Well-being status and post-traumatic stress symptoms in health workers attending mindfulness sessions during the early stage of the COVID-19 epidemic in Mexico
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Abstract
Objective. To describe the basal sociodemographic and psychological characteristics of health workers attending online mindfulness sessions as part of the treatment of the aforementioned clinic.
Method. This is a cross-sectional report part of a major nationwide and longitudinal project. All attendants responded to digital sociodemographics and COVID-19 questionnaires, the Extended Physician Well-Being Index (EPWBI), and the Post-traumatic Stress Disorder (PTSD) TOP-8 index.
Results. Of the 507 health workers that participated, 70.02% of them were at risk of burnout according to the Extended Well-Being Index and 57.31, 7.91 and 2.77% had a mild, moderate, and severe risk of PTSD, respectively. The most affected were the female health workers, from metropolitan or central areas of the country, and those diagnosed with COVID-19 or exposed to a person with the diagnosis.
Discussion and conclusion. Mexican health workers attending mindfulness sessions presented high frequencies of PTSD symptoms and burnout. Female workers at urban hospitals could be at a special risk for developing PTSD or Well-ness alterations, and thus, they must be cared for closely, particularly those having direct contact with COVID 19 positive persons. The early participation in mental health strategies might lessen the immediate and long-term pandemic effects.
References
Davidson, J. R. T., & Colket, J. T. (1997). The eight-item treatment-outcome post-traumatic stress disorder scale: A brief measure to assess treatment outcome in post-traumatic stress disorder. International Clinical Psychopharmacology, 12(1), 41-45. doi: 10.1097/00004850-199701000-00006
Davidson, J. R. T., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., … Feldman, M. E. (1997). Assessment of a new self-rating scale for post-traumatic stress disorder. Psychological Medicine, 27(1), 153-160. doi: 10.1017/S0033291796004229
DeLucia, J. A., Bitter, C., Fitzgerald, J., Greenberg, M., Dalwari, P., & Buchanan, P. (2019). Prevalence of post-traumatic stress disorder in emergency physicians in the United States. Western Journal of Emergency Medicine, 20(5), 740-746. doi: 10.5811/westjem.2019.7.42671
Dyrbye, L. N., Satele, D., & Shanafelt, T. D. (2016). Ability of a 9-Item Well-Being Index to Identify Distress and Stratify Quality of Life in US Workers. Journal of Occupational and Environmental Medicine, 58(8), 810-817. doi: 10.1097/JOM.0000000000000798
Dyrbye, L. N., Satele, D., Sloan, J., & Shanafelt, T. D. (2013). Utility of a brief screening tool to identify physicians in distress. Journal of General Internal Medicine, 28(3), 421-427. doi: 10.1007/s11606-012-2252-9
García-Fernández, L., Romero-Ferreiro, V., López-Roldán, P. D., Padilla, S., Calero-Sierra, I., Monzó-Garci, M., … Rodriguez-Jimenez, R. (2020). Mental health impact of COVID-19 pandemic on Spanish healthcare workers. Psychological Medicine, 3, 17-19. doi: 10.1017/S0033291720002019
Kane, L. (2019). Medscape National Physician Burnout, Depression & Suicide Report 2019, (pp. 1-29). New York, NY: Medscape.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., … Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. doi: 10.1001/jamanetworkopen.2020.3976
López-Gatell Ramírez, H. (2020). Mañana 23 de marzo inicia la Jornada Nacional de Sana Distancia. Twitter. Retrieved from https://twitter.com/HLGatell/status/1241918043128815617
Luftman, K., Aydelotte, J., Rix, K., Ali, S., Houck, K., Coopwood, T. B., … Davis, M. (2017). PTSD in those who care for the injured. Injury, 48(2), 293-296. doi: 10.1016/j.injury.2016.11.001
Organización Mundial de la Salud. (2013). Plan de Acciόn Sobre Salud Mental 2013-2020. Organización Mundial de La Salud, (pp. 54). Retrieved from https://www.who.int/mental_health/publications/action_plan/es/
Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., … Esmail, A. (2018). Association between Physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internal Medicine, 178(10), 1317-1331. doi: 10.1001/jamainternmed.2018.3713
Robles-García, R., Fresán, A., & Yoldi, M. (2020). Posttraumatic stress disorder in urban women. Current Opinion in Psychiatry, 33(3), 245-249. doi: 10.1097/YCO.0000000000000585
Secretaría de Salud. (2020a). #ConferenciaDePrensa: #COVID19 #QuédateEnCasa | 10 de abril de 2020. In Presentación de la Estrategia Nacional en Salud Mental. YouTube. https://www.youtube.com/watch?v=zr6_Ji0yqec&list=PL-wEE8VmWaJ1XfDoFFkVfxuwVRgBMIiNO&index=5E
Secretaría de Salud. (2020b). Conferencia de Prensa #COVID19 #QuédateEnCasa | 9 de mayo de 2020 #GraciasPorCuidarnos. In Presentación de la Estrategia Nacional en Salud Mental Trabajadores de la salud. YouTube. https://www.youtube.com/watch?v=O-sCtAXBtrA&feature=youtu.be
Secretaría de Salud. (2020c). Declaratoria de Fase 2 por coronavirus COVID-19 | 24 de marzo 2020. Coronavirus.Gob.Mx. Retrieved from https://coronavirus.gob.mx/2020/03/24/inicia-fase-2-por-coronavirus-covid-19/
Shanafelt, T. D., Kaups, K. L., Nelson, H., Satele, D. V., Sloan, J. A., Oreskovich, M. R., & Dyrbye, L. N. (2014a). An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons. Annals of Surgery, 259(1), 82-88. doi: 10.1097/SLA.0b013e3182a58fa4
Shanafelt, T. D., Raymond, M., Horn, L., Moynihan, T., Collichio, F., Chew, H., … Gradishar, W. J. (2014b). Oncology fellows’ career plans, expectations, and well-being: Do fellows know what they are getting into? Journal of Clinical Oncology, 32(27), 2991-2997. doi: 10.1200/JCO.2014.56.2827
UNAM., & Secretaría de Salud. (2020). Instrumento para la detección de riesgos a la salud mental COVID-19. Retrieved from https://misalud.unam.mx/covid19/
United Nations. (2020). Policy Brief: COVID-19 and the Need for Action on Mental Health. Retrieved from https://unsdg.un.org/sites/default/files/2020-05/UN-Policy-Brief-COVID-19-and-mental-health.pdf
White, J., Pearce, J., Morrison, S., Dunstan, F., Bisson, J. I., & Fone, D. L. (2015). Risk of post-traumatic stress disorder following traumatic events in a community sample. Epidemiology and Psychiatric Sciences, 24(3), 249-257. doi: 10.1017/S2045796014000110
World Health Organization. (2020a). Archived: WHO Timeline - COVID-19. Retrieved from https://www.who.int/news-room/detail/27-04-2020-who-timeline---covid-19
World Health Organization. (2020b). Draft global strategy on digital health 2020–2025. WHO. Retrieved from https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf
World Health Organization. (2020c). Mental Health and Psychosocial Considerations During COVID-19 Outbreak - January, (pp. 1-6). WHO.