Major depressive episode in hospital workers during the Covid-19 pandemic in Brazil



Document title: Major depressive episode in hospital workers during the Covid-19 pandemic in Brazil
Journal: Revista de saude publica
Database:
System number: 000535744
ISSN: 0034-8910
Authors: 1
2
2
1
3
1
Institutions: 1Universidade Federal de Pelotas, Departamento de Medicina Social, Pelotas, Rio Grande do Sul. Brasil
2Universidade Federal de Pelotas, Faculdade de Medicina, Pelotas, Rio Grande do Sul. Brasil
3Universidade Federal de Pelotas, Faculdade de Enfermagem, Pelotas, Rio Grande do Sul. Brasil
Year:
Volumen: 56
Country: Brasil
Language: Inglés
English abstract OBJECTIVES To estimate prevalence and factors associated with major depressive episode (MDE), emphasizing occupational aspects, in workers of a public teaching hospital that is a reference for Covid-19 treatment. METHODS A cross-sectional study was carried out between October and December 2020, after the first peak of the pandemic, interviewing 1,155 workers. The prevalence of MDE was estimated using the Patient Health Questionnaire (PHQ-9) algorithm. Multivariate hierarchical analysis was conducted using Poisson regression to assess associated factors. RESULTS MDE prevalence was 15.3% (95%CI: 13.3–17.5) and was higher among young, white and female workers, those with a family history of depression, resident professionals, nursing professionals, workers who were exposed to three or more situations of moral dilemma, and those who had to put off a physiological need until later. Having a risk factor for Covid-19, being a smoker and being physically inactive were also positively associated with MDE. CONCLUSIONS The study points to the considerable prevalence of MDE among tertiary health care workers; reviewing work processes is essential to reduce occupational stress and minimize the effects of the pandemic on mental health, preventing those problems from becoming chronic.
Keyword: Patient Care Team,
Depressive Disorder, Major, epidemiology,
COVID-19,
Working Conditions,
Occupational Health
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