Health service and psychotropic medication use for mental health conditions among healthcare workers active during the Spain Covid-19 Pandemic - A prospective cohort study using web-based surveys.

被引：1

作者：

Mortier, Philippe ^{[1
,2
,45
]}

Vilagut, Gemma ^{[1
,2
]}

Garcia-Mieres, Helena ^{[1
,2
]}

Alayo, Itxaso ^{[1
,2
,3
]}

Ferrer, Montse ^{[1
,2
,4
]}

Amigo, Franco ^{[1
,2
]}

Aragones, Enric ^{[10
,11
]}

Aragon-Penae, Andres ^{[5
,6
]}

Barco, Angel Asunsolo del ^{[7
,8
,9
]}

Campos, Mireia ^{[12
]}

Espuga, Meritxell ^{[18
]}

Gonzalez-Pinto, Ana ^{[19
,20
]}

Haro, Josep M. ^{[20
,21
,22
]}

Fresnena, Nieves Lopez ^{[24
]}

Sal, Alma D. Martinez de ^{[25
]}

Molina, Juan ^{[20
,26
,27
,28
]}

Orti-Lucas, Rafael ^{[29
]}

Parellada, Mara ^{[20
,24
]}

Pelayo-Teran, Jose Maria ^{[20
,30
,31
]}

Perez-Gomez, Beatriz ^{[2
,23
]}

Perez-Zapata, Aurora ^{[32
]}

Pijoan, Jose Ignasio ^{[2
,33
]}

Plana, Nieves ^{[2
,32
]}

Polentinos-Castro, Elena ^{[13
,14
,15
]}

Diest, Ana Portillo-Van ^{[1
,2
]}

Puig, Teresa ^{[22
,34
,35
,36
]}

Rius, Cristina ^{[2
,37
]}

Sanz, Ferran ^{[4
,38
,39
]}

Serra, Consol ^{[2
,40
,41
]}

Urreta-Barallobre, Iratxe ^{[2
,4
,16
,17
]}

Kessler, Ronald C. ^{[42
]}

Bruffaerts, Ronny ^{[43
]}

Vieta, Eduard ^{[20
,44
]}

Perez-Sola, Victor ^{[20
,40
]}

Alonso, Jordi ^{[1
,4
]}

机构：

[1] Hosp del Mar, Res Inst, Barcelona, Spain

[2] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[3] Biosistemak Inst Hlth Syst Res, Baracaldo, Bizkaia, Spain

[4] Pompeu Fabra Univ, Dept Expt & Hlth Sci, Barcelona, Spain

[5] Epidemiol Unit, Reg Minist Hlth, Community Madrid, Madrid, Spain

[6] Fdn Invest & Innovac Biosanitaria AP, Comun Madrid, Madrid, Spain

[7] Univ Alcala, Fac Med & Hlth Sci, Dept Surg Med & Social Sci, Madrid, Spain

[8] Ramon & Cajal Inst Sanit Res IRYCIS, Madrid, Spain

[9] City Univ New York, Grad Sch Publ Hlth & Hlth Policy, Dept Epidemiol & Biostat, New York, NY USA

[10] Inst Invest Atenc Primaria IDIAP Jordi Gol, Barcelona, Spain

[11] Inst Catal Salut, Atencio Primaria Camp Tarragona, Ripollet, Barcelona, Spain

[12] Area Afers Parlamentaris Interdepartamentals Direc, Generalitat Catalunya, Barcelona, Spain

[13] Madrid Hlth Serv, Res Unit Primary Care Management, Madrid, Spain

[14] King Juan Carlos Univ, Dept Med Special & Publ Hlth, Madrid, Spain

[15] Inst Salud Carlos III ISCIII, Ctr Invest Biomed Red Diabet & Enfermedades Metab, Madrid, Spain

[16] Donostia Univ Hosp, Osakidetza Basque Hlth Serv, Clin Epidemiol Unit, Donostialdea Integrated Hlth Org, San Sebastian, Spain

[17] Biodonostia Hlth Res Inst, Clin Epidemiol, San Sebastian 20014, Spain

[18] Hosp Univ Vall dHebron, Occupat Hlth Serv, Barcelona, Spain

[19] Hosp Univ Araba Santiago, BIOARABA, UPV EHU, Vitoria, Spain

[20] CIBER Salud Mental CIBERSAM, Madrid, Spain

[21] Parc Sanit St Joan Deu, Barcelona, Spain

[22] Univ Autonoma Barcelona UAB, Barcelona 08193, Spain

[23] Inst Salud Carlos III ISCIII, Natl Ctr Epidemiol, Madrid, Spain

[24] Hosp Gen Univ Gregorio Maranon, Madrid, Spain

[25] UGC Salud Mental, Hosp Univ Torrecardenas, Almeria, Spain

[26] Hosp Univ 12 Octubre, Villaverde Mental Hlth Ctr, Psychiat Serv, Clin Management Area Psychiat & Mental Hlth, Madrid, Spain

[27] Hosp 12 Octubre, Res Inst I 12, Madrid, Spain

[28] Univ Francisco Vitoria, Fac Hlth Sci, Madrid, Spain

[29] Clin Univ Hosp Valencia, Dept Anat Pathol, Valencia, Spain

[30] Hosp Bierzo, Serv Psiquiatria & Salud Mental, GASBI, Serv Salud Castilla & Leon SACYL, Ponferrada, Leon, Spain

[31] Hosp Leon, Leon, Spain

[32] Hosp Univ Getafe, Madrid, Spain

[33] Cruces Univ Hosp, Dept Epidemiol Unit, BioCruces Bizkaia Hlth Res Inst, Bilbao, Basque Country, Spain

[34] Hosp St Creu i St Pau, Dept Clin Epidemiol & Publ Hlth, Barcelona, Spain

[35] Biomed Res Inst St Pau IIB St Pau, Barcelona, Spain

[36] CIBER Enfermedades Cardiovasc CIBERCV, Madrid, Spain

[37] CSIC, ICN2, Barcelona, Spain

[38] Univ Pompeu Fabra, Hosp Mar Med Res Inst IMIM, Res Programme Biomed Informat GRIB, Neurogenom Grp,MELIS, Barcelona 08003, Spain

[39] Spanish Natl Bioinformat Inst INB ELIXIR ES, Barcelona 08034, Spain

[40] Inst Neuropsychiat & Addict INAD, Parc Salut Mar, Barcelona, Spain

[41] Inst Salud Carlos III ISCIII, Ctr Invest Red Enfermedades Respiratorias, CIBERES, Barcelona, Spain

[42] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA USA

[43] Ctr Clin Psychiat, Dept Neurosci, Res Grp Psychiat, KU Leuven, Leuven, Belgium

[44] Univ Barcelona, Hosp Clin, Inst Neurosci, IDIBAPS,CIBERSAM, Barcelona, Spain

[45] Hosp Mar Res Inst, CIBERESP, PRBB Bldg,Carrer Doctor Aiguader 88, Barcelona 08003, Spain

来源：

PSYCHIATRY RESEARCH | 2024年 / 334卷

关键词：

Treatments; Mental disorders; Suicidal ideation; Attempted suicide; Cohort study; Prospective study; Health care surveys; DISORDERS; PROFESSIONALS; SCALE; SURVEILLANCE; DISABILITY; DEPRESSION; PHYSICIANS; RESIDENTS; OUTCOMES; SEEKING;

D O I：

10.1016/j.psychres.2024.115800

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Little is known about healthcare workers' (HCW) use of healthcare services for mental disorders. This study presents data from a 16 -month prospective cohort study of Spanish HCW (n = 4,809), recruited shortly after the COVID-19 pandemic onset, and assessed at four timepoints using web -based surveys. Use of health services among HCW with mental health conditions (i.e., those having a positive screen for mental disorders and/or suicidal thoughts and behaviours [STB]) was initially low (i.e., 18.2 %) but increased to 29.6 % at 16 -month follow-up. Service use was positively associated with pre -pandemic mental health treatment (OR=1.99), a positive screen for major depressive disorder (OR=1.50), panic attacks (OR=1.74), suicidal thoughts and behaviours (OR=1.22), and experiencing severe role impairment (OR=1.33), and negatively associated with being female (OR = 0.69) and a higher daily number of work hours (OR=0.95). Around 30 % of HCW with mental health conditions used anxiolytics (benzodiazepines), especially medical doctors. Four out of ten HCW (39.0 %) with mental health conditions indicated a need for (additional) help, with most important barriers for service use being too ashamed, long waiting lists, and professional treatment not being available. Our findings delineate a clear mental health treatment gap among Spanish HCW.

引用

页数：11

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