Mots-clés
salud mental
trabajadores de la salud
ansiedad
depresión
distrés
insomnio
Comment citer
Résumé
COVID-19 disease has not only led to a collapse of the health system and the death of thousands of people but is also having an impact on the health of those who are providing care for those infected. In this context, the aim of this research was to determine prevalences of depression, anxiety, insomnia, distress and compassionate fatigue, as well as factors related to the presence of symptoms associated with these disorders in healthcare workers. For this, 126 health professionals from Paraguay were surveyed online, of which 83% were women, with an average age in the total sample of 32 years. The questionnaires PHQ-9 for depression, GAD-7 for anxiety, ISI-7 for insomnia, IES-R for distress and the module of compassion fatigue of ProQOL - CSF-vIV were applied. It was found that the percentages of participants who reported symptoms classified as moderate and severe were 32.2% for depression, 41.3% for anxiety, 27.8% for insomnia, 38.9% for distress and 64.3% for compassion fatigue. In addition, women and younger people were at greater risk for symptoms. The data provide evidence for the need to establish prevention or intervention strategies to cope with mental health problems in health professionals.
Références
Acinas, P. (2012). Burn–out y desgaste por empatía en profesionales de cuidados paliativos burn-out and compassion fatigue in palliative care professionals. Sociedad Española de Medicina Psicosomática y Psicoterapia, 2(4), 2253–749. https://doi.org/10.1017/CBO9781107415324.004
Báguena, M.J., Villarroya, E., Beleña, A., Díaz, A., Roldán, C., y Reig, R. (2001) Propiedades Psicométricas de la Versión Española de la escala Revisada de Impacto del Estresor. Análisis y Modificación de Conducta, 27, 581-604.
Bastien, C., Vallieres, A., y Morín, C. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307. https://doi.org/10.1016/s1389-9457(00)00065-4
Beck, CH. T. (2011). Secondary Traumatic Stress in Nurses: A Systematic Review. Archives of Psychiatric Nursing, 25(1), 1–10.
Betancourt, M., Rodríguez, C.L., Vallecillo, I., y Sánchez, L.E. (2008). Síntomas de ansiedad y depresión en residentes de especialización médica con riesgo alto de estrés. Psiquiatría Biológica, 15, 147-152. https://doi.org/10.1016/S1134-5934(08)76485-6
Dai Y, Hu G, Xiong H, Qiu H, y Yuan X. (2020). Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. MedRxiv (preprint). https://doi.org/10.1101/2020.03.03.20030874
Diez-Quevedo, C., Rangil, T., Sanchez-Planell, L., Kroenke, K., y Spitzer, R. L. (2001). Validation and Utility of the Patient Health Questionnaire in Diagnosing Mental Disorders in 1003 General Hospital Spanish Inpatients. Psychosomatic Medicine, 63(4), 679–686. https://doi.org/10.1097/00006842-200107000-00021
El Trece (2020). Médicos exigen ley de jubilación y equipos de bioseguridad. http://www.trece.com.py/actualidad/medicos-exigen-ley-de-jubilacion
Erdur, B., Ergin, A., Turkcuer, I., Parlak, I., Ergin, N., y Boz, B. (2006). A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey. Emergency Medicine Journal, 23, 759-763. https://doi.org/10.1136/emj.2006.035071
Garcia-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Perez-Paramo, M., Lopez-Gomez, V., Freire, O., y Rejas, J. (2010). Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health and Quality of Life Outcomes, 8(1), 8. https://doi.org/10.1186/1477-7525-8-8
González, C., Sánchez, Y., y Peña, G. (2018). Fatiga por compasión en los profesionales del servicio de emergencia. Dom. Cien., 4(1), 483-498. https://doi.org/10.23857/dc.v4i1.761
Harapan, H., Itoh, N., Yufika, A., Winardi, W., Keam, S., Te, H., … Mudatsir, M. (2020). Coronavirus disease 2019 (COVID-19): A literature review. Journal of Infection and Public Health, 13(5), 667-673. https://doi.org/10.1016/j.jiph.2020.03.019
IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
Khalid, I., Khalid, T. J., Qabajah, M. R., Barnard, A. G., y Qushmaq, I. A. (2016). Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak. Clinical Medicine & Research, 14(1), 7–14. https://doi.org/10.3121/cmr.2016.1303
Kroenke, K., Spitzer, R. L., y Williams, J. B. W. (2001). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
La Nación (11 de marzo de 2020). COVID-19: Paraguay tiene 100 camas por cada millón de habitantes. https://www.lanacion.com.py/pais_edicion_impresa/2020/03/11/COVID-19-paraguay-tiene-100-camas-por-cada-millon-de-habitantes/
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., … Hu, S. (2020). Factors Associated with Mental Health Outcomes among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
Maunder, R., Lancee, W., Balderson, K., Bennett, J., Borgundvaag, B., Evans, S., … Wasylenki, D. (2006). Long-term Psychological and Occupational Effects of Providing Hospital Healthcare during SARS Outbreak. Emerging Infectious Diseases, 12(12), 1924–1932. https://doi.org/10.3201/eid1212.060584
Ministerio de Salud Pública y Bienestar Social MSPBS (2020a). ¿Qué está haciendo el Ministerio de Salud?. https://www.mspbs.gov.py/COVID-19-actualizacion.php
Ministerio de Salud Pública y Bienestar Social MSPBS (2020b). Reportes COVID.19. https://www.mspbs.gov.py/reporte-COVID19.html
Montero, I., Aparicio, D., Gómez-Beneyto, M., Moreno-Küstner, B.,Reneses, B., Usall, J.,Vázquez-Barquero, J. (2004). Género y salud mental en un mundo cambiante. Gaceta Sanitaria, 18(Supl. 1), 175-181.
Moreno-Jiménez, B., Morante, M. E., Garrosa, E., y Rodríguez, R. (2004). Estrés traumático secundario: el coste de cuidar el trauma. Psicología Conductual, 12(2): 215-231.
O’Mahony, S., Ziadni, M., Hoerger, M., Levine, S., Baron, A., y Gerhart, J. (2018). Compassion Fatigue Among Palliative Care Clinicians. The American Journal Of Hospice y Palliative Care, 35(2), 343–347. https://doi.org/10.1177/1049909117701695
Organización Mundial de la Salud (2020a). Preguntas y respuestas sobre la enfermedad por coronavirus (COVID-19). https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses
Organización Mundial de la Salud (2020b). WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-COVID-19---11-march-2020
Organización Panamericana de la Salud (2020). La OMS caracteriza a COVID-19 como una pandemia. https://www.paho.org/hq/index.php?option=com_content&view=article&id=15756:who-characterizes-COVID-19-as-a-pandemic&Itemid=1926&lang=es
Rojtenberg, S. (2001). Depresión: Una introducción. En S. Rojtengerg, Depresiones y antidepresivos (pp 1-14). Buenos Aires: Médica Panamericana
Sierra, J.C., Guillén-Serrano, V., y Santos-Iglesias, P. (2008). Insomnia Severity Index: some indicators about its reliability and validity on an older adults sample. Revista de Neurología, 47(11), 566-70. https://doi.org/10.33588/rn.4711.2008221
Spitzer, R. L., Kroenke, K., Williams, J. B. W., y Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder. Archives of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092
Stamm, B.H. (1997-2005). Professional Quality of Life: Compassion Satisfaction and Fatigue Subscales, R-IV (ProQOL). http://www.proqol.org
Tam, C. W. C., Pang, E. P. F., Lam, L. C. W., y Chiu, H. F. K. (2004). Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychological Medicine, 34(7), 1197–1204. https://doi.org/10.1017/s0033291704002247
Urzúa, A., Vera-Villarroel, P., Caqueo-Urízar, A., y Polanco, R. (2020). La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Terapia Psicológica, 38(1), 103–118.
Urzúa, A., Vera-Villarroel, P., Samaniego, A., Caqueo-Urízar, A., Zapata, A., y Irarrázaval, M. (2020). COVID-19 y salud mental en trabajadores de la salud en Chile. Un estudio exploratorio. Manuscrito presentado para su evaluación.
Vera-Villarroel, P. (2020). Psicología y COVID-19: un análisis desde los procesos psicológicos básicos. Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology, 14, 10-18
Weiss D. (1984). The impact of event scale-revised. En: Wilson J & Keane T. Editores. Assessing psychological trauma and PTSD. New York, NY: Guilford Press; 2004. p. 168-89.
Yerkes, R. M., y Dodson, J. D. (1908). The Relation of Strength of Stimulus to Rapidity of Habit-Formation. Journal of Comparative Neurology and Psychology, 18, 459-482. https://doi.org/10.1002/cne.920180503
Zheng, W. (2020). Mental health and a novel coronavirus (2019-nCoV) in China. Journal of Affective Disorders, 269, 201-202. https://doi.org/10.1016/j.jad.2020.03.041
Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.
(c) Tous droits réservés Antonio Samaniego, Alfonso Urzúa, Marcelo Buenahora, Pablo Vera-Villarroel 2020