medigraphic.com
SPANISH

Salud Pública de México

Instituto Nacional de Salud Pública
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2023, Number 1

<< Back Next >>

salud publica mex 2023; 65 (1)

Resilience and risk factors associated to depressive symptoms in Mexican healthcare workers during the Covid-19 pandemic

Durand-Arias S, Carmona-Huerta J, Aldana-López A, Náfate-López O, Orozco R, Cordoba G, Alvarado R, Borges G
Full text How to cite this article

Language: English
References: 46
Page: 54-62
PDF size: 288.05 Kb.


Key words:

mental health, depression, resilience, health personnel, coronavirus infections.

ABSTRACT

Objective. Report the prevalence of depression, resilience, and risk factors among healthcare workers (HCW) during Covid- 19. Materials and methods. This is an observational cross-sectional study derived from the ongoing international, prospective multicentric study “The COVID-19 HEalth caRe wOrk- Ers Study” (HEROES). A convenience sample of 2 127 HCW was obtained from Chiapas and Jalisco between May 19th and July 24th 2020. Depression was assessed using the Patient Health Questionnaire, resilience with the Brief Resilience Scale and a Covid risk scale was developed. Model-adjusted prevalence ratios (PRs) and an additive interaction model were performed. Results. Moderate-severe depression was found in 16.6% of HCW. Those from Jalisco, physicians, in hospitals, with chronic illness and mental health history were more depressed. The interaction between resilience and risk showed that, compared to those with no risk and medium/high resilience, HCW at risk with medium/high resilience had a 2.38 PR for depression while those at risk and low resilience had a PR of 5.83. Conclusion. This evidence points the need to develop strategies to enhance resilience and reduce the risk in HCW.


REFERENCES

  1. Schünemann HJ, Akl EA, Chou R, Chu DK, Loeb M, Lotfi T, et al. Useof facemasks during the COVID-19 pandemic. Lancet Respir Med. 2020;8(10):954-5. https://doi.org/10.1016/S2213-2600(20)30352-0

  2. Lewnard JA, Lo NC. Scientific and ethical basis for social-distancinginterventions against COVID-19. Lancet Infect Dis. 2020;20(6):631-3.https://doi.org/10.1016/S1473-3099(20)30190-0

  3. Patel A, Patel S, Fulzele P, Mohod S, Chhabra K. Quarantine an effectivemode for control of the spread of COVID19? A review. J Family Med PrimCare. 2020;9(8):3867. https://doi.org/10.4103/jfmpc.jfmpc_785_20

  4. Wang B, Liu Y, Qian J, Parker SK. Achieving effective remote workingduring the Covid-19 pandemic: a work design perspective. Applied Psychology.2021;70(1):16-59. https://doi.org/10.1111/apps.12290

  5. Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact ofCOVID-19 pandemic on mental health in the general population: A systematicreview. J Affect Disord. 2020;277:55-64. https://doi.org/10.1016/j.jad.2020.08.001

  6. Tanne JH, Hayasaki E, Zastrow M, Pulla P, Smith P, Rada AG. Covid-19:how doctors and healthcare systems are tackling coronavirus worldwide.BMJ. 2020;368:m1090. https://doi.org/10.1136/bmj.m1090

  7. Souza D de O. Health of nursing professionals: workload during theCOVID-19 pandemic. Rev Bras Med Trab. 2020;18(04):464-71. https://doi.org/10.47626/1679-4435-2020-600

  8. Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and copingstrategies of nurses and nursing college students during COVID-19 outbreak:A comparative study. PLoS ONE. 2020;15(8):e0237303. https://doi.org/10.1371/journal.pone.0237303

  9. Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental healthand perceptions of psychological care among medical and nursing staff inWuhan during the 2019 novel coronavirus disease outbreak: A crosssectionalstudy. Brain, Behavior, and Immunity. 2020;87:11-7. https://doi.org/10.1016/j.bbi.2020.03.028

  10. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated withmental health outcomes among health care workers exposed to coronavirusdisease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org10.1001/jamanetworkopen.2020.3976

  11. Prasad K, McLoughlin C, Stillman M, Poplau S, Goelz E, Taylor S, et al.Prevalence and correlates of stress and burnout among U.S. healthcareworkers during the COVID-19 pandemic: A national cross-sectionalsurvey study. EClinicalMedicine. 2021;35:100879. https://doi.org/10.1016/j.eclinm.2021.100879

  12. Robles R, Rodríguez E, Vega-Ramírez H, Álvarez-Icaza D, MadrigalE, Durand S, et al. Mental health problems among healthcare workersinvolved with the COVID-19 outbreak. Braz J Psychiatry. 2021;43(5):494-503. https://doi.org/10.1590/1516-4446-2020-1346

  13. Koontalay A, Suksatan W, Prabsangob K, Sadang JM. Healthcare workers’burdens during the COVID-19 pandemic: a qualitative systematicreview. J Multidiscip Healthc. 2021;14:3015-25. https://doi.org/10.2147/JMDH.S330041

  14. Schug C, Morawa E, Geiser F, Hiebel N, Beschoner P, Jerg-Bretzke L,et al. Social support and optimism as protective factors for mental healthamong 7765 healthcare workers in Germany during the COVID-19pandemic: results of the VOICE Study. Int J Environ Res Public Health.2021;18(7):3827. https://doi.org/10.3390/ijerph18073827

  15. Mion G, Hamann P, Saleten M, Plaud B, Baillard C. Psychological impactof the COVID-19 pandemic and burnout severity in French residents:A national study. T Eur J Psychiatry. 2021;35(3):173-80. https://doi.org/10.1016/j.ejpsy.2021.03.005

  16. Alonso J, Vilagut G, Mortier P, Ferrer M, Alayo I, Aragón-Peña A, et al.Mental health impact of the first wave of COVID-19 pandemic on Spanishhealthcare workers: A large cross-sectional survey. Rev Psiquiatr SaludMent. 2021;14(2):90-105. https://doi.org/10.1016/j.rpsm.2020.12.001

  17. Mediavilla R, Fernández-Jiménez E, Andreo J, Morán-Sánchez I,Muñoz-Sanjosé A, Moreno-Küstner B, et al. Association betweenperceived discrimination and mental health outcomes among healthworkers during the initial COVID-19 outbreak. Rev Psiquiatr Salud Ment.2021;546:S1888989121000628. https://doi.org/10.1016/j.rpsm.2021.06.001

  18. Osório FL, Silveira ILM, Pereira-Lima K, Crippa JA de S, Hallak JEC,Zuardi AW, et al. Risk and protective factors for the mental health of Brazilianhealthcare workers in the frontline of COVID-19 pandemic. FrontPsychiatry. 2021;12:662742. https://doi.org/10.3389/fpsyt.2021.662742

  19. Restrepo-Martínez M, Escobar M, Marín LA, Restrepo D. Prevalenciay características clínicas de los síntomas depresivos y ansiosos de lostrabajadores de una institución de salud en Medellín durante la pandemiapor COVID-19. Rev Colomb Psiquiatr. 2021;S0034745021000378. https://doi.org/10.1016/j.rcp.2021.02.001

  20. Pazmiño-Erazo EE, Alvear-Velásquez MJ, Saltos-Chávez IG, Pazmiño-PullasDE. Factores relacionados con efectos adversos psiquiátricos en personalde salud durante la pandemia de COVID-19 en Ecuador. Rev ColombPsiquiatr. 2021;50(3):166-75. https://doi.org/10.1016/j.rcp.2020.12.007

  21. Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. Thebrief resilience scale: Assessing the ability to bounce back. Int J Behav Med.2008;15(3):194-200. https://doi.org/10.1080/10705500802222972

  22. Min JA, Lee CU, Chae JH. Resilience moderates the risk of depressionand anxiety symptoms on suicidal ideation in patients with depressionand/or anxiety disorders. Compr Psychiatry. 2015;56:103-11. https://doi.org/10.1016/j.comppsych.2014.07.022

  23. Bozda F, Ergün N. Psychological resilience of healthcare professionalsduring COVID-19 pandemic. Psychol Rep. 2021;124(6):2567-86. https://doi.org/10.1177/0033294120965477

  24. Rodríguez-Jiménez M, Guerrero-Barona E, García-Gómez A. Mentalhealth and psychological capital among Spanish health. Med Clin.2021;156(7):356-9. https://doi.org/10.1016/j.medcli.2020.12.008

  25. Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, et al. Encuesta Nacional deSalud y Nutrición 2020 sobre Covid-19. Cuernavaca: Instituto Nacionalde Salud Pública, 2021 [cited Jul 11, 2022]. Available from: https://www.insp.mx/resources/images/stories/2022/docs/220801_Ensa21_digital_29julio.pdf

  26. Instituto Nacional de Estadística y Geografía. Comunicado de prensanúmero 24/21. Aguascalientes, 2021 [cited Jul 11, 2022]. Available from:https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2021/EstSociodemo/ResultCenso2020_Nal.pdf

  27. Goldberg D, Williams P. A user’s guide to the General Health Questionnaire.NFER-Nelson, 1991.

  28. Kroenke K, Spitzer RL. The PHQ-9: A new depression diagnosticand severity measure. Psychiatr Ann. 2002;32(9):509-15. https://doi.org/10.3928/0048-5713-20020901-06

  29. Posner K, Brown G, Stanley B, Brent D, Yershova K, Oquendo M, et al.The Columbia–Suicide Severity Rating Scale: Initial validity and internalconsistency findings from three multisite studies with adolescents andadults. Am J Psychiatry. 2011;168(12):1266-77. https://doi.org/10.1176/appi.ajp.2011.10111704

  30. Mascayano F, van der Ven E, Moro MF, Schilling S, Alarcón S, AlBarathie J, et al. The impact of the COVID-19 pandemic on the mentalhealth of healthcare workers: study protocol for the COVID-19 HEalthcaRe wOrkErS (HEROES) study. Soc Psychiatry Psychiatr Epidemiol.2022;57(3):633-45. https://doi.org/10.1007/s00127-021-02211-9

  31. Arrieta J, Aguerrebere M, Raviola G, Flores H, Elliott P, Espinosa A,et al. Validity and utility of the Patient Health Questionnaire (PHQ)-2 andPHQ-9 for screening and diagnosis of depression in rural Chiapas, Mexico:a cross-sectional study. J Clin Psychol. 2017;73(9):1076-90. https://doi.org/10.1002/jclp.22390

  32. Levis B, Benedetti A, Thombs BD. Accuracy of Patient HealthQuestionnaire-9 (PHQ-9) for screening to detect major depression:individual participant data meta-analysis. BMJ. 2019;365:l1476. https://doi.org/10.1136/bmj.l1476

  33. Rodríguez-Rey R, Alonso-Tapia J, Hernansaiz-Garrido H. Reliability andvalidity of the Brief Resilience Scale (BRS) Spanish Version. Psychol Assess.2016;28(5):e101-10. https://doi.org/10.1037/pas0000191

  34. Smith BW, Epstein EM, Ortiz JA, Christopher PJ, Tooley EM. The Foundationsof Resilience: what are the critical resources for bouncing backfrom stress? In: Prince-Embury S, Saklofske DH. Resilience in children,adolescents, and adults. New York: Springer New York, 2013:167-87 [citedJul 11, 2022]. Available from: https://docs.rwu.edu/fcas_fp/275/

  35. Cummings, P. Methods for estimating adjusted risk ratios. Stata J.2009;9(2):175-96. https://doi.org/10.1177/1536867x0900900201

  36. Rothman KJ. Epidemiology: an introduction. New York: Oxford UniversityPress, 2012.

  37. Mudgal J, Borges GLG, Díaz-Montiel JC, Flores Y, Salmerón J. Depressionamong health workers: the role of social characteristics, work stress,and chronic diseases. Salud Mental. 2006;29(5):8 [cited Jul 11, 2022].Available from: https://www.scielo.org.mx/pdf/sm/v29n5/0185-3325-sm-29-05-1.pdf

  38. Plan Jalisco COVID-19. Análisis comparativo diario: 20 de julio 2020.Mexico: Gobierno de Jalisco, 2020 [cited Oct 6, 2022]. Available from:https://coronavirus.jalisco.gob.mx/corte-semanal/

  39. Google News. Estadísticas de COVID-19 en Chiapas. Google News,2020 [cited Oct 6, 2022]. Available from: https://news.google.com/covid19/map?hl=enUS&mid=%2Fm%2F01zlx&gl=US&ceid=US%3Aen

  40. Bannai A, Tamakoshi A. The association between long workinghours and health: A systematic review of epidemiological evidence.Scand J Work Environ Health. 2013;40(1):5-18. https://doi.org/10.5271/sjweh.3388

  41. Petrie K, Crawford J, LaMontagne AD, Milner A, Dean J, Veness BG,et al. Working Hours, common mental disorder and suicidal ideationamong junior doctors in Australia: A cross-sectional survey. BMJ Open.2020;10(1). https://doi.org/10.1136/bmjopen-2019-033525

  42. Juárez-García A, Camacho-Ávila A, García-Rivas J, Gutiérrez-RamosO. Psychosocial factors and mental health in Mexican healthcare workersduring the COVID-19 pandemic. Salud Ment. 2021;44(5):229-40. https://doi.org/10.17711/SM.0185-3325.2021.030

  43. Roldán GM, Salazar IC, Garrido L, Ramos JM. Violence at work and itsrelationship with burnout, depression and anxiety in healthcare professionalsof the emergency services. Health. 2013;05(02):193-9. https://doi.org/10.4236/health.2013.52027

  44. Awano N, Oyama N, Akiyama K, Inomata M, Kuse N, Tone M, et al.Anxiety, depression, and resilience of healthcare workers in Japan duringthe coronavirus disease 2019 Outbreak. Intern Med. 2020;59(21):2693-9.https://doi.org/10.2169/internalmedicine.5694-20

  45. Barzilay R, Moore TM, Greenberg DM, DiDomenico GE, Brown LA,White LK, et al. Resilience, COVID-19-related stress, anxiety and depressionduring the pandemic in a large population enriched for healthcareproviders. Transl Psychiatry. 2020;10(1):291. https://doi.org/10.1038/s41398-020-00982-4

  46. Feng L, Yin R. Social Support and hope mediate the relationshipbetween gratitude and depression among front-line medical staff duringthe pandemic of Covid-19. Frontiers in Psychology. 2021;12. https://doi.org/10.3389/fpsyg.2021.623873




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

salud publica mex. 2023;65