High prevalence of mental disorder symptoms among medical and other health specialties residents during the COVID-19 pandemic.

Autor: Silva NM; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil. nayane.silva@ebserh.gov.br.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil. nayane.silva@ebserh.gov.br., da Nobrega Lucena Pinho R; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Costa TF; State Health Department of the Federal District (SES DF), Central Administration: North Radio and TV Sector (SRTVN), 701 North, Postal Code 70.719-040, Brasília, Brazil., Areal AFB; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; State Health Department of the Federal District (SES DF), Central Administration: North Radio and TV Sector (SRTVN), 701 North, Postal Code 70.719-040, Brasília, Brazil., De Mattos Salles A; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Ribeiro Alves Oliveira AP; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil.; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil., Esselin Rassi CHR; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil.; Sírio-Libanês Hospital, SGAS 614/615, Postal Code, Asa Sul, Brasília, 70200-730, Brazil., Valero CEB; Empresa Brasileira de Serviços Hospitalares (EBSERH), SCS Quadra 6 Block A, Postal Code, Asa Sul, Brasília, 70308-200, Brazil., Gomes CM; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil.; Center for Tropical Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil., da Silva DLM; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil., de Oliveira FAR; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil., Jochims I; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Vaz Filho IHR; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil., De Brito Seixas Neves J; Empresa Brasileira de Serviços Hospitalares (EBSERH), SCS Quadra 6 Block A, Postal Code, Asa Sul, Brasília, 70308-200, Brazil., de Brito Oliveira LA; Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil., Dantas MLN; Empresa Brasileira de Serviços Hospitalares (EBSERH), SCS Quadra 6 Block A, Postal Code, Asa Sul, Brasília, 70308-200, Brazil., Rosal MA; Federal University of Piauí (UFPI), Minister Petrônio Portella University Campus, Postal Code, Ininga, 64049-550, Teresina, Brazil., Soares MVA; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Kurizky PS; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Peterle VCU; School of Health Sciences (ESCS), SMHN Conjunto A Block 01 Fepecs Building, Postal Code, Asa Norte, Brasília, 70710-907, Brazil., Faro YF; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Gomides APM; Brasília University Centre (Uniceub), 707/907 North, University Campus, Postal Code, Asa Norte, Brasília, 70790- 075, Brazil., da Mota LMH; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., de Albuquerque CP; Graduate Program in Medical Sciences, Faculty of Medicine, University of Brasília-UnB - Darcy Ribeiro University Campus - Asa Norte, Brasília, 910-900, DF, Brazil.; University Hospital of Brasília (HUB)-UnB, North Large Area Sector 605 - Asa Norte, Postal, Code, Brasília, 70840-901, DF, Brazil., Simaan CK; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil., Amado VM; University of Brasília (UnB) - Darcy Ribeiro University Campus - Asa Norte, 70.910-900, Brasília, DF, Brazil.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2023 May 22; Vol. 23 (1), pp. 361. Date of Electronic Publication: 2023 May 22.
DOI: 10.1186/s12909-023-04202-7
Abstrakt: Background: The COVID-19 pandemic put healthcare professionals, including residents (postgraduate trainees of health professions), under intense physical and psychological stress, hence at risk for mental disorders. We evaluated the prevalence of mental disorders among healthcare residents during the pandemic.
Methods: From July to September 2020, residents in medicine and other healthcare specialties in Brazil were recruited. The participants completed electronic forms with validated questionnaires (DASS-21, PHQ-9, BRCS) to screen for depression, anxiety, and stress, and to evaluate resilience. Data on potential predisposing factors for mental disorders were also collected. Descriptive statistics, chi-squared, students t, correlation and logistic regression models were applied. The study received ethical approval, and all participants provided informed consent.
Results: We included 1313 participants (51.3% medical; 48.7% nonmedical) from 135 Brazilian hospitals; mean (SD) age: 27.8 (4.4) years; 78.2% females; 59.3% white race. Of all participants, 51.3%, 53.4% and 52.6% presented symptoms consistent with depression, anxiety, and stress, respectively; 61.9% showed low resilience. Nonmedical residents exhibited higher anxiety compared to medical residents (DASS-21 anxiety score, mean difference: 2.26; 95% CI: 1.15-3.37; p < 0.001). In multivariate analyses, having any pre-existent, nonpsychiatric chronic disease was associated with higher prevalence of symptoms indicative of depression (odds ratio, OR: 2.05; 95% CI: 1.47-2.85, on DASS-21 | OR: 2.26; 95% CI: 1.59-3.20, on PHQ-9), anxiety (OR: 2.07; 95% CI: 1.51-2.83, on DASS-21), and stress (OR: 1.53; 95% CI: 1.12-2.09, on DASS-21); other predisposing factors were identified; by contrast, high resilience (BRCS score) was protective against symptoms of depression (OR 0.82; 95% CI: 0.79-0.85, on DASS-21 | OR 0.85; 95% CI: 0.82-0.88, on PHQ-9), anxiety (OR 0.90; 95% CI: 0.87-0.93, on DASS-21), and stress (OR 0.88; 95% CI: 0.85-0.91, on DASS-21); p < 0.05 for all outcomes.
Conclusions: We found a high prevalence of mental disorder symptoms among healthcare residents during COVID-19 pandemic in Brazil. Nonmedical residents exhibited higher levels of anxiety than medical ones. Some predisposing factors for depression, anxiety and stress among residents were identified.
(© 2023. The Author(s).)
Databáze: MEDLINE
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