2026-06-14T03:29:11Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/151342025-05-05T12:23:23Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Alonso, Jordi author Vilagut, G author Alayo, I author Ferrer, M author Amigo, F author Aragón-Peña, A author Aragonès, E author Campos, M author Del Cura-González, Isabel author Urreta, I author Espuga, M author González Pinto, A author Haro, Josep Maria author López Fresneña, N author Martínez de Salázar, A author Molina, J D author Ortí-Lucas, Rafael M author Parellada, M author Pelayo-Terán, José María author Pérez Zapata, A author Pijoan, J I author Plana, N author Puig, M T author Rius, C author Rodriguez-Blazquez, Carmen author Sanz, F author Serra, C author Kessler, R C author Bruffaerts, R author Vieta, E author Pérez-Solá, V author Mortier, P author MINDCOVID Working Group author 2022-04-29 Aims: Longitudinal data on the mental health impact of the coronavirus disease 2019 (Covid-19) pandemic in healthcare workers is limited. We estimated prevalence, incidence and persistence of probable mental disorders in a cohort of Spanish healthcare workers (Covid-19 waves 1 and 2) -and identified associated risk factors. Methods: 8996 healthcare workers evaluated on 5 May-7 September 2020 (baseline) were invited to a second web-based survey (October-December 2020). Major depressive disorder (PHQ-8 ≥ 10), generalised anxiety disorder (GAD-7 ≥ 10), panic attacks, post-traumatic stress disorder (PCL-5 ≥ 7), and alcohol use disorder (CAGE-AID ≥ 2) were assessed. Distal (pre-pandemic) and proximal (pandemic) risk factors were included. We estimated the incidence of probable mental disorders (among those without disorders at baseline) and persistence (among those with disorders at baseline). Logistic regression of individual-level [odds ratios (OR)] and population-level (population attributable risk proportions) associations were estimated, adjusting by all distal risk factors, health care centre and time of baseline interview. Results: 4809 healthcare workers participated at four months follow-up (cooperation rate = 65.7%; mean = 120 days s.d. = 22 days from baseline assessment). Follow-up prevalence of any disorder was 41.5%, (v. 45.4% at baseline, p < 0.001); incidence, 19.7% (s.e. = 1.6) and persistence, 67.7% (s.e. = 2.3). Proximal factors showing significant bivariate-adjusted associations with incidence included: work-related factors [prioritising Covid-19 patients (OR = 1.62)], stress factors [personal health-related stress (OR = 1.61)], interpersonal stress (OR = 1.53) and financial factors [significant income loss (OR = 1.37)]. Risk factors associated with persistence were largely similar. Conclusions: Our study indicates that the prevalence of probable mental disorders among Spanish healthcare workers during the second wave of the Covid-19 pandemic was similarly high to that after the first wave. This was in good part due to the persistence of mental disorders detected at the baseline, but with a relevant incidence of about 1 in 5 of HCWs without mental disorders during the first wave of the Covid-19 pandemic. Health-related factors, work-related factors and interpersonal stress are important risks of persistence of mental disorders and of incidence of mental disorders. Adequately addressing these factors might have prevented a considerable amount of mental health impact of the pandemic among this vulnerable population. Addressing health-related stress, work-related factors and interpersonal stress might reduce the prevalence of these disorders substantially. Study registration number: NCT04556565. Epidemiol Psychiatr Sci. 2022 Apr 29;31:e28. 10.1017/S2045796022000130 2045-7979 Epidemiology and psychiatric sciences 35485802 http://hdl.handle.net/20.500.12105/15134 Depression Mental health Epidemiology Post-traumatic stress disorder Stressful life events Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey