Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil. Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Laboratório de Psiquiatria Molecular, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2024;46:e20220537. doi: 10.47626/2237-6089-2022-0537. Epub 2022 Aug 25.
Coronavirus disease 2019 (COVID-19) was declared a global pandemic early in 2020, followed by a period during which governments imposed strict social distancing measures to slow transmission. However, most essential services remained open, and those working in offices faced a higher risk of infection compared to those working at home. We compare the occurrence and potential determinants of mental health outcomes, functioning, and quality of life (QoL) in a subset of a sample of Brazilian individuals who worked from home and a subset who worked in the office during the first wave of COVID-19.
Data were collected during the first wave of COVID-19, using an online survey to assess sociodemographic and clinical variables, functioning with the Digital Functioning Assessment Short Test (D-FAST), QoL with the European Health Interview Surveys QoL instrument (EUROHIS-QOL), depression with the Patient-Reported Outcomes Measurement Information System (PROMIS) depression instrument, anxiety with the PROMIS anxiety instrument, and stress symptoms with the Impact of Event Scale-Revised (IES-R) in a large sample comprising individuals who worked in offices (n = 1685) or worked from home (n = 1,338).
Analysis revealed that depressive and post-traumatic stress symptoms were less prevalent in individuals who worked from home and showed that they had higher functioning and QoL than those working in the office. Individuals who worked in the office were younger, more likely to be female, had lower household income, had low educational level, and were more likely to be unmarried than the home working group.
Our findings support the notion of the negative impact of the COVID-19 pandemic on mental health in both office workers and those working from home. However, the group who worked from home seem to be more resilient with fewer psychiatric symptoms and better functioning.
2020 年初，新冠肺炎（COVID-19）被宣布为全球大流行，随后各国政府实施了严格的社交距离措施以减缓传播。然而，大多数基本服务仍在继续，与在家工作的人相比，在办公室工作的人面临更高的感染风险。我们比较了 COVID-19 第一波期间居家办公和在办公室工作的巴西人群样本中，心理健康结果、功能和生活质量（QoL）的发生情况和潜在决定因素。
使用在线调查收集数据，该调查评估了社会人口统计学和临床变量、使用数字功能评估简短测试（D-FAST）评估功能、使用欧洲健康访谈调查 QoL 工具（EUROHIS-QOL）评估 QoL、使用患者报告结局测量信息系统（PROMIS）抑郁量表评估抑郁、使用 PROMIS 焦虑量表评估焦虑，以及使用修订后的事件影响量表（IES-R）评估应激症状，该大样本包括在办公室工作的个体（n=1685）和在家工作的个体（n=1338）。
分析表明，在家工作的个体抑郁和创伤后应激症状的发生率较低，且他们的功能和 QoL 高于在办公室工作的个体。在办公室工作的个体更年轻、更可能是女性、家庭收入较低、教育程度较低、未婚的可能性高于在家工作的群体。
我们的研究结果支持 COVID-19 大流行对办公室工作人员和在家工作者心理健康产生负面影响的观点。然而，在家工作的群体似乎更有弹性，精神症状更少，功能更好。
