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PREVALENCE AND FACTORS ASSOCIATED WITH COMMON MENTAL DISORDERS AND POSTTRAUMATIC STRESS DISORDER AMONG HEALTHCARE WORKERS IN A REFERENCE CENTER FOR INFECTIOUS DISEASES DURING THE COVID-19 PANDEMIC: A SURVEY-BASED CROSS-SECTIONAL STUDY
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Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Coordenação de Atenção a Pacientes Externos. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Seção de Psicologia - Centro Hospitalar. Rio de Janeiro, RJ, Brasil.
Federal University of Rio de Janeiro. Institute of Psychiatry. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Epidemiologia Clínica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Seção de Psicologia - Centro Hospitalar. Rio de Janeiro, RJ, Brasil.
Federal University of Rio de Janeiro. Institute of Psychiatry. Rio de Janeiro, RJ, Brazil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em Doenças Febris Agudas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Abstract
Abstract: A cross-sectional survey conducted between July and September 2020 and August and September 2021 estimated the prevalence and predictors of common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) at an infectious disease referral center during the COVID-19 pandemic. CMDs were assessed using the General Health Questionnaire (GHQ-12), and PTSD using the Impact of Event Scale-Revised (IES-R). Multivariate logistic regressions identified predictors of CMD and PTSD. The study included 371 HCWs in 2020 and 167 in 2021. The CMD prevalence was 34.3% (95% confidence interval (CI): 29.5–39.4) in 2020 and 30.5% (95% CI: 23.7–38.1) in 2021. The PTSD prevalence was 25.4% (95% CI: 21.0–30.2) in 2020 and 32.7% (95% CI: 25.6–40.5) in 2021. Factors increasing CMD odds included lower education (adjusted odds ratio (AOR) = 3.71, 95% CI: 1.60–8.61), lack of physical activity (AOR = 2.23, 95% CI: 1.33–3.73), and experiencing COVID-19 symptoms (AOR = 1.64, 95% CI: 1.02–2.64) in 2020; chronic diseases (AOR = 3.14, 95% CI: 1.34–7.35) and SARS-CoV-2 testing (AOR = 3.39, 95% CI: 1.13–10.17) raised CMD odds in 2021. Frontline HCWs had lower CMD odds in 2020 (AOR = 0.60, 95% CI: 0.36–1.00) and 2021 (AOR = 0.33, 95% CI: 0.14–0.75). PTSD was associated with having COVID-19 symptoms (AOR = 2.06, 95% CI: 1.23–3.45), living with high-risk individuals (AOR = 1.75, 95% CI: 1.03–2.95), and losing loved ones (AOR = 1.86, 95% CI: 1.09–3.17) in 2020. Chronic diseases increased PTSD odds in 2020 (AOR = 2.20, 95% CI: 1.25–3.86) and 2021 (AOR = 2.30, 95% CI: 1.03–5.13), while age decreased them in 2020 (AOR = 0.95, 95% CI: 0.93–0.98) and 2021 (AOR = 0.95, 95% CI: 0.91–0.99). Younger HCWs with chronic conditions living with high-risk individuals were particularly affected. These findings highlight the urgent need for targeted emotional support and stress management programs for HCWs.
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