Rebeca Robles1, Evelyn Rodríguez2, Hamid Vega-Ramírez1, Dení Álvarez-Icaza3, Eduardo Madrigal4, Sol Durand4, Silvia Morales-Chainé5, Claudia Astudillo6, Janet Real-Ramírez7, María-Elena Medina-Mora1,8, Claudia Becerra3, Raúl Escamilla3, Natasha Alcocer-Castillejos9, Leticia Ascencio10, Dulce Díaz1, Hugo González11, Evalinda Barrón-Velázquez12, Ana Fresán13, Lorena Rodríguez-Bores14, Juan-Manuel Quijada-Gaytán6, Gady Zabicky12, Diana Tejadilla-Orozco14, Jorge-Julio González-Olvera12, Gustavo Reyes-Terán15. 1. Centro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico. 2. Centro de Investigación en Enfermedades Infecciosas, Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, Mexico. 3. Dirección de Servicios Clínicos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico. 4. Dirección General, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico. 5. Facultad de Psicología Universidad Nacional Autónoma de México, Ciudad de México, Mexico. 6. Servicios de Atención Psiquiátrica, Secretaría de Salud, Ciudad de México, Mexico. 7. Cetro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Ciudad de México, México. 8. Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, Mexico. 9. Departamento de Neurología y Psiquiatría, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico. 10. Unidad de Cuidados Paliativos, Instituto Nacional de Cancerología, Ciudad de México, Mexico. 11. Clínica de Trastornos Adictivos, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico. 12. Dirección General, Comisión Nacional contra las Adicciones, Ciudad de México, Mexico. 13. Subdirección de Investigación Clínica, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico. 14. Consejo Nacional de Salud Mental, Secretaría de Salud, Ciudad de México, Mexico. 15. Comisión Coordinadora de Institutos Nacional de Salud y Hospitales de Alta Especialidad, Secretaría de Salud, Ciudad de México, Mexico.
Abstract
OBJECTIVE: The mental health problems and perceived needs of healthcare workers involved with coronavirus disease (COVID-19) may vary due to individual and contextual characteristics. The objective of this study was to evaluate healthcare workers' mental health problems during the common COVID-19 exposure scenario in Mexico, comparing those on the frontline with other healthcare workers according to gender and profession, determining the main risk factors for the most frequent mental health problems. METHODS: A cross-sectional online study was conducted with a non-probabilistic sample of 5,938 Mexican healthcare workers who completed brief screening measures of mental health problems and ad hoc questions about sociodemographic professional characteristics, conditions related to increased risk of COVID-19 infection, life stressors during the COVID-19 emergency, and perceived need to cope with COVID-19. RESULTS: The identified mental health problems were insomnia, depression, and posttraumatic stress disorder (PTSD), all of which were more frequent in frontline healthcare workers (52.1, 37.7, and 37.5%, respectively) and women (47.1, 33.0 %, and 16.3%, respectively). A lack of rest time was the main risk factor for insomnia (OR = 3.1, 95%CI 2.6-3.7, p ≤ 0.0001). Mourning the death of friends or loved ones due to COVID-19 was the main risk factor for depression (OR = 2.2, 95%CI 1.8-2.7, p ≤ 0.0001), and personal COVID-19 status was the main risk factor for PTSD (OR = 2.2, 95%CI 1.7-2.9, p ≤ 0.0001). CONCLUSION: The most frequent mental health problems during the common exposure scenario for COVID-19 in Mexico included the short-term psychological consequences of intense adversity. A comprehensive strategy for preventing mental health problems should focus on individuals with cumulative vulnerability and specific risk factors.
OBJECTIVE: The mental health problems and perceived needs of healthcare workers involved with coronavirus disease (COVID-19) may vary due to individual and contextual characteristics. The objective of this study was to evaluate healthcare workers' mental health problems during the common COVID-19 exposure scenario in Mexico, comparing those on the frontline with other healthcare workers according to gender and profession, determining the main risk factors for the most frequent mental health problems. METHODS: A cross-sectional online study was conducted with a non-probabilistic sample of 5,938 Mexican healthcare workers who completed brief screening measures of mental health problems and ad hoc questions about sociodemographic professional characteristics, conditions related to increased risk of COVID-19infection, life stressors during the COVID-19 emergency, and perceived need to cope with COVID-19. RESULTS: The identified mental health problems were insomnia, depression, and posttraumatic stress disorder (PTSD), all of which were more frequent in frontline healthcare workers (52.1, 37.7, and 37.5%, respectively) and women (47.1, 33.0 %, and 16.3%, respectively). A lack of rest time was the main risk factor for insomnia (OR = 3.1, 95%CI 2.6-3.7, p ≤ 0.0001). Mourning the death of friends or loved ones due to COVID-19 was the main risk factor for depression (OR = 2.2, 95%CI 1.8-2.7, p ≤ 0.0001), and personal COVID-19 status was the main risk factor for PTSD (OR = 2.2, 95%CI 1.7-2.9, p ≤ 0.0001). CONCLUSION: The most frequent mental health problems during the common exposure scenario for COVID-19 in Mexico included the short-term psychological consequences of intense adversity. A comprehensive strategy for preventing mental health problems should focus on individuals with cumulative vulnerability and specific risk factors.
Authors: Marcos O Carvalho-Alves; Vitor A Petrilli-Mazon; Andre R Brunoni; Andre Malbergier; Pedro Fukuti; Guilherme V Polanczyk; Euripedes C Miguel; Felipe Corchs; Yuan-Pang Wang Journal: World J Psychiatry Date: 2022-06-19
Authors: Amy Tausch; Renato Oliveira E Souza; Carmen Martinez Viciana; Claudina Cayetano; Jarbas Barbosa; Anselm Jm Hennis Journal: Lancet Reg Health Am Date: 2021-11-15
Authors: V Nelly Salgado de Snyder; Alice P Villatoro; Marisol D McDaniel; Ana Sofia Ocegueda; Deliana Garcia; Deborah Parra-Medina Journal: Front Public Health Date: 2021-12-09