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10.1016/j.rpsm.2020.12.001

http://scihub22266oqcxt.onion/10.1016/j.rpsm.2020.12.001
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suck abstract from ncbi


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pmid33309957      Rev+Psiquiatr+Salud+Ment+(Engl+Ed) 2021 ; 14 (2): 90-105
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  • Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey #MMPMID33309957
  • Alonso J; Vilagut G; Mortier P; Ferrer M; Alayo I; Aragon-Pena A; Aragones E; Campos M; Cura-Gonzalez ID; Emparanza JI; Espuga M; Forjaz MJ; Gonzalez-Pinto A; Haro JM; Lopez-Fresnena N; Salazar ADM; Molina JD; Orti-Lucas RM; Parellada M; Pelayo-Teran JM; Perez-Zapata A; Pijoan JI; Plana N; Puig MT; Rius C; Rodriguez-Blazquez C; Sanz F; Serra C; Kessler RC; Bruffaerts R; Vieta E; Perez-Sola V
  • Rev Psiquiatr Salud Ment (Engl Ed) 2021[Apr]; 14 (2): 90-105 PMID33309957show ga
  • INTRODUCTION: 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.
  • |*COVID-19[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Health Personnel/*psychology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mental Disorders/*epidemiology[MESH]
  • |Occupational Diseases/*epidemiology[MESH]
  • |Prevalence[MESH]
  • |Spain/epidemiology[MESH]


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