Cardiometabolism Laboratory, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico.
Metabolic Disease Biochemistry, Research Center, Health Sciences Academic Division (DACS), Juarez Autonomous University of Tabasco (UJAT), Villahermosa 86040, Mexico.
Int J Environ Res Public Health. 2023 Feb 27;20(5):4230. doi: 10.3390/ijerph20054230.
Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.
精神健康障碍在普通人群中较为常见，在 COVID-19 之前，它们已经是医疗保健部门的一个重要问题。COVID-19 是一次全球性的重大事件，显然也是一个巨大的压力源，它增加了这些障碍的患病率和发生率。因此，COVID-19 和精神健康障碍密切相关是显而易见的。此外，有一些应对策略可以用来缓解抑郁和焦虑等障碍，这些策略被人们用来应对压力源，医护人员也不例外。这是一项分析性横断面研究，于 2022 年 8 月至 11 月期间通过在线调查进行。通过 DASS-21 测试评估抑郁、焦虑和压力的患病率和严重程度，通过 CSSHW 测试评估应对策略。样本包括 256 名医护人员，其中 133 名（52%）为男性，平均年龄为 40.4 ± 10.35 岁，123 名（48%）为女性，平均年龄为 37.28 ± 9.33 岁。抑郁的患病率为 43%，焦虑的患病率为 48%，压力的患病率为 29.7%。合并症是抑郁和焦虑的显著危险因素，OR 值分别为 10.9 和 4.18。精神病史是抑郁的危险因素，OR 值为 2.17，焦虑的危险因素，OR 值为 2.43，压力的危险因素，OR 值为 3.58。年龄差异是抑郁和焦虑发展的一个重要因素。适应不良的应对机制在 90 名受试者中较为常见，是抑郁（OR 为 2.94）、焦虑（OR 为 4.46）和压力（OR 为 3.68）的危险因素。解决问题的应对机制是抑郁（OR 为 0.35）、焦虑（OR 为 0.22）和压力（OR 为 0.52）的保护因素。这项研究表明，精神健康障碍在墨西哥的医护人员中患病率很高，应对策略与他们的患病率有关。这也意味着，不仅职业、年龄和合并症可能影响心理健康，而且患者面对现实的方式以及他们对压力源的行为和决策也可能影响心理健康。
