COVID-19 y la salud mental de los médicos residentes de atención primaria
miedo, ansiedad y depresión
DOI:
https://doi.org/10.5712/rbmfc17(44)3163Palabras clave:
COVID-19, Salud mental, Residencia médica, Medicina familiar y comunitaria.Resumen
Introducción: La pandemia de COVID-19 ha cobrado innumerables muertes en todo el mundo. No solo amenaza la esfera física del individuo, sino que también puede generar importantes enfermedades psicológicas en la población, principalmente por el miedo a contraer la enfermedad. Objetivo: Evaluar la relación entre el miedo al COVID-19 y la ansiedad y los síntomas depresivos entre los residentes de Medicina Familiar y Comunitaria de la región metropolitana de Fortaleza. Métodos: Se realizó un estudio cuantitativo analítico, correlacional y transversal, en el cual los participantes respondieron un formulario electrónico que contenía un cuestionario desarrollado por los autores y los instrumentos: Escala Hospitalaria de Ansiedad y Depresión (HADS) y Escala de Miedo COVID-19 (EMC- 19). Resultados: Al final, la encuesta contó con 50 participantes. Se encontró que el 52% de los residentes presentaban síntomas de ansiedad, el 36% síntomas depresivos; y el 22% tenía miedo de moderado a severo a la enfermedad. Los promedios más altos de miedo fueron para los residentes que ya estaban tratando la ansiedad o la depresión y para los residentes que comenzaron el tratamiento durante la pandemia. Conclusiones: El estudio mostró que un porcentaje relevante de encuestados tenía síntomas de ansiedad y depresión, además de mostrar una asociación directa entre estos síntomas y el miedo al COVID-19. Concluye enfatizando que el contexto pandémico requiere una mayor atención a las circunstancias de salud mental de los residentes de medicina familiar para proponer más medidas resolutivas para abordar el problema.
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Talevi D, Socci V, Carai M, Carnaghi G, Faleri S, Trebbi E, et al. Mental health outcomes of the CoViD-19 pandemic. Riv Psichiatr 2020;55(3):137-44. https://doi.org/10.1708/3382.33569
Organização Pan-Americana de Saúde. Organização Mundial da Saúde. Folha informativa sobre COVID-19 [Internet]. 2021 [acessado em 20 jul. 2021]. Disponível em: https://www.paho.org/pt/covid19
Brasil. Ministério da Saúde. Painel coronavírus [Internet]. 2021. [acessado em 20 jul. 2021]. Disponível em: https://covid.saude.gov.br/
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912-20. https://doi.org/10.1016/S0140-6736(20)30460-8 DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Ayittey FK, Ayittey MK, Chiwero NB, Kamasah JS, Dzuvor C. Economic impacts of Wuhan 2019‐nCoV on China and the world. J Med Virol 2020;92(5):473-75. https://doi.org/10.1002/jmv.25706 DOI: https://doi.org/10.1002/jmv.25706
Ornell F, Halpern SC, Kessler FHP, Navaez JCM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saúde Pública 2020;36(4):1-6. https://doi.org/10.1590/0102-311X00063520 DOI: https://doi.org/10.1590/0102-311x00063520
Santos CF. Reflections about the impact of the SARS-COV-2/COVID-19 pandemic on mental health. Braz J Psychiatr 2020;42(3):329-32. https://doi.org/10.1590/1516-4446-2020-0981 DOI: https://doi.org/10.1590/1516-4446-2020-0981
Nabuco G, Oliveira MHPP, Afonso MPD. O impacto da pandemia pela COVID-19 na saúde mental: qual é o papel da Atenção Primária à Saúde? Rev Bras Med Fam Comunidade 2020;15(42):2532. https://doi.org/10.5712/rbmfc15(42)2532 DOI: https://doi.org/10.5712/rbmfc15(42)2532
Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care 2020;9(3):241-7. https://doi.org/10.1177/2048872620922795 DOI: https://doi.org/10.1177/2048872620922795
Breazzano MP, Shen J, Abdelhakim AH, Glass LRD, Horowitz JD, Xie SX, et al. New York City COVID-19 resident physician exposure during exponential phase of pandemic. J Clin Invest 2020;130(9):4726-33. https://doi.org/10.1172/JCI139587 DOI: https://doi.org/10.1172/JCI139587
Brasil. Ministério da Educação. Nota Técnica no 01/2020/CNRM/CGRS/DDES/SESU. Brasília: Ministério da Educação; 2020. [Internet]. [acessado em 12 abr. 2021]. Disponível em: http://portal.mec.gov.br/index.php?option=com_docman&view=download&alias=145481-sei-23000&category_slug=2020&Itemid=30192
Faro A. Confirmatory factor analysis and standardization of the Hospital Anxiety and Depression Scale (HADS). Psicologia: Teoria e Pesquisa 2015;31(3):349-53. https://doi.org/10.1590/0102-37722015032072349353 DOI: https://doi.org/10.1590/0102-37722015032072349353
Ahorsu DK, Lin CY, Imani V, Saffrari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict 2022;20(3):1537-45. https://doi.org/10.1007/s11469-020-00270-8 DOI: https://doi.org/10.1007/s11469-020-00270-8
Andrade EF, Pereira LJ, Oliveira APL, Orlando DR, Alves DAG, Guilarducci JS, Castelo PM. Perceived fear of COVID-19 infection according to sex, age and occupational risk using the Brazilian version of the fear of COVID-19 scale. Death Stud 2020;46(3):533-42. https://doi.org/10.1080/07481187.2020.1809786 DOI: https://doi.org/10.1080/07481187.2020.1809786
Faro A, Silva LS, Santos DN, Feitosa ALB. Adaptação e validação da Escala de Medo da COVID-19. Scielo Preprints 2020. https://doi.org/10.1590/SciELOPreprints.898 DOI: https://doi.org/10.1590/SciELOPreprints.898
Rossi R, Socci V, Pacitti F, Di Lorenzo G, Di Marco A, Siracusano A, et al. Mental health outcomes among frontline and second-line health care workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA Netw Open 2020;3(5):e2010185. https://doi.org/10.1001/jamanetworkopen.2020.10185 DOI: https://doi.org/10.1001/jamanetworkopen.2020.10185
Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID19) on medical staff and general public – a systematic review and metaanalysis. Psychiatry Res 2020;291:113190. https://doi.org/10.1016/j.psychres.2020.113190 DOI: https://doi.org/10.1016/j.psychres.2020.113190
Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavírus disease outbreak: a cross-sectional study. Brain Behav Immun 2020;87:11-7. https://doi.org/10.1016/j.bbi.2020.03.028 DOI: https://doi.org/10.1016/j.bbi.2020.03.028
Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7(4):e17-e18. https://doi.org/10.1016/S2215-0366(20)30077-8 DOI: https://doi.org/10.1016/S2215-0366(20)30077-8
Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry 2020;87:123-7. https://doi.org/10.1016/j.comppsych.2018.10.003 DOI: https://doi.org/10.1016/j.comppsych.2018.10.003
Williams R, Bisson J, Kemp V. Principles for responding to people’s psychosocial and mental health needs after disasters. Royal College Pschiatrists [Internet] 2014 (Occasional paper OP94). [acessado em 17 jun. 2020]. Disponível em: https://www.apothecaries.org/wp-content/uploads/2019/02/OP94.pdf
Tsamakis K, Rizos E, Manolis AJ, Chaidou S, Kympouropoulos S, Spartalis E, et al. COVID-19 pandemic and its impact on mental health of healthcare professionals. Exp Ther Med 2020;19(6):3451-3. https://doi.org/10.3892/etm.2020.8646 DOI: https://doi.org/10.3892/etm.2020.8646
Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in hunan between january and march 2020 during the outbreak of coronavirus disease 2019 (COVID‑19) in Hubei, China. Med Sci Monit 2020;26:e924171. https://doi.org/10.12659/MSM.924171 DOI: https://doi.org/10.12659/MSM.924171
Broche-Pérez Y, Fernández-Fleites Z, Jiménez-Puig E, Fernández-Castillo E, Rodríguez-Martin BC. Gender and fear of COVID-19 in a Cuban population sample. Int J Ment Health Addict 2022;20(1):83-91. https://doi.org/10.1007/s11469-020-00343-8 DOI: https://doi.org/10.1007/s11469-020-00343-8
Secretaria da Saúde do Estado do Ceará. Doença pelo novo coronavírus (COVID-19). Boletim Epidemiológico, n. 54, 03/Dez/2020 [Internet]. [acessado em 10 jan. 2021]. Disponível em: https://www.saude.ce.gov.br/download/boletins/
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry 2020;7(3):e14. https://doi.org/10.1016/S2215-0366(20)30047-X DOI: https://doi.org/10.1016/S2215-0366(20)30047-X
Schmidt B, Crepaldi MA, Bolze SDA, Neiva-Silva L, Demenech LM. Saúde mental e intervenções psicológicas diante da pandemia do novo coronavírus (COVID-19). Estud Psicol 2020;37:e200063. https://doi.org/10.1590/1982-0275202037e200063 DOI: https://doi.org/10.1590/1982-0275202037e200063
Conselho Federal de Psicologia. Resolução no 4, de 26 de março de 2020. Dispõe sobre regulamentação de serviços psicológicos prestados por meio de Tecnologia da Informação e da Comunicação durante a pandemia do COVID19 [Internet]. 2020 [acessado em 17 jun. 2020]. Disponível em: https://atosoficiais.com.br/cfp/resolucao-do-exercicio-profissional-n-4-2020-dispoe-sobre regulamentacao-de-servicos-psicologicos-prestados-por-meio-de-tecnologia-da-informacao-e-da-comunicacao-durante-a-pandemia-do-covid-19?origin=instituicao
Alikhani R, Salimi A, Hormati A, Aminnejad R. Mental health advice for frontline healthcare providers caring for patients with COVID-19. Can J Anesth 2020;67(8):1068-9. https://doi.org/10.1007/s12630-020-01650-3 DOI: https://doi.org/10.1007/s12630-020-01650-3
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Derechos de autor 2022 Bruno Limaverde Vilar Lobo, Paulo César de Almeida, Mariana Pompílio Gomes Cabral

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