Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic

To investigate the occurrence of traumatic stress symptoms (TSS) among healthcare workers active during the COVID-19 pandemic and to obtain insight as to which pandemic-related stressful experiences are associated with onset and persistence of traumatic stress. This is a multicenter prospective coho...

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Detalhes bibliográficos
Autores: Portillo-Van Diest, Ana|||0000-0001-7199-8339, Vilagut, Gemma|||0000-0002-3714-226X, Alayo, Itxaso|||0000-0002-7333-3450, Ferrer Forés, Maria Montserrat|||0000-0001-9867-7391, Amigo, Franco|||0000-0002-3602-5168, Amann, Benedikt L.|||0000-0002-4407-1519, Aragón-Peña, Andrés, Aragonès, Enric|||0000-0002-5245-4667, Asúnsolo Del Barco, Á., Campos Martorell, Mireia, del Cura-González, Isabel, Espuga Jordana, Meritxell|||0000-0003-2723-2699, González-Pinto, Ana|||0000-0002-2568-5179, Haro Abad, Josep Maria|||0000-0002-3984-277X, Larrauri, Amparo|||0000-0002-1704-2245, López-Fresneña, N., Martínez De Salázar, A., Molina, Juan D.|||0000-0001-8561-8130, Ortí-Lucas, Rafael M.|||0000-0003-2211-7413, Parellada, M., Pelayo-Terán, José Maria|||0000-0001-9711-2874, Pérez-Zapata, A., Pijoan, J.I., Plana, N., Puig Reixach, Maria Teresa|||0000-0003-1402-7653, Rius i Gibert, Maria Cristina|||0000-0001-5189-6503, Rodríguez-Blázquez, C., Sanz, Ferran|||0000-0002-7534-7661, Serra, Consol|||0000-0001-8337-8356, Urreta-Barallobre, I., Kessler, Ronald|||0000-0003-4831-2305, Bruffaerts, Ronny|||0000-0002-0330-3694, Vieta, Eduard|||0000-0002-0548-0053, Pérez Solà, Víctor|||0000-0002-5825-2337, Alonso, Jordi|||0000-0001-8627-9636, Mortier, Philippe|||0000-0003-2113-6241
Formato: artículo
Fecha de publicación:2023
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301123
Acesso em linha:https://ddd.uab.cat/record/301123
https://dx.doi.org/urn:doi:10.1017/S2045796023000628
Access Level:acceso abierto
Palavra-chave:COVID-19
Health personnel
Prospective cohort study
Traumatic stress
Descrição
Resumo:To investigate the occurrence of traumatic stress symptoms (TSS) among healthcare workers active during the COVID-19 pandemic and to obtain insight as to which pandemic-related stressful experiences are associated with onset and persistence of traumatic stress. This is a multicenter prospective cohort study. Spanish healthcare workers (NÂ =Â 4,809) participated at an initial assessment (i.e., just after the first wave of the Spain COVID-19 pandemic) and at a 4-month follow-up assessment using web-based surveys. Logistic regression investigated associations of 19 pandemic-related stressful experiences across four domains (infection-related, work-related, health-related and financial) with TSS prevalence, incidence and persistence, including simulations of population attributable risk proportions (PARP). Thirty-day TSS prevalence at T1 was 22.1%. Four-month incidence and persistence were 11.6% and 54.2%, respectively. Auxiliary nurses had highest rates of TSS prevalence (35.1%) and incidence (16.1%). All 19 pandemic-related stressful experiences under study were associated with TSS prevalence or incidence, especially experiences from the domains of health-related (PARP range 88.4-95.6%) and work-related stressful experiences (PARP range 76.8-86.5%). Nine stressful experiences were also associated with TSS persistence, of which having patient(s) in care who died from COVID-19 had the strongest association. This association remained significant after adjusting for co-occurring depression and anxiety. TSSs among Spanish healthcare workers active during the COVID-19 pandemic are common and associated with various pandemic-related stressful experiences. Future research should investigate if these stressful experiences represent truly traumatic experiences and carry risk for the development of post-Traumatic stress disorder.

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