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Título: High prevalence of mental disorder symptoms among medical and other health specialties residents during the COVID-19 pandemic
Autor(es): Silva, Nayane Miranda
Pinho, Rebeca da Nobrega Lucena
Costa, Thais Ferreira
Areal, Adriana Ferreira Barros
Salles, André de Mattos
Oliveira, Andrea Pedrosa Ribeiro Alves
Rassi, Carlos Henrique Reis Esselin
Valero, Caroline Elizabeth Brero
Gomes, Ciro Martins
Silva, Dayde Lane Mendonça da
Oliveira, Fernando Araujo Rodrigues de
Jochims, Isadora
Vaz Filho, Ivan Henrique Ranulfo
Neves, Juliana de Brito Seixas
Oliveira, Lucas Alves de Brito
Dantas, Maria Luisa Nogueira
Rosal, Marta Alves
Soares, Mayra Veloso Ayrimoraes
Kurizky, Patricia Shu
Peterle, Viviane Cristina Uliana
Faro, Yasmin Furtado
Gomides, Ana Paula Monteiro
Mota, Licia Maria Henrique da
Albuquerque, Cleandro Pires de
Simaan, Cezar Kozak
Amado, Veronica Moreira
Afiliação do autor: University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
State Health Department of the Federal District (SES DF)
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
State Health Department of the Federal District (SES DF)
University Hospital of Brasília
University Hospital of Brasília
University of Brasília
University of Brasília
Sírio-Libanês Hospital, SGAS 614/615, Postal Code, Asa Sul, Brasília
Empresa Brasileira de Serviços Hospitalares (EBSERH)
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
University of Brasília, Center for Tropical Medicine
University of Brasília
University of Brasília
University Hospital of Brasília
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University of Brasília
Empresa Brasileira de Serviços Hospitalares (EBSERH)
University of Brasília, Faculty of Medicine
Empresa Brasileira de Serviços Hospitalares (EBSERH)
Federal University of Piauí
University Hospital of Brasília
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
School of Health Sciences (ESCS)
University Hospital of Brasília
Brasília University Centre (Uniceub)
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences
University Hospital of Brasília
University of Brasília
University of Brasília
Assunto: Saúde mental
Residência médica
Residência multiprofissional
Covid-19
Stress
Ansiedade
Depressão mental
Profissionais de saúde
Estudantes de Medicina
Data de publicação: 23-Mai-2023
Editora: BMC
Referência: SILVA, Nayane Miranda et al. High prevalence of mental disorder symptoms among medical and other health specialties residents during the COVID-19 pandemic. BMC Medical Education, [S. l.], v. 23, Art. n. 361, 2023. DOI: https://doi.org/10.1186/s12909-023-04202-7. Disponível em: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04202-7. Acesso em: 16 jul. 2024.
Abstract: Background The COVID-19 pandemic put healthcare professionals, including residents (postgraduate trainees of health professions), under intense physical and psychological stress, hence at risk for mental disorders. We evaluated the prevalence of mental disorders among healthcare residents during the pandemic. Methods From July to September 2020, residents in medicine and other healthcare specialties in Brazil were recruited. The participants completed electronic forms with validated questionnaires (DASS-21, PHQ-9, BRCS) to screen for depression, anxiety, and stress, and to evaluate resilience. Data on potential predisposing factors for mental disorders were also collected. Descriptive statistics, chi-squared, students t, correlation and logistic regression models were applied. The study received ethical approval, and all participants provided informed consent. Results We included 1313 participants (51.3% medical; 48.7% nonmedical) from 135 Brazilian hospitals; mean (SD) age: 27.8 (4.4) years; 78.2% females; 59.3% white race. Of all participants, 51.3%, 53.4% and 52.6% presented symptoms consistent with depression, anxiety, and stress, respectively; 61.9% showed low resilience. Nonmedical residents exhibited higher anxiety compared to medical residents (DASS-21 anxiety score, mean difference: 2.26; 95% CI: 1.15–3.37; p < 0.001). In multivariate analyses, having any pre-existent, nonpsychiatric chronic disease was associated with higher prevalence of symptoms indicative of depression (odds ratio, OR: 2.05; 95% CI: 1.47–2.85, on DASS-21 | OR: 2.26; 95% CI: 1.59–3.20, on PHQ-9), anxiety (OR: 2.07; 95% CI: 1.51–2.83, on DASS-21), and stress (OR: 1.53; 95% CI: 1.12–2.09, on DASS-21); other predisposing factors were identified; by contrast, high resilience (BRCS score) was protective against symptoms of depression (OR 0.82; 95% CI: 0.79–0.85, on DASS-21 | OR 0.85; 95% CI: 0.82–0.88, on PHQ-9), anxiety (OR 0.90; 95% CI: 0.87–0.93, on DASS-21), and stress (OR 0.88; 95% CI: 0.85–0.91, on DASS-21); p < 0.05 for all outcomes. Conclusions We found a high prevalence of mental disorder symptoms among healthcare residents during COVID-19 pandemic in Brazil. Nonmedical residents exhibited higher levels of anxiety than medical ones. Some predisposing factors for depression, anxiety and stress among residents were identified.
Unidade Acadêmica: Faculdade de Medicina (FM)
Programa de pós-graduação: Programa de Pós-Graduação em Ciências Médicas
Licença: © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
DOI: https://doi.org/10.1186/s12909-023-04202-7
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UnB - Covid-19

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