School of Pharmaceutical Sciences, São Paulo State University (UNESP), Rodovia Araraquara Jaú, Km 01, Araraquara, São Paulo, 14800-903, Brazil.
School of Dentistry, São Paulo State University (UNESP), Campus (Araraquara), Rua Humaitá, 1680, Centro, Araraquara, SP, 14801-140, Brazil.
Int Arch Occup Environ Health. 2021 Jul;94(5):1023-1032. doi: 10.1007/s00420-021-01656-4. Epub 2021 Feb 9.
Studies of previous pandemics indicate that healthcare workers have a high risk of developing symptoms related to mental health, especially depression, anxiety, and stress.
To identify mental disorder symptoms among Brazilian healthcare workers during the Sars-Cov-2 pandemic and compare findings in different work categories.
This was an online cross-sectional study. Information related to the pandemic and mental disorder symptoms was collected. The Depression, Anxiety, and Stress Scale and the Impact of Event Scale-revised were used. Associations were estimated by the chi-square test. The mean scores were compared among work categories with ANOVA (α = 5%) and the prevalence of symptoms was estimated.
1,609 healthcare workers participated in the survey [mean age: 36.9 (SD = 11.6) years, women = 83.6%]. There was no association between work category and changes in mental health during the pandemic (p = 0.288) or prevalence of unsafe feeling (p = 0.218). A significant relationship was observed between maintaining work activities during the pandemic and work category (p < 0.001). Physicians had the lowest out-of-work prevalence (9.5%) while dentists had the highest (32.3%). Physicians and nurses showed the highest prevalence of in-person work routine. Psychologists presented the highest prevalence of remote work (64.0%) while dentists had the lowest (20.2%). A high prevalence of depression (D), anxiety (A), and stress (S) symptoms was observed in all professional categories (D: 57.2, 95% CI 48.3-66.1%; A: 46.20%, 95% CI = 37.2-55.2%; S: 55.80%, 95% CI = 46.8-64.8%), with physicians (D = 38.4%, A = 25.80%, S = 37.90%), psychologists (D = 50.2%, A = 39.0%, S = 43.1%), and nurses (D = 50.0%, A = 40.9%, S = 49.0%) having significantly lower scores. Psychologists had the lowest pandemic-related psychological impact (42.70%, 95% CI 36.8-48.6%).
Extreme changes in the work routine of dentists and psychologists and an overall high prevalence of mental symptoms due to the pandemic were found. Researchers should focus on gathering information that can identify workers at increased risk of mental illness to guide discussions and develop actions to minimize the harm of the pandemic. In addition, we suggest that healthcare and support systems urgently adopt mental health care measures with specialized professionals to protect the psychological well-being of the healthcare community.
先前的大流行研究表明，医护人员患与心理健康相关的症状（尤其是抑郁、焦虑和压力）的风险较高。
在 SARS-CoV-2 大流行期间，确定巴西医护人员的精神障碍症状，并比较不同工作类别的发现。
这是一项在线横断面研究。收集了与大流行和精神障碍症状相关的信息。使用了抑郁、焦虑和压力量表和修订后的事件影响量表。采用卡方检验估计关联。使用方差分析（α = 5%）比较不同工作类别之间的平均分数，并估计症状的患病率。
共有 1609 名医护人员参与了调查[平均年龄：36.9（SD = 11.6）岁，女性占 83.6%]。工作类别与大流行期间心理健康变化（p = 0.288）或不安全感觉的患病率（p = 0.218）之间无关联。在大流行期间维持工作活动与工作类别之间存在显著关系（p < 0.001）。医生的非工作患病率最低（9.5%），而牙医的患病率最高（32.3%）。医生和护士表现出最高的常规面对面工作患病率。心理学家表现出最高的远程工作患病率（64.0%），而牙医的最低（20.2%）。所有专业类别的抑郁（D）、焦虑（A）和压力（S）症状的患病率均较高（D：57.2%，95%CI 48.3-66.1%；A：46.20%，95%CI = 37.2-55.2%；S：55.80%，95%CI = 46.8-64.8%），其中医生（D = 38.4%，A = 25.80%，S = 37.90%）、心理学家（D = 50.2%，A = 39.0%，S = 43.1%）和护士（D = 50.0%，A = 40.9%，S = 49.0%）的得分明显较低。心理学家的大流行相关心理影响最低（42.70%，95%CI 36.8-48.6%）。
发现牙医和心理学家的工作常规发生了极端变化，并且由于大流行导致整体心理健康症状的患病率较高。研究人员应重点收集可识别高风险精神疾病的工人的信息，以指导讨论并制定行动，以减轻大流行的危害。此外，我们建议医疗保健和支持系统紧急采取有专门专业人员的精神保健措施，以保护医疗保健界的心理健康。
