2019冠状病毒病大流行及其对医护人员心理健康的影响

Q4 Medicine
C. Gama, Sérgio André de Souza Júnior, A. V. Machado, R. Gonçalves, L. C. Portugal, Leticia de Oliveira, M. Pereira
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引用次数: 0

摘要

2019冠状病毒病大流行在全球范围内引发了一场健康危机。卫生专业人员经常暴露于压力源,使他们处于发展或发展致残精神障碍的高风险中,包括创伤后应激障碍(PTSD)。为了了解大流行压力源如何影响医护人员的心理健康,我们的小组进行了一项全国性的纵向调查。我们调查了与COVID-19大流行相关的创伤性事件的发生以及暴露于这些事件与PTSD症状之间的关系。重要的是,我们还调查了可能增加或减少PTSD风险的因素。抑郁症状也被调查。该项目的第一波结果发表在一系列三篇文章中,每篇文章都侧重于不同的风险或保护因素。结果显示,女性、年龄小、缺乏足够的个人防护装备、社会孤立和以前的精神疾病史是PTSD症状的一致预测因素。报告高水平创伤周围强直不动的医护人员也表现出被诊断为创伤后应激障碍的可能性增加,这是一种非自愿的、反射性的、由强烈的、不可避免的威胁引起的防御反应。另一方面,职业认知与创伤后应激障碍和抑郁症状呈负相关,成为心理健康的重要保护因素。确定这些情况下的保护因素和风险因素对于指导在工作环境中采取长期措施,增强这些专业人员的心理健康至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The COVID-19 pandemic and its impact on mental health of healthcare workers
ABSTRACT The COVID-19 pandemic has imposed a health crisis around the world. Health professionals are frequently exposed to stressors that put them at high risk for the development or progression of disabling mental disorders, including posttraumatic stress disorder (PTSD). To understand how pandemic stressors have affected the mental health of healthcare workers, our group conducted a longitudinal and nationwide survey. We investigated the occurrence of traumatic events related to the COVID-19 pandemic and the association between exposure to these events and PTSD symptomatology. Importantly, we also investigated factors that might increase or decrease the risk for PTSD. Depression symptoms were also investigated. The results of the first wave of the project were published in a series of three articles, each focused on different risk or protective factors. The results showed that female sex, young age, a lack of adequate personal protective equipment, social isolation and a previous history of mental illness were consistent predictors of PTSD symptoms. Healthcare workers who reported high levels of peritraumatic tonic immobility, a defensive response that is involuntary, reflexive, and evoked by an intense and inescapable threat, also exhibited an increase in the probability of being diagnosed with PTSD. On the other hand, professional recognition had a negative relationship with PTSD and depression symptoms, emerging as a significant protective factor for psychological health. The identification of protective and risk factors in these situations is crucial to guide the adoption of long-term measures in work environments that will enhance the psychological health of these professionals.
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来源期刊
Jornal Brasileiro de Psiquiatria
Jornal Brasileiro de Psiquiatria Medicine-Psychiatry and Mental Health
CiteScore
1.30
自引率
0.00%
发文量
26
审稿时长
20 weeks
期刊介绍: O Jornal Brasileiro de Psiquiatria se insere em programas de educação continuada e atualização e tem como missão divulgar trabalhos de pesquisa (realizados em instituições brasileiras e estrangeiras) cujos resultados tenham potencial para a investigação e prática clínica no campo da Psiquiatria. Criado em 1938, foi publicado até 1950, sob o título “Anais do Instituto de Psiquiatria”, sem periodicidade regular.
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