Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Surgery, Santa Casa De São Paulo Medical School, São Paulo, Brazil.
Am J Otolaryngol. 2020 Nov-Dec;41(6):102694. doi: 10.1016/j.amjoto.2020.102694. Epub 2020 Aug 21.
Head and neck surgeons are among the highest risk for COVID-19 exposure, which also brings great risk to their mental wellbeing. In this study, we aim to evaluate mental health symptoms among head and neck surgeons in Brazil surrounding the time it was declared the epicenter of the virus.
A cross-sectional, survey-based study evaluating burnout, anxiety, distress, and depression among head and neck surgeons in Brazil, assessed through the single-item Mini-Z burnout assessment, 7-item Generalized Anxiety Disorder scale, 22-item Impact of Event Scale-Revised, and 2-item Patient Health Questionnaire, respectively.
163 physicians completed the survey (74.2% males). Anxiety, distress, burnout, and depression symptoms were reported in 74 (45.5%), 43 (26.3%), 24 (14.7%), and 26 (16.0%) physicians, respectively. On multivariable analysis, female physicians were more likely to report a positive screening for burnout compared to males (OR 2.88, CI [1.07-7.74]). Physicians 45 years or older were less likely to experience anxiety symptoms than those younger than 45 years (OR 0.40, CI [0.20-0.81]). Physicians with no self-reported prior psychiatric conditions were less likely to have symptoms of distress compared to those with such history (OR 0.11, CI [0.33-0.38]).
Head and neck surgeons in Brazil reported symptoms of burnout, anxiety, distress and depression during our study period within the COVID-19 pandemic. Institutions should monitor these symptoms throughout the pandemic. Further study is required to assess the long-term implications for physician wellness.
头颈部外科医生面临着感染 COVID-19 的最高风险，这也给他们的心理健康带来了巨大的风险。本研究旨在评估巴西头颈部外科医生在宣布该病毒成为疫情中心时的心理健康症状。
这是一项横断面、基于调查的研究，通过单项迷你 Z 倦怠评估、7 项广泛性焦虑症量表、22 项修订后的事件影响量表和 2 项患者健康问卷评估巴西头颈部外科医生的倦怠、焦虑、困扰和抑郁情况。
共有 163 名医生完成了调查（74.2%为男性）。74 名（45.5%）、43 名（26.3%）、24 名（14.7%）和 26 名（16.0%）医生分别报告了焦虑、困扰、倦怠和抑郁症状。多变量分析显示，女性医生比男性医生更有可能报告倦怠筛查阳性（OR 2.88，CI [1.07-7.74]）。45 岁及以上的医生发生焦虑症状的可能性低于 45 岁以下的医生（OR 0.40，CI [0.20-0.81]）。无自我报告既往精神疾病史的医生与有此类病史的医生相比，发生困扰症状的可能性较低（OR 0.11，CI [0.33-0.38]）。
在我们的研究期间，巴西的头颈部外科医生报告了 COVID-19 大流行期间的倦怠、焦虑、困扰和抑郁症状。各机构应在整个大流行期间监测这些症状。需要进一步研究以评估对医生健康的长期影响。
