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      Estrés postraumático en trabajadores de la salud y COVID-19 Translated title: Post-traumatic stress in health workers and COVID-19

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          Prevalence and predictors of PTSS during COVID-19 Outbreak in China Hardest-hit Areas: Gender differences matter

          Highlights • The prevalence of posttraumatic stress symptoms (PTSS) in China hardest-hit areas a month after the COVID-19 outbreak was 7%. • Hierarchical regression analysis and non-parametric test suggested that women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal. • Participants with better sleep quality or less frequency of early awakenings reported lower PTSS.
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            Posttraumatic stress disorder in the World Mental Health Surveys

            Background Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Methods Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. Results The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. Conclusions PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD.
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              Revisión sistemática sobre la reducción de efectos emocionales negativos en trabajadores del área de emergencias y catástrofes mediante técnicas de catarsis

              Resumen Objetivo: Analizar las técnicas de catarsis empleadas en los trabajadores que atienden situaciones de emergencias y catástrofes. Métodos: Revisión sistemática realizada en 7 bases de datos bibliográficas Medline-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO y otras fuentes secundarias, para artículos publicados entre 2008 y 2017, con los términos «catarsis», «emergencias», «debriefing» y «estrés post-traumático». Resultados: Los criterios de inclusión fueron cumplidos por 5 artículos. Los estudios muestran que es común entre el personal sanitario la exposición al sufrimiento y a las experiencias traumáticas, suponiendo repercusiones negativas manifestadas a nivel físico, psicológico y cognitivo tras situaciones de emergencias y catástrofes. Para algunos autores, el debriefing ofrece un lugar para descargar las emociones y reducir el impacto del estrés en la vida de los trabajadores de emergencia actuando como una red de apoyo para que dichos trabajadores puedan reconstruir sus experiencias y verbalizar sus pensamientos y sentimientos, así como reducir el impacto en sus vidas. Para otros en cambio, esta técnica no es eficaz para todos los profesionales y su uso puede conllevar consecuencias negativas. Conclusiones: El debriefing es una intervención breve que promueve la catarsis. Sin embargo, existe una gran controversia sobre su eficacia y la manera de aplicar esta intervención. Este estudio pone de manifiesto la heterogeneidad existente en la aplicación de técnicas de catarsis en los trabajadores que atienden situaciones de emergencia y catástrofes.
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                Author and article information

                Journal
                aprl
                Archivos de Prevención de Riesgos Laborales
                Arch Prev Riesgos Labor
                Societat Catalana de Salut Laboral y Asociación de Medicina del Trabajo de la Comunidad Valenciana (Barcelona, Barcelona, Spain )
                1578-2549
                September 2020
                : 23
                : 3
                : 363-365
                Affiliations
                [1] Lambayeque orgnameUniversidad Nacional Pedro Gallo orgdiv1Facultad de Ciencias Biológicas Peru
                Article
                S1578-25492020000300363 S1578-2549(20)02300300363
                10.12961/aprl.2020.23.03.06
                32706950
                589fd00f-ebac-4d80-9e6e-126f851de0c1

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 29 June 2020
                : 06 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 3, Pages: 3
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