Carvalho-Alves Marcos O, Petrilli-Mazon Vitor A, Zuccolo Pedro Fonseca, Fatori Daniel, Rocha Francisco Marcelo Monteiro, Brunoni Andre R, Polanczyk Guilherme V, Miguel Eurípedes C, Wang Yuan-Pang, Corchs Felipe
Departamento de Psiquiatria, Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil. Programa de Pós-Graduação em Neurociências e Comportamento, Departamento de Psicologia Experimental, Instituto de Psicologia, USP, São Paulo, SP, Brazil.
Departamento de Psiquiatria, Instituto de Psiquiatria, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Braz J Psychiatry. 2025;47:e20243720. doi: 10.47626/1516-4446-2024-3720. Epub 2024 Sep 22.
To assess longitudinal patterns of anxiety, depression, and posttraumatic stress symptoms, as well as their predictors, among workers at a referral hospital during the first two waves of the coronavirus disease 2019 (COVID-19) pandemic in Brazil.
Data were collected between July 2020 and June 2021 (n=1,078). Anxiety, depression, and posttraumatic stress symptoms were assessed using three self-report scales: the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Impact of Event Scale-Revised (IES-R). Predictor analysis included COVID-19-related events, fear of COVID-19, and institutional support. Statistical analysis involved linear mixed models (LMM) and local polynomial regressions.
Anxiety and depression trended towards increased reactivity, while posttraumatic stress presented a downward trend over follow-up, with less fluctuation. Predictor analysis showed that higher levels of institutional support were associated with a reduced risk of all adverse mental health outcomes; conversely, greater fear of COVID-19 was positively associated with all such outcomes.
Our findings underscore the importance of allocating enhanced attention and resources to effectively addressing personal health challenges among the health workforce, emphasizing the significance of organizational support and continuous monitoring of emotional distress.
评估在巴西2019年冠状病毒病（COVID-19）大流行的前两波期间，一家转诊医院工作人员的焦虑、抑郁和创伤后应激症状的纵向模式及其预测因素。
于2020年7月至2021年6月收集数据（n = 1078）。使用三种自我报告量表评估焦虑、抑郁和创伤后应激症状：广泛性焦虑障碍量表-7（GAD-7）、患者健康问卷-9（PHQ-9）和事件影响量表修订版（IES-R）。预测因素分析包括与COVID-19相关的事件、对COVID-19的恐惧和机构支持。统计分析采用线性混合模型（LMM）和局部多项式回归。
焦虑和抑郁呈现反应性增加的趋势，而创伤后应激在随访期间呈下降趋势，波动较小。预测因素分析表明，更高水平的机构支持与所有不良心理健康结果的风险降低相关；相反，对COVID-19的更大恐惧与所有此类结果呈正相关。
我们的研究结果强调了分配更多关注和资源以有效应对卫生工作者个人健康挑战的重要性，强调了组织支持和持续监测情绪困扰的重要性。
