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2024, Number 1

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Rev Elec Psic Izt 2024; 27 (1)

Mental health symptoms, psychological well-being and coping strategies in a sample of frontline medical personnel from the city of Medellín, Colombia, during the COVID-19 pandemic

Klimenko O, Hernández-FN, Beltrán RE, Cuartas ATF, Naranjo RAM

Language: Spanish
References: 47
Page: 438-463
PDF size: 236.70 Kb.


ABSTRACT

Introduction: The COVID-19 pandemic has affected the mental health of people worldwide, with frontline medical personnel being the most affected, emerging the urgency of preparing them with soft skills and coping strategies to strengthen their mental health. Aim: To describe the symptoms of mental health and psychological well-being and their relationship with coping strategies in a sample of frontline medical personnel during the health crisis of the COVID-19 pandemic. Method: Quantitative, descriptive-correlational cross-sectional study. The Coping Strategies Scale (EEC-M), the Psychological Well-Being Scale (EBP), and the Derogatis (1994) SCL- 90-R symptom inven1tory was used in a sample of 57 participants belonging to front-line medical personnel in care for patients with COVID between the months of September and December 2020.2 Results: The presence of risk in mental health symptoms was not identified, and psychological well-being showed scores in the normal range. This was associated with frequent use of functional coping strategies such as seeking professional support and positive reappraisal and low use of nonfunctional coping strategies such as waiting, emotional avoidance, aggressive reaction, cognitive avoidance, and denial in the study sample. Conclusions: The contribution of an assertive use of coping strategies in atypical health emergencies in front-line medical personnel during the COVID-19 pandemic is evidenced, indicating the need for training and training in soft skills in these professionals.


REFERENCES

  1. Ahmed, M., Jouhar, R., Ahmed, N., Adnan, S., Aftab, M., Zafar, M.S. y Khurshid, Z.(2020). Fear and practice modifications among dentists to combat novelcoronavirus disease (COVID-19) outbreak. Int. J. Environ. Res. Publ. Health,17(8), https://doi.org/ 10.3390/ijerph17082821

  2. An, Y., Yang, Y., Wang, A., Li, Y., Zhang, Q., Cheung, T., Ungvari, G. S., Qin, M.Z., An, F. R. y Xiang, Y. T. (2020). Prevalence of depression and its impacton quality of life among frontline nurses in emergency departments during theCOVID-19 outbreak. Journal of Affective Disorders, 276, 312–315.https://doi.org/10.1016/j.jad.2020.06.047

  3. Bao, Y., Sun, Y., Meng, S., Shi, J. y Lu, L. (2020). 2019-nCoV epidemic: addressmental health care to empower society. Lancet, 395 (10224), e37-e38,https://doi.org/10.1016/S0140-6736(20)30309-3

  4. Beneria, A., Arnedo, M., Contreras, S., Pérez-Carrasco, M., Garcia-Ruiz, I.,Rodríguez-Carballeira, M., Raduà, J. y Bañeras, J. (2020). Impact ofSimulation-Based Teamwork Training on COVID-19 Distress in HealthcareProfessionals, BMC Medical Education (article under review),https://doi.org/10.21203/rs.3.rs-53418/v1

  5. Cai, Q., Feng, H., Huang, J., Wang, M., Wang, Q., Lu, X., Xie, Y., Wang, X., Liu,Z., Hou, B., Ouyang, K., Pan, J., Li, Q., Fu, B., Deng, Y. y Liua, Y. (2020).The mental health of frontline and non-frontline medical workers during thecoronavirus disease 2019 (COVID-19) outbreak in China: A case-controlstudy. J Affect Disord., 275:210-215, https://doi.org/10.1016/j.jad.2020.06.031

  6. Casullo, M. y Pérez, M. (2008). El Inventario de Síntomas SCL-90-R de Derogatis.Adaptación. UBA. Conicet. Decreto DNU 297/2020.http://servicios.infoleg.gob.ar/infolegInternet/anexos/335000339999/335741/norma.htm

  7. Chan-Yeung, M. (2004). Severe acute respiratory syndrome (SARS) andhealthcare workers. Int J Occup Environ Health, 10(4), 421-427,https://doi.org/10.1179/oeh.2004.10.4.421

  8. Chorot, P. y Sandín, B. (1993). Escala de Estrategias de Coping Revisado (EECR).Madrid: UNED.

  9. De Lima, C., Cândido, E., da Silva, J., Albuquerque, L., Soares, L., do Nascimento,M., de Oliveira, S. y Neto, M. (2020). Effects of quarantine on mental health ofpopulations affected by Covid-19. Journal of Affective Disorders, 275, 253-254, https://doi.org/10.1016/j.jad.2020.06.06310.3390/ijerph17082821

  10. Díaz, P. (2012). El alma colombiana. Idiosincrasia e identidades culturales enColombia. Hallazgos, 9(18),119-141,https://www.redalyc.org/articulo.oa?id=413835216007

  11. Díaz, D., Rodríguez-Carvajal, R., Blanco, A., Moreno-Jiménez, B., Gallardo, I.,Valle, C. y van Dierendonck, D. (2006). Adaptación española de las escalasde bienestar psicológico de Ryff. Psicothema, 18(3), 572-577.http://www.psicothema.com/psicothema.asp?id=3255

  12. Di Mattei, V., Carnelli, L., Bernardi, M., Bienati, R., Brombin, Ch., Cugnata F.,Rabaiotti, E., Zambetti, M., Sarno, L., Candiani, M. y Gentilini, O. (2018).Coping Mechanisms, Psychological Distress, and Quality of Life Prior toCancer Genetic Counseling. Frontiers in Psychology, 9, 1218,https://doi.org/10.3389/fpsyg.2018.01218

  13. Dobrakowski, P. P., Skalski, S., Surzykiewicz, J., Muszyńska, J. y Konaszewski, K.(2021). Religious Coping and Life Satisfaction during the COVID-19Pandemic among Polish Catholics. The Mediating Effect of CoronavirusAnxiety. Journal of clinical medicine, 10(21), 4865.https://doi.org/10.3390/jcm10214865

  14. Esquerda, M. y Teres, J. (2021). Pandemia COVID-19, profesionalismo y contratosocial Revista clinica espanola, 221(8), 494–495.https://doi.org/10.1016/j.rce.2021.04.004

  15. Fagiolini, A., Cuomo, A. y Frank, E. (2020). COVID-19 diary from a psychiatrydepartment in Italy. J. Clin. Psychiatry, 81(3),https://doi.org/10.4088/JCP.20com13357

  16. Fang, X., Zhang, J., Teng, C., Zhao, K., Su, K.-P., Wang, Z., Tang, W. y Zhang, C.(2020). Depressive symptoms in the front-line non-medical workers during theCOVID-19 outbreak in Wuhan. Journal of Affective Disorders, 276, 441-445,https://doi.org/10.1016/j.jad.2020.06.078

  17. Fullana, M. A., Hidalgo-Mazzei, D., Vieta, E. y Radua, J. (2020). Coping behaviorsassociated with decreased anxiety and depressive symptoms during theCOVID-19 pandemic and lockdown. Journal of affective disorders, 275, 80–81. https://doi.org/10.1016/j.jad.2020.06.027

  18. Fusar-Poli, P., Brambilla, P. y Solmi, M. (2020). Learning from COVID-19pandemic in northen italy: Impact on mental health and clinical care. Journalof affective disorders, 275, 78–79, https://doi.org/10.1016/j.jad.2020.06.02

  19. Gantiva, C., Luna, A., Dávila, A. y Salgado, M. (2010). Estrategias deafrontamiento en personas con ansiedad. Psychologia. Avances de ladisciplina, 4(1),63-72,https://www.redalyc.org/articulo.oa?id=2972/297224086006

  20. Gottert, A., Shattuck, D., Pulerwitz, J., Betron, M., McLarnon, C., Danette, J. yTseng, T., (2022). Meeting men’s mental health needs during COVID-19 andbeyond: a global health imperative. BMJ Global Health, 7: e008297,http://dx.doi.org/10.1136/bmjgh-2021-008297

  21. Islam, M., Ferdous, M. y Potenza, M. (2020). Panic and generalized anxiety duringthe COVID-19 pandemic among Bangladeshi people: An online pilot surveyearly in the outbreak. Journal of Affective Disorders, 276, 30-37,https://doi.org/10.1016/j.jad.2020.06.049

  22. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R.,Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z. y Hu, S.(2020). Factors Associated With Mental Health Outcomes Among HealthCare Workers Exposed to Coronavirus Disease 2019. JAMA network open,3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976

  23. Lagunes, C. (2021). Well-being and mental health of healthcare workers before,during, and after COVID-19. Salud Mental, 44(5):211-214.https://doi.org/10.17711/SM.0185-3325.2021.027

  24. Lee, S. A., Jobe, M. C., Mathis, A. y Gibbons, J. A. (2020). Incremental validity ofcoronaphobia: Coronavirus anxiety explains depression, generalized anxiety,and death anxiety. Journal of anxiety disorders, 74, 102268.https://doi.org/10.1016/j.janxdis.2020.102268

  25. Lee, E. y Eshah, W. (2012). Religiosity and Fear of Death: A Theory-OrientedReview of the Empirical Literature, Review of Religious Research, 55, 149-189, https://doi.org/10.1007/s13644-012-0064-3

  26. Londoño, N., Henao, G., Puerta, I., Posada, S., Arango, D. y Aguirre, D. (2006).Propiedades psicométricas y validación de la escala de estrategias deCoping modificada afrontamiento (EEC-M) en una muestra colombiana.Universitas Psychologica, 5(2), 327-350.http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-92672006000200010&lng=en&tlng=es.

  27. Lozano, M. y Garcia, B. (2016). Escala de bienestar psicológico (EBP). En Garcia,B., Lozano, M. y Diaz, I. (comp.) (2016). 19 escalas de EvaluaciónPsicológica. México: Autoedición.https://www.academia.edu/31038102/19_ESCALAS_DE_EVALUACION_PSICOLOGICA

  28. Martinez, I. (2003). Los efectos de las asimetrías de género en la salud de lasmujeres. Anuario de Psicologia, 34(2), 253-266,https://www.raco.cat/index.php/anuariopsicologia/article/download/61739/88524

  29. Matud, M. (2004). Gender differences in stress and coping styles, Personality andIndividual Differences, 37 (7), 1401-1415,https://doi.org/10.1016/j.paid.2004.01.010.

  30. Morgan, R., Tan, H., Oveisi, N., Memmott, C., Korzuchowski, A., Hawkins, K.,Smith, J. (2022). Women healthcare workers’ experiences during COVID-19and other crises: A scoping review, International Journal of Nursing StudiesAdvances, 4, 100066, https://doi.org/10.1016/j.ijnsa.2022.100066.

  31. Nicomedes, C. y Avila, R. (2020). An analysis on the panic during COVID-19pandemic through an online form. Journal of Affective Disorders, 276,14-22,https://doi.org/10.1016/j.jad.2020.06.046

  32. Nkire, N., Nwachukwu, I., Shalaby, R., Hrabok, M., Vuong, W., Gusnowski, A.,Surood, S., Greenshaw, A. y Agyapong, V. (2021). COVID-19 Pandemic:Influence of Relationship Status on Stress, Anxiety, and Depression inCanada, Irish Journal of Psychological Medicine, 39(4):1-26,https://doi.org/10.1017/ipm.2021.1

  33. OMS (march 18, 2020). Mental health and psychosocial considerations during theCOVID-19 outbreak. https://www.who.int/docs/defaultsource/coronaviruse/mental-health-considerations.pdf?sfvrsn=6d3578af_2

  34. Oladunjoye, A. y Oladunjoye, O. (2020). An evolving problem-Mental healthsymptoms among health care workers during COVID-19 pandemic. Asianjournal of psychiatry, 54, 102257. https://doi.org/10.1016/j.ajp.2020.102257

  35. Oscar, R. y Ledesma, R. (2009). Análisis Psicométrico del Inventario de SíntomasRevisado (SCL-90-R) en Población Clínica. Revista Argentina de ClínicaPsicológica, XVIII (3), 265-274,https://www.redalyc.org/pdf/2819/281921775007.pdf

  36. Pieh, C., Budimir, S. y Probst, T. (2020). The effect of age, gender, income, work,and physical activity on mental health during coronavirus disease (COVID-19)lockdown in Austria. Journal of Psychosomatic Research, 136, 110186,https://doi.org/10.1016/j.jpsychores.2020.110186.

  37. Porter, C., Favara, M., Hittmeyer, A., Scott, D., Sánchez, A., Ellanki, R.,Woldehanna, T., Thuc, L., Craske, M. y Stein, A. (2021). Impact of theCOVID-19 pandemic on anxiety and depression symptoms of young peoplein the global south: evidence from a four-country cohort study. BMJ Open,11:e049653. https://doi.org/10.1136/bmjopen-2021-049653

  38. Richaud, M. y Sacchi, C. (2005). Stressful Situations and Coping Strategies inRelation to Age. Psychological Reports, 97(2), 405-418,https://doi.org/10.2466/PR0.97.6.405-418

  39. Shigemura, J., Ursano, R., Morganstein, J., Kurosawa, M. y Benedek, D. (20202).Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan:Mental health consequences and target populations. Psychiatry ClinNeurosci, 74(4), 281-282, https://doi.org/10.1111/pcn.12988

  40. Souza, D. (2022). Health of nursing professionals: workload during the COVID-19pandemic. Rev Bras Med Trab, 18(4):464-471.http://dx.doi.org/10.47626/1679-4435-2020-600

  41. Teng, Z., Wei, Z., Qiu, Y., Tan, Y., Chen, J., Tang, H., Wu, H., Wu, R. y Huang, J.(2020). Psychological status and fatigue of frontline staff two months after theCOVID-19 pandemic outbreak in China: A cross-sectional study. Journal ofAffective Disorders, 275, 247-252, https://doi.org/10.1016/j.jad.2020.06.032.

  42. Tiong W. y Koh G. (2013). Ethical considerations in the review of Singapore’sH1N1 pandemic response framework in 2009. Ann. Acad. Med.Singap., 42(5):246–250. http://www.annals.edu.sg/pdf/42VolNo5May2013/V42N5p246.pdf

  43. Villani, L., Pastorino, R., Molinari, E., Anelli, F., Ricciardi, W., Graffigna, G. yBoccia, S. (2021). Impact of the COVID-19 pandemic on psychological wellbeingof students in an Italian university: a web-based cross-sectional survey.Global Health 17, 39. https://doi.org/10.1186/s12992-021-00680-w

  44. Xiaoming, X., Ming, A., Su, H., Wo, W., Jianmei, C., Qi, Z., Hua, H., Xuemei, L.,Lixia, W., Jun, C., Lei, S., Zhen, L., Lian, D., Jing, L., Handan, Y., Haitang, Q.,Xiaoting, H., Xiaorong, C., Ran, C., Qinghua, L., … y Li, K. (2020). Thepsychological status of 8817 hospital workers during COVID-19 Epidemic: Across-sectional study in Chongqing. Journal of Affective Disorders, 276, 555–561. https://doi.org/10.1016/j.jad.2020.07.092

  45. Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X. y Xiao, J. (2020a). Hide detailsPsychological impact of healthcare workers in China during COVID-19pneumonia epidemic: A multi-center cross-sectional survey investigation,Journal of Affective Disorders, Volume 274, 405-410,https://doi.org/10.1016/j.jad.2020.05.081

  46. Xiao, H., Zhang, Y., Kong, D., Li, S. y Yang, N. (2020b). The effects of socialsupport on sleep quality of medical staff treating patients with coronavirusdisease 2019 (COVID-19) in January and February 2020 in China. Med. Sci.Monit.: Int. Med. J. Exp. Clin. Res., 26, e923549–923541,https://doi.org/10.12659/MSM.923549.

  47. Xiang, y., Zhao, Y., Liu, Z., Li, X., Zhao, N., Cheung, T. y Ng, C. (2020). TheCOVID-19 outbreak and psychiatric hospitals in China: managing challengesthrough mental health service reform. Int. J. Biol. Sci., 16(10) 1741-1744,https://doi.org/10.7150/ijbs.45072




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