Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19.
Acute Stress in Health Workers during Two Consecutive Epidemic Waves of COVID-19.
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DOI：
10.3390/ijerph19010206
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发表时间：
2021-12-25
影响因子：
--
通讯作者：
Avelar Garnica F
中科院分区：
文献类型：
--
作者：
Jáuregui Renaud K;Cooper-Bribiesca D;Martínez-Pichardo E;Miguel Puga JA;Rascón-Martínez DM;Sánchez Hurtado LA;Colin Martínez T;Espinosa-Poblano E;Anda-Garay JC;González Diaz JI;Cardeña E;Avelar Garnica F
COVID-19大流行在世界各地引发了普遍的不确定性，卫生工作者经历了焦虑、抑郁、倦怠、失眠和压力。虽然大流行对心理健康的影响可能会随着它的发展而变化，但大多数报告都是基于网络的横截面研究。我们进行了一项研究，评估在连续两次流行浪潮中一线卫生工作者的急性压力。在筛选特质焦虑/抑郁和分离经历后，我们评估了急性压力的变化，将恢复力，状态焦虑，倦怠，人格解体/现实解体症状和睡眠质量作为辅助因素。在第一波疫情期间（2020年4月），卫生工作者报告了与COVID-19相关的急性压力，这与状态焦虑有关。第一波疫情后，急性应激下降，第二波疫情期间（2020年12月）没有增加，开始接种疫苗后进一步下降。在随访期间（2020年4月至2021年2月），急性压力评分与睡眠质量差有关。然而，急性压力，状态焦虑和倦怠都与特质焦虑/抑郁有关，而弹性得分是不变的，随着时间的推移。总体而言，研究结果强调了在感染流行浪潮之前、期间和之后进行心理健康筛查的相关性，以便在连续的卫生危机中应对。
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.
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