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Abstract
Objective: To describe the sociodemographic characteristics and determine the factors associated with psychological manifestations of depression, anxiety, and stress in healthcare workers in the context of COVID-19 pandemic in health facilities in Peru during the month of May 2020.
Methods: An analytical cross-sectional study was conducted out in healthcare workers of hospital establishments in Peru. To evaluate the outcome of interest, we administered a structured questionnaire that asked about type of healthcare personnel; sociodemographic characteristics; Generalized Anxiety Disorder scale (GAD-7); Patient Health Questionnaire scale (PHQ-9); and the Revised Stressor Impact scale (IES-R). We used generalized linear Poisson models, with a logarithmic link function and robust variance.
Results: Out of 258 respondents, 254 completed the survey; 61.8% were women; the most common work area was emergency department or hospitalization (inpatient) services (62.2%). The median PHQ-9 score was 4 points (IQR: 2-7); for the GAD-7, it was 6 points (IQR: 4-8), and for the IES-R, 16 points (IQR: 8-24). The multivariate analysis showed that being a physician was associated with less anxiety (PR: 0.77; 95% CI: 0.62-0.94), whereas living alone was associated with a greater risk of depression (PR: 1.46; 95% CI: 1.11-1.92).
Conclusions: Healthcare personnel are at risk of manifesting psychological alterations, mainly associated with the female gender, non-medical personnel and living alone.
References
Ornell F, Halpern S, Paim F, Corrêa J. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad. Saude Pública. 2020;36(4):e00063520.
Guanche GH. COVID-19. Un reto para los profesionales de la salud. Rev Haban de Cienc Med. 2020;19(2):e3284.
Maguiña C. Reflections on COVID-19 infection, Colegio Médico del Peru and the public health. Acta Med Peru. 2020;37(1):8-10.
Ministerio de Salud. COVID 19 en el Perú. Covid19.minsa.gob.pe 2021 [citado 13 Ene 2021]. Disponible en https://covid19.minsa.gob.pe/
Dosil M, Ozamiz-Etxebarria N, Redondo I, Alboniga-Mayor J, Picaza M. Impacto psicológico de la COVID-19 en una muestra de profesionales sanitarios españoles. Rev Psiquiatr Salud Ment. 2020;14(2):106-112.
Cabarkapa S, Nadjidai S, Murgier J, Ng C. The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain Behav Immun Health. 2020;8:100144.
Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004;185(2):127-133.
Wang H, Huang D, Huang H, Zhang J, Guo L, Liu Y, et al. The psychological impact of COVID-19 pandemic on medical staff in Guangdong, China: a cross-sectional study. Psychol Med. 2022:52(5):884-892.
Ruiz M, Gibson C. Emotional Impact of the COVID-19 Pandemic on U.S. Health Care Workers: A Gathering Storm. Psychol Trauma. 2020;12(S1):S153-S155.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open. 2020;3(3):e203976.
Baader M, Molina J, Venezian S, Rojas C, Farías R, Fierro-Freixenet C, et al. Validación y utilidad de la encuesta PHQ-9 (Patient Health Questionnaire) en el diagnóstico de depresión en pacientes usuarios de atención primaria en Chile. Rev Chil Neuro-psiquiatr. 2012;50(1):10-22.
Calderón M, Gálvez-Buccollini J, Cueva G, Ordoñez C, Bromley C, Fiestas F. Validación de la versión peruana del PHQ-9 para el diagnóstico de depresión. Rev Peru Med Exp Salud Publica. 2012;29(4):578-9.
Saldivia S, Aslan J, Cova F, Vicente B, Inostroza C, Rincón P. Propiedades psicométricas del PHQ-9 (Patient Health Questionnaire) en centros de atención primaria de Chile. Rev Med Chil. 2019;147(1):53-60.
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.
Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46(3):266-74.
Gargurevich R., Luyten P, Fils JF, Corveleyn J. Factor structure of the Impact of Event Scale‐Revised in two different Peruvian samples. Depress Anxiety. 2009;26(8):E91-8.
WHO. Promoting Mental Health; concepts, emerging evidence, practice [Internet]. [citado 22 Mayo 2022]; Disponible en: https:// www.who.int/publications/i/item/9241562943
Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID19) on medical staff and general public – A systematic review and metaanalysis. Psychiatry Research. 2020;29:113190.
Zhu Z, Xu S, Wang H, LiU Z, Wu J, Li G, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine. 2020; 24:100443.
Khanal P, Devkota N, Dahal M. Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal. Global Health. 2020;16(89):2-12.
Guiroy A, Gagliardi M, Coombes N, Landriel F, Zanardi C, Camino Willhuber G. COVID-19 impact among spine surgeons in Latin America. Global Spine J. 2020;11(6):859-865.
Ciriaco M. La estrategia olvidada: ¿Qué pasó con los centros de atención primaria? Salud con lupa. [Citado 2 Oct 2020]. Disponible en: https://saludconlupa.com/noticias/la-estrategia-olvidada-que-paso-con-los-centros-de-atencion-primaria/
Helioterio M, Lopes F, Sousa C, Souza F, Pinho P, Sousa F , et al. Covid-19: Por que a proteção de trabalhadores e trabalhadoras da saúde é prioritária no combate à pandemia?. Trab Educ Saude. 2020;18(3):e00289121.
Matthews L, Alden L, Wagner S, Mhite Nicole, Fraess-Phillips A, et al. Prevalence and predictors of posttraumatic Strees disorder, depression, and anxiety in personnel working in emergency department settings: a systematic review. J Emerg Med. 2022;S0736-4679(21)00723-X.
Neto MLR, Almeida HG, Esmeraldo JD, Nobre CB, Pinheiro WR, de Oliveira CRT, et. al. When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Res. 2020;288:112972.
McCarthy M, Nugent B, Lenz K. Neuroimmunology and neuroepigenetics in the establishment of sex differences in the brain. Nat Rev Neurosci. 2017;18:471-84.
WHO. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization; 2017. [citado 13 Ago 2021]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. BMJ. 2020;369:m1642.
Plana-Ripoll O, Pedersen CB, Holtz Y, Benros ME, Dalsgaard S, de Jonge P, et al. Exploring Comorbidity Within Mental Disorders Among a Danish National Population. JAMA Psychiatry. 2019;76(3):259-270.
Momen NC, Plana-Ripoll O, Agerbo E, Benros ME, Børglum AD, Christensen MK, et al. Association between mental disorders and subsequent medical conditions. N Engl J Med. 2020;382:1721-31.
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