Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study.

Autor:	Aragonès E; Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona., Cura-González ID; Research Network on Health Services in Chronic Diseases, Madrid; Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, Madrid; Primary Care Research Unit (GAAP-SERMAS), Madrid Health Service, Madrid; Gregorio Marañón Health Research Institute, Madrid., Hernández-Rivas L; La Paz University Hospital, Madrid., Polentinos-Castro E; Research Network on Health Services in Chronic Diseases, Madrid; Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, Madrid; Primary Care Research Unit (GAAP-SERMAS), Madrid Health Service, Madrid; Gregorio Marañón Health Research Institute, Madrid., Fernández-San-Martín MI; Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Barcelona., López-Rodríguez JA; Research Network on Health Services in Chronic Diseases, Madrid; Department of Medical Specialties and Public Health, Universidad Rey Juan Carlos, Madrid; Primary Care Research Unit (GAAP-SERMAS), Madrid Health Service, Madrid; Gregorio Marañón Health Research Institute, Madrid., Molina-Aragonés JM; Institut Català de la Salut, Barcelona., Amigo F; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid., Alayo I; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid., Mortier P; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid., Ferrer M; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid; Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona., Pérez-Solà V; Department of Psychiatry and Legal Medicine, Autonomous University of Barcelona, Barcelona; CIBER Mental Health (CIBERSAM), Madrid; Institut de Neuropsiquiatria i Addiccions, Parc de Salut Mar, Barcelona., Vilagut G; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid., Alonso J; Health Services Research Unit, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona; CIBERESP, Madrid; Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona.
Jazyk:	angličtina
Zdroj:	The British journal of general practice : the journal of the Royal College of General Practitioners [Br J Gen Pract] 2022 Jun 30; Vol. 72 (720), pp. e501-e510. Date of Electronic Publication: 2022 Jun 30 (Print Publication: 2022).
DOI:	10.3399/BJGP.2021.0691
Abstrakt:	Background: The COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce. Aim: To investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak. Design and Setting: This was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020. Method: Healthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, COVID-19 infection status, exposure to patients with COVID-19, and resilience (using the Connor-Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attacks, and substance use disorder). Positive screening for any of these disorders was analysed globally using the term 'any current mental disorder'. Results: A total of 2928 primary care professionals participated in the survey. Of them, 43.7% (95% confidence interval [CI] = 41.9 to 45.4) tested positive for a current mental disorder. Female sex (odds ratio [OR] 1.61, 95% CI = 1.25 to 2.06), having previous mental disorders (OR 2.58, 95% CI = 2.15 to 3.10), greater occupational exposure to patients with COVID-19 (OR 2.63, 95% CI = 1.98 to 3.51), having children or dependents (OR 1.35, 95% CI = 1.04 to 1.76 and OR 1.59, 95% CI = 1.20 to 2.11, respectively), or having an administrative job (OR 2.24, 95% CI = 1.66 to 3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor. Conclusion: Almost half of primary care workers showed significant psychological distress. Strategies to support the mental health of primary care workers are necessary, including designing psychological support and resilience-building interventions based on risk factors identified. (© The Authors.)
Databáze:	MEDLINE
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