Martín-Del-Campo Fabiola, Ramírez-Pineda Jorge L, Ávila-Cornejo Rosa M, Gutiérrez-Casillas Sophia B, Sánchez-Soriano Artemio, Cueto Manzano Alfonso M
Unidad de Investigación Biomédica 02, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico.
Servicios de Prevención y Promoción de la Salud para Trabajadores IMSS, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, Mexico.
J Psychosom Res. 2023 Nov;174:111488. doi: 10.1016/j.jpsychores.2023.111488. Epub 2023 Sep 8.
Health-care workers are in high risk for COVID-19 and may experience associated mental health disturbances. Although physical activity (PA) has positive effects on mental disturbances, it has not been fully investigated in health-team during COVID-19 pandemic. Therefore, we analyzed depression, anxiety and stress in health-care workers, and their relationship with PA before and during a COVID-19 peak.
Retrospective cohort study. PA (IPAQ short-form) evaluated and associated with depression, anxiety and stress (DAAS-21) at the beginning of COVID-19 first wave in Mexico (April 2020) in 1146 workers of a tertiary-care hospital, and in a subsequent occasion at the first wave peak (July-August/2020) in 311 workers (from the first ones). Data collected from routine surveillance.
Depression increased 9%, anxiety 15%, and stress 10% at the pandemic peak. Subjects with higher frequency of baseline moderate PA showed lower severity of depression, anxiety and stress at the peak (p < 0.05). At the pandemic peak, female sex (OR = 2.42, 95%CI 1.14-5.13), diabetes (OR = 21.9, 95%CI 2.09-221) and baseline depression (OR = 8.86, 95%CI 4.30-18.2) predicted depression; baseline anxiety (OR = 5.52, 95%CI 3.01-10.1), working in COVID-19 area (OR = 4.14, 95%CI 1.99-8.64), and baseline moderate PA (OR = 0.35, 95%CI 0.16-0.73) predicted anxiety; and baseline stress (OR = 8.64, 95%CI 4.11-18.2), and moderate PA (OR = 0.35, 95%CI 0.15-0.82) predicted stress.
Depression, stress, and particularly anxiety, increased in health-care workers from the beginning to the COVID-19 pandemic peak, and were predicted by the presence of the corresponding baseline mental alterations, and in the case of anxiety and stress, by the lower frequency of moderate PA.
医护人员感染新冠病毒的风险很高，可能会出现相关的心理健康问题。尽管体育活动对心理问题有积极影响，但在新冠疫情期间，医护团队对此尚未进行充分研究。因此，我们分析了医护人员在新冠疫情高峰期前后的抑郁、焦虑和压力情况，以及它们与体育活动的关系。
回顾性队列研究。在墨西哥新冠疫情第一波开始时（2020年4月），对一家三级医院的1146名工作人员进行体育活动（国际体力活动问卷简表）评估，并将其与抑郁、焦虑和压力（抑郁、焦虑和压力量表-21）相关联；在第一波高峰期（2020年7月至8月），对其中311名工作人员（来自第一批人员）再次进行评估。数据来自常规监测。
在疫情高峰期，抑郁增加了9%，焦虑增加了15%，压力增加了10%。基线时中等强度体育活动频率较高的受试者在高峰期的抑郁、焦虑和压力严重程度较低（p<0.05）。在疫情高峰期，女性（比值比=2.42，95%置信区间1.14-5.13）、糖尿病（比值比=21.9，95%置信区间2.09-221）和基线抑郁（比值比=8.86，95%置信区间4.30-18.2）可预测抑郁；基线焦虑（比值比=5.52，95%置信区间3.01-10.1）、在新冠病房工作（比值比=4.14，95%置信区间1.99-8.64）和基线中等强度体育活动（比值比=0.35，95%置信区间0.16-0.73）可预测焦虑；基线压力（比值比=8.64，95%置信区间4.11-18.2）和中等强度体育活动（比值比=0.35，95%置信区间0.15-0.82）可预测压力。
从新冠疫情开始到高峰期，医护人员的抑郁、压力，尤其是焦虑有所增加，相应的基线心理改变可预测这些情况，而对于焦虑和压力，中等强度体育活动频率较低也可预测。
