Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS)
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/271740 |
Resumo: | Background: The COVID-19 pandemic overwhelmed health facilities and presented healthcare workers (HCWs) with a new infectious disease threat. In addition to a sanitary crisis, Brazil still had to face major political, economic, and social challenges. This study aimed to investigate mental health outcomes in frontline HCWs in different regions of the country and at different epidemic times. We also sought to identify the main risk factors associated with these outcomes. Methods: A cross-sectional online survey using respondent-driven sampling was conducted to recruit physicians (n = 584), nurses (n = 997), and nurse technicians (n = 524) in 4 regions of Brazil (North, Northeast, Southeast, and South) from August 2020 to July 2021. We used standardized instruments to screen for common mental disorders (CMD)(SRQ-20), alcohol misuse (AUDIT-C), depression (PHQ-9), anxiety (GAD-7), and post-traumatic stress disorder (PTSD)(PCL-5). Gile’s successive sampling estimator was used to produce weighted estimates. We created a three-cluster data set for each HCW category and developed a hierarchical regression model with three levels: individual characteristics; workplace-related aspects; COVID-19 personal experience. The impact of the epidemic moment on the outcomes was also studied. Results: The prevalence of probable CMD was 26.8–36.9%, alcohol misuse 8.7–13.6%, depression 16.4–21.2%, anxiety 10.8–14.2%, and PTSD 5.9–8.0%. We found a stronger association between mental health outcomes and the following factors: history of psychiatric disorders, female gender, and clinical comorbidities (level 1); work overload and family isolation (level 2); sick leave (level 3). Epidemic variables, such as the number of deaths and trend of deaths by COVID-19, had almost no impact on the outcomes. Conclusion: An alarmingly high prevalence of depression and anxiety was found in Brazilian frontline HCWs. Individual factors were the most strongly associated with mental health outcomes. These findings indicate the need to develop programs that provide emotional support, identify professionals at risk and refer them to specialized treatment when necessary. |
id |
UFRGS-2_ac7eff0aa9e2aad739155838929f58af |
---|---|
oai_identifier_str |
oai:www.lume.ufrgs.br:10183/271740 |
network_acronym_str |
UFRGS-2 |
network_name_str |
Repositório Institucional da UFRGS |
repository_id_str |
|
spelling |
Cohen, MírianCardoso, Ricardo BertoglioKerr, Ligia Regina Franco SansigoloKendall, CarlAlmeida, Rosa Lívia Freitas deSchneider, Nayê BalzanViera, Carolina de MelloZaduchliver, Jorge GrossmanCastro, Andriele AbreuPinheiro Júnior, Francisco Marto LealAlbuquerque, Maria de Fatima Pessoa Militao deLima, Luana Nepomuceno Gondim CostaVeras, Maria AméliaMartelli, Celina Maria TurchiCruz, Luciane NascimentoCamey, Suzi Alves2024-02-09T05:05:58Z20230010-440Xhttp://hdl.handle.net/10183/271740001193462Background: The COVID-19 pandemic overwhelmed health facilities and presented healthcare workers (HCWs) with a new infectious disease threat. In addition to a sanitary crisis, Brazil still had to face major political, economic, and social challenges. This study aimed to investigate mental health outcomes in frontline HCWs in different regions of the country and at different epidemic times. We also sought to identify the main risk factors associated with these outcomes. Methods: A cross-sectional online survey using respondent-driven sampling was conducted to recruit physicians (n = 584), nurses (n = 997), and nurse technicians (n = 524) in 4 regions of Brazil (North, Northeast, Southeast, and South) from August 2020 to July 2021. We used standardized instruments to screen for common mental disorders (CMD)(SRQ-20), alcohol misuse (AUDIT-C), depression (PHQ-9), anxiety (GAD-7), and post-traumatic stress disorder (PTSD)(PCL-5). Gile’s successive sampling estimator was used to produce weighted estimates. We created a three-cluster data set for each HCW category and developed a hierarchical regression model with three levels: individual characteristics; workplace-related aspects; COVID-19 personal experience. The impact of the epidemic moment on the outcomes was also studied. Results: The prevalence of probable CMD was 26.8–36.9%, alcohol misuse 8.7–13.6%, depression 16.4–21.2%, anxiety 10.8–14.2%, and PTSD 5.9–8.0%. We found a stronger association between mental health outcomes and the following factors: history of psychiatric disorders, female gender, and clinical comorbidities (level 1); work overload and family isolation (level 2); sick leave (level 3). Epidemic variables, such as the number of deaths and trend of deaths by COVID-19, had almost no impact on the outcomes. Conclusion: An alarmingly high prevalence of depression and anxiety was found in Brazilian frontline HCWs. Individual factors were the most strongly associated with mental health outcomes. These findings indicate the need to develop programs that provide emotional support, identify professionals at risk and refer them to specialized treatment when necessary.application/pdfengComprehensive Psychiatry. New York. Vol. 126, (Oct. 2023), Art. 152402DepressãoAnsiedadeAbuso de álcoolProfissionais de saúdeCOVID-19DepressionAnxietyAlcohol misusePTSDHealthcare workersMental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS)Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001193462.pdf.txt001193462.pdf.txtExtracted Texttext/plain64351http://www.lume.ufrgs.br/bitstream/10183/271740/2/001193462.pdf.txt28d90fe1e94de91856df028489980b4aMD52ORIGINAL001193462.pdfTexto completo (inglês)application/pdf539521http://www.lume.ufrgs.br/bitstream/10183/271740/1/001193462.pdf6beb744d0946d0cb3ee14c171b8df411MD5110183/2717402024-02-10 06:06:46.125605oai:www.lume.ufrgs.br:10183/271740Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2024-02-10T08:06:46Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
title |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
spellingShingle |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) Cohen, Mírian Depressão Ansiedade Abuso de álcool Profissionais de saúde COVID-19 Depression Anxiety Alcohol misuse PTSD Healthcare workers |
title_short |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
title_full |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
title_fullStr |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
title_full_unstemmed |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
title_sort |
Mental health outcomes in frontline healthcare workers in Brazil during the COVID-19 epidemic : results of an online survey in four regions using respondent-driven sampling (RDS) |
author |
Cohen, Mírian |
author_facet |
Cohen, Mírian Cardoso, Ricardo Bertoglio Kerr, Ligia Regina Franco Sansigolo Kendall, Carl Almeida, Rosa Lívia Freitas de Schneider, Nayê Balzan Viera, Carolina de Mello Zaduchliver, Jorge Grossman Castro, Andriele Abreu Pinheiro Júnior, Francisco Marto Leal Albuquerque, Maria de Fatima Pessoa Militao de Lima, Luana Nepomuceno Gondim Costa Veras, Maria Amélia Martelli, Celina Maria Turchi Cruz, Luciane Nascimento Camey, Suzi Alves |
author_role |
author |
author2 |
Cardoso, Ricardo Bertoglio Kerr, Ligia Regina Franco Sansigolo Kendall, Carl Almeida, Rosa Lívia Freitas de Schneider, Nayê Balzan Viera, Carolina de Mello Zaduchliver, Jorge Grossman Castro, Andriele Abreu Pinheiro Júnior, Francisco Marto Leal Albuquerque, Maria de Fatima Pessoa Militao de Lima, Luana Nepomuceno Gondim Costa Veras, Maria Amélia Martelli, Celina Maria Turchi Cruz, Luciane Nascimento Camey, Suzi Alves |
author2_role |
author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Cohen, Mírian Cardoso, Ricardo Bertoglio Kerr, Ligia Regina Franco Sansigolo Kendall, Carl Almeida, Rosa Lívia Freitas de Schneider, Nayê Balzan Viera, Carolina de Mello Zaduchliver, Jorge Grossman Castro, Andriele Abreu Pinheiro Júnior, Francisco Marto Leal Albuquerque, Maria de Fatima Pessoa Militao de Lima, Luana Nepomuceno Gondim Costa Veras, Maria Amélia Martelli, Celina Maria Turchi Cruz, Luciane Nascimento Camey, Suzi Alves |
dc.subject.por.fl_str_mv |
Depressão Ansiedade Abuso de álcool Profissionais de saúde COVID-19 |
topic |
Depressão Ansiedade Abuso de álcool Profissionais de saúde COVID-19 Depression Anxiety Alcohol misuse PTSD Healthcare workers |
dc.subject.eng.fl_str_mv |
Depression Anxiety Alcohol misuse PTSD Healthcare workers |
description |
Background: The COVID-19 pandemic overwhelmed health facilities and presented healthcare workers (HCWs) with a new infectious disease threat. In addition to a sanitary crisis, Brazil still had to face major political, economic, and social challenges. This study aimed to investigate mental health outcomes in frontline HCWs in different regions of the country and at different epidemic times. We also sought to identify the main risk factors associated with these outcomes. Methods: A cross-sectional online survey using respondent-driven sampling was conducted to recruit physicians (n = 584), nurses (n = 997), and nurse technicians (n = 524) in 4 regions of Brazil (North, Northeast, Southeast, and South) from August 2020 to July 2021. We used standardized instruments to screen for common mental disorders (CMD)(SRQ-20), alcohol misuse (AUDIT-C), depression (PHQ-9), anxiety (GAD-7), and post-traumatic stress disorder (PTSD)(PCL-5). Gile’s successive sampling estimator was used to produce weighted estimates. We created a three-cluster data set for each HCW category and developed a hierarchical regression model with three levels: individual characteristics; workplace-related aspects; COVID-19 personal experience. The impact of the epidemic moment on the outcomes was also studied. Results: The prevalence of probable CMD was 26.8–36.9%, alcohol misuse 8.7–13.6%, depression 16.4–21.2%, anxiety 10.8–14.2%, and PTSD 5.9–8.0%. We found a stronger association between mental health outcomes and the following factors: history of psychiatric disorders, female gender, and clinical comorbidities (level 1); work overload and family isolation (level 2); sick leave (level 3). Epidemic variables, such as the number of deaths and trend of deaths by COVID-19, had almost no impact on the outcomes. Conclusion: An alarmingly high prevalence of depression and anxiety was found in Brazilian frontline HCWs. Individual factors were the most strongly associated with mental health outcomes. These findings indicate the need to develop programs that provide emotional support, identify professionals at risk and refer them to specialized treatment when necessary. |
publishDate |
2023 |
dc.date.issued.fl_str_mv |
2023 |
dc.date.accessioned.fl_str_mv |
2024-02-09T05:05:58Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/271740 |
dc.identifier.issn.pt_BR.fl_str_mv |
0010-440X |
dc.identifier.nrb.pt_BR.fl_str_mv |
001193462 |
identifier_str_mv |
0010-440X 001193462 |
url |
http://hdl.handle.net/10183/271740 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Comprehensive Psychiatry. New York. Vol. 126, (Oct. 2023), Art. 152402 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRGS instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Repositório Institucional da UFRGS |
collection |
Repositório Institucional da UFRGS |
bitstream.url.fl_str_mv |
http://www.lume.ufrgs.br/bitstream/10183/271740/2/001193462.pdf.txt http://www.lume.ufrgs.br/bitstream/10183/271740/1/001193462.pdf |
bitstream.checksum.fl_str_mv |
28d90fe1e94de91856df028489980b4a 6beb744d0946d0cb3ee14c171b8df411 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
|
_version_ |
1801225110792699904 |