The first wave of COVID-19 and mental distress of physician residents in Brazil: a comparison between two cohorts

Human Resources for Health

Research

Mário Luciano de Mélo Silva Júnior¹  Arthur Violante Sapia²  Victória Beatriz Costa Neiva³  Nathallya Maria Gomes Barbosa³  Jonas Marques Cavalcanti Neto³  Euler Nicolau Sauaia Filho⁴ 

[1] Division of Neuropsychiatry, Medical Science Center, Universidade Federal de Pernambuco, 1235 Moraes Rego Av, Cidade Universitária, 50670-901, Recife, Brazil;Medical School, Uninassau, Recife, Brazil;Neurology Unit, Hospital da Restauração, Recife, Brazil;Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil;Medical School, Uninassau, Recife, Brazil;Medical School, Universidade Dom Bosco, São Luis, Brazil;

关键词: Depression;    Anxiety;    Burnout;    Residency training;    Workload;   

DOI  :  10.1186/s12960-022-00790-5

 received in 2022-09-28, accepted in 2022-12-21,  发布年份 2022

来源: Springer

【 摘 要 】

IntroductionThe reorganization of healthcare systems to face the COVID-19 pandemic has led to concerns regarding psychological distress of healthcare workers, and training requirements of physician residents.ObjectiveTo assess the influence of COVID-19 pandemic on depression, anxiety, burnout and training schedules of residents.MethodsTwo independent cross-sectional studies (the first in November 2019 [control], the second in June 2020, during the first wave of COVID-19 pandemic) enrolling physician residents from Brazil, using online surveys. In each of them, we collected demographic and training program data, and assessed depression, anxiety and burnout through PHQ-2, GAD-2 and MBI (2-item version) scales, respectively. We controlled confounding variables with logistic regression analysis.ResultsThe COVID-19 cohort (n = 524) presented a briefer workload and had at least 1 day off per week more frequently, in relation to the control cohort (n = 1 419). The majority of residents (464/524, 89.5%) had a reduction in their duty hours, and believed they would need an extra training period after the end of the pandemic (399/524, 76.2%). The frequency of depression increased (46.0% vs. 58.8%, aOR = 1.64, 95% CI = 1.32–2.05), anxiety did not change (56.5% vs. 56.5%, aOR = 1.24, 95% CI = 0.99–1.55) and burnout decreased (37.0% vs. 26.1%, aOR = 0.77, 95% CI = 0.60–0.99). Sensitivity analysis did not change these results.ConclusionMental distress is frequent among residents and associated with both training program and social environments. The consequences of the COVID-19 pandemic on training requirements should be specifically addressed by supervisors and policymakers, in a case-by-case basis. Psychological support must be provided to healthcare workers.

【 授权许可】

CC BY   
© The Author(s) 2023