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Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador
INTRODUCTION: Since the emergence of the novel coronavirus disease (COVID-19), the world has faced a pandemic with consequences at all levels. In many countries, the health systems collapsed and healthcare professionals had to be on the front line of this crisis. The adverse effects on the mental he...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896823/ https://www.ncbi.nlm.nih.gov/pubmed/34629559 http://dx.doi.org/10.1016/j.rcp.2020.12.007 |
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author | Pazmiño Erazo, Edgar Efraín Alvear Velásquez, María José Saltos Chávez, Ivonne Gisselle Pazmiño Pullas, David Emanuel |
author_facet | Pazmiño Erazo, Edgar Efraín Alvear Velásquez, María José Saltos Chávez, Ivonne Gisselle Pazmiño Pullas, David Emanuel |
author_sort | Pazmiño Erazo, Edgar Efraín |
collection | PubMed |
description | INTRODUCTION: Since the emergence of the novel coronavirus disease (COVID-19), the world has faced a pandemic with consequences at all levels. In many countries, the health systems collapsed and healthcare professionals had to be on the front line of this crisis. The adverse effects on the mental health of healthcare professionals have been widely reported. This research focuses on identifying the main factors associated with adverse psychological outcomes. METHODS: Descriptive, cross-sectional study based on surveys, applying the PHQ-9, GAD-7, ISI and EIE-R tests to healthcare professionals from Ecuador during the COVID-19 pandemic. RESULTS: 1,028 participants, distributed in: 557 physicians (54.18%), 349 nurses (33.94%), 29 laboratory workers (2.82%), 27 paramedics (2.62%), 52 psychologists (5.05%) and 14 respiratory therapists (1.36%), from 16 of the 24 provinces of Ecuador. Of these, 27.3% presented symptoms of depression, 39.2% anxiety symptoms, 16.3% insomnia and 43.8% symptoms of PTSD, with the 4 types of symptoms ranging from moderate to severe. The most relevant associated factors were: working in Guayas (the most affected province) (OR = 2.18 for depressive symptoms and OR = 2.59 for PTSD symptoms); being a postgraduate doctor (OR = 1.52 for depressive symptoms and OR = 1.57 for insomnia), perception of not having the proper protective equipment (OR = 1.71 for symptoms of depression and OR = 1.57 for symptoms of anxiety) and being a woman (OR = 1.39 for anxiety). CONCLUSIONS: Healthcare professionals can suffer a significant mental condition that may require psychiatric and psychological intervention. The main associated factors are primarily related to living and working in cities with a higher number of cases and the characteristics of the job, such as being a postgraduate doctor, as well as the perception of security. The main risk factors are primarily related to geographical distribution and job characteristics, such as being a resident physician and self-perception of safety. Further studies are required as the pandemic evolves. |
format | Online Article Text |
id | pubmed-7896823 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78968232021-02-22 Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador Pazmiño Erazo, Edgar Efraín Alvear Velásquez, María José Saltos Chávez, Ivonne Gisselle Pazmiño Pullas, David Emanuel Rev Colomb Psiquiatr Artículo Original INTRODUCTION: Since the emergence of the novel coronavirus disease (COVID-19), the world has faced a pandemic with consequences at all levels. In many countries, the health systems collapsed and healthcare professionals had to be on the front line of this crisis. The adverse effects on the mental health of healthcare professionals have been widely reported. This research focuses on identifying the main factors associated with adverse psychological outcomes. METHODS: Descriptive, cross-sectional study based on surveys, applying the PHQ-9, GAD-7, ISI and EIE-R tests to healthcare professionals from Ecuador during the COVID-19 pandemic. RESULTS: 1,028 participants, distributed in: 557 physicians (54.18%), 349 nurses (33.94%), 29 laboratory workers (2.82%), 27 paramedics (2.62%), 52 psychologists (5.05%) and 14 respiratory therapists (1.36%), from 16 of the 24 provinces of Ecuador. Of these, 27.3% presented symptoms of depression, 39.2% anxiety symptoms, 16.3% insomnia and 43.8% symptoms of PTSD, with the 4 types of symptoms ranging from moderate to severe. The most relevant associated factors were: working in Guayas (the most affected province) (OR = 2.18 for depressive symptoms and OR = 2.59 for PTSD symptoms); being a postgraduate doctor (OR = 1.52 for depressive symptoms and OR = 1.57 for insomnia), perception of not having the proper protective equipment (OR = 1.71 for symptoms of depression and OR = 1.57 for symptoms of anxiety) and being a woman (OR = 1.39 for anxiety). CONCLUSIONS: Healthcare professionals can suffer a significant mental condition that may require psychiatric and psychological intervention. The main associated factors are primarily related to living and working in cities with a higher number of cases and the characteristics of the job, such as being a postgraduate doctor, as well as the perception of security. The main risk factors are primarily related to geographical distribution and job characteristics, such as being a resident physician and self-perception of safety. Further studies are required as the pandemic evolves. Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. 2021 2021-02-20 /pmc/articles/PMC7896823/ /pubmed/34629559 http://dx.doi.org/10.1016/j.rcp.2020.12.007 Text en © 2021 Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Artículo Original Pazmiño Erazo, Edgar Efraín Alvear Velásquez, María José Saltos Chávez, Ivonne Gisselle Pazmiño Pullas, David Emanuel Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title | Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title_full | Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title_fullStr | Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title_full_unstemmed | Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title_short | Factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de COVID-19 en Ecuador |
title_sort | factores relacionados con efectos adversos psiquiátricos en personal de salud durante la pandemia de covid-19 en ecuador |
topic | Artículo Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896823/ https://www.ncbi.nlm.nih.gov/pubmed/34629559 http://dx.doi.org/10.1016/j.rcp.2020.12.007 |
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