Psicopatología general en profesionales sanitarios españoles durante la pandemia de Covid-19 y factores sociolaborales y psicológicos asociados
- Juan Antonio Becerra-García
- Teresa Sánchez-Gutiérrez
- Sara Barbeito
- Laura Aguilar Pascual
- Alba Verdugo Martínez
- Manuela Elisabete Larrinaga Pardo
- Almudena Valle Garrido
- Ana Belén Ortín Aguilar
- Nazaret Pérez Márquez
- Ana Calvo Calvo
ISSN: 1132-9483
Año de publicación: 2022
Volumen: 30
Número: 3
Páginas: 709-726
Tipo: Artículo
Otras publicaciones en: Psicología conductual = behavioral psychology: Revista internacional de psicología clínica y de la salud
Resumen
The objective of this study was to analyze the socio-occupational features, perceived stress, coping strategies and self-reported psychopathological symptoms of different groups of health professionals and the relationship among these variables during the Covid-19 pandemic. One hundred and thirty-five healthcare workers participated (medical staff, nursing staff and other health professionals), who obtained higher values than the normative data in the mean scores of perceived stress, phobic anxiety, and anxiety measures. The medical staff group showed a lower level of anxiety and somatization than the other group of healthcare professionals. Being a medical professional, having a lower level of perceived subjective stress, a greater proportion of active coping and lesser passive coping were significant predictors of fewer psychopathological symptoms. The description of a health professional profile with a lower risk of showing psychopathological symptoms can help identify healthcare groups with greater psychological vulnerability. The findings suggest specific psychological factors of interest to consider in interventions aimed at addressing the mental health needs of this population in the health context generated by Covid-19.
Referencias bibliográficas
- Alonso, J., Vilagut, G., Mortier, P., Ferrer, M., Alayo, I., Aragón-Peña, A., Aragonés, E., Campos, M., Cura-González, I. D., Emparanza, J. I., Espuga, M., Forjaz, M. J., González-Pinto, A., Haro, J. M., López-Fresneña, N., Salázar, A. D., Molina, J. D., OrtíLucas, R. M., Parellada, M., … MINDCOVID Working group (2021). Mental health impact of the first wave of Covid-19 pandemic on Spanish healthcare workers: a large cross-sectional survey. Revista de Psiquiatría y Salud Mental, 14(2), 90-105. doi: 10.1016/j.rpsm.2020.12.001.
- Ben-Zur, H., Gil, S. y Shamshins, Y. (2012). The relationship between exposure to terror though the media, coping strategies and resources, and distress and secondary traumatization. International Journal of Stress Management, 19(2), 132-150. doi: 10.1037/a0027864.
- Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S. y Greenberg, N. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395, 912-920. doi: 10.1016/S0140-6736(20)30460-8.
- Burghi, G., Lambert, J., Chaize, M., Goinheix, K., Quiroga, C., Fariña, G., Godino, M., Pittini, G., Pereda, S., Fregossi, C., Mareque, S., Bagnulo, H. y Azoulay, E. (2014). Prevalence, risk factors and consequences of severe burnout syndrome in ICU. Intensive Care Medicine, 40(11), 1785-1786. doi: 10.1007/s00134-014-3454-x.
- Cabedo, E., Prieto, J., Quiles, L., Arnáez, S., Rivas, M. R., Riveiro, Y., Aguilar, E. J. y Renovell, M. (2022). Factores asociados al impacto emocional de la pandemia por Covid-19 en profesionales sanitarios. Behavioral Psychology/Psicología Conductual, 30(1), 69-91. doi: 10.51668/bp.8322104s.
- Campos, M., Iraurgui, J., Páez, D. y Velasco, C. (2004). Afrontamiento y regulación emocional de hechos estresantes: un metaanálisis de 13 estudios. Boletín de Psicología, 82, 25-44.
- Carver, C. S. (1997). You want to measure coping but your protocol's too long: consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92-100.
- Chew, N. W., Lee, G. K., Tan, B. Y., Jing, M., Goh, Y., Ngiam, N. J., Yeo, L. L., Ahmad, A., Ahmed, F., Napolean, G., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B., Sunny, S., Chandra, B., Ong, J., … Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during Covid-19 outbreak. Brain, Behavior and Immunity, 88, 559-565. doi: 10.1016/j.bbi.2020.04.049.
- Cipolotti, L., Chan, E., Murphy, P., Van Harskamp, N. y Foley, J. A. (2021). Factors contributing to the distress, concerns, and needs of UK Neuroscience health care workers during the Covid-19 pandemic. Psychology and Psycotherapy, 94, 536-543. doi: 10.1111/papt.12298.
- Cohen, S., Kamarck, T. y Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
- Conover, W. J. (1999). Practical nonparametric statistics. Hoboken, NJ: John Wiley & Sons. Danet, A. (2021). Psychological impact of Covid-19 pandemic in Western frontline
- healthcare professionals. A systematic review. Medicina Clínica, 156(9), 449-458. doi: 10.1016/j.medcli.2020.11.009.
- Davison, M. K., Bershadsky, B., Bieber, J., Silversmith, D., Maruish, M. E. y Kane, R. L. (1997). Development of a brief, multidimensional, self-report instrument for treatment outcomes assessment in psychiatric settings: preliminary findings. Assessment, 4, 259- 276.
- Dosil-Santamaría, M., Ozamiz-Etxebarria, N., Redondo, I., Jaureguizar, J. y Picaza, M. (2021). Impacto psicológico de la Covid-19 en una muestra de profesionales sanitarios españoles. Revista de Psiquiatría y Salud Mental, 14(2), 106-112. doi: 10.1016/j.rpsm.2020.05.004.
- Elbay, R. Y., Kurtulmus, A., Arpacioglu, S. y Karadere, E. (2020). Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Research, 290, 113130. doi: 10.1016/j.psychres.2020.113130.
- Erquicia, J., Valls, L., Barja, A., Gil, S., Miquel, J., Leal-Blanquet, J., Schmidt, C., Checa, J. y Vega, D. (2020). Emotional impact of the Covid-19 pandemic on healthcare workers in one of the most important infection outbreaks in Europe. Medicina Clínica, 155(10), 434-440. doi: 10.1016/j.medcle.2020.07.010.
- Giusti, E. M., Pedroli, E., D’Aniello, G. E., Badiale, C. S., Pietrabissa, G., Manna, C., Stramba, M., Riva, G., Castelnuovo, G. y Molinari, E. (2020). The psychological impact of the Covid-19 outbreak on health professionals: a cross-sectional study. Frontiers in Psychology, 11, 1684. doi: 10.3389/fpsyg.2020.01684.
- Goodyear, M. D., Krleza-Jeric, K. y Lemmens, T. (2007). The declaration of Helsinki. British Medical Journal, 335, 624-625. doi: 10.1136/bmj.39339.610000.BE.
- Huang, J. Z., Han, M. F., Luo, T. D., Ren, A. K., Zhou, X. P. (2020). Mental health survey of 230 medical staff in a tertiary infectious disease hospital for Covid-19. Chinese Journal of Industrial Hygiene and Occupational Diseases, 38(3), 192-195. doi: 10.3760/cma.j.cn121094-20200219-00063.
- Jalnapurkar, I., Allen, M. y Pigott, A. T. (2018) Sex differences in anxiety disorders: a review. Journal of Psychiatry, Depression and Anxiety, 4, 012. doi: 10.24966/PDA0150/100012.
- Ji, D., Ji, Y. J., Duan, X. Z., Li, W. G., Sun, Z. Q., Song, X. A., Meng, Y. H., Tang, H. M., Chu, F., Niu, X. X., Chen, G. F., Li, J. y Duan, H. J. (2017). Prevalence of psychological symptoms among Ebola survivors and healthcare workers during the 2014-2015 Ebola outbreak in Sierra Leone: a cross-sectional study. Oncotarget, 8, 12784-12791. doi: 10.18632/oncotarget.14498.
- Karlson, B., Eek, F., Hansen, A. M., Garde, A. H. y Orbaek, P. (2011). Cortisol variability and self-reports in the measurement of work-related stress. Stress and Health, 27(2), e11- 24. doi: 10.1002/smi.1330.
- Krishnamoorthy, Y., Nagarajan, R., Saya, G. K. y Menon, V. (2020). Prevalence of psychological morbidities among general population, healthcare workers and Covid19 patients amidst the Covid-19 pandemic: a systematic review and meta-analysis. Psychiatry Research, 293, 113382. doi: 10.1016/j.psychres.2020.113382.
- Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z. y Hu S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. doi: 10.1001/jamanetworkopen.2020.3976.
- Lee, S. M., Kang, W. S., Cho, A. R., Kim, T. y Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry, 87, 123-127. doi: 10.1016/j.comppsych.2018.10.003.
- Limm, H., Angerer, P., Heinmueller, M., Marten-Mittag, B., Nater, U. M. y Guendel H. (2010). Self-perceived stress reactivity is an indicator of psychosocial impairment at the workplace. BMC Public Health, 10, 252. doi: 10.1186/1471-2458-10-252.
- Liu, C. Y., Yang, Y. Z., Zhang, X. M., Xu, X., Dou, Q. L., Zhang, W. W. y Cheng, A. S. (2020). The prevalence and influencing factors for anxiety in medical workers fighting Covid-19 in China: a cross-sectional survey. Epidemiology and Infection, 148, e98. doi: 10.1017/S0950268820001107.
- Lu, W., Wang, H., Lin, Y. y Li, L. (2020). Psychological status of medical workforce during the Covid-19 pandemic: a cross-sectional study. Psychiatry Research, 288, 112936. doi: 10.1016/j.psychres.2020.112936.
- Luceño-Moreno, L., Talavera-Velasco, B., García-Albuerne, Y. y Martín-García, J. (2020). Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the Covid-19 pandemic. International Journal of Environmental Research and Public Health, 17(15), 5514. doi: 10.3390/ijerph17155514.
- Man, A. M., Toma, C., Motoc, N. S., Necrelescu, O. L., Bondor, C. I., Chis, A. F., Lesan, A., Pop, C. M., Todea, D. A., Dantes, E., Puiu, R. y Rajnoveanu, R. M. (2020). Disease perception and coping with emotional distress during Covid-19 pandemic: a survey among medical staff. International Journal of Environmental Research and Public Health, 17(13), 4899. doi: 10.3390/ijerph17134899
- Martín, J., Padierna, Á., Villanueva, A. y Quintana, J. M. (2021). Evaluation of the mental health of health professionals in the Covid-19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus? International Journal of Clinical Practice, 75(10), e14607. doi: 10.1111/ijcp.14607
- McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338, 171-179. doi: 10.1056/NEJM199801153380307
- McLean, C. P., Asnaani, A., Litz, B. T. y Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027-1035. doi: 10.1016/j.jpsychires.2011.03.006
- Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática (2020). Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situación de crisis sanitaria ocasionada por el Covid-19. Boletín Oficial del Estado, nº 67, de 14 de marzo de 2020, pp. 25390 a 25400. https://www.boe.es/boe/dias/2020/03/14/pdfs/BOE-A-2020-3692.pdf
- Morán, C., Landero, R. y González, M. T. (2010). COPE-28: un análisis psicométrico de la versión en español del Brief COPE. Universitas Psychologica, 9, 543-552. doi: 10.11144/Javeriana.upsy9-2.capv
- Nussbaumer-Streit, B., Mayr, V., Dobrescu, A., Chapman, A., Persad, E., Klerings, I., Wagner, G., Siebert, U., Ledinger, D., Zachariah, C. y Gartlehner, G. (2020). Quarantine alone or in combination with other public health measures to control Covid-19: a rapid review. Cochrane Database of Systematic Reviews, 9(9), CD013574. doi: 10.1002/14651858.CD013574.pub2.
- Olejnik, S. F. y Algina, J. (1984). Parametric ANCOVA and the rank transform ANCOVA when the data are conditionally non-normal and heteroscedastic. Journal of Educational and Behavioral Statistics, 9(2), 129-149.
- Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E. y Katsaounou, P. (2020). Prevalence of depression, anxiety and insomnia among healthcare workers during the Covid-19 pandemic: a systematic review and meta-analysis. Brain, Behavior and Immunity, 88, 901-907. doi: 10.1016/j.bbi.2020.05.026
- Remor, E. y Carrobles, J. A. (2001). Versión española de la Escala de estrés percibido (PSS14): estudio psicométrico en una muestra VIH+. Ansiedad y Estrés, 7, 195-201.
- Rodríguez-Menéndez, G., Rubio-García, A., Conde-Álvarez, P., Armesto-Luque, L., GarridoTorres, N., Capitán, L., Luque A., Ruiz-Veguilla, M. y Crespo-Facorro, B. (2021). Shortterm emotional impact of Covid-19 pandemic on Spaniard health workers. Journal of Affective Disorders, 278, 390-394. doi: 10.1016/j.jad.2020.09.079.
- Romero, C. S., Catalá, J., Delgado, C., Ferrer, C., Errando, C., Iftimi, A., Benito, A., de Andrés, J., Otero, M. y PSIMCOV group (2022). Covid-19 psychological impact in 1309 healthcare workers in Spain: the PSIMCOV group. Psychological Medicine, 52(1), 188-194. doi: 10.1017/S0033291720001671.
- Rossi, R., Socci, V., Pacitti, F., Di Lorenzo, G., Di Marco, A., Siracusano, A. y Rossi, A. (2020). Mental health outcomes among frontline and second-line health workers during the coronavirus disease 2019 (Covid-19) pandemic in Italy. JAMA Network Open, 3(5), e2010185. doi:10.1001/jamanetworkopen.2020.10185.
- Sánchez-Sánchez, E., García-Álvarez, J. Á., García-Marín, E., Gutiérrez-Serrano, M., Alférez, M. J. y Ramírez-Vargas G. (2021). Impact of the Covid-19 pandemic on the mental health of nurses and auxiliary nursing care technicians a voluntary online survey. International Journal of Environmental Research and Public Health, 18(16), 8310. doi: 10.3390/ijerph18168310.
- Sandín, B., Valiente, R. M., Chorot, P., Santed, M. A. y Lostao, L. (2008). SA-45: forma abreviada del SCL-90. Psicothema, 20(2), 290-296.
- Shaukat, N., Mansoor, D. y Razzak, J. (2020). Physical and mental health impacts of Covid19 on healthcare workers: a scoping review. International Journal of Emergency Medicine, 13(1), 40. doi: 10.1186/s12245-020-00299-5.
- Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., Birk, J. L., Brodie, D., Cannone, D. E., Chang, B., Claassen, J., Cornelius, T., Derby, L., Dong, M., Givens, R. C., Hochman, B., Homma, S., Kronish, I. M., Lee, S. A. … Abdalla, M. (2020). Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the Covid-19 pandemic. General Hospital Psychiatry, 66, 1-8. doi: 10.1016/j.genhosppsych.2020.06.007
- Takai, N., Yamaguchi, M., Aragaki, T., Eto, K., Uchisashi, K. y Nishikawa, Y. (2004). Effect of psychological stress on the salivary cortisol and amylase levels in healthy young adults. Archives of Oral Biology, 49(12), 963-968. doi: 10.1016/j.archoralbio.2004.06.007
- Tay, B. Y., Chew, N. W., Lee, G. K., Jing, M., Goh, Y., Yeo, L. L., Zhang, K., Chin, H. K., Ahmad, A., Khan, F. A., Shanmugam, G. N., Chan, B. P., Sunny, S., Chandra, B., Ong, J. J., Paliwal, P. R., Wong, L. Y., Sagayanathan, R., Chen, J. T. … Sharma, V. K. (2020). Psychological impact of the Covid-19 pandemic on health care workers in Singapore. Annals of Internal Medicine, 173(4), 317-320. doi: 10.7326/M20-1083.
- Torales, J., O’Higgins, M., Castaldelli-Maia, J. M. y Ventriglio, A. (2020). The outbreak of Covid-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry, 66(4), 317-320. doi: 10.1177/0020764020915212.
- Torales, J., Ríos-González, C., Barrios, I., O’Higgins, M., González, I., García, O., CastaldelliMaia, J. M. y Ventriglio, A. (2020). Self-perceived stress during the quarantine of Covid-19 pandemic in Paraguay: an exploratory survey. Frontiers in Psychiatry, 11, 558691. doi: 10.3389/fpsyt.2020.558691.
- Ventriglio, A. y Bellomo, A. (2020). Psychosocial impacts of Covid-19 pandemic: the Italian perspective. World Social Psychiatry, 2(2), 120-121. doi: 10.4103/WSP.WSP_39_20
- Vieta, E., Pérez, V. y Arango, C. (2020). Psychiatry in the aftermath of Covid-19. Revista de Psiquiatría y Salud Mental, 13(2),105-110. doi: 10.1016/j.rpsm.2020.04.004.
- Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L. y Ho, C. S. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (Covid-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. doi: 10.3390/ijerph17051729.
- Wang, J., Zhou, M. y Liu, F. (2020). Reasons for health care workers becoming infected with novel coronavirus disease 2019 (Covid-19) in China. Journal of Hospital Infection, 105(1), 100-101. doi: 10.1016/j.jhin.2020.03.002.
- Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T. y Chee H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry, 7(3), 228-229. doi: 10.1016/S2215-0366(20)30046-8.