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

• Autor(a) principal: Silva, Nayane Miranda
• Data de Publicação: 2023
• Outros Autores: Pinho, Rebeca da Nobrega Lucena, Costa, Thais Ferreira, Areal, Adriana Ferreira Barros, Salles, André de Mattos, Oliveira, Andrea Pedrosa Ribeiro Alves, Rassi, Carlos Henrique Reis Esselin, Valero, Caroline Elizabeth Brero, Gomes, Ciro Martins, Silva, Dayde Lane Mendonça da, Oliveira, Fernando Araujo Rodrigues de, Jochims, Isadora, Vaz Filho, Ivan Henrique Ranulfo, Neves, Juliana de Brito Seixas, Oliveira, Lucas Alves de Brito, Dantas, Maria Luisa Nogueira, Rosal, Marta Alves, Soares, Mayra Veloso Ayrimoraes, Kurizky, Patrícia Shu, Peterle, Viviane Cristina Uliana, Faro, Yasmin Furtado, Gomides, Ana Paula Monteiro, Mota, Licia Maria Henrique da, Albuquerque, Cleandro Pires de, Simaan, Cezar Kozak, Amado, Veronica Moreira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UnB
• Texto Completo: http://repositorio2.unb.br/jspui/handle/10482/48898; https://doi.org/10.1186/s12909-023-04202-7
• topic: Saúde mental; Residência médica; Residência multiprofissional; Covid-19; Stress; Ansiedade; Depressão mental; Profissionais de saúde; Estudantes de Medicina

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.