Universidade Federal de Pelotas. Departamento de Medicina Social. Programa de Pós-graduação em Epidemiologia. Pelotas, RS, Brasil.
Universidade Federal de Pelotas. Faculdade de Medicina. Curso de Psicologia. Pelotas, RS, Brasil.
Rev Saude Publica. 2023 Jan 6;56:107. doi: 10.11606/s1518-8787.2022056004668. eCollection 2023.
To estimate prevalence and factors associated with major depressive episode (MDE), emphasizing occupational aspects, in workers of a public teaching hospital that is a reference for Covid-19 treatment.
A cross-sectional study was carried out between October and December 2020, after the first peak of the pandemic, interviewing 1,155 workers. The prevalence of MDE was estimated using the Patient Health Questionnaire (PHQ-9) algorithm. Multivariate hierarchical analysis was conducted using Poisson regression to assess associated factors.
MDE prevalence was 15.3% (95%CI: 13.3-17.5) and was higher among young, white and female workers, those with a family history of depression, resident professionals, nursing professionals, workers who were exposed to three or more situations of moral dilemma, and those who had to put off a physiological need until later. Having a risk factor for Covid-19, being a smoker and being physically inactive were also positively associated with MDE.
The study points to the considerable prevalence of MDE among tertiary health care workers; reviewing work processes is essential to reduce occupational stress and minimize the effects of the pandemic on mental health, preventing those problems from becoming chronic.
评估在一家治疗新冠病毒的公立医院工作的劳动者中重度抑郁发作（MDE）的患病率及其相关因素，重点关注职业方面。
本横断面研究于 2020 年 10 月至 12 月在疫情第一波高峰后进行，共对 1155 名劳动者进行了访谈。采用患者健康问卷（PHQ-9）算法评估 MDE 的患病率。采用泊松回归进行多变量分层分析，以评估相关因素。
MDE 的患病率为 15.3%（95%CI：13.3-17.5），年轻、白种人、女性、有抑郁家族史、常驻专业人员、护理专业人员、接触 3 种或更多道德困境情况以及不得不推迟生理需求的劳动者中患病率更高。新冠病毒风险因素、吸烟和身体活动不足与 MDE 也呈正相关。
研究表明，三级保健工作者中 MDE 的患病率相当高；审查工作流程对于减轻职业压力和最大限度地减少大流行对心理健康的影响至关重要，以防止这些问题变成慢性问题。
