Trajectories of anxiety, depression, and posttraumatic stress among healthcare workers during the COVID-19 pandemic: one-year monthly follow-up.

IF 3.6 3区医学 Q1 PSYCHIATRY

Revista Brasileira de Psiquiatria Pub Date : 2024-09-22 DOI:10.47626/1516-4446-2024-3720

Marcos O Carvalho-Alves, Vitor A Petrilli-Mazon, Pedro Fonseca Zuccolo, Daniel Fatori, Francisco Marcelo Monteiro Rocha, Andre R Brunoni, Guilherme V Polanczyk, Eurípedes C Miguel, Yuan-Pang Wang, Felipe Corchs

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引用次数: 0

Abstract

Objectives: This study aimed to assess longitudinal patterns of anxiety, depression, and posttraumatic stress symptoms, as well as their predictors, in a reference hospital workforce during the first two waves of the pandemic in Brazil.

Methods: Data were collected between July 2020 and June 2021 (N = 1,078). Anxiety, depression, and posttraumatic stress symptoms were assessed using three self-report scales (GAD-7, PHQ-9, IES-R). Predictor analysis included COVID-19-related events, fear of COVID-19, and institutional support. Statistical analysis involved linear mixed models and local polynomial regressions.

Results: Anxiety and depression showed a tendency towards increased reactivity, while posttraumatic stress presented a tendency towards reduction with less fluctuation. Predictor analysis showed that higher levels of institutional support were associated with a reduced risk of all mental health outcomes. Conversely, greater fear of COVID-19 was positively associated with all of them.

Conclusions: Our findings underscore the importance of allocating enhanced attention and resources to effectively address pressing personal health challenges, emphasizing the significance of organizational support and continuous monitoring of emotional distress.

查看原文本刊更多论文

COVID-19 大流行期间医护人员的焦虑、抑郁和创伤后应激反应轨迹：为期一年的每月随访。

研究目的本研究旨在评估巴西大流行病前两波期间医院参考人员的焦虑、抑郁和创伤后应激症状的纵向模式及其预测因素：数据收集时间为 2020 年 7 月至 2021 年 6 月（N=1,078）。焦虑、抑郁和创伤后应激症状通过三种自我报告量表（GAD-7、PHQ-9、IES-R）进行评估。预测分析包括 COVID-19 相关事件、对 COVID-19 的恐惧和机构支持。统计分析包括线性混合模型和局部多项式回归：结果：焦虑和抑郁表现出反应性增强的趋势，而创伤后应激则表现出波动较小的减弱趋势。预测分析表明，机构支持水平越高，所有心理健康结果的风险就越低。相反，对 COVID-19 的恐惧程度越高，则与所有这些结果呈正相关：我们的研究结果强调了加强关注和分配资源以有效解决紧迫的个人健康挑战的重要性，同时强调了组织支持和持续监测情绪困扰的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira de Psiquiatria 医学-精神病学

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.