Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey
[EN] 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 insti...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Instituto de Salud Carlos III (ISCIII) |
| Repositorio: | Repisalud |
| Idioma: | inglés |
| OAI Identifier: | oai:repisalud.isciii.es:20.500.12105/13956 |
| Acceso en línea: | http://hdl.handle.net/20.500.12105/13956 |
| Access Level: | acceso abierto |
| Palabra clave: | COVID-19 Health Personnel Mental Health Adolescent Adult Cross-Sectional Studies Female Humans Male Mental Disorders Middle Aged Occupational Diseases Prevalence Spain Young Adult |
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oai:repisalud.isciii.es:20.500.12105/13956 |
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España |
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| dc.title.none.fl_str_mv |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey Impacto en la salud mental del personal sanitario español de la primera ola de la pandemia COVID-19: un amplio estudio transversal |
| title |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| spellingShingle |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey Alonso, Jordi COVID-19 Health Personnel Mental Health Adolescent Adult Cross-Sectional Studies Female Humans Male Mental Disorders Middle Aged Occupational Diseases Prevalence Spain Young Adult |
| title_short |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| title_full |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| title_fullStr |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| title_full_unstemmed |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| title_sort |
Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional survey |
| dc.creator.none.fl_str_mv |
Alonso, Jordi Vilagut, Gemma Mortier, Philippe Ferrer, Montse Alayo, Itxaso Aragón-Peña, Andrés Aragonès, Enric Campos, Mireia Cura-González, Isabel D Emparanza, José I Espuga, Meritxell Forjaz, Maria João González-Pinto, Ana Haro, Josep Maria López-Fresneña, Nieves Martínez de Salázar, Alma D Molina, Juan D Ortí-Lucas, Rafael M Parellada, Mara Pelayo-Terán, José María Pérez-Zapata, Aurora Pijoan, José I Plana, Nieves Puig, Maria Teresa Rius, Cristina Rodriguez-Blazquez, Carmen Sanz, Ferran Serra, Consol Kessler, Ronald C Bruffaerts, Ronny Vieta, Eduard Pérez-Solà, Víctor MINDCOVID Working Group |
| author |
Alonso, Jordi |
| author_facet |
Alonso, Jordi Vilagut, Gemma Mortier, Philippe Ferrer, Montse Alayo, Itxaso Aragón-Peña, Andrés Aragonès, Enric Campos, Mireia Cura-González, Isabel D Emparanza, José I Espuga, Meritxell Forjaz, Maria João González-Pinto, Ana Haro, Josep Maria López-Fresneña, Nieves Martínez de Salázar, Alma D Molina, Juan D Ortí-Lucas, Rafael M Parellada, Mara Pelayo-Terán, José María Pérez-Zapata, Aurora Pijoan, José I Plana, Nieves Puig, Maria Teresa Rius, Cristina Rodriguez-Blazquez, Carmen Sanz, Ferran Serra, Consol Kessler, Ronald C Bruffaerts, Ronny Vieta, Eduard Pérez-Solà, Víctor MINDCOVID Working Group |
| author_role |
author |
| author2 |
Vilagut, Gemma Mortier, Philippe Ferrer, Montse Alayo, Itxaso Aragón-Peña, Andrés Aragonès, Enric Campos, Mireia Cura-González, Isabel D Emparanza, José I Espuga, Meritxell Forjaz, Maria João González-Pinto, Ana Haro, Josep Maria López-Fresneña, Nieves Martínez de Salázar, Alma D Molina, Juan D Ortí-Lucas, Rafael M Parellada, Mara Pelayo-Terán, José María Pérez-Zapata, Aurora Pijoan, José I Plana, Nieves Puig, Maria Teresa Rius, Cristina Rodriguez-Blazquez, Carmen Sanz, Ferran Serra, Consol Kessler, Ronald C Bruffaerts, Ronny Vieta, Eduard Pérez-Solà, Víctor MINDCOVID Working Group |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Instituto de Salud Carlos III Ministerio de Ciencia e Innovación (España) Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) Government of Catalonia (España) Ministerio de Universidades (España) |
| dc.subject.none.fl_str_mv |
COVID-19 Health Personnel Mental Health Adolescent Adult Cross-Sectional Studies Female Humans Male Mental Disorders Middle Aged Occupational Diseases Prevalence Spain Young Adult |
| topic |
COVID-19 Health Personnel Mental Health Adolescent Adult Cross-Sectional Studies Female Humans Male Mental Disorders Middle Aged Occupational Diseases Prevalence Spain Young Adult |
| description |
[EN] 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. [ES] Introducción: Los profesionales sanitarios son vulnerables al impacto negativo en salud mental de la pandemia COVID-19. Evaluamos la prevalencia de trastornos mentales y factores asociados durante la primera oleada de la pandemia en sanitarios españoles. Métodos: Se invitó a todos los trabajadores de 18 instituciones sanitarias españolas (6 CCAA) a encuestas en línea evaluando características individuales, estado de infección y exposición a COVID-19 y salud mental (5 Mayo – 7 Septiembre, 2020). Reportamos: probables trastornos mentales actuales (Trastorno depresivo mayor TDD [PHQ-8≥10], Trastorno de ansiedad generalizada TAG [GAD-7≥10], Ataques de pánico, Trastorno de estrés postraumático TEP [PCL-5≥7]; y Trastorno por uso de sustancias TUS [CAGE-AID≥2]. La interferencia funcional grave (Escala de Discapacidad de Sheehan) identificó los probables trastornos “discapacitantes”. Resultados: Participaron 9.138 sanitarios. Prevalencia de cribado positivo: 28,1% TDD; 22,5% TAG, 24,0% Pánico; 22,2% PTE; y 6,2% TUS. En general, el 45,7% presentó algún trastorno mental actual y el 14,5% algún trastorno discapacitante. Los sanitarios con trastornos mentales previos tuvieron el doble de prevalencia que aquellos sin patología mental previa. Ajustando por todas las variables, el trastorno mental incapacitante se asoció positivamente con: trastornos previos (TUS: OR=5.74; 95%CI 2.53-13.03; Ánimo: OR=3.23; 95%CI:2.27-4.60; Ansiedad: OR=3,03; IC 95%: 2,53-3,62); edad 18-29 años (OR=1,36; IC 95%: 1,02-1,82); atender “siempre” a pacientes COVID-19 (OR=5,19; IC 95%: 3,61-7,46), género femenino (OR=1,58; IC 95%: 1,27-1,96) y haber estado en cuarentena o aislado (OR=1,60; IC 95%: 1,31-1,95). Conclusiones: Uno de cada 7 sanitarios españoles presentaron un probable trastorno mental discapacitante durante la primera oleada de COVID-19. Aquéllos con trastornos mentales alguna vez antes de la pandemia, los que están expuestos con frecuencia a pacientes con COVID-19, los infectados o en cuarentena / aislados, las mujeres y las enfermeras auxiliares deben considerarse grupos que necesitan seguimiento y apoyo de su salud mental. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 2022 2022-04-07 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12105/13956 |
| url |
http://hdl.handle.net/20.500.12105/13956 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document |
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Elsevier |
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Elsevier |
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reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII) |
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Instituto de Salud Carlos III (ISCIII) |
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Repisalud |
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Repisalud |
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1869420311218225152 |
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Mental health impact of the first wave of COVID-19 pandemic on Spanish healthcare workers: A large cross-sectional surveyImpacto en la salud mental del personal sanitario español de la primera ola de la pandemia COVID-19: un amplio estudio transversalAlonso, JordiVilagut, GemmaMortier, PhilippeFerrer, MontseAlayo, ItxasoAragón-Peña, AndrésAragonès, EnricCampos, MireiaCura-González, Isabel DEmparanza, José IEspuga, MeritxellForjaz, Maria JoãoGonzález-Pinto, AnaHaro, Josep MariaLópez-Fresneña, NievesMartínez de Salázar, Alma DMolina, Juan DOrtí-Lucas, Rafael MParellada, MaraPelayo-Terán, José MaríaPérez-Zapata, AuroraPijoan, José IPlana, NievesPuig, Maria TeresaRius, CristinaRodriguez-Blazquez, CarmenSanz, FerranSerra, ConsolKessler, Ronald CBruffaerts, RonnyVieta, EduardPérez-Solà, VíctorMINDCOVID Working GroupCOVID-19Health PersonnelMental HealthAdolescentAdultCross-Sectional StudiesFemaleHumansMaleMental DisordersMiddle AgedOccupational DiseasesPrevalenceSpainYoung Adult[EN] 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. [ES] Introducción: Los profesionales sanitarios son vulnerables al impacto negativo en salud mental de la pandemia COVID-19. Evaluamos la prevalencia de trastornos mentales y factores asociados durante la primera oleada de la pandemia en sanitarios españoles. Métodos: Se invitó a todos los trabajadores de 18 instituciones sanitarias españolas (6 CCAA) a encuestas en línea evaluando características individuales, estado de infección y exposición a COVID-19 y salud mental (5 Mayo – 7 Septiembre, 2020). Reportamos: probables trastornos mentales actuales (Trastorno depresivo mayor TDD [PHQ-8≥10], Trastorno de ansiedad generalizada TAG [GAD-7≥10], Ataques de pánico, Trastorno de estrés postraumático TEP [PCL-5≥7]; y Trastorno por uso de sustancias TUS [CAGE-AID≥2]. La interferencia funcional grave (Escala de Discapacidad de Sheehan) identificó los probables trastornos “discapacitantes”. Resultados: Participaron 9.138 sanitarios. Prevalencia de cribado positivo: 28,1% TDD; 22,5% TAG, 24,0% Pánico; 22,2% PTE; y 6,2% TUS. En general, el 45,7% presentó algún trastorno mental actual y el 14,5% algún trastorno discapacitante. Los sanitarios con trastornos mentales previos tuvieron el doble de prevalencia que aquellos sin patología mental previa. Ajustando por todas las variables, el trastorno mental incapacitante se asoció positivamente con: trastornos previos (TUS: OR=5.74; 95%CI 2.53-13.03; Ánimo: OR=3.23; 95%CI:2.27-4.60; Ansiedad: OR=3,03; IC 95%: 2,53-3,62); edad 18-29 años (OR=1,36; IC 95%: 1,02-1,82); atender “siempre” a pacientes COVID-19 (OR=5,19; IC 95%: 3,61-7,46), género femenino (OR=1,58; IC 95%: 1,27-1,96) y haber estado en cuarentena o aislado (OR=1,60; IC 95%: 1,31-1,95). Conclusiones: Uno de cada 7 sanitarios españoles presentaron un probable trastorno mental discapacitante durante la primera oleada de COVID-19. Aquéllos con trastornos mentales alguna vez antes de la pandemia, los que están expuestos con frecuencia a pacientes con COVID-19, los infectados o en cuarentena / aislados, las mujeres y las enfermeras auxiliares deben considerarse grupos que necesitan seguimiento y apoyo de su salud mental.ElsevierInstituto de Salud Carlos IIIMinisterio de Ciencia e Innovación (España)Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)Government of Catalonia (España)Ministerio de Universidades (España)20222022-04-0720212021-01-0120212021-01-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttp://hdl.handle.net/20.500.12105/13956reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/139562026-06-12T12:43:37Z |
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15,811543 |