Prevalence of anxiety, depression, and post-traumatic stress in military health personnel in training exposed to COVID-19

María Alejandra Robles-Villagómez, L. Díaz-Castro, M. A. Vázquez-Guzmán
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Abstract

The COVID-19 health crisis triggered an increase in prevalence of psychological distress in health personnel in training. This study aims to estimate the prevalence of anxiety, depression and post-traumatic stress in health personnel who have cared for patients with COVID-19. A cross-sectional study was carried out, from March to September 2021, among health personnel enrolled in some medical specialty of the Military Graduate School of Health. Symptoms of anxiety, depression and post-traumatic stress were measured, as well as associated demographic factors. A study sample of 170 health personnel in training were surveyed online; 76% reported being a doctor and 24% were nurses, 54% were female sex, 52% in the age group between 30 and 39 years, most with single marital status and no children. Of the participating health personnel, we found prevalence’s of 30% anxiety, 34% depression, and 6% post-traumatic stress. When performing Pearson’s correlation, it was found that variables such as infected family member, number of times infected, the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder Scale-7 (GAD-7), were significantly associated with the total of Post-Traumatic Stress Disorder Checklist (PCL-5) score. The COVID-19 pandemic has had a significant psychological impact, manifesting itself in the form of anxiety, depression, and post-traumatic stress in military health personnel in training. Therefore, it is of great importance to detect at least this psychic discomfort from the pandemic in front-line personnel, so that decision-makers in health policies address them as priority problems for health personnel.
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暴露于COVID-19的训练中的军事卫生人员的焦虑、抑郁和创伤后应激的患病率
2019冠状病毒病健康危机导致正在接受培训的卫生人员心理困扰发生率上升。本研究旨在估计照顾COVID-19患者的卫生人员中焦虑、抑郁和创伤后应激的患病率。2021年3月至9月,在军事卫生研究生院某医学专业招收的卫生人员中进行了一项横断面研究。测量了焦虑、抑郁和创伤后应激症状,以及相关的人口因素。对170名正在接受培训的卫生人员进行了在线调查;76%的人是医生,24%的人是护士,54%的人是女性,52%的人年龄在30到39岁之间,大多数是单身,没有孩子。在参与调查的卫生人员中,我们发现焦虑的患病率为30%,抑郁的患病率为34%,创伤后应激的患病率为6%。在进行Pearson相关分析时,发现受感染家庭成员、感染次数、患者健康问卷-9 (PHQ-9)和广泛性焦虑障碍量表-7 (GAD-7)等变量与创伤后应激障碍检查表(PCL-5)总分显著相关。2019冠状病毒病大流行对军人产生了严重的心理影响,表现为在训练中的军事卫生人员出现焦虑、抑郁和创伤后应激障碍。因此,至少在一线人员中发现这种来自大流行的心理不适是非常重要的,以便卫生政策的决策者将其作为卫生人员的优先问题加以解决。
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