PDF(Pubmed)
Abstract：
BACKGROUND: Healthcare workers are vulnerable to adverse mental health impacts of the COVID-19 pandemic. We assessed prevalence of mental disorders and associated factors during the first wave of the pandemic among healthcare professionals in Spain.
METHODS: All workers in 18 healthcare institutions (6 AACC) in Spain were invited to web-based surveys assessing individual characteristics, COVID-19 infection status and exposure, and mental health status (May 5 - September 7, 2020). We report: probable current mental disorders (Major Depressive Disorder-MDD- [PHQ-8≥10], Generalized Anxiety Disorder-GAD- [GAD-7≥10], Panic attacks, Posttraumatic Stress Disorder -PTSD- [PCL-5≥7]; and Substance Use Disorder -SUD-[CAGE-AID≥2]. Severe disability assessed by the Sheehan Disability Scale was used to identify probable \"disabling\" current mental disorders.
RESULTS: 9,138 healthcare workers participated. Prevalence of screen-positive disorder: 28.1% MDD; 22.5% GAD, 24.0% Panic; 22.2% PTSD; and 6.2% SUD. Overall 45.7% presented any current and 14.5% any disabling current mental disorder. Workers with pre-pandemic lifetime mental disorders had almost twice the prevalence than those without. Adjusting for all other variables, odds of any disabling mental disorder were: prior lifetime disorders (TUS: OR=5.74; 95%CI 2.53-13.03; Mood: OR=3.23; 95%CI:2.27-4.60; Anxiety: OR=3.03; 95%CI:2.53-3.62); age category 18-29 years (OR=1.36; 95%CI:1.02-1.82), caring \"all of the time\" for COVID-19 patients (OR=5.19; 95%CI: 3.61-7.46), female gender (OR=1.58; 95%CI: 1.27-1.96) and having being in quarantine or isolated (OR= 1.60; 95CI:1.31-1.95).
CONCLUSIONS: One in seven Spanish healthcare workers screened positive for a disabling mental disorder during the first wave of the COVID-19 pandemic. Workers reporting pre-pandemic lifetime mental disorders, those frequently exposed to COVID-19 patients, infected or quarantined/isolated, female workers, and auxiliary nurses should be considered groups in need of mental health monitoring and support.
METHODS: All workers in 18 healthcare institutions (6 AACC) in Spain were invited to web-based surveys assessing individual characteristics, COVID-19 infection status and exposure, and mental health status (May 5 - September 7, 2020). We report: probable current mental disorders (Major Depressive Disorder-MDD- [PHQ-8≥10], Generalized Anxiety Disorder-GAD- [GAD-7≥10], Panic attacks, Posttraumatic Stress Disorder -PTSD- [PCL-5≥7]; and Substance Use Disorder -SUD-[CAGE-AID≥2]. Severe disability assessed by the Sheehan Disability Scale was used to identify probable \"disabling\" current mental disorders.
RESULTS: 9,138 healthcare workers participated. Prevalence of screen-positive disorder: 28.1% MDD; 22.5% GAD, 24.0% Panic; 22.2% PTSD; and 6.2% SUD. Overall 45.7% presented any current and 14.5% any disabling current mental disorder. Workers with pre-pandemic lifetime mental disorders had almost twice the prevalence than those without. Adjusting for all other variables, odds of any disabling mental disorder were: prior lifetime disorders (TUS: OR=5.74; 95%CI 2.53-13.03; Mood: OR=3.23; 95%CI:2.27-4.60; Anxiety: OR=3.03; 95%CI:2.53-3.62); age category 18-29 years (OR=1.36; 95%CI:1.02-1.82), caring \"all of the time\" for COVID-19 patients (OR=5.19; 95%CI: 3.61-7.46), female gender (OR=1.58; 95%CI: 1.27-1.96) and having being in quarantine or isolated (OR= 1.60; 95CI:1.31-1.95).
CONCLUSIONS: One in seven Spanish healthcare workers screened positive for a disabling mental disorder during the first wave of the COVID-19 pandemic. Workers reporting pre-pandemic lifetime mental disorders, those frequently exposed to COVID-19 patients, infected or quarantined/isolated, female workers, and auxiliary nurses should be considered groups in need of mental health monitoring and support.
摘要：
背景：医护人员容易受到COVID-19大流行对心理健康的不利影响。我们评估了西班牙医疗保健专业人员在第一波大流行期间精神障碍的患病率和相关因素。
方法：西班牙18个医疗机构（6个AACC）的所有工作人员被邀请参加基于网络的调查，评估个人特征，COVID-19感染状态和暴露，和心理健康状况（2020年5月5日至9月7日）。我们报告：可能的当前精神障碍（重度抑郁症-MDD-[PHQ-8≥10]，广义焦虑症-GAD-[GAD-7≥10]，恐慌发作,创伤后应激障碍-PTSD-[PCL-5≥7];和物质使用障碍-SUD-[CAGE-AID≥2]。通过Sheehan残疾量表评估的严重残疾用于识别可能的“致残”当前精神障碍。
结果：9138名医护人员参加。筛查阳性疾病的患病率：28.1%MDD;22.5%GAD,24.0%恐慌；22.2%创伤后应激障碍；6.2%SUD。总体上有45.7％的人出现任何当前的精神障碍，而14.5％的人出现任何致残的当前精神障碍。患有大流行前终生精神障碍的工人的患病率几乎是没有的工人的两倍。调整所有其他变量，任何致残性精神障碍的几率为：既往终生障碍（TUS：OR=5.74；95CI2.53-13.03；情绪：OR=3.23；95CI：2.27-4.60；焦虑：OR=3.03；95CI：2.53-3.62）；年龄18-29岁（OR=1.36；95CI：1.02-1.82），照顾COVID-19患者的“所有时间”（OR=5.19；95CI：3.61-7.46），女性性别(OR=1.58;95CI:1.27-1.96)和隔离(OR=1.60;95CI:1.31-1.95)。
结论：在第一波COVID-19大流行期间，七分之一的西班牙医护人员筛查出残疾精神障碍呈阳性。报告大流行前终生精神障碍的工人，那些经常接触COVID-19的患者，感染或隔离/隔离，女工,辅助护士应被视为需要心理健康监测和支持的群体。
方法：西班牙18个医疗机构（6个AACC）的所有工作人员被邀请参加基于网络的调查，评估个人特征，COVID-19感染状态和暴露，和心理健康状况（2020年5月5日至9月7日）。我们报告：可能的当前精神障碍（重度抑郁症-MDD-[PHQ-8≥10]，广义焦虑症-GAD-[GAD-7≥10]，恐慌发作,创伤后应激障碍-PTSD-[PCL-5≥7];和物质使用障碍-SUD-[CAGE-AID≥2]。通过Sheehan残疾量表评估的严重残疾用于识别可能的“致残”当前精神障碍。
结果：9138名医护人员参加。筛查阳性疾病的患病率：28.1%MDD;22.5%GAD,24.0%恐慌；22.2%创伤后应激障碍；6.2%SUD。总体上有45.7％的人出现任何当前的精神障碍，而14.5％的人出现任何致残的当前精神障碍。患有大流行前终生精神障碍的工人的患病率几乎是没有的工人的两倍。调整所有其他变量，任何致残性精神障碍的几率为：既往终生障碍（TUS：OR=5.74；95CI2.53-13.03；情绪：OR=3.23；95CI：2.27-4.60；焦虑：OR=3.03；95CI：2.53-3.62）；年龄18-29岁（OR=1.36；95CI：1.02-1.82），照顾COVID-19患者的“所有时间”（OR=5.19；95CI：3.61-7.46），女性性别(OR=1.58;95CI:1.27-1.96)和隔离(OR=1.60;95CI:1.31-1.95)。
结论：在第一波COVID-19大流行期间，七分之一的西班牙医护人员筛查出残疾精神障碍呈阳性。报告大流行前终生精神障碍的工人，那些经常接触COVID-19的患者，感染或隔离/隔离，女工,辅助护士应被视为需要心理健康监测和支持的群体。
