RESUMO
With the aim of analyzing the psychosocial impact of Covid-19 pandemic on society in general and health care workers in particular, we developed a 74-question survey questionnaire which was shared through social media. After analyzing 56,656 responses obtained during the first pandemic peak, the results showed an early and important negative impact on family finances, fear of working with Covid-19 patients and ethical issues related to Covid-19 care among healthcare workers (HCW). We have identified 7 target groups at higher risk of impaired mental health and susceptible to benefiting from an intervention: women, under 42 years of age, people with care burden, socio-economically deprived groups, people with unskilled or unqualified jobs, Covid-19 patients, and HCW working with Covid-19 patients. These results should encourage the active implementation of specific strategies to increase resilience in these groups and to prepare an adequate organizational response. Summary boxO_ST_ABSWhat is already known?C_ST_ABSO_LIStudies in small cohorts have reported an important impact of the Covid-19 pandemic on the general population at several levels C_LIO_LIAccording to previous studies in small cohorts, approximately 20% of the population suffered from impaired mental health status due to the pandemic C_LI What are the new findings?O_LIWe have studied 56,656 survey questionnaires to assess the impact of the Covid-19 outbreak on health status, family finances, habits, general health and mental health status, and ethics, especially in health care workers C_LIO_LIWe have identified 7 target groups susceptible to benefitting from an intervention, and which should be taken into account when designing new contention measures against the pandemic C_LI What do the new findings imply?O_LIThe design and active implementation of interventions to build individual resilience, especially for the targeted populations described, and preparation of an appropriate organizational response are key C_LIO_LIThe results obtained in this project could help local and national Governments to design or adjust coping measures against future outbreaks C_LI
RESUMO
OBJECTIVE: To estimate the prevalence of the most common mental disorders in primary care patients with chronic somatic diseases based on physicians' diagnoses and compared with healthy probands. METHOD: A systematic sample of 7940 adult primary care patients was recruited by 1925 general practitioners (GPs) in a large cross-sectional national epidemiological study. The Primary Care Evaluation of Mental Disorders (PRIME-MD) was used as standardized instrument for the assessment of mental disorders. Medical diagnoses were provided by patient's GP. RESULTS: The prevalence rate of mental disorder was significantly higher in patients with chronic somatic diseases (56.8%) compared with physically healthy subjects (48.9%; OR: 1.37). Prevalence of depressive and anxiety disorders is higher among individuals with neurological, oncological or liver disease. The differences are significant in all comparisons, with the exception of anxiety disorders in patients with musculoskeletal disorders. There is an increase in prevalence rates of mental disorders according to the number of somatic diseases. CONCLUSIONS: The study provides evidence of the comorbidity of common mental disorders and somatic diseases. We need a predominant focus on affective and anxiety disorders in primary care patients with chronic somatic diseases. Symptoms overlap makes it necessary to discriminate these differences more in detail in future studies.
