Postgraduate Program in Health Sciences, ABC Faculty of Medicine - FMABC, Santo André, São Paulo, Brazil.
School of Medicine, Federal University of Cariri - UFCA, Barbalha, Ceará, Brazil.
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan 10;104:110057. doi: 10.1016/j.pnpbp.2020.110057. Epub 2020 Aug 7.
Health professionals are key personnel to containing infectious diseases like COVID-19. In the face of long work shifts (that reach 16 h per day on average), the risk of getting infected by a high-infectious disease and the lack of enough biological protection measures, mental suffering among health professionals suddenly became evident.
We carried out an updated meta-analysis to investigate the psychiatric impacts on health professionals in the face of the physical and psychological conditions to which they are subjected due to the high demands of the COVID-19 pandemic. Papers were researched in four databases from December 2019 to April 2020. In total, eight papers were included in the study.
Health professionals working to fight COVID-19 are being more severely affected by psychiatric disorders associated with depression, anxiety, distress and insomnia, stress, and indirect traumatization than other occupational groups. No significant differences were observed in the publication bias.
There is a strong association between health professionals and COVID-19 in terms of psychiatric repercussions. Our meta-analysis showed that health professionals have a higher level of indirect traumatization, in which the level of damage exceeds psychological and emotional tolerance and indirectly results in psychological abnormalities. The incidence of obsessive-compulsive traces and somatizations was higher in situations involving front-line professionals.
在应对 COVID-19 等传染病时，卫生专业人员是关键人员。面对长时间的轮班（平均每天长达 16 小时）、感染高传染性疾病的风险以及缺乏足够的生物防护措施，卫生专业人员的精神痛苦突然显现出来。
我们进行了一项更新的荟萃分析，以研究在 COVID-19 大流行对他们提出的身体和心理要求下，卫生专业人员面临的身体和心理条件对其精神健康的影响。我们在 2019 年 12 月至 2020 年 4 月期间在四个数据库中进行了文献研究。共有 8 篇论文纳入研究。
与其他职业群体相比，抗击 COVID-19 的卫生专业人员受到与抑郁、焦虑、困扰和失眠、压力以及间接创伤相关的精神障碍的严重影响更大。在发表偏倚方面没有观察到显著差异。
在精神影响方面，卫生专业人员与 COVID-19 之间存在很强的关联。我们的荟萃分析表明，卫生专业人员间接创伤程度更高，损害程度超出心理和情绪承受能力，间接导致心理异常。在一线专业人员的情况下，强迫性痕迹和躯体化的发病率更高。
