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Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: A national study.
Civantos, Alyssa M; Bertelli, Antonio; Gonçalves, Antonio; Getzen, Emily; Chang, Changgee; Long, Qi; Rajasekaran, Karthik.
  • Civantos AM; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Bertelli A; Department of Surgery, Santa Casa De São Paulo Medical School, São Paulo, Brazil.
  • Gonçalves A; Department of Surgery, Santa Casa De São Paulo Medical School, São Paulo, Brazil.
  • Getzen E; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
  • Chang C; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
  • Long Q; Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
  • Rajasekaran K; Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: Karthik.Rajasekaran@pennmedicine.upenn.edu.
Am J Otolaryngol ; 41(6): 102694, 2020.
Article in English | MEDLINE | ID: covidwho-731702
ABSTRACT

PURPOSE:

Head and neck surgeons are among the highest risk for COVID-19 exposure, which also brings great risk to their mental wellbeing. In this study, we aim to evaluate mental health symptoms among head and neck surgeons in Brazil surrounding the time it was declared the epicenter of the virus. MATERIALS AND

METHODS:

A cross-sectional, survey-based study evaluating burnout, anxiety, distress, and depression among head and neck surgeons in Brazil, assessed through the single-item Mini-Z burnout assessment, 7-item Generalized Anxiety Disorder scale, 22-item Impact of Event Scale-Revised, and 2-item Patient Health Questionnaire, respectively.

RESULTS:

163 physicians completed the survey (74.2% males). Anxiety, distress, burnout, and depression symptoms were reported in 74 (45.5%), 43 (26.3%), 24 (14.7%), and 26 (16.0%) physicians, respectively. On multivariable analysis, female physicians were more likely to report a positive screening for burnout compared to males (OR 2.88, CI [1.07-7.74]). Physicians 45 years or older were less likely to experience anxiety symptoms than those younger than 45 years (OR 0.40, CI [0.20-0.81]). Physicians with no self-reported prior psychiatric conditions were less likely to have symptoms of distress compared to those with such history (OR 0.11, CI [0.33-0.38]).

CONCLUSION:

Head and neck surgeons in Brazil reported symptoms of burnout, anxiety, distress and depression during our study period within the COVID-19 pandemic. Institutions should monitor these symptoms throughout the pandemic. Further study is required to assess the long-term implications for physician wellness.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Burnout, Professional / Coronavirus Infections / Depression / Surgeons / Otolaryngologists / Occupational Stress Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Brazil Language: English Journal: Am J Otolaryngol Year: 2020 Document Type: Article Affiliation country: J.amjoto.2020.102694

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Burnout, Professional / Coronavirus Infections / Depression / Surgeons / Otolaryngologists / Occupational Stress Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: South America / Brazil Language: English Journal: Am J Otolaryngol Year: 2020 Document Type: Article Affiliation country: J.amjoto.2020.102694