Depressive symptoms and suicidal ideation in health professionals during the coronavirus pandemic
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2024.192968Keywords:
Coronaviruses, Health Personnel, Depression, Mental HealthAbstract
Objective: to analyze the predictors of depressive symptoms and suicidal ideation in health professionals exposed to the coronavirus in Brazil. Methodology: a quantitative and crosssectional study to analyze predictors of depression and suicidal ideation in health professionals exposed to the coronavirus, derived from the matrix study entitled “Mental health diagnoses of health professionals assisting suspected or confirmed Coronavirus Disease 2019 (SARS-CoV-2) cases in Brazil: A longitudinal study”. Through a multiple regression model, we investigated variables such as race, gender, COVID-19 exposure and behavioral activation score seeking predictors of depressive symptoms and suicidal ideation with 482 health professionals who participated in the online questionnaire by means of email and social media outreach. Results: we found the following predictors for depressive symptoms: coronavirus protection and prevention, behavioral activation score, quality of life, and alcohol use. For suicidal ideation, we found no predictors with an effect on the statistical model, given the low variability of suicidal ideation (26 participants). There was prevalence of female participants, from the Nursing staff and with a mean age of 38 years old. Conclusion: we need to invest in quality of life, social support and support networks to strengthen health professionals and manage psychopathological symptoms.
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Organização Pan-Americana da Saúde. Folha Informativa COVID-19 [Internet]. 2021 [cited 2021 Feb 06]. Available from: https://www.paho.org/pt/covid19
Organização Pan-Americana da Saúde. OMS afirma que COVID-19 é agora caracterizada como pandemia [Internet]. 2020 [cited 2021 Feb 06]. Available from: https://www.paho.org/pt/news/11-3-2020-who-characterizes-covid-19-pandemic
Ministério da Saúde (BR). Brasil confirma o primeiro caso da doença [Internet]. 2020 [cited 2021 Feb 09]. Available from: https://www.gov.br/saude/pt-br/assuntos/noticias/brasil-confirma-primeiro-caso-de-novo-coronavirus
Ministério da Saúde (BR). Painel coronavírus [Homepage]. 2021 [cited 2021 Aug 12]. Available from: https://covid.saude.gov.br/
Bezerra GD, Sena ASR, Braga ST, Santos MEN, Correia LFR, Clementino KMF, et al. O impacto da pandemia por COVID-19 na saúde mental dos profissionais da saúde: revisão integrativa. Rev Enferm Atual In Derme [Internet]. 2020 [cited 2021 Feb 22];93. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/758
Ministério da Saúde; Fundação Oswaldo Cruz. Saúde mental e atenção psicossocial na pandemia COVID-19: recomendações gerais [Internet]. Rio de Janeiro: FIOCRUZ; 2020 [cited 2021 Nov 30]. Available from: https://portal.fiocruz.br/sites/portal.fiocruz.br/files/documentos/cartilha_recomendacoes_gerais_06_04_0.pdf
Lóss JCS, Boechat LBG, Silva LP, Dias VE. A saúde mental dos profissionais de saúde na linha de frente contra a COVID-19. Rev Transformar [Internet]. 2020 [cited 2021 Feb 23];14(Ed. Espec.). Available from: http://www.fsj.edu.br/transformar/index.php/transformar/article/view/375
Organização Pan-Americana da Saúde. Depressão [Homepage]. s.d. [cited 2021 Feb 18]. Available from: https://www.paho.org/pt/topicos/depressao
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open [Internet]. 2020 [cited 2022 Aug 16];3(3):e203976. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090843
Rindfleisch A, Malter A, Ganesan S, Moorman C. Cross-Sectional Versus Longitudinal Survey Research: Concepts, Findings, and Guidelines. J Mark Res. 2008. https://doi.org/10.1509/jmkr.45.3.261
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Rabin R, De Charro F. EQ-SD: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5). https://doi.org/10.3109/07853890109002087
Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Arch Intern Med [Internet]. 1998 [cited 2021 Oct 31]. Available from: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/208954
Menezes P, Quayle J, Claro HG, Silva S, Brandt LR, Diez-Canseco F, et al. Use of a mobile phone app to treat depression comorbid with hypertension or diabetes: A pilot study in Brazil and Peru. JMIR Ment Health [Internet]. 2019 [cited 2021 Nov 11]. Available from: https://mental.jmir.org/2019/4/e11698/
Araya R, Menezes PR, Claro HG, Brandt LR, Daley KL, Quayle J, et al. Effect of a digital intervention on depressive symptoms in patients with comorbid hypertension or diabetes in Brazil and Peru: Two randomized clinical trials. JAMA [Internet]. 2021 [cited 2021 Nov 11]. Available from: https://jamanetwork.com/journals/jama/fullarticle/2779828
Baldi B, Moore DS. The practice of statistics in the life sciences. New York, NY: WH Freeman and Company; 2014. 727 p.
Little RJA, Rubin DB. Statistical analysis with missing data. 3. ed. New Jersey, NJ: John Wiley & Sons; 2019.
StataCorp. Stata Statistical Software: Release 15 [Software]. College Station, TX: StataCorp LLC; 2017.
Wańkowicz P, Szylińska A, Rotter I. Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients. Int J Environ Res Public Health [Internet]. 2020 [cited 2021 Aug 25];17(16). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7459704/
Hernandes ESC, Vieira L. A guerra tem rosto de mulher: trabalhadoras da saúde no enfrentamento à Covid-19 [Internet]. 2020 Apr 17 [cited 2021 Nov 30]. Available from: http://anesp.org.br/todas-as-noticias/2020/4/16/a-guerra-tem-rosto-de-mulher-trabalhadoras-da-sade-no-enfrentamento-covid-19
Conselho Nacional de Secretarias Municipais de Saúde. Protagonismo feminino na saúde: mulheres são a maioria nos serviços e na gestão do SUS [Internet]. 2020 Mar 10 [cited 2021 Nov 30]. Available from: https://www.cosemssp.org.br/noticias/protagonismo-feminino-na-saude-mulheres-sao-a-maioria-nos-servicos-e-na-gestao-do-sus/
Makino M, Kanie A, Nakajima A, Takebayashi Y. Mental Health Crisis of Japanese Health Care Workers Under COVID-19. Psychol Trauma. 2020;12(S1):S136-S137. https://doi.org/10.1037/tra0000819
Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade LR, et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Cien Saude Colet. 2020;25(9). https://doi.org/10.1590/1413-81232020259.19562020
Araújo, PP, Araújo TM, Lua I, Wrigh LBC. Associação entre depressão e consumo de álcool em homens e mulheres residentes em zona urbana, Bahia, Brasil. In: Anais do XXI Seminário de Iniciação Científica [Internet] 2017 Oct 23-27; Feira de Santana, BA. Feira de Santana: UEFS; 2017 [cited 2021 Aug 19]. Available from: https://doi.org/10.13102/semic.v0i21.2553
Nóbrega GGD, Martins MHR, Gomes DLL, Silva KRB, Souza AK. A Influência do álcool no aparecimento de depressão e ansiedade: uma revisão integrativa. In: Anais do IV CONBRACIS [Internet]. 2020 Aug 20-22; João Pessoa, PB. Campina Grande: Editora Realize; 2020 [cited 2021 Aug 19]. Available from: https://www.editorarealize.com.br/editora/anais/conbracis/2020/TRABALHO_EV135_MD4_SA16_ID931_13112020215212.pdf
Gavin RS, Reisdorfer E, Gherardi-Donato ECS, Reis LN, Zanetti ACG. Associação entre Depressão, Estresse, Ansiedade e Uso de Álcool entre Servidores Públicos. SMAD, Rev Eletrônica Saúde Mental Álcool Drog [Internet]. 2015 [cited 2021 Aug 25]. Available from: https://www.revistas.usp.br/smad/article/view/98745/155894
Soares J, Reinaldo AMS, Gomes NMR, Silveira BV, Pillon SC, Pereira MO. O consumo de substâncias psicoativas na pandemia de COVID-19. In: Esperidião E, Saidel MGB, organizators. Enfermagem em saúde mental e COVID-19. 2. ed. rev. Brasília: Editora ABEn; 2020. https://doi.org/10.51234/aben.20.e04.c05
Queiroga VV, Figueira EGK, Vasconcelos AMA, Procópio JVV, Gomes FWC, Gomes CHFM, et al. A pandemia da Covid-19 e o aumento do consumo de álcool no Brasil. Res Soc Dev [Internet]. 2021 [cited 2021 Nov 14]. Available from: https://rsdjournal.org/index.php/rsd/article/view/18580/17861
Scholze AR, Martins JT, Grandi AL, Galdino MJQ, Robazzi MLCC. Uso de substâncias psicoativas entre trabalhadores da enfermagem. Rev Port Enferm Saúde Mental. 2017;18. https://doi.org/10.19131/rpesm.0188
Manos RC, Kanter JW, Luo W. The Behavioral Activation for Depression Scale–Short Form: development and validation. Behav Ther. 2011;42(4):726-39. https://doi.org/10.1016/j.beth.2011.04.004
Martell CR, Dimidjian S, Herman-Dunn R, Lewinsohn PM, DeRubeis RJ. Behavioral Activation for Depression: A Clinician's Guide. New York, NY: Guilford Press; 2013.
Kawada T. Sleep, Depression, and Burnout in Medical Students: Risk Assessment. Acad Psychiatry. 2017;41(5):682-3. https://doi.org/10.1007/s40596-017-0773-6
Kroska EB, Calarge C, O’Hara MW, Deumic E, Dindo L. Burnout and depression in medical students: Relations with avoidance and disengagement. J Context Behav Sci. 2017;6(4):404-8. https://doi.org/10.1016/j.jcbs.2017.08.003
De Villers MJ, Devon HA. Moral distress and avoidance behavior in nurses working in critical care and noncritical care units. Nurs. Ethics [Internet]. 2013 [cited 2021 Nov 16]. Available from: https://psycnet.apa.org/record/2013-28237-009
Vandevala T, Pavey L, Chelidoni O, Chang N, Creagh-Brown B, Cox A. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health. J Intensive Care [Internet]. 2017
[cited 2021 Nov 16]. Available from: https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-017-0209-0
Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: immediate psychological impact on 5062 health workers. Lancet [Internet]. 2020 [cited 2021 Nov 18]. Available from: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(20)30187-5/fulltext
Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine [Internet]. 2020 [cited 2021 Nov 18]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311903/
Silva DSD, Tavares NVS, Alexandre ARG, Freitas DA, Brêda MZ, Albuquerque MCS, et al. Depressão e risco de suicídio entre profissionais de Enfermagem: revisão integrativa. Rev Esc Enferm USP [Internet]. 2015 [cited 2021 Nov 13]. Available from: https://www.scielo.br/j/reeusp/a/D7Bd3ZsmQkq4FTQ5Cq8FnhP/?lang=pt
Santos KMR, Galvão MHR, Gomes SM, Souza TA, Medeiros AA, Barbosa IR. Depressão e ansiedade em profissionais de enfermagem durante a pandemia da covid-19. Esc Anna Nery [Internet]. 2021 [cited 2021 Nov 13]. Available from: https://www.scielo.br/j/ean/a/DfmDPNnHcwnVymcDsHDc6hp/?lang=pt
Sousa PHSF, Cardoso NP, Bezerra AC, Pereira CC, Nascimento GC, Almeida TF. Fatores relacionados ao adoecimento psicológico dos profissionais da equipe de enfermagem. J Health Connect [Internet]. 2020 [cited 2021 Nov 13]. Disponível em: http://revistaadmmade.estacio.br/index.php/journalhc/article/view/8057/47966806
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BC, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry [Internet]. 2020 [cited 2021 Aug 24]. Available from: https://pubmed.ncbi.nlm.nih.gov/32035030/
Erquicia J, Valls L, Barja A, Gil S, Miquel J, Leal-Blanquet J, et al. Emotional impact of the Covid-19 pandemic on healthcare workers in one of the most important infection outbreaks in Europe. Med Clin (Engl Ed) [Internet]. 2020 [cited 2021 Nov 18]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604105/#bib0120
Fallowfield L. The quality of life: The missing measurement in health care. Guildford: Souvenir Press; 1990.
Oliveira EN, Aguiar RC, Almeida MTO, Eloia SC, Lira TQ. Benefícios da atividade física para saúde mental. Saúde Colet [Internet]. 2011 [cited 2021 Aug 19];8(50). Available from: https://www.redalyc.org/articulo.oa?id=84217984006
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act [Internet]. 2017 [cited 2021 Aug 25]. Available from: https://link.springer.com/content/pdf/10.1186/s12966-017-0525-8.pdf
Sangrà PS, Mir SA, Ribeiro TC, Esteban-Sepúlveda S, Pagès EG, Barbeito BL, et al. Mental health assessment of Spanish healthcare workers during the SARS-CoV-2 pandemic. A cross-sectional study. Compr Psychiatry [Internet]. 2021 [cited 2021 Nov 18]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501183/
San Juan NV, Aceituno D, Djellouli N, Sunray K, Regenold N, Syversen A, et al. Healthcare Workers’ Mental Health and Wellbeing During the COVID-19 Pandemic in the UK: Contrasting Guidelines with Experiences in Practice. BJPsych Open [Internet]. 2020 [cited 2021 Nov 25]. Available from: https://www.cambridge.org/core/journals/bjpsych open/article/mental-health-and-wellbeing-of-healthcare-workers-during-the-covid19-pandemic-in-the-uk-contrasting-guidelines-with-experiences-in-practice/B513349E66E11CE03165F5E394A4D6C4
Batista FCN, Pawlowytsch PWM. Aspectos emocionais de depressão, ansiedade, desesperança e ideação suicida nos profissionais da unidade de terapia intensiva de um hospital do interior de Santa Catarina. Saúde Meio Ambiente [Internet]. 2012 [cited 2021 Nov 01]. Available from: http://www.periodicos.unc.br/index.php/sma/article/view/228
Alves AP, Pedrosa LAK, Coimbra MAR, Miranzi MAS, Hass VJ. Prevalência de transtornos mentais comuns entre profissionais de saúde. Rev Enferm UERJ [Internet]. 2015 [cited 2021 Nov 01]. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/8150
Organização Pan-Americana de Saúde. Após 18 meses de pandemia de COVID-19, OPAS pede prioridade para prevenção ao suicídio [Internet]. 2021 [cited 2023 May 14]. Available from: https://www.paho.org/pt/noticias/9-9-2021-apos-18-meses-pandemia-covid-19-opas-pede-prioridade-para-prevencao-ao-suicidio.
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