Symptoms of post-traumatic stress disorder and affects in healthcare workers during the COVID-19 pandemic
Palabras clave:
Affect, COVID-19, Healthcare workers, Post-traumatic stress disordersResumen
Objective
This study aimed to evaluate symptoms of post-traumatic stress disorder and affects in health professionals during the COVID-19 pandemic.
Method
Three hundred and seventy-four health professionals, among which 235 were front-line and 139 non-front-line workers, answered an online questionnaire consisting of socio-demographic data, identification of past mental disorders, personal experience facing the pandemic, the Impact of Event Scale, and the Positive and Negative Affect Schedule. The sample consisted mainly of physicians and nursing staff aged between 30 and 49 years.
Results
The results demonstrate high scores of symptoms related to post-traumatic stress disorder, with greater expressiveness among front-line professionals, especially in the nursing staff, and a strong correlation of these results with negative affects.
Conclusion
Psychological assistance and interventions directed to health professionals are urgent to mitigate the impacts caused by the COVID-19 pandemic.
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Adams, J. G., & Walls, R. M. (2020). Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA, 323(15), 1439-1440. https://doi.org/10.1001/jama.2020.3972
American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed).
Asukai, N., Kato, H., Kawamura, N., Kim, Y., Yamamoto, K., Kishimoto, J., Miyake, Y., & Nishizono-Maher, A. (2002). Reliability and validity of the Japanese-language version of the impact of event scale-revised (IES-R-J): Four studies of different traumatic events. The Journal of Nervous and Mental Disease, 190(3), 175-182. https://doi.org/10.1097/00005053-200203000-00006
Boni, R. B. D. (2020). Web surveys in the time of COVID-19. Cadernos de Saúde Pública, 36(7), 1-4. https://doi. org/10.1590/0102-311x00155820
Caiuby, A. V. S., Lacerda, S. S., Quintana, M. I., Torii, T. S., & Andreoli, S. B. (2012). Cross-cultural adaptation of the Brazilian version of the Impact of Events Scale-Revised (IES-R). Cadernos de Saúde Pública, 28, 597-603. https://doi.org/10.1590/S0102-311X2012000300019
Carvalho, H. W., Andreoli, S. B., Lara, D. R., Patrick, C. J., Quintana, M. I., Bressan, R. A., Mari, J. J., & Jorge, M. R. (2013). Structural validity and reliability of the Positive and Negative Affect Schedule (PANAS): evidence from a large Brazilian community sample. Brazilian Journal of Psychiatry, 35(2), 169-172. https://doi.org/10.1590/1516-4446-2012-0957
Chen, R., Liang, S., Peng, Y., Li, X., Chen, J., Tang, S., & Zhao, J. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: a large-scale survey. Journal of Psychosomatic Research, 137, e110219. https://doi.org/10.1016/j.jpsychores.2020.110219
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Khan, F. A., Shanmugam, G. N., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B. P. L., Sunny, S., Chandra, B., Ong, J. J. Y., …Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88, 559-565. https://doi.org/10.1016/j. bbi.2020.04.049
Daumas, R. P., Silva, G. A., Tasca, R., Leite, I. C., Brasil, P., Greco, D. B., Grabois, V., & Campos, G. W. S. (2020). The role of primary care in the Brazilian healthcare system: Limits and possibilities for fighting COVID-19. Cadernos de Saúde Pública, 36(6), e00104120. https://doi.org/10.1590/0102-311x00104120
Evans, J. D. (1996). Straightforward statistics for the behavioral sciences. Brooks/Cole Publishing Company.
Eysenbach, G. (2004). Improving the quality of web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34. https://doi.org/10.2196/ jmir.6.3.e34
Faro, A., Bahiano, M. A., Nakano, T. C., Reis, C., Silva, B. F. P., & Vitti, L. S. (2020). COVID-19 and mental health: the emergence of care. Estudos de Psicologia (Campinas), 37, e200074. https://doi.org/10.1590/1982- 0275202037e200074
Gallopeni, F., Bajraktari, I., Selmani, E., Tahirbegolli, I. A., Sahiti, G., Muastafa, A., Bojaj, G., Muharremi, V. B., & Tahirbegolli, B. (2020). Anxiety and depressive symptoms among healthcare professionals during the Covid-19 pandemic in Kosovo: a cross sectional study. Journal of Psychosomatic Research, 137, e110212. https://doi.org/10.1016/j.jpsychores.2020.110212
Hetzel-Riggin, M. D., Swords, B. A., Tuang, H. L., Deck, J. M., & Spurgeon, N. S. (2019). Work Engagement and Resiliency Impact the Relationship Between Nursing Stress and Burnout. Psychological Reports, 123(5), 1835-1853. https://doi.org/10.1177/0033294119876076
Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard,C.,Christensen, H., Silver, R. C., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R., Sweeney, A., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry, 7(6), 547-560. https:// doi.org/10.1016/S2215-0366(20)30168-1
Kawamura, N., Kim, Y., & Asukai, N. (2001). Suppression of cellular immunity in men with a past history of posttraumatic stress disorder. The American Journal of Psychiatry, 158(3), 484-486. https://doi. org/10.1176/appi.ajp.158.3.484
Kim, M. S., Kim, T., Lee, D., Yook, J. H., Hong, Y. C., Lee, S. Y., Yoon, J. H., & Kang, M. Y. (2018). Mental disorders among workers in the healthcare industry: 2014 national health insurance data. Annals of Occupational and Environmental Medicine, 30(1), e31. https://doi.org/10.1186/s40557-018-0244-x
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976-e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123-127. https://doi.org/10.1016/j.comppsych.2018.10.003
Leonelli, L. B., Andreoni, S., Martins, P., Kozasa, E. H., Salvo, V. L., Sopezki, D., Montero-Marin, J., Garcia-Campayo, J., & Demarzo, M. M. P. (2017). Perceived stress among Primary Health Care Professionals in Brazil. Revista Brasileira de Epidemiologia, 20, 286-298. https://doi.org/10.1590/1980-5497201700020009
Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu, S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., … Yang, C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, Behavior, and Immunity, 88, 916-919. https://doi.org/10.1016/j.bbi.2020.03.007
Maunder, R. G., Lancee, W. J., Rourke, S., Hunter, J. J., Goldbloom, D., Balderson, K., Petryshen, P., Steinberg, R., Wasylenki, D., Koh, D., & Fones, C. S. L. (2004). Factors Associated with the psychological impact of Severe Acute Respiratory Syndrome on nurses and other hospital workers in Toronto. Psychosomatic Medicine, 66(6), 938-942. https://doi.org/10.1097/01.psy.0000145673.84698.18
Morina, N., & von Collani, G. (2006). Impact of War-Related Traumatic Events on Self-Evaluation and Subjective Well-Being. Traumatology, 12(2), 130-138. https://doi.org/10.1177/1534765606294560
Neto, M. L. R., Almeida, H. G., Esmeraldo, J. D., Nobre, C. B., Pinheiro, W. R., de Oliveira, C. R. T., Sousa, I. C., Lima, O. M. M. L., Lima, N. N. R., Moreira, M. M., Lima, C. K. T., Gonçalves-Júnior, J., & da Silva, C. G. L. (2020). When health professionals look death in the eye: The mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Research, 288, 112972. https://doi.org/10.1016/j. psychres.2020.112972
Olff, M., & van Zuiden, M. (2017). Neuroendocrine and neuroimmune markers in PTSD: Pre-, peri- and post-trauma glucocorticoid and inflammatory dysregulation. Current Opinion in Psychology, 14, 132-137. https://doi.org/10.1016/j.copsyc.2017.01.001
Ornell, F., Halpern, S. C., Kessler, F. H. P., & Narvaez, J. C. M. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de Saúde Pública, 36(4), e00063520. https:// doi.org/10.1590/0102-311x00063520
Otsuka Nunes, L. Y., Lemos, D. C. L., Ribas Júnior, R. C., Behar, C. B., & Santos, P. P. P. (2019). Psychometric analysis of PANAS in Brazil. Ciências Psicológicas, 13(1), 45-55. https://doi.org/10.22235/cp.v13i1.1808
Ryder, A. L., Azcarate, P. M., & Cohen, B. E. (2018). PTSD and Physical Health. Current Psychiatry Reports, 20(12), 116. https://doi.org/10.1007/s11920-018-0977-9
Samuelson, K. W., Bartel, A., Valadez, R., & Jordan, J. T. (2017). PTSD symptoms and perception of cognitive problems: The roles of posttraumatic cognitions and trauma coping self-efficacy. Psychological Trauma: Theory, Research, Practice, and Policy, 9(5), 537-544. https://doi.org/10.1037/tra0000210
Schmidt, B., Crepaldi, M. A., Bolze, S. D. A., Neiva-Silva, L., & Demenech, L. M. (2020). Mental health and psychological interventions during the new coronavirus pandemic. Estudos de Psicologia (Campinas), 37, e200063. https://doi.org/10.1590/1982-0275202037e200063
Scott, J. C., Matt, G. E., Wrocklage, K. M., Crnich, C., Jordan, J., Southwick, S. M., Krystal, J. H., & Schweinsburg, B. C. (2015). A quantitative meta-analysis of neurocognitive functioning in posttraumatic stress disorder. Psychological Bulletin, 141(1), 105-140. https://doi.org/10.1037/a0038039
Tham, K. Y., Tan, Y. H., Loh, O. H., Tan, W. L., Ong, M. K., & Tang, H. K. (2017). Psychological Morbidity among Emergency Department Doctors and Nurses after the SARS Outbreak. Hong Kong Journal of Emergency Medicine, 12(4). https://doi.org/10.1177/102490790501200404
Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., Liu, X., Fuller, C. J., Susser, E., Lu, J., & Hoven, C. W. (2009). The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 54(5), 302-311. https://doi.org/10.1177/070674370905400504
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Derechos de autor 2023 Jefferson Luiz PEREIRA , Sofia Marques Viana ULISSES, Omar Moreira Del BIANCO, Katerina LUKASOVA
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
