Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study

被引：5

作者：

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

Vilagut, Gemma ^{[1
,2
]}

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

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

Amigo, Franco L. ^{[1
,2
]}

Amann, Benedikt ^{[4
,5
,6
,7
,8
]}

Aragon-Pena, Andres ^{[9
,10
]}

Aragones, Enric ^{[11
,12
]}

Del Barco, Angel Asunsolo ^{[13
,14
,15
]}

Campos, Mireia ^{[16
]}

Del Cura-Gonzalez, Isabel ^{[10
,17
,18
]}

Espuga, Meritxell ^{[19
]}

Gonzalez-Pinto, Ana M. ^{[5
,20
]}

Haro, Josep ^{[5
,21
,22
]}

Larrauri, Amparo ^{[23
]}

Lopez-Fresnena, Nieves ^{[24
]}

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

Molina, Juan M. ^{[5
,26
,27
,28
]}

Orti-Lucas, Rafael ^{[29
]}

Parellada, Mara ^{[5
,24
]}

Pelayo-Teran, Jose M. ^{[5
,30
,31
]}

Perez-Zapata, Aurora ^{[32
]}

Pijoan, Jose I. ^{[2
,33
]}

Plana, Nieves ^{[2
,32
]}

Puig, Teresa ^{[34
,35
,36
,37
,38
]}

Rius, Cristina ^{[2
,4
,39
]}

Rodriguez-Blazquez, Carmen ^{[23
,40
]}

Sanz, Ferran ^{[4
,41
,42
]}

Serra, Consol ^{[2
,43
,44
]}

Urreta-Barallobre, Iratxe C. ^{[2
,45
,46
]}

Kessler, Ronald ^{[47
]}

Bruffaerts, Ronny ^{[48
]}

Vieta, Eduard ^{[5
,49
]}

Perez-Sola, Victor ^{[5
,36
,37
,43
]}

Alonso, Jordi ^{[1
,2
,4
]}

Mortier, Philippe ^{[1
,2
]}

机构：

[1] IMIM Inst Hosp Mar Invest Med, Hlth Serv Res Unit, Barcelona, Spain

[2] Inst Salud Carlos III, CIBER Epidemiol & Salud Publ, Madrid, Spain

[3] Asociac Inst Invest Sistemas Salud Biosistemak, Baracaldo, Pais Vasco, Spain

[4] Univ Pompeu Fabra, Dept Med & Life Sci, Barcelona, Spain

[5] Inst Salud Carlos III, CIBER Salud Mental, Madrid, Spain

[6] Inst Neuropsychiat & Addict INAD, Ctr Forum Res Unit, Parc Salut Mar, Barcelona, Spain

[7] IMIM Inst Hosp Mar Invest Med, Dept Hlth Serv Res Grp, Barcelona, Spain

[8] Hosp Ludwig Maximilians Univ Munich, Dept Psychiat & Psychotherapy, Munich, Germany

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

[10] Comunidad Madrid, Fdn Invest & Innovac Biosanitaria AP, Madrid, Spain

[11] Inst Invest Atencio Primaria IDIAP Jordi Gol, Dept Atencio Primaria Camp Tarragona, Barcelona, Spain

[12] Inst Catala Salut, Atencio Primaria Camp Tarragona, Barcelona, Spain

[13] Univ Alcala, Fac Med & Hlth Sci, Dept Surg Med & Social Sci, Alcala De Henares, Spain

[14] Ramon & Cajal Inst Sanitary Res IRYCIS, Madrid, Spain

[15] CUNY, Grad Sch Publ Hlth & Hlth Policy, Dept Epidemiol & Biostat, New York, NY USA

[16] Generalitat Catalunya, Serv Prevent Lab Risks, Med Emergencies Syst, Barcelona, Spain

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

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

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

[20] Univ Basque Country, Hosp Univ Araba Santiago, BIOARABA, Vitoria, Spain

[21] Parc Sanitari St Joan Deu, Dept Res & Dev Unit, Barcelona, Spain

[22] Univ Barcelona UB, Dept Fac Med & Ciencias Salut, Barcelona, Spain

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

[24] Hosp Gen Univ Gregorio Maranon, Dept Med Prevent, Madrid, Spain

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

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

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

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

[29] Hosp Clin Univ, Dept Prevent Med Dept, Valencia, Spain

[30] Hosp Bierzo, Serv Psiquiatria & Salud Mental, Gerencia Asistencia Sanitaria Bierzo GASBI, Gerencia Reg Salud Castilla & Leon SACYL, Leon, Spain

[31] Univ Leon, Area Med Prevent & Salud Publ, Leon, Spain

[32] Principe Asturias Univ Hosp, Dept Serv Prevenc Riesgos Laborales, Madrid, Spain

[33] Hosp Univ Cruces OSI EEC, Dept Clin Epidemiol Unit, Bilbao, Spain

[34] Hosp Santa Creu & Sant Pau, Dept Epidemiol & Publ Hlth, Barcelona, Spain

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

[36] Univ Autonoma Barcelona UAB, Dept Paediat Obstet & Gynaecol & Prevent Med, Barcelona, Spain

[37] Univ Autonoma Barcelona UAB, Dept Publ Hlth, Barcelona, Spain

[38] Inst Salud Carlos III, CIBER Enfermedades Cardiovasc, Madrid, Spain

[39] Agencia Salut Publ Barcelona, Barcelona, Spain

[40] Inst Salud Carlos III, CIBER Enfermedades Neurodegenerat, Madrid, Spain

[41] Hosp Mar Med Res Inst IMIM, Res Progamme Biomed Informat GRIB, Barcelona, Spain

[42] Inst Nacl Bioinformat ELIXIR ES IMPaCT Data ISCII, Barcelona, Spain

[43] Parc Salut Mar PSMAR, Dept Psiquiatria & Med Legal, Barcelona, Spain

[44] UPF, CiSAL Ctr Investigac Salud Laboral, IMIM, Barcelona, Spain

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

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

[47] Harvard Med Sch, Dept HealthCare Policy, Boston, MA USA

[48] Katholieke Univ Leuven, Univ Psychiat Ctr, Ctr Publ Hlth Psychiat, Leuven, Belgium

[49] Univ Barcelona, Hosp Clin, Inst Neurosci, IDIBAPS, Barcelona, Catalonia, Spain

来源：

EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES | 2023年 / 32卷

关键词：

COVID-19; health personnel; prospective cohort study; traumatic stress; MENTAL-HEALTH; DISORDER CHECKLIST; PTSD CHECKLIST; QUESTIONNAIRE; OUTBREAKS; EPIDEMIC; IMPACT;

D O I：

10.1017/S2045796023000628

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

AimTo investigate the occurrence of traumatic stress symptoms (TSS) among healthcare workers active during the COVID-19 pandemic and to obtain insight as to which pandemic-related stressful experiences are associated with onset and persistence of traumatic stress. MethodsThis is a multicenter prospective cohort study. Spanish healthcare workers (N = 4,809) participated at an initial assessment (i.e., just after the first wave of the Spain COVID-19 pandemic) and at a 4-month follow-up assessment using web-based surveys. Logistic regression investigated associations of 19 pandemic-related stressful experiences across four domains (infection-related, work-related, health-related and financial) with TSS prevalence, incidence and persistence, including simulations of population attributable risk proportions (PARP). ResultsThirty-day TSS prevalence at T1 was 22.1%. Four-month incidence and persistence were 11.6% and 54.2%, respectively. Auxiliary nurses had highest rates of TSS prevalence (35.1%) and incidence (16.1%). All 19 pandemic-related stressful experiences under study were associated with TSS prevalence or incidence, especially experiences from the domains of health-related (PARP range 88.4-95.6%) and work-related stressful experiences (PARP range 76.8-86.5%). Nine stressful experiences were also associated with TSS persistence, of which having patient(s) in care who died from COVID-19 had the strongest association. This association remained significant after adjusting for co-occurring depression and anxiety. ConclusionsTSSs among Spanish healthcare workers active during the COVID-19 pandemic are common and associated with various pandemic-related stressful experiences. Future research should investigate if these stressful experiences represent truly traumatic experiences and carry risk for the development of post-traumatic stress disorder.

引用

页数：13

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