Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey.
Rev Psiquiatr Salud Ment (Engl Ed)
; 14(2): 90-105, 2021.
Article
in English, Spanish
| MEDLINE | ID: covidwho-965207
Preprint
This scientific journal article is probably based on a previously available preprint. It has been identified through a machine matching algorithm, human confirmation is still pending.
See preprint
This scientific journal article is probably based on a previously available preprint. It has been identified through a machine matching algorithm, human confirmation is still pending.
See preprint
ABSTRACT
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%CI2.27-4.60; Anxiety OR=3.03; 95%CI2.53-3.62); age category 18-29 years (OR=1.36; 95%CI1.02-1.82), 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; 95CI1.31-1.95).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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Health Personnel
/
COVID-19
/
Mental Disorders
/
Occupational Diseases
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Young adult
Country/Region as subject:
Europa
Language:
English
/
Spanish
Journal:
Rev Psiquiatr Salud Ment (Engl Ed)
Year:
2021
Document Type:
Article
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