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      Valoración de la salud mental en profesionales médicos que ejercieron su actividad durante la crisis sanitaria de Covid-19 Translated title: Assessment of mental health in medical professionals who exercised their activity during the COVID-19 health crisis

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          Abstract

          RESUMEN. Objetivos: Estudiar el impacto de la crisis sanitaria sobre el estado de salud mental de los profesionales médicos que han trabajado durante la pandemia de COVID-19. Material y Métodos: Encuesta online anónima con variables ocupacionales y no ocupacionales, cuestionario de ansiedad y depresión de Goldberg y el SF-12 de calidad de vida percibida, realizada en septiembre de 2022, evaluando situación actual y un año atrás en profesionales médicos. Resultados: En 2021, un 58,1% presentaban ansiedad y en 2022 un 46,5%. Respecto a la depresión, en 2021 fue del 39,5% y en 2022 del 37,2%. La disminución de la puntuación de ansiedad fue significativa (p <0,001). Y la calidad de vida percibida (SF-12) en su escala mental en 2021 fue de 42,4 ± 13,0 vs 47,1 ± 11,8 en 2022, mejorando de forma significativa (p <0,033). Conclusiones: Encontramos una alta prevalencia de ansiedad y depresión que se mantiene actualmente, por lo que es de interés implantar programas de intervención sobre salud mental en los trabajadores sanitarios.

          Translated abstract

          ABSTRACT Objectives: To study the impact of the health crisis on the mental health status of medical professionals who worked during the COVID-19 pandemic. Material and Methods: Anonymous online survey with occupational and non-occupational variables, Goldberg anxiety and depression questionnaire and the SF-12 perceived quality of life, conducted in September 2022, assessing current situation and one year ago in medical professionals. Results: In 2021, 58.1% had anxiety and in 2022, 46.5%. Regarding depression, in 2021 it was 39.5% and in 2022 it was 37.2%. The decrease in the anxiety score was significant (p <0.001). And the perceived quality of life (SF-12) on its mental scale in 2021 was 42.4 ± 13.0 vs 47.1 ± 11.8 in 2022, improving significantly (p <0.033). Conclusions: We found a high prevalence of anxiety and depression that is currently maintained, so it is of interest to implement mental health intervention programs for healthcare workers.

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          Most cited references27

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          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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            A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak

            Highlights • Commonly reported symptoms are headache, throat pain and lethargy. • A large number of healthcare workers report more than four symptoms. • Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD. • Those with physical symptoms had higher mean scores in the IES-R, DASS subscales. • Association between physical symptoms and psychological outcomes may be bidirectional.
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              The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital.

              The outbreak of severe acute respiratory syndrome (SARS) in Toronto, which began on Mar. 7, 2003, resulted in extraordinary public health and infection control measures. We aimed to describe the psychological and occupational impact of this event within a large hospital in the first 4 weeks of the outbreak and the subsequent administrative and mental health response. Two principal authors met with core team members and mental health care providers at Mount Sinai Hospital, Toronto, to compile retrospectively descriptions of the experiences of staff and patients based on informal observation. All authors reviewed and analyzed the descriptions in an iterative process between Apr. 3 and Apr. 13, 2003. In a 4-week period, 19 individuals developed SARS, including 11 health care workers. The hospital's response included establishing a leadership command team and a SARS isolation unit, implementing mental health support interventions for patients and staff, overcoming problems with logistics and communication, and overcoming resistance to directives. Patients with SARS reported fear, loneliness, boredom and anger, and they worried about the effects of quarantine and contagion on family members and friends. They experienced anxiety about fever and the effects of insomnia. Staff were adversely affected by fear of contagion and of infecting family, friends and colleagues. Caring for health care workers as patients and colleagues was emotionally difficult. Uncertainty and stigmatization were prominent themes for both staff and patients. The hospital's response required clear communication, sensitivity to individual responses to stress, collaboration between disciplines, authoritative leadership and provision of relevant support. The emotional and behavioural reactions of patients and staff are understood to be a normal, adaptive response to stress in the face of an overwhelming event.
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                Author and article information

                Journal
                medtra
                Revista de la Asociación Española de Especialistas en Medicina del Trabajo
                Rev Asoc Esp Espec Med Trab
                Asociación Española de Especialistas en Medicina del Trabajo (Madrid, Madrid, Spain )
                1132-6255
                3020-1160
                2023
                : 32
                : 1
                : 34-44
                Affiliations
                [2] Madrid orgnameHospital Universitario Fundación Jiménez Díaz orgdiv1Medicina del Trabajo España
                [3] Madrid orgnameInstituto de Investigaciones Sanitarias Fundación Jiménez Díaz orgdiv1Unidad de Bioestadística y Epidemiología España
                [1] Madrid orgnameHospital Universitario Fundación Jiménez Díaz orgdiv1Medicina del Trabajo España
                Article
                S3020-11602023000100004 S3020-1160(23)03200100004
                f7c2c5ed-b2e1-4f43-8e3e-f0e6e6f6c283

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

                History
                : 09 January 2023
                : 29 December 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 11
                Product

                SciELO Spain

                Categories
                Textos Originales

                médicos,COVID-19,profesionales sanitarios,Goldberg,ansiedad,depresión,physicians,healthcare workers,anxiety,depression

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