Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19

International Journal of Environmental Research and Public Health

Etzel Cardeña¹  Tania Colin Martínez²  Dulce M. Rascón-Martínez³  Jorge I. González Diaz⁴  Francisco Avelar Garnica⁴  Eliseo Espinosa-Poblano⁵  Juan Carlos Anda-Garay⁶  Elizabet Martínez-Pichardo⁷  Davis Cooper-Bribiesca⁷  Luis A. Sánchez Hurtado⁸  Kathrine Jáuregui Renaud⁹  José A. Miguel Puga⁹ 

[1] Center for Research on Consciousness and Anomalous Psychology, Department of Psychology, Lund University, 22100 Lund, Sweden;Departamento de Admisión Continua, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Anestesiología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Imagenología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Inhaloterapia y Neumología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Medicina Interna, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Psiquiatría, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Departamento de Terapia Intensiva, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de Mexico 06720, Mexico;

关键词: COVID-19;    health workers;    stress;    anxiety;    depression;    sleep;   

DOI  :  10.3390/ijerph19010206

来源: DOAJ

【 摘 要 】

The COVID-19 pandemic has provoked generalized uncertainty around the world, with health workers experiencing anxiety, depression, burnout, insomnia, and stress. Although the effects of the pandemic on mental health may change as it evolves, the majority of reports have been web-based, cross-sectional studies. We performed a study assessing acute stress in frontline health workers during two consecutive epidemic waves. After screening for trait anxiety/depression and dissociative experiences, we evaluated changes in acute stress, considering resilience, state anxiety, burnout, depersonalization/derealization symptoms, and quality of sleep as cofactors. During the first epidemic wave (April 2020), health workers reported acute stress related to COVID-19, which was related to state anxiety. After the first epidemic wave, acute stress decreased, with no increase during the second epidemic wave (December 2020), and further decreased when vaccination started. During the follow-up (April 2020 to February 2021), the acute stress score was related to bad quality of sleep. However, acute stress, state anxiety, and burnout were all related to trait anxiety/depression, while the resilience score was invariant through time. Overall, the results emphasize the relevance of mental health screening before, during, and after an epidemic wave of infections, in order to enable coping during successive sanitary crises.

【 授权许可】

Unknown