ABSTRACT
Background: COVID-19 has effects on the mental health of health care workers. Aim: To explore the presence of symptoms associated with mental health problems and associated risk factors in health workers. Material and Methods: The questionnaires PHQ-9 for depression, GAD-7 for anxiety, ISI-7 for insomnia and IES-R-22 for psychological distress were applied to 125 health care workers aged 18 to 67 years (32 physicians, 22 nurses and 71 of other professions) laboring in hospitals and primary care facilities along Chile. Results: Sixty five percent reported depression symptoms, 74% anxiety, 65% insomnia and 57% distress. Physicians had lower median scores in all scales than nurses and other health professionals. Professionals attending patients with respiratory infections or with COVID-19 had higher median scores in the scales that their counterparts. Conclusions: The frequency of mental health problems among these professionals is high and preventive measures should be taken.
Subject(s)
Adolescent , Adult , Aged , Humans , Middle Aged , Young Adult , Mental Health , Health Personnel/psychology , Pandemics , COVID-19/psychology , Anxiety/epidemiology , Chile/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires , Depression/epidemiology , Psychological Distress , Sleep Initiation and Maintenance Disorders/epidemiologyABSTRACT
El abuso de sustancias en adolescentes es una patología de abordaje complejo que hace años constituye un problema de salud pública y cuyas cifras de prevalencia siguen aumentando en el tiempo. Es por esto que cada vez es más frecuente encontrarnos en el ámbito de la consulta psiquiátrica ambulatoria, con adolescentes que acuden, la mayoría de las veces acompañados por sus padres, debido a que existe una sospecha o la confirmación de un posible abuso de sustancias. Considerando las implicancias del tratamiento y pronóstico de este trastorno, esta primera consulta con el psiquiatra es una oportunidad valiosa para realizar una completa evaluación y ofrecer alternativas de tratamiento efectivas, así como también decidir respecto al nivel de atención que requiere el paciente para continuar su tratamiento. El presente artículo tiene por objetivo realizar una revisión narrativa respecto a la evaluación clínica ambulatoria de adolescentes con trastornos por consumo de sustancias, incluyendo los elementos necesarios a considerar para decidir el nivel de atención requerido para continuar la evaluación y tratamiento. Palabras clave: Adolescente, Trastorno por Consumo de Sustancias, Evaluación, Ambulatorio.
The adolescent substance abuse is a disease of complex approach that years constitutes a public health problem whose prevalence figures continue to rise over time. That is why it is increasingly common to find in the field of outpatient psychiatric consultation with adolescents attending, most often accompanied by their parents, because there is a suspicion or confirmation of a possible substance abuse. Considering the implications of treatment and prognosis of this disorder, this first consultation with the psychiatrist is a valuable opportunity to conduct a comprehensive assessment and provide effective treatment alternatives, as well as decide on the level of care that requires the patient to continue treatment . This paper presents a review of the literature regarding the considerations in ambulatory assessment of adolescents with substance use disorders, including the necessary elements to consider in deciding the level of care required for further evaluation and treatment.Key words: Adolescent, Substances Use Disorder, Evaluation, Outpatient.