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Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic
INTRODUCTION: Depression is a mental health disorder characterized by the presence of sadness or loss of the ability to feel pleasure, with a high incidence in patients with COVID 19. The investigations have focused on patient care and little on the care of health personnel, these being the ones wit...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461619/ https://www.ncbi.nlm.nih.gov/pubmed/37645061 http://dx.doi.org/10.3389/fpsyg.2023.1074709 |
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author | De La Roca-Chiapas, Jose Maria Grajeda Gutiérrez, Carlos Francisco Íñiguez Venegas, Valeria Judith Hernández González, Martha Alicia Reyes Pérez, Verónica |
author_facet | De La Roca-Chiapas, Jose Maria Grajeda Gutiérrez, Carlos Francisco Íñiguez Venegas, Valeria Judith Hernández González, Martha Alicia Reyes Pérez, Verónica |
author_sort | De La Roca-Chiapas, Jose Maria |
collection | PubMed |
description | INTRODUCTION: Depression is a mental health disorder characterized by the presence of sadness or loss of the ability to feel pleasure, with a high incidence in patients with COVID 19. The investigations have focused on patient care and little on the care of health personnel, these being the ones with the highest mortality rate, so the objective of the study was to investigate the prevalence of depression symptoms and suicide risk and understand the association of depressive disorder and suicide risk with levels of serum cholesterol and low levels of serum cortisol among internal medicine fellows in a specialist medical hospital in Leon, Guanajuato, Mexico, before and after COVID-19. METHODS: In this longitudinal study, internal medicine residents were initially monitored for 2months before starting to care for patients with COVID-19. Participants were asked to fill out depression symptoms and suicide risk surveys. We measured the serum cholesterol and cortisol of each participant, and again after 11months of treating COVID-19 patients. RESULTS: Depression symptoms and suicide risk were assessed; significant differences were found between the two time periods for depression (p < 0.01), and no difference was found for suicide risk (p = 0.182). We found a significant correlation between serum cholesterol levels and suicide risk (r = 0.366, p < 0.01); we also found differences in serum cortisol levels (p < 0.01) and cholesterol (p < 0.0001) before and after the pandemic. CONCLUSION: Caring for patients with COVID-19 in the hospital contributed to an increase in levels of depression symptoms and suicidal ideation, as well as differences in levels of cortisol and cholesterol in resident physicians of internal medicine; among the possible reasons for this change could be the conditions of personal protection while treating patients, the uncertainty in the first months of not knowing how the virus was transmitted and not having or knowing when vaccinations would be available, as well as the lack of a strategy of adequate mental health support from the institutions dedicated to their academic training. |
format | Online Article Text |
id | pubmed-10461619 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104616192023-08-29 Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic De La Roca-Chiapas, Jose Maria Grajeda Gutiérrez, Carlos Francisco Íñiguez Venegas, Valeria Judith Hernández González, Martha Alicia Reyes Pérez, Verónica Front Psychol Psychology INTRODUCTION: Depression is a mental health disorder characterized by the presence of sadness or loss of the ability to feel pleasure, with a high incidence in patients with COVID 19. The investigations have focused on patient care and little on the care of health personnel, these being the ones with the highest mortality rate, so the objective of the study was to investigate the prevalence of depression symptoms and suicide risk and understand the association of depressive disorder and suicide risk with levels of serum cholesterol and low levels of serum cortisol among internal medicine fellows in a specialist medical hospital in Leon, Guanajuato, Mexico, before and after COVID-19. METHODS: In this longitudinal study, internal medicine residents were initially monitored for 2months before starting to care for patients with COVID-19. Participants were asked to fill out depression symptoms and suicide risk surveys. We measured the serum cholesterol and cortisol of each participant, and again after 11months of treating COVID-19 patients. RESULTS: Depression symptoms and suicide risk were assessed; significant differences were found between the two time periods for depression (p < 0.01), and no difference was found for suicide risk (p = 0.182). We found a significant correlation between serum cholesterol levels and suicide risk (r = 0.366, p < 0.01); we also found differences in serum cortisol levels (p < 0.01) and cholesterol (p < 0.0001) before and after the pandemic. CONCLUSION: Caring for patients with COVID-19 in the hospital contributed to an increase in levels of depression symptoms and suicidal ideation, as well as differences in levels of cortisol and cholesterol in resident physicians of internal medicine; among the possible reasons for this change could be the conditions of personal protection while treating patients, the uncertainty in the first months of not knowing how the virus was transmitted and not having or knowing when vaccinations would be available, as well as the lack of a strategy of adequate mental health support from the institutions dedicated to their academic training. Frontiers Media S.A. 2023-08-14 /pmc/articles/PMC10461619/ /pubmed/37645061 http://dx.doi.org/10.3389/fpsyg.2023.1074709 Text en Copyright © 2023 De La Roca-Chiapas, Grajeda Gutiérrez, Íñiguez Venegas, Hernández González and Reyes Pérez. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology De La Roca-Chiapas, Jose Maria Grajeda Gutiérrez, Carlos Francisco Íñiguez Venegas, Valeria Judith Hernández González, Martha Alicia Reyes Pérez, Verónica Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title | Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title_full | Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title_fullStr | Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title_full_unstemmed | Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title_short | Depression symptoms and suicide risk of internal medicine residents before and after first year of the COVID-19 pandemic |
title_sort | depression symptoms and suicide risk of internal medicine residents before and after first year of the covid-19 pandemic |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461619/ https://www.ncbi.nlm.nih.gov/pubmed/37645061 http://dx.doi.org/10.3389/fpsyg.2023.1074709 |
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