Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey
Por:
Alonso, J, Vilagut, G, Mortier, P, Ferrer, M, Alayo, I, Aragon-Pena, A, Aragones, E, Campos, M, Cura-Gonzalez, ID, Emparanza, JI, Espuga, M, Forjaz, MJ, Gonzalez-Pinto, A, Haro, JM, Lopez-Fresnena, N, de Salazar, ADM, Molina, JD, Orti-Lucas, RM, Parellada, M, Pelayo-Teran, JM, Perez-Zapata, A, Pijoan, JI, Plana, N, Puig, MT, Rius, C, Rodriguez-Blazquez, C, Sanz, F, Serra, C, Kessler, RC, Bruffaerts, R, Vieta, E, Perez-Sola, V, MINDCOVID Working Grp
Publicada:
1 abr 2021
Ahead of Print:
1 may 2021
Resumen:
Introduction: Healthcare workers are vulnerable to adverse mental health impacts of the COVID-19 pandemic. We assessed prevalence of mental disorders and associated factors during the first wave of the pandemic among healthcare professionals in Spain.
Methods: All workers in 18 healthcare institutions (6 AACC) in Spain were invited to web -based surveys assessing individual characteristics, COVID-19 infection status and exposure, and mental health status (May 5 - September 7, 2020). We report: probable current mental disorders (Major Depressive Disorder-MDD- [PHQ-8>10], Generalized Anxiety Disorder -GAD- [GAD -7>10], Panic attacks, Posttraumatic Stress Disorder -PTSD- [PCL-5>7]; and Substance Use Disorder -SUD[CAGE-AID>2]. Severe disability assessed by the Sheehan Disability Scale was used to identify probable "disabling" current mental disorders.
Results: 9,138 healthcare workers participated. Prevalence of screen -positive disorder: 28.1% MDD; 22.5% GAD, 24.0% Panic; 22.2% PTSD; and 6.2% SUD. Overall 45.7% presented any current and 14.5% any disabling current mental disorder. Workers with pre -pandemic lifetime mental disorders had almost twice the prevalence than those without. Adjusting for all other variables, odds of any disabling mental disorder were: prior lifetime disorders (TUS: OR=5.74; 95%CI 2.5313.03; Mood: OR=3.23; 95%C1:2.27-4.60; Anxiety: OR=3.03; 95%C1:2.53-3.62); age category 1829 years (OR=1.36; 95%C1:1.02-1.82), caring "all of the time" for COVID-19 patients (OR=5.19; 95%C1: 3.61-7.46), female gender (OR=1.58; 95%C1: 1.27-1.96) and having being in quarantine or isolated (OR= 1.60; 95C1:1.31-1.95).
Conclusions: One in seven Spanish healthcare workers screened positive for a disabling mental disorder during the first wave of the COVID-19 pandemic. Workers reporting pre -pandemic lifetime mental disorders, those frequently exposed to COVID-19 patients, infected or quarantined/isolated, female workers, and auxiliary nurses should be considered groups in need of mental health monitoring and support. (C) 2020 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of SEP y SEPB.
Filiaciones:
Alonso, J:
Hosp del Mar Invest Med, IMIM, Hlth Serv Res Unit, Barcelona, Spain
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Pornpeu Fabra Univ, Dept Expt & Hlth Sci, Barcelona, Spain
Vilagut, G:
Hosp del Mar Invest Med, IMIM, Hlth Serv Res Unit, Barcelona, Spain
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Mortier, P:
Hosp del Mar Invest Med, IMIM, Hlth Serv Res Unit, Barcelona, Spain
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Ferrer, M:
Hosp del Mar Invest Med, IMIM, Hlth Serv Res Unit, Barcelona, Spain
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Univ Autonoma Barcelona UAB, Barcelona, Spain
Alayo, I:
Hosp del Mar Invest Med, IMIM, Hlth Serv Res Unit, Barcelona, Spain
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Aragon-Pena, A:
Reg Minist Hlth, Community Madrid, Epidemiol Unit, Madrid, Spain
Fdn Invest & Innovac Biosanitaria Atenc Primaria, Madrid, Spain
Aragones, E:
Inst Invest Atencio Primaria IDIAP Jordi Gol, Barcelona, Spain
Inst Catala Salut, Atencio Primaria Camp Tarragona, Barcelona, Spain
Campos, M:
Generalitat Catalunya, Med Emergencies Syst, Serv Prevent Lab Risks, Barcelona, Spain
Cura-Gonzalez, ID:
Fdn Invest & Innovac Biosanitaria Atenc Primaria, Madrid, Spain
Madrid Hlth Serv, Primary Care Management, Res Unit, Madrid, Spain
King Juan Carlos Univ, Dept Med Special & Publ Hlth, Madrid, Spain
Emparanza, JI:
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Hosp Univ Donostia, San Sebastian, Spain
Espuga, M:
Hosp Univ Vall dHebron, Occupat Hlth Serv, Barcelona, Spain
Forjaz, MJ:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Madrid, Spain
Hlth Serv Res Network Chron Dis REDISSEC, Madrid, Spain
Gonzalez-Pinto, A:
Hosp Univ Araba Santiago, Vitoria, Spain
CIBER Salud Mental CIBERSAM, Madrid, Spain
Haro, JM:
Univ Autonoma Barcelona UAB, Barcelona, Spain
CIBER Salud Mental CIBERSAM, Madrid, Spain
Parc Sanitari St Joan de Deu, Barcelona, Spain
Lopez-Fresnena, N:
Hosp Gen Univ Gregorio Maranon, Madrid, Spain
de Salazar, ADM:
Hosp Univ Torrecardenas, UGC Salud Mental, Almeria, Spain
Molina, JD:
CIBER Salud Mental CIBERSAM, Madrid, Spain
Hosp Univ 12 Octubre, Psychiat Serv, Clin Management Area Psychiat & Mental Hlth, Villaverde Mental Hlth Ctr, Madrid, Spain
Res Inst Hosp 12 Octubre I 12, Madrid, Spain
Francisco de Vitoria Univ, Fac Hlth Sci, Madrid, Spain
Orti-Lucas, RM:
Hosp Clin Univ, Valencia, Spain
Parellada, M:
CIBER Salud Mental CIBERSAM, Madrid, Spain
Hosp Gen Univ Gregorio Maranon, Madrid, Spain
Pelayo-Teran, JM:
Hosp El Bierzo, Leon, Spain
Perez-Zapata, A:
Principe Asturias Univ Hosp, Madrid, Spain
Pijoan, JI:
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Hosp Univ Cruces OSI EEC, Bilbao, Spain
Plana, N:
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Principe Asturias Univ Hosp, Madrid, Spain
Puig, MT:
Univ Autonoma Barcelona UAB, Barcelona, Spain
Hosp Santa Creu & Sant Pau, Dept Epidemiol & Publ Hlth, Barcelona, Spain
Biomed Res Inst St Pau IIB St Pau, Barcelona, Spain
CIBER Enfermedades Cardiovasc CIBERCV, Madrid, Spain
Rius, C:
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
CIBER Salud Mental CIBERSAM, Madrid, Spain
Agencia Salut Publ Barcelona, Barcelona, Spain
CIBER Enfermedades Neurodegenerat CIBERNED, Madrid, Spain
Rodriguez-Blazquez, C:
Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Madrid, Spain
CIBER Enfermedades Neurodegenerat CIBERNED, Madrid, Spain
Sanz, F:
Pornpeu Fabra Univ, Dept Expt & Hlth Sci, Barcelona, Spain
Hosp del Mar Med Res Inst IMIM, Res Progamme Biomed Informat GRIB, Barcelona, Spain
Inst Nacl Bioinformat ELIXIR ES, Barcelona, Spain
Serra, C:
GIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Parc Salut Mar PSMAR, Barcelona, Spain
IMIM UPF, CiSAL Ctr Invest Salud Laboral, Barcelona, Spain
Kessler, RC:
Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 USA
Bruffaerts, R:
Katholieke Univ Leuven, Ctr Publ Hlth Psychiat, Univ Psychiat Ctr, Leuven, Belgium
Vieta, E:
CIBER Salud Mental CIBERSAM, Madrid, Spain
Fundacio Clin Recerca Biomed, Barcelona, Spain
Perez-Sola, V:
Univ Autonoma Barcelona UAB, Barcelona, Spain
CIBER Salud Mental CIBERSAM, Madrid, Spain
Parc Salut Mar PSMAR, Barcelona, Spain
Green Published, Green Submitted, hybrid, Green Accepted
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