Keywords
COVID-19
Pandemia
Trabalhadores da Saúde
COVID-19
Depression
Pandemics
Health Workers
COVID-19
Depresión
Pandemias
Personal de Salud
How to Cite
Abstract
Introduction: The frequency of depressive symptoms among healthcare professionals during the COVID-19 pandemic was high. However, little evidence includes support workers, those who do not directly provide healthcare.
Objective: To identify the prevalence of depressive symptoms and their levels, as well as the associated factors, in Brazilian healthcare workers during the COVID-19 pandemic.
Method: This is a cross-sectional, analytical, and quantitative study, conducted with 108 healthcare workers (from direct care and support workers) from January to May 2021, using non-probabilistic sampling. The Depression, Anxiety, and Stress Scale was applied to identify the symptoms of depression. Data were analyzed using absolute and relative frequencies for variables related to sociodemographic, healthcare service and occupation, self-perceived health, factors associated with the risk of COVID-19, clinical history, and depressive symptoms. Association tests were applied, and prevalence ratios were estimated with a confidence interval of 95%.
Results: The prevalence of depressive symptoms was 51.9% (95% CI = 43.1%–63.7%), with the extremely severe level being more frequent (16.7%, 95% CI = 8.8%–22.5%), mainly among workers who do not work directly in care (35.7%), compared to those who assist patients (12.9%). The prevalence of depressive symptoms stands out among workers with fair/poor/very poor self-perceived health (88.0%), diagnosis of mental disorder (81.2%), continuous use of medication (63.0%), and use of psychotropic drugs (69.6%).
Conclusion: Depressive symptoms were predominant among healthcare workers during the pandemic, with extremely severe levels occurring more frequently among support workers. There is a need to focus attention on the mental health of healthcare workers according to specificities, mainly occupational, to minimize the occurrence of depressive symptoms.
References
Forte ECN, Pires DEP. Nursing appeals on social media in times of coronavirus. Rev Bras Enf. 2020;73(2). doi: 10.1590/0034-7167-2020-0225
DW. Americas are the new coronavirus “epicenter” – WHO. 2020.
Comisión Económica para América Latina y el Caribe (CEPAL). Observatorio Demográfico América Latina y el Caribe 2021. Los censos de población y vivienda de la ronda de 2020 en América Latina y el Caribe en el contexto de la pandemia. Panorama regional y desafios urgentes. Santiago: Naciones Unidas; 2022.
Mora-Garcia CA, Pearson AA, Prado AM. Maintaining essential health services during a pandemic: lessons from Costa Rica’s COVID-19 response. BMJ Global Health. 2024;8,6:e014143. doi: 10.1136/bmjgh-2023-014143
Tajer C, Martínez MJ, Straw C, Tajer D, Riveiro M, Antonietti L. Analysis of long COVID in health personnel: comparing gender and work factors. Medicina (B Aires). 2024;84(4):605-618.
Peña-Roa P, Venegas-González S, Cancino M, Terán-Mendoza O. Condições de trabalho e indicadores de saúde mental em profissionais médicos e de enfermagem no Chile durante a pandemia de COVID-19. Enfermagem Global . 2024;23,1: 95–113. doi: 10.6018/eglobal.573161
Paniagua-Ávila A, Ramírez DE, Barrera-Pérez A, Calgua E, Castro C, Peralta-García A et al. La salud mental de los trabajadores de salud en Guatemala durante la pandemia de COVID-19: resultados de base del estudio de cohortes HÉROES. Rev Panam Salud Publica. 2022;46:e79. doi: 10.26633/RPSP.2022.79
Brasil. Ministério da Saúde (BR). Painel Coronavírus. Brasília: Ministério da saúde, 2021.
Conselho Federal de Enfermagem. Observatório da enfermagem. 2023. Disponível em: http://observatoriodaenfermagem.cofen.gov.br/
10. Saragih ID, Tonapa SI, Saragih IS, Advani S, Batubara SO, Suarilah I, Lin CJ. Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: A systematic review and meta-analysis, International Journal of Nursing Studies, 2021;121:104002. doi: 10.1016/j.ijnurstu.2021.104002.
11. Belita E, Neil-Sztramko SE, De Rubeis V, Boamah S, Cabaj J, Jack SM, et al. Understanding the mental health and intention to leave of the public health workforce in Canada during the COVID-19 pandemic: A cross-sectional study. BMC Public Health. 2024;24(1):2347. doi: 10.1186/s12889-024-19783-1
Pool M, Sorsdahl K, Myers B, van der Westhuizen C. The prevalence of and factors associated with depressive and anxiety symptoms during the COVID-19 pandemic among healthcare workers in South Africa. PLoS One. 2024 Mar 7;19(3):e0299584. doi: 10.1371/journal.pone.0299584
Liang Z, Wang Y, Wei X, Wen W, Ma J, Wu J, Huang S, Qin P. Prevalence and associated factors of depressive and anxiety symptoms among healthcare workers in the post-pandemic era of COVID-19 at a tertiary hospital in Shenzhen, China: A cross-sectional study. Front Public Health. 2023 Mar 20;11:1094776. doi: 10.3389/fpubh.2023.1094776.
Yuan K, Zheng YB, Wang YJ, Sun YK, Gong YM, Huang YT, et al. A systematic review and meta-analysis on prevalence of and risk factors associated with depression, anxiety and insomnia in infectious diseases, including COVID-19: a call to action. Mol Psychiatry. 2022;27(8):3214-3222. doi: 10.1038/s41380-022-01638-z.
Espinoza-Ascurra G, Gonzales-Graus I, Meléndez-Marón M, Cabrera R. Prevalence and factors associated with depression in healthcare personnel during the SARS-CoV-2 pandemic in the Department of Piura, Peru. Rev Colomb Psiquiatr (Engl Ed). 2024;53(1):63-72. English, Spanish. doi: 10.1016/j.rcpeng.2021.11.003.
Fundação de Psicologia da Austrália. Depression, Anxiety, Stress Scales – DASS. 2023.
Fisicaro F, Lanza G, Concerto C, Rodolico A, Di Napoli M, Mansueto G, et al. COVID-19 and Mental Health: A "Pandemic Within a Pandemic". Adv Exp Med Biol. 2024;1458:1-18. doi: 10.1007/978-3-031-61943-4_1.
Martins BG, Silva WR, Maroco J, Campos JADB. Escala de Depressão, Ansiedade e Estresse: propriedades psicométricas e prevalência das afetividades. Jornal Brasileiro de Psiquiatria. 2019; 68(1):32–41. doi:10.1590/0047-2085000000222
Vignola RCB. Tucci AM. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Dis. 2014:155(104-109). doi: 10.1016/j.jad.2013.10.031
de Moraes SHM, Cunha IPD, Lemos EF, Abastoflor LLL, Oshiro ML, Bohrer RTDOA, et al. Prevalence and associated factors of mental health disorders among Brazilian healthcare workers in times of the COVID-19 pandemic: A web-based cross-sectional study. PLoS One. 2023 Jun 6;18(6):e0274927. doi: 10.1371/journal.pone.0274927.
Guilland, R., Knapik, J., Klokner, S. G. M., Carlotto, P. A. C., Ródio-Trevisan, K. R., Zimath, S. C., . . . & Cruz, R. M. (2021). Sintomas de Depressão e Ansiedade em Trabalhadores durante a Pandemia da COVID-19. Revista Psicologia: Organizações e Trabalho, 21(4), 1721-1730. doi: https://doi.org/10.5935/rpot/2021.4.226255
Bouaddi O, Abdallahi NM, Fadel Abdi CM, Hassouni K, Jallal M, Benjelloun R, et al. Anxiety, Stress, and Depression Among Healthcare Professionals During the COVID-19 Pandemic: A Cross-Sectional Study in Morocco. Inquiry. 2023;60:469580221147377. doi: 10.1177/00469580221147377
Silva-Costa A, Griep RH, Rotenberg L. Percepção de risco de adoecimento por COVID-19 e depressão, ansiedade e estresse entre trabalhadores de unidades de saúde. Caderno de Saúde Pública [Internet]. 2022 [citado em: 26 nov 2022]; 38(3). doi: 10.1590/0102-311X00198321
Granados Villalpando JM, Baeza Flores GDC, Ble Castillo JL, Celorio Méndez KDS, Juárez Rojop IE, Morales Contreras JA, et al. Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico. Int J Environ Res Public Health. 2023 Feb 27;20(5):4230. doi: 10.3390/ijerph20054230
Guo F, Han R, Sun Y, Sun L, Luo T, Zheng L, Gao C. The associations between COVID-19 vaccination and psychological disorders among healthcare workers in China. J Affect Disord. 2022 Dec 1;318:40-47. doi: 10.1016/j.jad.2022.08.080
Arenliu Qosaj F, Weine SM, Sejdiu P, Hasani F, Statovci S, Behluli V, Arenliu A. Prevalence of Perceived Stress, Anxiety, and Depression in HCW in Kosovo during the COVID-19 Pandemic: A Cross-Sectional Survey. Int J Environ Res Public Health. 2022 Dec 12;19(24):16667. doi: 10.3390/ijerph192416667
Soto-Cámara R, Cárdaba-García RM, García-Santa-Basilia N, Onrubia-Baticón H, Matellán-Hernández MP, Navalpotro-Pascual S, Grupo IMPSYCOVID-19. Impacto da pandemia de COVID-19 na saúde mental dos profissionais de saúde dos serviços de emergência médica extra-hospitalares espanhóis. Gols Doentes maio de 2023; 26(4):22-32. doi: 10.35667/MetasEnf. 2023.26.1003082091
Dantas ESO. Saúde mental dos profissionais de saúde no Brasil no contexto da pandemia por Covid-19. Interface (Botucatu). 2021; 25(Supl. 1): e200203. doi: 10.1590/Interface.200203
Brasil. Ministério da Saúde, Atenção Especializada à Saúde, Saúde Mental, Álcool e Outras Drogas. Rede de Atenção Psicossocial. 2024.
Santos KMR dos, Galvão MHR, Gomes SM, Souza TA de, Medeiros A de A, Barbosa IR. Depressão e ansiedade em profissionais de enfermagem durante a pandemia da covid-19. Escola Anna Nery. 2021; 25. doi: 10.1590/2177-9465-EAN-2020-0370
Bacigalupe A, Cabezas A, Bueno MB, Martín U. El género como determinante de la salud mental y su medicalización. Informe SESPAS 2020 Gac Sanit. 2020;34 Suppl 1:61-67. Spanish. doi: 10.1016/j.gaceta.2020.06.013
Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm. 2020;73, 1-7. doi: 10.1590/0034-7167- 2020-043
Silva DC. A importância da enfermagem na pandemia de COVID-19 [livro eletrônico / Organizadora Dannyele Cristina da Silva. - Triunfo, PE: Omnis Scientia, 2021.
Dal Ongaro J, Lanes TC, Barcellos FAB, Dal Pai D, Tavares JP, Barcellos FAB et al. Saúde mental dos profissionais de saúde durante a pandemia da COVID-19. ABCS Health Sciences.2022; 47: 1-7. doi: 10.7322/abcshs.2021215.1931
Assis BB, Azevedo C, Moura CC, Mendes PG, Rocha LL, Roncalli AA, et al. Factors associated with stress, anxiety and depression in nursing professionals in the hospital context. Rev Bras Enferm. 2022;75(Suppl 3):e20210263. doi: 10.1590/0034-7167-2021-0263.
Julio RS, Lourenção LG, Oliveira SM, Farias DHR, Gazetta CE. Prevalência de ansiedade e depressão em trabalhadores da Atenção Primária à Saúde. Cad Bras Ter Ocup. 2022;30:e2997. doi: 10.1590/2526-8910.ctoAO22712997
Padula M, Fotia PL, Carrera RP, Fasano MV, Varea A, Mendéz IA. Factores asociados a la depresión, ansiedad y estrés de los trabajadores del sector público de salud de la plata y gran la plata al inicio de la pandemia por COVID-19. Ludovica Pediátrica. 2022;25.
Cavalcante FLNF, Negreiros BTC, Maia R da S, Maia EMC. Depressão, ansiedade e estresse em profissionais da linha de frente da COVID-19. Revista Portuguesa de Enfermagem de Saúde Mental. 2022;27:6-20. doi: 10.19131/rpesm.321
Melo C da S, Wirowski N, Oliveira MP de, Vieira IS, Moreira FP. Evaluation of mental health and the use of antidepressants and anxiolytics in young adults during the COVID-19 pandemic in Brazil. Research, Society and Development. 2022;11(7). doi: 10.33448/rsd-v11i7.30095
Fundação Oswaldo Cruz. Saúde mental e atenção psicossocial na pandemia Covid-19: orientação aos trabalhadores dos serviços de saúde. Rio de Janeiro: Fiocruz; 2020.
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