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Dimensions of emotional distress among Brazilian workers in a COVID-19 reference hospital:A factor analytical study

World Journal of Psychiatry 2022年第6期12卷 843-859页

作者： Marcos O Carvalho-Alves Vitor A Petrilli-Mazon Andre R Brunoni Andre Malbergier pedro fukuti Guilherme V Polanczyk Euripedes C Miguel Felipe Corchs Yuan-Pang Wang Department of Psychiatry School of MedicineUniversity of Sao PauloSao Paulo 05403-010Brazil Program in Neuroscience and Behavior Department of Experimental PsychologyInstitute of PsychologyUniversity of Sao PauloSao Paulo 01060-970Brazil Department and Institute of Psychiatry University of Sao PauloSao Paulo 05403-010Brazil

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic is an unprecedented challenge for public health and has caused the loss of millions of lives *** workers play a key role in averting the collapse of the health system,but the mental health of many has deteriorated during the *** studies have been devoted to identifying the needs of workers on frontline *** To investigate dimensions of common emotional symptoms and associated predictors among Brazilian workers in a COVID-19 reference *** This is an observational study of the mental health of professionals in a COVID-19 hospital in the city of São *** invited all hospital employees to respond to an online survey between July and August 2020,during the first peak of the *** of 1000 participants who completed the survey were analyzed(83.9%were women and 34.3%were aged 30 to 40).Hospital workers selfreported the presence of symptoms of depression,anxiety,trauma-related stress,and burnout through the Patient Health Questionnaire-9,the Generalized Anxiety Disorder-7,the Impact of Event Scale-Revised and the Mini-Z Burnout Assessment *** were assembled and subjected to exploratory factor analysis to reveal workers’core emotional *** linear regression models were subsequently carried out to estimate the likelihood of dimensions of distress using questions on personal motivation,threatening events,and institutional *** Around one in three participants in our sample scored above the threshold of depression,anxiety,post-traumatic stress disorder,and *** factor analysis revealed a three-factor structure that explained 58%of the total data *** distressing emotional domains were avoidance and re-experience,depression-anxiety,and sleep *** analysis revealed that institutional support was a significant protective factor for each of these dimensions(βrange=-0.41 to-0.20,P<0.001).However,partici

关键词： COVID-19 Pandemics Health personnel Mental health Psychological distress Occupational medicine

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