Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/16787
Title
Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study
Author(s)
Portillo-Van Diest, Ana | Vilagut, Gemma | Alayo, Itxaso | Ferrer, Montse | Amigo, Franco | Amann, Benedikt L | Aragón-Peña, Andrés | Aragonès, Enric | Asúnsolo Del Barco, Ángel | Campos, Mireia | Del Cura-González, Isabel | Espuga, Meritxell | González-Pinto, Ana | Haro, Josep M | Larrauri, Amparo ISCIII | López-Fresneña, Nieves | Martínez de Salázar, Alma | Molina, Juan D | Ortí-Lucas, Rafael M | Parellada, Mara | Pelayo-Terán, José M | Pérez-Zapata, Aurora | Pijoan, José I | Plana, Nieves | Puig, Teresa | Rius, Cristina | Rodriguez-Blazquez, Carmen ISCIII | Sanz, Ferran | Serra, Consol | Urreta-Barallobre, Iratxe | Kessler, Ronald C | Bruffaerts, Ronny | Vieta, Eduard | Pérez-Solá, Víctor | Alonso, Jordi | Mortier, Philippe | MINDCOVID Working Group
Date issued
2023-08-09
Citation
Epidemiol Psychiatr Sci. 2023 Aug 9:32:e50.
Language
Inglés
Document type
research article
Abstract
Aim: 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. Methods: This 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). Results: 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. Conclusions: 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.
Subject
MESH
COVID-19 | Stress Disorders, Post-Traumatic | Humans | Prospective Studies | Pandemics | Poly(ADP-ribose) Polymerase Inhibitors | Health Personnel | Depression
Online version
DOI
Collections
- Investigación > IIS > IIS BioGipuzkoa - Asociación Instituto de Investigación Sanitaria BioGipuzkoa (País Vasco)
- Investigación > IIS > IMIM - Hospital del Mar Research Institute-Barcelona (Cataluña)
- Investigación > IIS > IDIBAPS - Instituto de Investigaciones Biomédicas August Pi i Sunyer (Cataluña)
- Investigación > ISCIII > Centro Nacional de Epidemiología (CNE)
- Investigación > IIS > IIB Sant Pau - Instituto de Investigación Sant Pau (Cataluña)
- Investigación > IIS > i+12 - Instituto de Investigación Hospital 12 de Octubre (Madrid)
- Investigación > IIS > IRYCIS - Instituto Ramón y Cajal de Investigación Sanitaria (Madrid)
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