Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic : A prospective study
Portillo-Van Diest, Ana (Institut Hospital del Mar d'Investigacions Mèdiques)
Vilagut, Gemma (Institut Hospital del Mar d'Investigacions Mèdiques)
Alayo, Itxaso (Institut Hospital del Mar d'Investigacions Mèdiques)
Ferrer Forés, Maria Montserrat (Institut Hospital del Mar d'Investigacions Mèdiques)
Amigo, Franco (Institut Hospital del Mar d'Investigacions Mèdiques)
Amann, Benedikt L. (Institut Hospital del Mar d'Investigacions Mèdiques)
Aragón-Peña, Andrés (Fundación Investigación e Innovación Biosanitaria de Atención Primaria)
Aragonès, Enric (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Asúnsolo Del Barco, Á. (The City University of New York)
Campos, M. (Medical Emergencies System)
del Cura-González, Isabel (King Juan Carlos University)
Espuga Jordana, Meritxell (Hospital Universitari Vall d'Hebron)
González-Pinto, Ana (Hospital Universitario Araba-Santiago)
Haro Abad, Josep Maria (Universitat de Barcelona)
Larrauri, Amparo (Instituto de Salud Carlos III)
López-Fresneña, N. (Hospital General Universitario Gregorio Marañón)
Martínez De Salázar, A. (Hospital Universitario Torrecárdenas (Almeria, Andalusia))
Molina, Juan D. (Universidad Francisco de Vitoria)
Ortí-Lucas, R.M. (Hospital Clínic Universitari (València))
Parellada, M. (Hospital General Universitario Gregorio Marañón)
Pelayo-Terán, José Maria (Universidad de León)
Pérez-Zapata, A. (Hospital Universitario Príncipe de Asturias (Alcalá de Henares, Madrid))
Pijoan, J.I. (Hospital Universitario de Cruces (Barakaldo, País Basc))
Plana, N. (Hospital Universitario Príncipe de Asturias (Alcalá de Henares, Madrid))
Puig Reixach, Maria Teresa (Institut d'Investigació Biomèdica Sant Pau)
Rius i Gibert, Maria Cristina (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Rodríguez-Blázquez, C. (Instituto de Salud Carlos III)
Sanz, Ferran (Institut Hospital del Mar d'Investigacions Mèdiques)
Serra, Consol (Institut Hospital del Mar d'Investigacions Mèdiques)
Urreta-Barallobre, I. (Biodonostia Osasun Ikerketako Institutura (País Basc))
Kessler, Ronald (Harvard Medical School)
Bruffaerts, Ronny (KU Leuven)
Vieta, Eduard (Hospital Clínic i Provincial de Barcelona)
Pérez Solà, Víctor (Institut Hospital del Mar d'Investigacions Mèdiques)
Alonso, J. (Institut Hospital del Mar d'Investigacions Mèdiques)
Mortier, Philippe (Institut Hospital del Mar d'Investigacions Mèdiques)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	To 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. This is a multicenter prospective cohort study. Spanish healthcare workers (NÂ =Â 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). Thirty-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. TSSs 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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	COVID-19 ; Health personnel ; Prospective cohort study ; Traumatic stress
Publicado en:	Epidemiology and Psychiatric Sciences, Vol. 32 (september 2023) , p. e50, ISSN 2045-7979

DOI: 10.1017/S2045796023000628
PMID: 37555258

13 p, 359.2 KB

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