarapu S, Yardi I, Bzhilyanskaya V, Lurie T, Bhinder M, Patel P, Pourmand A, Tran QK. Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res 2022; 317:114890. [PMID: 36260970 PMCID: PMC9573911 DOI: 10.1016/j.psychres.2022.114890] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 10/02/2022] [Accepted: 10/06/2022] [Indexed: 01/05/2023]
Abstract
The SARS-CoV-2 (COVID-19) pandemic has increased healthcare worker (HCW) susceptibility to mental illness. We conducted a meta-analysis to investigate the prevalence and possible factors associated with post-traumatic stress disorder (PTSD) symptoms among HCW during the COVID-19 pandemic. We searched PubMed, SCOPUS and EMBASE databases up to May 4th, 2022. We performed random effects meta-analysis and moderator analyses for the prevalence of PTSD-relevant symptoms and severe PTSD symptoms. We identified 1276 studies, reviewed 209 full-text articles, and included 119 studies (117,143 participants) with a total of 121 data points in our final analysis. 34 studies (24,541 participants) reported prevalence of severe PTSD symptoms. Approximately 25.2% of participants were physicians, 42.8% nurses, 12.4% allied health professionals, 8.9% auxiliary health professionals, and 10.8% "other". The pooled prevalence of PTSD symptoms among HCWs was 34% (95% CI, 0.30-0.39, I2 >90%), and 14% for severe PTSD (95% CI, 0.11 - 0.17, I2 >90%). The introduction of COVID vaccines was associated with a sharp decline in the prevalence of PTSD, and new virus variants were associated with small increases in PTSD rates. It is important that policies work towards allocating adequate resources towards protecting the well-being of healthcare workers to minimize adverse consequences of PTSD.
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Affiliation(s)
- Sanketh Andhavarapu
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Isha Yardi
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Vera Bzhilyanskaya
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Tucker Lurie
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Mujtaba Bhinder
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Priya Patel
- The Research Associate Program, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Ali Pourmand
- Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC, United States
| | - Quincy K Tran
- Department of Emergency Medicine, University of Maryland School of Medicine, 22 South Greene Street, Suite T3N45, Baltimore, MD 21043, United States; Program in Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, United States.
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25
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Dominguez-Rodriguez A, Martínez-Arriaga RJ, Herdoiza-Arroyo PE, Bautista-Valerio E, de la Rosa-Gómez A, Castellanos Vargas RO, Lacomba-Trejo L, Mateu-Mollá J, Lupercio Ramírez MDJ, Figueroa González JA, Ramírez Martínez FR. E-Health Psychological Intervention for COVID-19 Healthcare Workers: Protocol for its Implementation and Evaluation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912749. [PMID: 36232049 PMCID: PMC9566813 DOI: 10.3390/ijerph191912749] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 09/24/2022] [Accepted: 09/30/2022] [Indexed: 05/13/2023]
Abstract
(1) Background: Healthcare workers have been affected by the COVID-19 pandemic. Digital interventions have been carried out that have been effective with this population; however, few have been reported in Latin America. Our aim is to describe the components and methods to evaluate the feasibility and utility of an online multi-component psychological intervention for healthcare workers in Mexico during COVID-19. (2) Methods: This study is a randomized clinical trial with two arms: (1) self-applied intervention and (2) intervention delivered online by therapists. The participants are randomly assigned to one arm, receiving the same treatment contents in both groups. The "Personal COVID" intervention consists of an internet platform containing 9 nuclear and 3 complementary modules. The objectives of the intervention are: (1) to reduce anxiety, depressive symptoms, burnout, and compassion fatigue, and (2) to increase the quality of life, sleep quality, self-care, and their skills to give bad news. The protocol has been registered on ClinicalTrials.gov (identifier: NCT04890665). (3) Discussion: This protocol is designed according to the highest scientific standards following the SPIRIT guidelines. The "Personal COVID" intervention is expected to be of high efficacy in treating the emotional distress of healthcare workers and promoting their health during the COVID-19 pandemic.
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Affiliation(s)
| | - Reyna Jazmín Martínez-Arriaga
- Departamento de Clínicas de Salud Mental, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico
- Correspondence: ; Tel.: +52-3310585200
| | | | - Eduardo Bautista-Valerio
- Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Mexico City 54090, Mexico
| | - Anabel de la Rosa-Gómez
- Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Mexico City 54090, Mexico
| | | | - Laura Lacomba-Trejo
- Department of Personality, Evaluation and Psychological Treatment, Universitat de València, 46010 Valencia, Spain
| | - Joaquín Mateu-Mollá
- Health Sciences Area, Valencian International University, 46002 Valencia, Spain
| | - Miriam de Jesús Lupercio Ramírez
- Maestría en Psicología de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco 44340, Mexico
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26
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Robles R, Ascencio L, Díaz D, Ruiz S, Gálvez L, Sánchez M, Espinoza F, Hernández-Posadas A, Fresán A, Vega H, Morales-Chainé S. Implementation Science of Telepsychotherapy for Anxiety, Depression, and Somatization in Health Care Workers Dealing with COVID-19. Telemed J E Health 2022; 29:751-760. [PMID: 36126309 DOI: 10.1089/tmj.2022.0155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Introduction: Cognitive behavioral therapy (CBT) has proven to be effective in treating affective and somatic symptoms, which are among the leading mental health problems of health care workers (HCWs) dealing with COVID-19 (HCW-COVID-19). However, efforts to develop and evaluate the strategies required to promote its implementation in clinical practice are still scarce, particularly in low- and middle-income countries. Objective: To describe and evaluate the implementation process and clinical impact of a brief, remote, manualized CBT-based intervention for moderate anxiety, depressive, and somatic symptoms among Mexican HCW-COVID-19 ≥18 years old. Methods: The implementation process comprises community engagement, intervention systematization and education, leadership engagement, and team-based coaching as main strategies. A total of 26 participants completed self-report measures of symptoms before and after treatment, and a subsample of 21 answered a final questionnaire on the acceptability of the intervention. Therapists registered the techniques used in each case, regardless of whether they were part of the intervention manual. Results: The number of sessions was 4.6 (2.43). The most frequently employed techniques were those included in the intervention manual, especially identifying and modifying maladaptive thoughts, used to treat 70% of HCW-COVID-19. Supplementary techniques were implemented to enhance treatment or meet HCW-COVID-19s special needs (such as workplace issues, insomnia, COVID-19 status, and bereavement). The intervention had a significant effect (delta Cohen's coefficients ≥1), and the majority of HCW-COVID-19 were "totally satisfied" with its contents and considered it "not complex" (95.2% and 76.1%, respectively). Conclusions: Telepsychotherapy for anxiety, depression, and somatization in HCW coping with health emergencies in middle-income countries is a feasible, clinically valuable, and acceptable form of treatment.
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Affiliation(s)
- Rebeca Robles
- Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Leticia Ascencio
- Palliative Care Unit, National Cancer Institute, Mexico City, Mexico
| | - Dulce Díaz
- Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Susan Ruiz
- Globality Studies Seminar, Medicine Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Lizette Gálvez
- Palliative Care Unit, National Cancer Institute, Mexico City, Mexico
| | - Magaly Sánchez
- Psycho-Onclology and Palliative Care Unit, Morelos Children's Hospital, Mexico City, Mexico
| | - Fátima Espinoza
- Coordination of Training Centers and Psychological Services, Psychology Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Alejandro Hernández-Posadas
- Coordination of Training Centers and Psychological Services, Psychology Faculty, National Autonomous University of Mexico, Mexico City, Mexico
| | - Ana Fresán
- Subdirectorate of Clinical Research, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Hamid Vega
- Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico
| | - Silvia Morales-Chainé
- Coordination of Training Centers and Psychological Services, Psychology Faculty, National Autonomous University of Mexico, Mexico City, Mexico
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27
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Brief Screening for Distress among Healthcare Professionals: Psychometric Properties of the Physician Well-Being Index—Spanish Version. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159451. [PMID: 35954808 PMCID: PMC9368125 DOI: 10.3390/ijerph19159451] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 07/25/2022] [Accepted: 07/27/2022] [Indexed: 02/01/2023]
Abstract
Background: The Physician Well-Being Index (PWBI) is a brief, valid, reliable self-assessment instrument to identify health professionals’ distress and those in need of an intervention. Objective: to evaluate the construct, predictive validity (of depression, suicidal ideation, insomnia, and generalized anxiety), and internal consistency of the 7-item Spanish version of the PWBI (PWBI-S). Methods: out of a national population of approximately 1 million Mexican healthcare professionals, a sample of 3506 subjects (42.0% physicians, 28.7% nurses and 29.3% psychologists) completed an online survey between 17 April and 7 May 2020, at the time of the COVID-19 case cluster transmission scenario in Mexico. Results: In the three sub-samples, PWBI-S’s Confirmatory factor analyses (adding residual covariances) exhibited adequate goodness of fit indices for the PWBS original unidimensional model. Overall Cronbach’s alphas were 0.89 for physicians, 0.90 for nurses, and 0.86 for psychologists. Univariate logistic regression models showed that a cutoff point of 3 on the total score of the PWBI-S was generally related to the presence of depression, suicidal ideation, and insomnia, but not with generalized anxiety among nurses and psychologists. When trying with a cutoff point of 3, a relationship with GA was shown in psychologists, but not in nurses. Conclusions: our findings suggest that PWBI-S is a valid, reliable measure for clinical and research purposes in the field.
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28
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Power N, Perreault M, Ferrari M, Boudreau P, Boivin DB. Sleep of Healthcare Workers During the COVID-19 Pandemic and the Role of Atypical Work Schedules: A Scoping Review. J Biol Rhythms 2022; 37:358-384. [PMID: 35773789 DOI: 10.1177/07487304221103376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The COVID-19 pandemic has negatively impacted the well-being of healthcare workers (HCWs). HCWs are highly exposed to shift work and their work schedules have been subject to increasing unpredictability since the start of the pandemic. This review aims to: (1) map the studies providing information about factors associated with sleep characteristics in HCWs working in the context of the COVID-19 pandemic during the first and second waves and (2) examine the state of the evidence base in terms of the availability of information on the influence of atypical work schedules. A literature search was performed in PubMed. Studies containing information about factors (demographic; psychological; occupational; COVID-19-specific; work schedule; lifestyle; medical; or other) associated with various sleep characteristics among HCWs working in the context of the COVID-19 pandemic were included. Particular attention was paid to the availability of information on the role of atypical work schedules on HCW sleep. Fifty-seven articles met the inclusion criteria. Most studies were reports of quantitative cross-sectional surveys using self-report measures. Associations between female sex, frontline HCW status, psychological factors, and poorer sleep were observed. Six studies included a measure of shift work in their analyses, 5 of which reported an association between shift work status and sleep. A wide range of factors were investigated, with female sex, frontline HCW status, and psychological factors repeatedly demonstrating associations with poorer sleep. Sleep was predominantly measured in terms of self-reported sleep quality or insomnia symptoms. Few studies investigated the influence of atypical work schedules on HCW sleep in the context of the COVID-19 pandemic. Research on this topic is lacking in terms of reliable and consistent measurements of sleep outcomes, longitudinal data, and knowledge about the influence of covariates such atypical work schedules, comorbidity, and medical history on HCW sleep.
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Affiliation(s)
- Niamh Power
- Douglas Mental Health University Institute, Montreal, QC, Canada
| | - Michel Perreault
- Douglas Mental Health University Institute, Montreal, QC, Canada.,Department of Psychiatry, McGill University, Montreal QC, Canada
| | - Manuela Ferrari
- Douglas Mental Health University Institute, Montreal, QC, Canada.,Department of Psychiatry, McGill University, Montreal QC, Canada
| | - Philippe Boudreau
- Douglas Mental Health University Institute, Montreal, QC, Canada.,Department of Psychiatry, McGill University, Montreal QC, Canada.,Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, Montreal, QC, Canada
| | - Diane B Boivin
- Douglas Mental Health University Institute, Montreal, QC, Canada.,Department of Psychiatry, McGill University, Montreal QC, Canada.,Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, Montreal, QC, Canada
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29
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Carvalho-Alves MO, Petrilli-Mazon VA, Brunoni AR, Malbergier A, Fukuti P, Polanczyk GV, Miguel EC, Corchs F, Wang YP. Dimensions of emotional distress among Brazilian workers in a COVID-19 reference hospital: A factor analytical study. World J Psychiatry 2022; 12:843-859. [PMID: 35978972 PMCID: PMC9258270 DOI: 10.5498/wjp.v12.i6.843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 04/22/2022] [Accepted: 05/14/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for public health and has caused the loss of millions of lives worldwide. Hospital workers play a key role in averting the collapse of the health system, but the mental health of many has deteriorated during the pandemic. Few studies have been devoted to identifying the needs of workers on frontline duty.
AIM To investigate dimensions of common emotional symptoms and associated predictors among Brazilian workers in a COVID-19 reference hospital.
METHODS This is an observational study of the mental health of professionals in a COVID-19 hospital in the city of São Paulo. We invited all hospital employees to respond to an online survey between July and August 2020, during the first peak of the pandemic. Data of 1000 participants who completed the survey were analyzed (83.9% were women and 34.3% were aged 30 to 40). Hospital workers self-reported the presence of symptoms of depression, anxiety, trauma-related stress, and burnout through the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Impact of Event Scale-Revised and the Mini-Z Burnout Assessment respectively. Responses were assembled and subjected to exploratory factor analysis to reveal workers’ core emotional distress. Multiple linear regression models were subsequently carried out to estimate the likelihood of dimensions of distress using questions on personal motivation, threatening events, and institutional support.
RESULTS Around one in three participants in our sample scored above the threshold of depression, anxiety, post-traumatic stress disorder, and burnout. The factor analysis revealed a three-factor structure that explained 58% of the total data variance. Core distressing emotional domains were avoidance and re-experience, depression-anxiety, and sleep changes. Regression analysis revealed that institutional support was a significant protective factor for each of these dimensions (β range = -0.41 to -0.20, P < 0.001). However, participants’ personal motivation to work in healthcare service was not associated with these emotional domains. Moreover, the likelihood of presenting the avoidance and re-experience dimension was associated with having a family member or close friend be hospitalized or die due to COVID-19 and having faced an ethical conflict.
CONCLUSION Distressing emotional domains among hospital workers were avoidance and re-experience, depression and anxiety, and sleep changes. Improving working conditions through institutional support could protect hospital workers' mental health during devastating public health crises.
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Affiliation(s)
- Marcos O Carvalho-Alves
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
- Program in Neuroscience and Behavior, Department of Experimental Psychology, Institute of Psychology, University of Sao Paulo, Sao Paulo 01060-970, Brazil
| | - Vitor A Petrilli-Mazon
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Andre R Brunoni
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Andre Malbergier
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Pedro Fukuti
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Guilherme V Polanczyk
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Euripedes C Miguel
- Department and Institute of Psychiatry, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Felipe Corchs
- Program in Neuroscience and Behavior, Department of Experimental Psychology, Institute of Psychology, University of Sao Paulo, Sao Paulo 01060-970, Brazil
- Department of Psychiatry, University of Sao Paulo, Sao Paulo 05403-010, Brazil
| | - Yuan-Pang Wang
- Department of Psychiatry, School of Medicine, University of Sao Paulo, Sao Paulo 05403-010, Brazil
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Nguyen HB, Nguyen THM, Vo THN, Vo TCN, Nguyen DNQ, Nguyen HT, Tang TN, Nguyen TH, Do VT, Truong QB. Post-traumatic stress disorder, anxiety, depression and related factors among COVID-19 patients during the fourth wave of the pandemic in Vietnam. Int Health 2022:6607701. [PMID: 35696091 PMCID: PMC9214186 DOI: 10.1093/inthealth/ihac040] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 04/16/2022] [Accepted: 05/17/2022] [Indexed: 11/30/2022] Open
Abstract
Background This study investigated post-traumatic stress disorder (PTSD), anxiety, depression and their related factors among coronavirus disease 2019 (COVID-19) patients during the fourth wave of the pandemic in Vietnam. Methods Vietnamese-fluent confirmed COVID-19 patients for at least 3 d were recruited in this online cross-sectional study to answer a three-part questionnaire including participants’ sociodemographic characteristics, PTSD (Impact of Event Scale-Revised) and anxiety and depression (Hospital Anxiety and Depression Scale). Associated factors were determined using multivariable binary logistic regression models. Results Of 1544 responses, the majority were female (53.0%), ages 18–39 y (74.8%) and were isolated and treated at field hospitals (72.2%). Family or friends were the greatest sources of mental support (68.2%), followed by healthcare providers (51.1%). The overall prevalence rates of PTSD, anxiety and depression among COVID-19 patients were 22.9%, 11.2% and 17.4%, respectively. Risk factors included older age, higher education, getting infected from the public, knowing someone who died from COVID-19 and high perception of life threat. Meanwhile, mental assistance from family or friends, a greater number of supporters, living with someone not vulnerable and higher salaries were significantly protective factors. Conclusions The psychological responses associated with some sociodemographic details. Family or friends should be the first line of mental interventions for COVID-19 patients.
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Affiliation(s)
- Hoang Bac Nguyen
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam.,University of Medicine and Pharmacy at Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Thi Hong Minh Nguyen
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Thi Hong Nhan Vo
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Thi Cam Nhung Vo
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Duc Nguyet Quynh Nguyen
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Huu-Thinh Nguyen
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam.,University of Medicine and Pharmacy at Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
| | - Tuan-Ngan Tang
- Department of Tissue Engineering and Regenerative Medicine, School of Biomedical Engineering, International University, Quarter 6, Linh Trung Ward, Thu Duc District, Ho Chi Minh City, 700000, Vietnam.,Vietnam National University, Quarter 6, Linh Trung Ward, Thu Duc District, Ho Chi Minh City, 700000, Vietnam
| | - Thi-Hiep Nguyen
- Department of Tissue Engineering and Regenerative Medicine, School of Biomedical Engineering, International University, Quarter 6, Linh Trung Ward, Thu Duc District, Ho Chi Minh City, 700000, Vietnam.,Vietnam National University, Quarter 6, Linh Trung Ward, Thu Duc District, Ho Chi Minh City, 700000, Vietnam
| | - Van Trang Do
- Binh Duong Medical College, Le Hong Phong Street, Phu Hoa Ward, Thu Dau Mot City, Binh Duong Province, 820000, Vietnam
| | - Quang Binh Truong
- University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam.,University of Medicine and Pharmacy at Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam
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Abstract
AIMS There is a lack of evidence related to the prevalence of mental health symptoms as well as their heterogeneities during the coronavirus disease 2019 (COVID-19) pandemic in Latin America, a large area spanning the equator. The current study aims to provide meta-analytical evidence on mental health symptoms during COVID-19 among frontline healthcare workers, general healthcare workers, the general population and university students in Latin America. METHODS Bibliographical databases, such as PubMed, Embase, Web of Science, PsycINFO and medRxiv, were systematically searched to identify pertinent studies up to August 13, 2021. Two coders performed the screening using predefined eligibility criteria. Studies were assigned quality scores using the Mixed Methods Appraisal Tool. The double data extraction method was used to minimise data entry errors. RESULTS A total of 62 studies with 196 950 participants in Latin America were identified. The pooled prevalence of anxiety, depression, distress and insomnia was 35%, 35%, 32% and 35%, respectively. There was a higher prevalence of mental health symptoms in South America compared to Central America (36% v. 28%, p < 0.001), in countries speaking Portuguese (40%) v. Spanish (30%). The pooled prevalence of mental health symptoms in the general population, general healthcare workers, frontline healthcare workers and students in Latin America was 37%, 34%, 33% and 45%, respectively. CONCLUSIONS The high yet heterogenous level of prevalence of mental health symptoms emphasises the need for appropriate identification of psychological interventions in Latin America.
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Chang YT, Hu YJ. Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042257. [PMID: 35206444 PMCID: PMC8872158 DOI: 10.3390/ijerph19042257] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 02/14/2022] [Accepted: 02/15/2022] [Indexed: 12/04/2022]
Abstract
A spike in COVID-19 cases in Taiwan’s communities caused a significant increase in workload and infection concerns among prehospital personnel working in Taiwan fire departments. The present study was aimed at investigating their health status during this period. The target population was prehospital personnel who are from Taiwan fire departments, and who responded to COVID-19 patients during the community outbreak period. A questionnaire was employed to assess their physical and mental health status. The results showed that prehospital personnel suffered from moderate to severe degrees of burnout. Workload, body burden, and perceived pressure increased significantly during this period. Participants received more support from friends, family, and colleagues than they did from authorities. The paramedics reported higher scores for personal burnout than the emergency medical technicians (EMTs). Compared to non-COVID-19 response units, special COVID-19 response units reported higher scores for workload, body burden, and supportive environment. The results suggested that personal and work-related burnout were associated with higher perceived pressure. This study is the first investigation of physical and mental health burdens among prehospital personnel in Taiwan fire departments during the COVID-19 pandemic. The physical and mental health status of these personnel should be continuously monitored, and intervention provided as necessary.
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Tausch A, E Souza RO, Viciana CM, Cayetano C, Barbosa J, Hennis AJ. Strengthening mental health responses to COVID-19 in the Americas: A health policy analysis and recommendations. LANCET REGIONAL HEALTH. AMERICAS 2022; 5:100118. [PMID: 35098200 PMCID: PMC8782269 DOI: 10.1016/j.lana.2021.100118] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The COVID-19 pandemic is having a major impact on the mental health of populations in the Americas. Studies show high rates of depression and anxiety, among other psychological symptoms, particularly among women, young people, those with pre-existing mental health conditions, health workers, and persons living in vulnerable conditions. Mental health systems and services have also been severely disrupted. A lack of financial and human resource investments in mental health services, limited implementation of the decentralized community-based care approach and policies to address the mental health gap prior to the pandemic, have all contributed to the current crisis. Countries must urgently strengthen their mental health responses to COVID-19 by taking actions to scale up mental health and psychosocial support services for all, reach marginalized and at-risk populations, and build back better mental health systems and services for the future. Editorial Disclaimer: This translation in Spanish was submitted by the authors and we reproduce it as supplied. It has not been peer-reviewed. Our editorial processes have only been applied to the original abstract in English, which should serve as a reference for this manuscript. Disclaimer: The Authors hold sole responsibility for the views expressed in this article, which may not necessarily reflect the opinion or policy of the Pan American Health Organization/World Health Organization.
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Affiliation(s)
- Amy Tausch
- Pan American Health Organization, 525 23rd Street NW, Washington, DC 20037, USA
| | | | | | - Claudina Cayetano
- Pan American Health Organization, 525 23rd Street NW, Washington, DC 20037, USA
| | - Jarbas Barbosa
- Pan American Health Organization, 525 23rd Street NW, Washington, DC 20037, USA
| | - Anselm Jm Hennis
- Pan American Health Organization, 525 23rd Street NW, Washington, DC 20037, USA
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Lagunes-Córdoba E, Yoldi-Negrete M, Hewson T, Guízar-Sánchez D, Robles-García R, Tovilla-Zárate CA, Tracy D, Saracco-Alvarez RA, Fresán A. A better way of life: The role of leisure activities on self-perceived health, perceived stress, confidence in stress management, and satisfaction with social support in psychiatrists and psychiatry trainees in Mexico. Front Psychiatry 2022; 13:1052275. [PMID: 36569620 PMCID: PMC9774476 DOI: 10.3389/fpsyt.2022.1052275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 11/18/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Psychiatrists are at high risk of developing burnout and mental health problems mainly due to their emotionally demanding jobs, difficult working conditions, long working hours, and poor work-life balance. As leisure activities are associated with better physical and mental health, engaging in these activities has been recommended as a measure to improve the wellbeing of healthcare workers. However, it is unclear the extent of which psychiatrists and trainees are involved in leisure activities, what type of activities they prefer, or how these impact their self-perceived health, stress, confidence in stress management, and satisfaction with their social support. OBJECTIVE The aim of this study was to identify differences in self-perceived health, perceived stress, confidence in stress management, and satisfaction with social support, between psychiatrists and trainees who engage in different leisure activities, compared with those who do not. METHODS This was a cross-sectional study, including Mexican psychiatrists (n = 355) and trainees (n = 330) who agreed to participate through an online survey. RESULTS 73.1% of participants engaged in some leisure activity, being solitary-passive activities the most reported. Those who have a leisure activity reported lower stress, greater confidence in stress management, and more satisfaction with their social support. Passive-solitary activities were associated with less perceived stress and better confidence in stress management, while active-solitary and social activities were associated with better satisfaction with social support. CONCLUSION Psychiatrists' and trainees' wellbeing benefits from engagement in leisure activities, which should be part of their daily schedules to reduce stress, and potentially improve their mental health.
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Affiliation(s)
| | - María Yoldi-Negrete
- Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Mexico City, Mexico
| | - Tom Hewson
- Pennine Care NHS Foundation Trust, Ashton-under-Lyne, United Kingdom
| | - Diana Guízar-Sánchez
- Departamento de Fisiología de la Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico
| | - Rebeca Robles-García
- Centro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Mexico City, Mexico
| | - Carlos Alfonso Tovilla-Zárate
- División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco, Mexico
| | - Derek Tracy
- West London NHS Trust, London, United Kingdom
| | - Ricardo Arturo Saracco-Alvarez
- Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Mexico City, Mexico
| | - Ana Fresán
- Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Mexico City, Mexico
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Psychological impact of COVID-19 on healthcare workers: cross-sectional analyses from 14 countries. Glob Ment Health (Camb) 2022; 9:328-338. [PMID: 36606237 PMCID: PMC9300980 DOI: 10.1017/gmh.2022.35] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 05/24/2022] [Accepted: 06/24/2022] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. METHODS A cross-sectional online survey was conducted among self-identified HCWs across 14 countries (12 from Asia and two from Africa). The Kessler Psychological Distress Scale, the Fear of COVID-19 Scale, and the Brief Resilient Coping Scale were used to assess the psychological distress, fear, and coping of HCWs, respectively. RESULTS A total of 2447 HCWs participated; 36% were doctors, and 42% were nurses, with a mean age of 36 (±12) years, and 70% were females. Moderate to very-high psychological distress was prevalent in 67% of the HCWs; the lowest rate was reported in the United Arab Emirates (1%) and the highest in Indonesia (16%). The prevalence of high levels of fear was 20%; the lowest rate was reported in Libya (9%) and the highest in Egypt (32%). The prevalence of medium-to-high resilient coping was 63%; the lowest rate was reported in Libya (28%) and the highest in Syria (76%). CONCLUSION COVID-19 has augmented the psychological distress among HCWs. Factors identified in this study should be considered in managing the wellbeing of HCWs, who had been serving as the frontline drivers in managing the crisis successfully across all participating countries. Furthermore, interventions to address their psychological distress should be considered.
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Robles R, Morales-Chainé S, Bosch A, Astudillo-García C, Feria M, Infante S, Alcocer-Castillejos N, Ascencio L, Real-Ramírez J, Díaz D, Gómez-Estrada HF, Becerra C, Escamilla R, López-Montoya A, Beristain-Aguirre A, Vega H, Álvarez-Icaza D, Rodríguez E, Durand S, Fresán A, Medina-Mora ME, Fernández-Cáceres C, Madrigal de León EÁ. Mental Health Problems among COVID-19 Frontline Healthcare Workers and the Other Country-Level Epidemics: The Case of Mexico. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010421. [PMID: 35010679 PMCID: PMC8744587 DOI: 10.3390/ijerph19010421] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 11/29/2021] [Accepted: 12/01/2021] [Indexed: 01/23/2023]
Abstract
COVID-19 frontline healthcare workers (FHCW) are struggling to cope with challenges that threaten their wellbeing. We examine the frequency and predictors of the most frequent mental health problems (MHP) among FHCW during the first COVID-19 peak in Mexico, one of the most severely affected countries in terms of FHCW’s COVID-19 mortality. A cross-sectional survey was conducted between May 8 and August 18, 2020. A total of 47.5% of the sample (n = 2218) were FHCW. The most frequent MHP were insomnia, depression, posttraumatic stress symptoms, and health anxiety/somatization (whole sample: 45.7, 37.4, 33.9, and 21.3%; FHCW: 52.4, 43.4, 40.3 and 26.1, respectively). As compared to during the initial COVID-19 phase, depression and health anxiety/somatization symptoms as well as experiences of grieving due to COVID-19, personal COVID-19 status, and having relatives and close friends with COVID-19 were more frequent during the COVID-19 peak. Obesity, domestic violence, personal COVID-19 status, and grieving because of COVID-19 were included in regression models for main FHCW’s MHP during the COVID-19 peak. In conclusion, measures to decrease other country-level epidemics contributing to the likelihood of COVID-19 complications (obesity) and MHP (domestic violence) as well as FHCW´s probability of COVID-19 infection could safeguard not only their physical but also mental health.
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Affiliation(s)
- Rebeca Robles
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
- Correspondence:
| | - Silvia Morales-Chainé
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | - Alejandro Bosch
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | | | - Miriam Feria
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - Sara Infante
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | | | - Leticia Ascencio
- Palliative Care Service, National Cancer Institute, Ciudad de México 14080, Mexico;
| | - Janet Real-Ramírez
- Population Health Research Center, National Institute of Public Health, Ciudad de México 14080, Mexico;
| | - Dulce Díaz
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | | | - Claudia Becerra
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - Raúl Escamilla
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - Alejandra López-Montoya
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | - Ana Beristain-Aguirre
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | - Hamid Vega
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - Dení Álvarez-Icaza
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | - Evelyn Rodríguez
- Infectious Disease Research Center, National Institute of Respiratory Diseases, Ciudad de México 14080, Mexico;
| | - Sol Durand
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - Ana Fresán
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
| | - María-Elena Medina-Mora
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
- Faculty of Psychology and General Directorate of Academic Personnel Affairs, National Autonomous University of Mexico, Ciudad de México 04510, Mexico; (S.M.-C.); (A.B.); (A.L.-M.); (A.B.-A.); (D.Á.-I.)
| | | | - Eduardo Ángel Madrigal de León
- Ramón de la Fuente Muñiz National Institute of Psychiatry, Ciudad de México 14370, Mexico; (M.F.); (S.I.); (D.D.); (C.B.); (R.E.); (H.V.); (S.D.); (A.F.); (M.-E.M.-M.); (E.Á.M.d.L.)
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Salgado de Snyder VN, Villatoro AP, McDaniel MD, Ocegueda AS, Garcia D, Parra-Medina D. Occupational Stress and Mental Health Among Healthcare Workers Serving Socially Vulnerable Populations During the COVID-19 Pandemic. Front Public Health 2021; 9:782846. [PMID: 34957034 PMCID: PMC8695753 DOI: 10.3389/fpubh.2021.782846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Accepted: 11/11/2021] [Indexed: 11/24/2022] Open
Abstract
The purpose of this study was to analyze occupational and personal stressors, mental health indicators, perceived discrimination and help-seeking behaviors among healthcare workers and providers (HCWPs) serving socially vulnerable groups such as immigrants, refugees, farmworkers, homeless individuals, people living in poverty, and other disadvantaged populations in the United States (U.S.) during the COVID-19 pandemic. Using a cross-sectional descriptive approach, we gathered information between July and September 2020, from a sample of 407 affiliates of two national organizations of clinic-based HCWPs who worked at federally funded and community safety-net clinics. Informed consent was obtained from all participants who completed a self-administered online survey available in English and Spanish. Our results indicated that the HCWPs serving vulnerable groups in the midst of the pandemic experienced high levels of occupational and personal stressors as well as anxiety and depressive symptomology. Major occupational stressors were excessive workload, long working-hours, and institutional barriers to refer and follow-up on their clients' access to needed social services. High-rated personal stressors included sleep disorders, lack of and child-care, partner's loosing job, and other family related situations. Our findings suggest that HCWPs working with vulnerable populations need specialized interventions that bolster their mental health and well-being as the pandemic continues to unfold. We recommend implementing initiatives that encourage HCWPs' to be actively involved in clinic decisions regarding employee safety and protection as well as in management decisions to improve work place infrastructure and capacity to respond to the social needs of their clients. Lessons learned from the pandemic are useful tools in designing protocols for addressing the mental-health needs of HCWPs in health-care organizations that attend to socially underprivileged populations.
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Affiliation(s)
- V Nelly Salgado de Snyder
- National Institute of Public Health, Center for Health Systems Research, Cuernavaca, Mexico.,Latino Research Institute, College of Liberal Arts, The University of Texas at Austin, Austin, TX, United States
| | - Alice P Villatoro
- Santa Clara University, Program of Public Health, Santa Clara, CA, United States
| | - Marisol D McDaniel
- Latino Research Institute, College of Liberal Arts, The University of Texas at Austin, Austin, TX, United States
| | - Ana Sofia Ocegueda
- Latino Research Institute, College of Liberal Arts, The University of Texas at Austin, Austin, TX, United States
| | | | - Deborah Parra-Medina
- Latino Research Institute, College of Liberal Arts, The University of Texas at Austin, Austin, TX, United States
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Rodríguez EA, Agüero-Flores M, Landa-Blanco M, Agurcia D, Santos-Midence C. Moral Injury and Light Triad Traits: Anxiety and Depression in Health-Care Personnel During the Coronavirus-2019 Pandemic in Honduras. HISPANIC HEALTH CARE INTERNATIONAL 2021; 19:230-238. [PMID: 34664509 DOI: 10.1177/15404153211042371] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of the current study was to determine the influence of moral injury and Light Triad (LT) personality traits on anxiety and depression symptoms of health-care personnel during the coronavirus-2019 pandemic. A quantitative, cross-sectional research design was used, the study included a sample of 169 health-care workers from Honduras. Data was gathered through the Moral Injury Symptom Scale for Health Professionals (MISS-HP), Light Triad Scale (LTS), the Generalized Anxiety Disorder-7, and the Patient-Health Questionnaire-9. Results suggest that almost 9 out of 10 respondents experienced at least one potentially morally injurious event, 45.6% were at significant risk of impairment related to moral injury. Working with limited staff and resources, and the implications of it, was the most common potentially morally injurious situation reported by the respondents. Results suggest that MISS-HP Mistrust has significant negative correlations with LT traits. A hierarchical regression model determined that Moral Injury, but not LT traits, significantly affected depression symptoms. On the other hand, anxiety symptoms were significantly predicted by Moral Injury, as did LTS-Humanism. The results were discussed according to their implications for public health policy in Latin America.
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Affiliation(s)
- Elizabeth A Rodríguez
- School of Psychological Sciences, 34843National Autonomous University of Honduras, Tegucigalpa, HN, USA
| | - Maitée Agüero-Flores
- School of Psychological Sciences, 34843National Autonomous University of Honduras, Tegucigalpa, HN, USA
| | - Miguel Landa-Blanco
- School of Psychological Sciences, 34843National Autonomous University of Honduras, Tegucigalpa, HN, USA
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Xiong LJ, Zhong BL, Cao XJ, Xiong HG, Huang M, Ding J, Li WT, Tong J, Shen HY, Xia JH, Hu Y. Possible posttraumatic stress disorder in Chinese frontline healthcare workers who survived COVID-19 6 months after the COVID-19 outbreak: prevalence, correlates, and symptoms. Transl Psychiatry 2021; 11:374. [PMID: 34226510 PMCID: PMC8256400 DOI: 10.1038/s41398-021-01503-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 06/03/2021] [Accepted: 06/16/2021] [Indexed: 12/19/2022] Open
Abstract
Suffering from COVID-19 and witnessing the suffering and deaths of patients with COVID-19 may place frontline healthcare workers (HCWs) at particularly high risk for posttraumatic stress disorder (PTSD); however, few data are available on the clinical characteristics of PTSD among frontline HCWs who survived COVID-19 ("surviving HCWs" hereafter). The present study examined the prevalence, correlates, and clinical symptoms of possible PTSD in surviving HCWs 6 months after the COVID-19 outbreak in China. A total of 291 surviving HCWs and 42 age- and gender-matched COVID-19-free frontline HCWs (control group) were recruited and administered the Chinese Essen Trauma Inventory, which was used to assess the presence of possible PTSD according to DSM-IV-TR criteria. Survivors' clinical data and characteristics of exposure to COVID-19 were collected via self-report questionnaires. Surviving HCWs had significantly higher rates of possible PTSD than controls (19.9% vs. 4.8%, P = 0.017). Correlates of PTSD in survivors were ICU admission (OR = 8.73, P = 0.003), >10 respiratory symptoms during the most symptomatic period of COVID-19 (OR = 3.08, P = 0.006), the residual symptom of dizziness (OR = 2.43, P = 0.013), the residual symptom of difficult breathing (OR = 2.23, P = 0.027), life in danger due to COVID-19 (OR = 16.59, P = 0.006), and exposure to other traumatic events (OR = 2.94, P = 0.035). Less commonly seen PTSD symptoms in survivors were having nightmares about the event (34.5%), suddenly feeling like they were living through the event suddenly (25.9%), being unable to remember an important part of the event (32.8%), and overalertness (31.0%). Nearly one-fifth of the surviving HCWs had possible PTSD 6 months after the COVID-19 outbreak. Mental health services for this vulnerable population should include periodic screening for PTSD, expanded social support, and, when necessary, psychotherapy and psychopharmacological treatment.
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Affiliation(s)
- Li-Juan Xiong
- grid.33199.310000 0004 0368 7223Department of Nosocomial Infection Management, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022 Hubei China
| | - Bao-Liang Zhong
- grid.33199.310000 0004 0368 7223Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, 430012 Hubei province China
| | - Xiong-Jing Cao
- grid.33199.310000 0004 0368 7223Department of Nosocomial Infection Management, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022 Hubei China
| | - Huang-Guo Xiong
- grid.33199.310000 0004 0368 7223Department of Nosocomial Infection Management, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022 Hubei China
| | - Ming Huang
- grid.410648.f0000 0001 1816 6218State Key Laboratory of Component-Based Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617 China
| | - Jing Ding
- grid.503241.10000 0004 1760 9015Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, 430074 Hubei province China
| | - Wen-Tian Li
- grid.33199.310000 0004 0368 7223Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, 430012 Hubei province China
| | - Jun Tong
- Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, 430012, Hubei province, China. .,Institute of Analytical Psychology, City University of Macau, Macau, China.
| | - He-Yong Shen
- Institute of Analytical Psychology, City University of Macau, Macau, China.
| | - Jia-Hong Xia
- Department of Cardiovascular Surgery, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, Hubei, China.
| | - Yu Hu
- Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, Hubei, China.
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Abeldaño Zuñiga RA, Juanillo-Maluenda H, Sánchez-Bandala MA, Burgos GV, Müller SA, Rodríguez López JR. Mental Health Burden of the COVID-19 Pandemic in Healthcare Workers in Four Latin American Countries. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2021; 58:469580211061059. [PMID: 34865558 PMCID: PMC8655476 DOI: 10.1177/00469580211061059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The aim of the study was to assess the mental health burden of the COVID-19 pandemic in healthcare workers in four Latin American countries in 2020.An online survey was carried out with 1721 participants from Argentina, Chile, Colombia and Mexico in 2020. A non-probabilistic convenience sampling method was used to recruit voluntary participants. Post-traumatic stress symptoms were assessed with the SPRINT-E scale, Perceived Discrimination was assessed with a Spanish version of the scale developed by Molero, and anxiety toward death was assessed with the Spanish version of the Templer scale. All instruments were assessed for internal consistency.The overall frequency of post-traumatic stress symptoms was 23.9%. The frequency by countries was 26.4% in Argentina, 29.8% in Chile, 19.9 in Colombia, and 23.8% in Mexico. Post-traumatic stress symptoms were associated with individual subtle discrimination, anxiety toward the death of the elderly, lack of Personal Protective Equipment, and exposition to the death.The COVID-19 pandemic has imposed a mental health burden on health workers in the countries included in the study, not only due to the implications of the disease in the face of exposure to death, but also due to institutional conditions and in which they carry out their work.
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Affiliation(s)
| | | | | | - Graciela Verónica Burgos
- Facultad de Ciencias Médicas, Universidad Nacional de Santiago Del Estero, Santiago Del Estero, Argentina
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Perissotto T, da Silva TCRP, Miskulin FPC, Pereira MB, Neves BA, Almeida BC, Casagrande AV, Ribeiz SRI, Nunes PV. Mental health in medical students during COVID-19 quarantine: a comprehensive analysis across year-classes. Clinics (Sao Paulo) 2021; 76:e3007. [PMID: 34231710 PMCID: PMC8240767 DOI: 10.6061/clinics/2021/e3007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 05/31/2021] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVES The COVID-19 pandemic brought abrupt changes when quarantine measures were implemented. Most medical students had distance learning as their main content delivery mode, but in clerkship (fifth and sixth years), in-person activities were maintained under new protocols. These different modes may have affected student mental health. This study examines mental burden and empathy in medical students during the beginning of the COVID-19 pandemic according to the year of attendance. METHODS All students attending first to the sixth year in the same medical school were invited to participate. The Hospital Anxiety and Depression Scale (HADS), the Self-Reporting Questionnaire (SRQ-20), the Interpersonal Reactivity Index (IRI), and the Mindful Attention Awareness Scale (MAAS) were provided. RESULTS HADS scores for Anxiety and Depression (n=347) were 9.8±4.3 and 7.1±3.6, respectively; the SRQ-20 (n=373) score was 8.1±4.5; all scores were negatively correlated with the year of attendance. IRI (n=373) scores were: 2.6±0.5 (Empathic Concern), 2.7±0.7 (Perspective Taking), 2.5±0.9 (Fantasy), and 1.7±0.7 (Personal Distress). Fantasy was negatively correlated with the year of attendance. MAAS scores were positively correlated with the year of attendance. Worse mental health scores were found for first-year students across all scales. CONCLUSIONS We found high levels of mental burden in medical students in the early period of the COVID-19 pandemic, especially in first-year students, who may have fewer resources to deal with stress. Moreover, as they entered college a short time before the pandemic, they were unable to experience academic life fully or create important new social support networks to deal with adversities.
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Affiliation(s)
| | | | | | | | | | | | | | - Salma Rose Imanari Ribeiz
- Faculdade de Medicina de Jundiai, Jundiai, SP, BR
- Departamento de Psiquiatria, Instituto de Psiquiatria (IPq), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Paula Villela Nunes
- Faculdade de Medicina de Jundiai, Jundiai, SP, BR
- Departamento de Psiquiatria, Instituto de Psiquiatria (IPq), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Corresponding author. E-mail:
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