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      Mental health of healthcare workers of Latin American countries: a review of studies published during the first year of COVID-19 pandemic

      review-article
      1 , 1 , 1 , 1 , 1 , 2 , 1 , *
      Psychiatry Research
      Elsevier B.V.
      COVID-19, Mental Health, Healthcare Workers, Latin-America, Burnout syndrome, Depression, Anxiety, AU-10, Professional Self Efficacy Scale, BIPQ, Brief Illness Perception Questionnaire, CI, Confidence interval, COVID-19, Coronavirus disease 2019, DD, Depersonalization/ derealization inventory, DES, Dissociative Experiences Scale, DSM-5, Diagnostic and Statistical Manual of Mental Disorders, 5th ed, EPPC-Cov10, Concern for the Transmission of COVID-19 in Health Personnel, FCV-19S, Fear of COVID Scale, GAD-2, Generalized Anxiety Disorder Scale-2, GAD-7, 7-item Generalized Anxiety Disorder, GAD, Generalized anxiety disorder, GADS, Goldberg Depression and Anxiety Scale, H-YBOCS, Hypochondriasis Yale-Brown Obsessive-Compulsive Scale, HADS, Hospital Anxiety and Depression Scale, HCWs, Health care workers, ISI, Insomnia Severity Index, K6, Kessler Screening Scale for Psychological Distress, MBI, Maslach Burnout Inventory, PCL-C, Post-Traumatic Stress Disorder Check List-C, PePISC, The Portal of Electronic Journals in Psychology. PHQ-2, Patient Health Questionnarie-2, PHQ-4 items, Patient Health Questionnaire, PHQ-9, 9-item Patient Health Questionnaire on Depression, PPE, personal protective equipment, ProQOL – CSF-vIV, Professional Quality of Life: Compassion Satisfaction and Fatigue Subscales , PSQI, Pittsburgh Sleep Quality Index, PTSD, post-traumatic stress disorder, SD, Standard deviation, SciELO, Scientific Electronic Library Online, SSOM, Somatic Symptoms without Organic or Medical Cause Current Status Assessment Questionnaire , STAI, State-Trait Anxiety Inventory, SWIFT, Sleepiness-Wakefulness Inability and Fatigue Test, WHO, World Health organization

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          Abstract

          Objective

          Identify and review articles that evaluated mental health of HCW of Latin American countries (except Brazil), published during the first year of COVID-19 pandemic.

          Method

          We systematically searched EMBASE, PsycINFO, Scopus, PUBMED/ Medline, Web of Science, PePSIC, and Scielo for articles published during the first year of the COVID-19 pandemics. Two independent researchers reviewed titles and abstracts and then, for eligible studies, extracted data from full texts. Outcomes included mental health variables, country where the study was conducted, period of data collection, healthcare professional categories, study design, mental health measurements and main outcomes. The quality and risk assessment was also performed.

          Results

          Out of 248 records identified, 24 initially were assessed for eligibility. From those, 17 studies matched eligibility criteria and were included in the review. Higher scores of anxiety were reported in different studies, as well as an increased level of depression among HCW. Being a female, younger age, and closer distance of the epicenter of the outbreak increased the likelihood to develop mental health disorder. Concerns and fear related to COVID-19 have a greater impact on stress, anxiety, and depression symptoms.

          Conclusion

          Our findings highlight that COVID-19 pandemic had been worse for HCW from Latin America, showing the harmful effects of burnout on their health. Greater psychological distress, as well as anxiety and depression had been experienced by HCW from Latin America in their fight against COVID-19, demonstrating the importance of psychological well-being policies for them during and post- the pandemic.

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          Most cited references49

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          Is Open Access

          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review

            The coronavirus disease 2019 (COVID-19) pandemic, due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a worldwide sudden and substantial increase in hospitalizations for pneumonia with multiorgan disease. This review discusses current evidence regarding the pathophysiology, transmission, diagnosis, and management of COVID-19.
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              Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China

              Objective We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. Methods An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2). Results Compared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05). Conclusions During the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs.
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                Author and article information

                Journal
                Psychiatry Res
                Psychiatry Res
                Psychiatry Research
                Elsevier B.V.
                0165-1781
                1872-7123
                7 March 2022
                7 March 2022
                : 114501
                Affiliations
                [1 ]School of Medicine, Federal University for Latin American Integration, Foz do Iguacu, Brazil
                [2 ]Londrina State University, Londrina, Brazil
                Author notes
                [* ]Corresponding author: Robson Zazula, School of Medicine, Federal University of Latin American Integration, Avenida Tarquinio Joslin dos Santos, 1000, Sala G201, Jardim Universitario, Foz do Iguacu, Parana, Brazil, Post Code: 85870-650, robson.zazula@unila.edu.br, +55 45 3523 2763, +55 45 99966 8918
                Article
                S0165-1781(22)00115-9 114501
                10.1016/j.psychres.2022.114501
                8900936
                35320759
                34da8fb6-caaa-47ca-9002-458d21f1058a
                © 2022 Elsevier B.V. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 9 August 2021
                : 4 February 2022
                : 6 March 2022
                Categories
                Review Article

                Clinical Psychology & Psychiatry
                covid-19,mental health,healthcare workers,latin-america,burnout syndrome,depression,anxiety,au-10, professional self efficacy scale,bipq, brief illness perception questionnaire,ci, confidence interval,covid-19, coronavirus disease 2019,dd, depersonalization/ derealization inventory,des, dissociative experiences scale,dsm-5, diagnostic and statistical manual of mental disorders, 5th ed,eppc-cov10, concern for the transmission of covid-19 in health personnel,fcv-19s, fear of covid scale,gad-2, generalized anxiety disorder scale-2,gad-7, 7-item generalized anxiety disorder,gad, generalized anxiety disorder,gads, goldberg depression and anxiety scale,h-ybocs, hypochondriasis yale-brown obsessive-compulsive scale,hads, hospital anxiety and depression scale,hcws, health care workers,isi, insomnia severity index,k6, kessler screening scale for psychological distress,mbi, maslach burnout inventory,pcl-c, post-traumatic stress disorder check list-c,pepisc, the portal of electronic journals in psychology. phq-2, patient health questionnarie-2,phq-4 items, patient health questionnaire,phq-9, 9-item patient health questionnaire on depression,ppe, personal protective equipment,proqol – csf-viv, professional quality of life: compassion satisfaction and fatigue subscales,psqi, pittsburgh sleep quality index,ptsd, post-traumatic stress disorder,sd, standard deviation,scielo, scientific electronic library online,ssom, somatic symptoms without organic or medical cause current status assessment questionnaire,stai, state-trait anxiety inventory,swift, sleepiness-wakefulness inability and fatigue test,who, world health organization
                Clinical Psychology & Psychiatry
                covid-19, mental health, healthcare workers, latin-america, burnout syndrome, depression, anxiety, au-10, professional self efficacy scale, bipq, brief illness perception questionnaire, ci, confidence interval, covid-19, coronavirus disease 2019, dd, depersonalization/ derealization inventory, des, dissociative experiences scale, dsm-5, diagnostic and statistical manual of mental disorders, 5th ed, eppc-cov10, concern for the transmission of covid-19 in health personnel, fcv-19s, fear of covid scale, gad-2, generalized anxiety disorder scale-2, gad-7, 7-item generalized anxiety disorder, gad, generalized anxiety disorder, gads, goldberg depression and anxiety scale, h-ybocs, hypochondriasis yale-brown obsessive-compulsive scale, hads, hospital anxiety and depression scale, hcws, health care workers, isi, insomnia severity index, k6, kessler screening scale for psychological distress, mbi, maslach burnout inventory, pcl-c, post-traumatic stress disorder check list-c, pepisc, the portal of electronic journals in psychology. phq-2, patient health questionnarie-2, phq-4 items, patient health questionnaire, phq-9, 9-item patient health questionnaire on depression, ppe, personal protective equipment, proqol – csf-viv, professional quality of life: compassion satisfaction and fatigue subscales, psqi, pittsburgh sleep quality index, ptsd, post-traumatic stress disorder, sd, standard deviation, scielo, scientific electronic library online, ssom, somatic symptoms without organic or medical cause current status assessment questionnaire, stai, state-trait anxiety inventory, swift, sleepiness-wakefulness inability and fatigue test, who, world health organization

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