Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey
| Autor: | Alonso, Jordi, Vilagut, Gemma, Alayo, Itxaso, Ferrer Forés, Maria Montserrat, Amigo, Franco, Aragón-Peña, Andrés, Aragonès, Enric, Campos, M., del Cura-González, Isabel, Urreta, I., Espuga Jordana, Meritxell, González Pinto, A., Haro Abad, Josep Maria, López Fresneña, N., Martínez De Salázar, A., Molina, J.D., Ortí Lucas, Rafael M., Parellada, Mara, Pelayo-Terán, José María, Pérez Zapata, A., Pijoan, J.I., Plana, Maria Nieves, Puig, Teresa, Rius i Gibert, Maria Cristina, Rodriguez-Blazquez, C., Sanz, Ferran, Serra, C., Kessler, R. C., Bruffaerts, Ronny, Vieta, Eduard, Pérez-Solá, V., Mortier, Philippe, Universitat Autònoma de Barcelona |
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| Přispěvatelé: | Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF), Government of Catalonia (España), Junta de Castilla y León (España), Institut Català de la Salut, [Alonso J, Ferrer M] Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain. CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain. [Vilagut G, Alayo I, Amigo F] Health Services Research Unit, IMIM-Institut Hospital del Mar d’Investigacions Mèdiques, Barcelona, Spain. CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. [Aragón-Peña A] Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain. Fundación Investigación e Innovación Biosanitaria de AP, Comunidad de Madrid, Madrid, Spain. [Espuga M] Unitat Bàsica de Prevenció de Riscos Laborals, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Stressful life events
stressful life events Epidemiology Other subheadings::Other subheadings::/epidemiology [Other subheadings] Health Personnel COVID-19 (Malaltia) Personal sanitari virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES] Humans Longitudinal Studies Depressió psíquica Salut mental Pandemics personas::grupos profesionales::personal sanitario [DENOMINACIONES DE GRUPOS] atención a la salud (salud pública)::salud de grupos específicos::salud mental [SALUD PÚBLICA] Health Care (Public Health)::Health of Specific Groups::Mental Health [PUBLIC HEALTH] Depressive Disorder Major Post-traumatic stress disorder Mental Disorders::Mood Disorders::Depressive Disorder::Depressive Disorder Major [PSYCHIATRY AND PSYCHOLOGY] Depression Otros calificadores::Otros calificadores::/epidemiología [Otros calificadores] Public Health Environmental and Occupational Health Persons::Occupational Groups::Health Personnel [NAMED GROUPS] Posttraumatic stress disorder COVID-19 Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES] Psychiatry and Mental health post-traumatic stress disorder epidemiology Mental health trastornos mentales::trastornos del humor::trastorno depresivo::trastorno depresivo mayor [PSIQUIATRÍA Y PSICOLOGÍA] mental health |
| Zdroj: | EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname Repisalud Instituto de Salud Carlos III (ISCIII) Epidemiology and Psychiatric Sciences r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA Consejo Superior de Investigaciones Científicas (CSIC) Scientia r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| ISSN: | 2045-7960 2045-7979 |
| Popis: | Aims Longitudinal data on the mental health impact of the coronavirus disease 2019 (Covid-19) pandemic in healthcare workers is limited. We estimated prevalence, incidence and persistence of probable mental disorders in a cohort of Spanish healthcare workers (Covid-19 waves 1 and 2) -and identified associated risk factors. Methods 8996 healthcare workers evaluated on 5 May–7 September 2020 (baseline) were invited to a second web-based survey (October–December 2020). Major depressive disorder (PHQ-8 ≥ 10), generalised anxiety disorder (GAD-7 ≥ 10), panic attacks, post-traumatic stress disorder (PCL-5 ≥ 7), and alcohol use disorder (CAGE-AID ≥ 2) were assessed. Distal (pre-pandemic) and proximal (pandemic) risk factors were included. We estimated the incidence of probable mental disorders (among those without disorders at baseline) and persistence (among those with disorders at baseline). Logistic regression of individual-level [odds ratios (OR)] and population-level (population attributable risk proportions) associations were estimated, adjusting by all distal risk factors, health care centre and time of baseline interview. Results 4809 healthcare workers participated at four months follow-up (cooperation rate = 65.7%; mean = 120 days s.d. = 22 days from baseline assessment). Follow-up prevalence of any disorder was 41.5%, (v. 45.4% at baseline, p < 0.001); incidence, 19.7% (s.e. = 1.6) and persistence, 67.7% (s.e. = 2.3). Proximal factors showing significant bivariate-adjusted associations with incidence included: work-related factors [prioritising Covid-19 patients (OR = 1.62)], stress factors [personal health-related stress (OR = 1.61)], interpersonal stress (OR = 1.53) and financial factors [significant income loss (OR = 1.37)]. Risk factors associated with persistence were largely similar. Conclusions Our study indicates that the prevalence of probable mental disorders among Spanish healthcare workers during the second wave of the Covid-19 pandemic was similarly high to that after the first wave. This was in good part due to the persistence of mental disorders detected at the baseline, but with a relevant incidence of about 1 in 5 of HCWs without mental disorders during the first wave of the Covid-19 pandemic. Health-related factors, work-related factors and interpersonal stress are important risks of persistence of mental disorders and of incidence of mental disorders. Adequately addressing these factors might have prevented a considerable amount of mental health impact of the pandemic among this vulnerable population. Addressing health-related stress, work-related factors and interpersonal stress might reduce the prevalence of these disorders substantially. Study registration number: NCT04556565 |
| Databáze: | OpenAIRE |
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