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Mental Health and Emotional Disorders During the COVID-19 Pandemics: Prevalence and Extent in PICU Staff.


ABSTRACT:

Objectives

To assess the prevalence of burnout, anxiety and depression symptoms, and posttraumatic stress disorder (PTSD) in PICU workers in Brazil during the first peak of the COVID-19 pandemic. To compare the results of subgroups stratified by age, gender, professional category, health system, and previous mental health disorders.

Design

Multicenter, cross-sectional study using an electronic survey.

Setting

Twenty-nine public and private Brazilian PICUs.

Subjects

Multidisciplinary PICU workers.

Interventions

None.

Measurements and main results

Self-reported questionnaires were used to measure burnout (Maslach Burnout Inventory), anxiety and depression (Hospital Anxiety and Depression Scale), and PTSD (Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [PCL-5]) in 1,084 respondents. Subjects were mainly young (37.1 ± 8.4 yr old) and females (85%), with a median workload of 50 hours per week. The prevalence of anxiety and depression was 33% and 19%, respectively, whereas PTSD was 13%. The overall median burnout scores were high in the emotional exhaustion and personal accomplishment dimensions (16 [interquartile range (IQR), 8-24] and 40 [IQR, 33-44], respectively) whereas low in the depersonalization one (2 [IQR, 0-5]), suggesting a profile of overextended professionals, with a burnout prevalence of 24%. Professionals reporting prior mental health disorders had higher prevalence of burnout (30% vs 22%; p = 0.02), anxiety (51% vs 29%; p < 0.001), and depression symptoms (32.5% vs 15%; p < 0.001), with superior PCL-5 scores for PTSD ( p < 0.001). Public hospital workers presented more burnout (29% vs 18.6%, p < 0.001) and more PTSD levels (14.8% vs 10%, p = 0.03). Younger professionals were also more burned out ( p < 0.05 in all three dimensions).

Conclusions

The prevalence of mental health disorders in Brazilian PICU workers during the first 2020 peak of COVID-19 was as high as those described in adult ICU workers. Some subgroups, particularly those reporting previous mental disorders and younger professionals, should receive special attention to prevent future crises.

SUBMITTER: Lima-Setta F 

PROVIDER: S-EPMC10072053 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Mental Health and Emotional Disorders During the COVID-19 Pandemics: Prevalence and Extent in PICU Staff.

Lima-Setta Fernanda F   de Moraes Claudia Leite CL   Silami Pedro Henrique Nunes Costa PHNC   Reichenheim Michael Eduardo ME   de Mello E Silva Juliana Freitas JF   Stochero Luciane L   de Oliveira Mariana Barros Genuíno MBG   Robaina Jaqueline Rodrigues JR   Rodrigues-Santos Gustavo G   de Almeida Carlos Gustavo CG   Amoretti Carolina Friedrich CF   Bellinat Ana Paula Novaes APN   Brandão Igor Bromonschenkel IB   de Carvalho Patrícia Barbosa PB   Falcão Ricardo Viana RV   Gregory Simone Camera SC   de Lorena Jacques Melissa M   Sapolnik Roberto R   Jae Claudia Mei Lan CML   Koliski Adriana A   Krauzer João Ronaldo Mafalda JRM   de Lima Lúcio Flávio Peixoto LFP   Lorenzo Vivian Botelho VB   Cobas Macedo João Henrique Garcia JHG   Zaponi Melek Sandra Lange SL   Fonseca da Mota Isabele Coelho IC   Neves Cinara Carneiro CC   Castro Mirela Alves MA   Rascão Fernanda Lobo FL   Massaud-Ribeiro Letícia L   Riveiro Paula Marins PM   Rodrigues Klara Amanda KA   Scarlato Ana Carolina Cabral Pinheiro ACCP   Peres da Silva Thiago T   Souza Ana Carolina Miranda C F F ACMCFF   de Araújo Torreão Lara L   de Seixas Zeitel Raquel R   Alves da Cunha Antonio José Ledo AJL   Prata-Barbosa Arnaldo A   de Magalhães-Barbosa Maria Clara MC  

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 20221219 4


<h4>Objectives</h4>To assess the prevalence of burnout, anxiety and depression symptoms, and posttraumatic stress disorder (PTSD) in PICU workers in Brazil during the first peak of the COVID-19 pandemic. To compare the results of subgroups stratified by age, gender, professional category, health system, and previous mental health disorders.<h4>Design</h4>Multicenter, cross-sectional study using an electronic survey.<h4>Setting</h4>Twenty-nine public and private Brazilian PICUs.<h4>Subjects</h4>M  ...[more]

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