Resilience and risk factors associated to depressive symptoms in Mexican healthcare workers during the Covid-19 pandemic.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Salud Publica De Mexico Pub Date : 2023-01-02 DOI:10.21149/14157

Sol Durand-Arias, Jaime Carmona-Huerta, Alejandro Aldana-López, Omar Náfate-López, Ricardo Orozco, Gloria Cordoba, Rubén Alvarado, Guilherme Borges

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Abstract

Objective: Report the prevalence of depression, resilience, and risk factors among healthcare workers (HCW) during Co-vid-19.

Materials and methods: This is an observational cross-sectional study derived from the ongoing international, prospective multicentric study "The COVID-19 HEalth caRe wOrk-Ers Study" (HEROES). A convenience sample of 2 127 HCW was obtained from Chiapas and Jalisco between May 19th and July 24th 2020. Depression was assessed using the Patient Health Questionnaire, resilience with the Brief Resilience Scale and a Covid risk scale was developed. Model-adjusted prevalence ratios (PRs) and an additive interaction model were performed.

Results: Moderate-severe depression was found in 16.6% of HCW. Those from Jalisco, physicians, in hospitals, with chronic illness and mental health history were more depressed. The interaction between resilience and risk showed that, compared to those with no risk and medium/high resilience, HCW at risk with medium/high resilience had a 2.38 PR for depression while those at risk and low resilience had a PR of 5.83.

Conclusion: This evidence points the need to develop strategies to enhance resilience and reduce the risk in HCW.

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Covid-19大流行期间墨西哥卫生保健工作者的抗抑郁能力和与抑郁症状相关的风险因素

目的:报告2019冠状病毒病疫情期间医护人员(HCW)抑郁、恢复力及危险因素的流行情况。材料和方法:这是一项观察性横断面研究，源自正在进行的国际前瞻性多中心研究“COVID-19卫生保健工作者研究”(HEROES)。在2020年5月19日至7月24日期间，从恰帕斯州和哈利斯科州获得了2 127份HCW便利样本。使用患者健康问卷评估抑郁症，使用简短恢复力量表评估恢复力，并制定了Covid风险量表。进行了模型校正患病率(pr)和加性相互作用模型。结果:16.6%的HCW患者存在中重度抑郁。哈利斯科州的人、医生、住院医生、有慢性疾病和精神健康史的人更抑郁。心理弹性与风险的交互作用表明，与无心理弹性和中/高心理弹性的个体相比，具有中/高心理弹性的个体抑郁的PR为2.38，而具有低心理弹性的个体抑郁的PR为5.83。结论:这一证据表明，有必要制定策略，以提高抵御能力，降低HCW的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Salud Publica De Mexico PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.30

自引率

21.70%

发文量

审稿时长

34 weeks

期刊介绍： Salud Pública de México se crea en 1959 y comienza a publicarse bimestralmente a partir de 1961; en 1988 inicia una nueva época en la que se refuerza su carácter de publicación científica con evaluación por pares. Es una revista publicada por el Instituto Nacional de Salud Pública (INSP), organismo descentralizado de la Secretaría de Salud de México, dedicado a la investigación, docencia y difusión del conocimiento en salud pública. El INSP, de acuerdo con la normatividad internacional, otorga a la revista independencia editorial.