Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey.
Por:
Alonso J, Vilagut G, Mortier P, Ferrer M, Alayo I, Aragón-Peña A, Aragonès E, Campos M, Cura-González ID, Emparanza JI, Espuga M, Forjaz MJ, González-Pinto A, Haro JM, López-Fresneña N, Salázar ADM, Molina JD, Ortí-Lucas RM, Parellada M, Pelayo-Terán JM, Pérez-Zapata A, Pijoan JI, Plana N, Puig MT, Rius C, Rodríguez-Blázquez C, Sanz F, Serra C, Kessler RC, Bruffaerts R, Vieta E, Pérez-Solà V and MINDCOVID Working group
Publicada:
1 abr 2021
Ahead of Print:
10 dic 2020
Resumen:
INTRODUCTION: Healthcare workers are vulnerable to adverse mental health impacts of the COVID-19 pandemic. We assessed prevalence of mental disorders and associated factors during the first wave of the pandemic among healthcare professionals in Spain. METHODS: All workers in 18 healthcare institutions (6 AACC) in Spain were invited to web-based surveys assessing individual characteristics, COVID-19 infection status and exposure, and mental health status (May 5 - September 7, 2020). We report: probable current mental disorders (Major Depressive Disorder-MDD- [PHQ-8=10], Generalized Anxiety Disorder-GAD- [GAD-7=10], Panic attacks, Posttraumatic Stress Disorder -PTSD- [PCL-5=7]; and Substance Use Disorder -SUD-[CAGE-AID=2]. Severe disability assessed by the Sheehan Disability Scale was used to identify probable "disabling" current mental disorders. RESULTS: 9,138 healthcare workers participated. Prevalence of screen-positive disorder: 28.1% MDD; 22.5% GAD, 24.0% Panic; 22.2% PTSD; and 6.2% SUD. Overall 45.7% presented any current and 14.5% any disabling current mental disorder. Workers with pre-pandemic lifetime mental disorders had almost twice the prevalence than those without. Adjusting for all other variables, odds of any disabling mental disorder were: prior lifetime disorders (TUS: OR=5.74; 95%CI 2.53-13.03; Mood: OR=3.23; 95%CI:2.27-4.60; Anxiety: OR=3.03; 95%CI:2.53-3.62); age category 18-29 years (OR=1.36; 95%CI:1.02-1.82), caring "all of the time" for COVID-19 patients (OR=5.19; 95%CI: 3.61-7.46), female gender (OR=1.58; 95%CI: 1.27-1.96) and having being in quarantine or isolated (OR= 1.60; 95CI:1.31-1.95). CONCLUSIONS: One in seven Spanish healthcare workers screened positive for a disabling mental disorder during the first wave of the COVID-19 pandemic. Workers reporting pre-pandemic lifetime mental disorders, those frequently exposed to COVID-19 patients, infected or quarantined/isolated, female workers, and auxiliary nurses should be considered groups in need of mental health monitoring and support.
Filiaciones:
Alonso J:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
Vilagut G:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Mortier P:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Ferrer M:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
Alayo I:
Health Services Research Unit, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Aragón-Peña A:
Epidemiology Unit, Regional Ministry of Health, Community of Madrid, Madrid, Spain
Fundación Investigación e Innovación Biosanitaria de Atención Primaria, Comunidad de Madrid, Madrid, Spain
Aragonès E:
Institut d'Investigació en Atenció Primària IDIAP Jordi Gol, Barcelona, Spain
Atenció Primària Camp de Tarragona, Institut Català de la Salut, Spain
Campos M:
Service of Prevention of Labor Risks, Medical Emergencies System, Generalitat de Catalunya, Spain
Cura-González ID:
Research Unit. Primary Care Management. Madrid Health Service, Madrid, Spain
Department of Medical Specialities and Public Health. King Juan Carlos University, Madrid, Spain
Fundación Investigación e Innovación Biosanitaria de Atención Primaria, Comunidad de Madrid, Madrid, Spain
Emparanza JI:
Hospital Universitario Donostia, San Sebastián, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Espuga M:
Occupational Health Service. Hospital Universitari Vall d'Hebron, Barcelona, Spain
Forjaz MJ:
National Center of Epidemiology, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
Health Services Research Network on Chronic Diseases (REDISSEC), Madrid, Spain
González-Pinto A:
Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Haro JM:
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Parc Sanitari Sant Joan de Deu, Barcelona, Spain
López-Fresneña N:
Hospital General Universitario Gregorio Marañón, Madrid, Spain
Salázar ADM:
UGC Salud Mental, Hospital Universitario Torrecárdenas, Almería, Spain
Molina JD:
Villaverde Mental Health Center. Clinical Management Area of Psychiatry and Mental Health, Psychiatric Service, Hospital Universitario 12 de Octubre, Madrid, Spain
Research Institute Hospital 12 de Octubre (i+12), Madrid, Spain
Faculty of Health Sciences, Francisco de Vitoria University, Madrid, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Ortí-Lucas RM:
Hospital Clínic Universitari, Valencia, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Parellada M:
Hospital General Universitario Gregorio Marañón, Madrid, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Pelayo-Terán JM:
Hospital El Bierzo, León, Spain
Pérez-Zapata A:
Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
Pijoan JI:
Hospital Universitario Cruces/ OSI EEC, Bilbao, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Plana N:
Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Puig MT:
Department of Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
CIBER Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
Rius C:
Agència de Salut Pública de Barcelona, Barcelona, Spain
CIBER Salud Mental (CIBERSAM), Madrid, Spain
Rodríguez-Blázquez C:
National Center of Epidemiology, Instituto de Salud Carlos III (ISCIII), Madrid, Spain
CIBER Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain
Sanz F:
Research Progamme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
Instituto Nacional de Bioinformatica - ELIXIR-ES, Barcelona, Spain
Serra C:
Parc de Salut Mar PSMAR, Barcelona, Spain
CiSAL-Centro de Investigación en Salud Laboral, IMIM/UPF, Barcelona, Spain
CIBER Epidemiología y Salud Pública (CIBERESP), Spain
Kessler RC:
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Bruffaerts R:
Center for Public Health Psychiatry, Universitair Psychiatrisch Centrum, KU Leuven, Leuven, Belgium
Vieta E:
Fundació Clínic per a la Recerca Biomèdica, Barcelona, Spain
Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain
Pérez-Solà V:
Parc de Salut Mar PSMAR, Barcelona, Spain
Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
Hospital Universitario Araba-Santiago, Vitoria-Gasteiz, Spain
hybrid, Green Published, Green Submitted, Green Accepted
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