Correlación de estrés con ansiedad y depresión en personal sanitario mexicano atendiendo pacientes con COVID-19

José Israel Medrano Hernández; Antonio  Becerra Hernández

doi:10.19136/hs.a21n3.4661

Authors

José Israel Medrano Hernández Dr. Juan N. Navarro Children's Psychiatric Hospital https://orcid.org/0000-0002-7949-7421
Antonio Becerra Hernández Profesor Tiempo Completo, Universidad Juárez Autónoma de Tabasco

DOI:

https://doi.org/10.19136/hs.a21n3.4661

Abstract

Objective: To determine the correlation between the stress generated in the management of patients with COVID-19 and the development of anxiety and/or depression disorders in the medical staff of Mexican hospitals.

Material and methods: This study has a cross-sectional approach to health personnel in COVID hospitals in Mexico. Mexican health personnel who worked in hospitals specially designated for the management of patients with COVID-19 were surveyed during the period from September 1 to November 30 by applying the self-applied scale DASS-21 and PSS- 10 C as a method of assessment. screening, using the online forms function of the Google Docs platform.

Results: 314 Mexican health professionals who worked in health institutions during the COVID-19 epidemic were included. Stress evaluated with PSS-10, reported 60.5% moderate stress and 7.3% severe; while with the DASS-21, 15.9% presented moderate stress, 15.3% severe, and 12.1% extremely severe. The prevalence of anxiety was 54.8%, with 18.2% moderate, 7.3% severe, and 21% extremely severe. . The prevalence of depression was 47.1%; being 16.2% moderate, 8% severe and 12.4% extremely severe. The prevalence of anxiety and depression in health workers with stress it was found that the prevalence of anxiety and depression was 77% and 74.7, respectively (p<0.001, χ2). The Odds Ratio was estimated for anxiety and depression in patients with stress, being OR=8.9, CI95% 5.4-15.0 (p<0.001) for anxiety and OR=20.0, CI95% 11.0-36.5 (p<0.001) for depression. Conclusions: In health personnel with stress, the prevalence of anxiety and depression was increased in a proportion of 9 and 20 times the probability, respectively. It is recommended to routinely screen health personnel for the presence of anxiety, depression and stress.

Keywords: Anxiety; Depression; Stress

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Author Biographies

José Israel Medrano Hernández, Dr. Juan N. Navarro Children's Psychiatric Hospital

Surgeon and Midwife, Psychiatry Specialist, Resident at the Dr. Juan N. Navarro Children's Psychiatric Hospital.

Antonio Becerra Hernández, Profesor Tiempo Completo, Universidad Juárez Autónoma de Tabasco

Doctor in Organizational Studies from the Metropolitan Autonomous University; Master in Family Therapy from the Mayab University; Master in Human Resources Administration from the University of the Americas, Puebla, and graduate in Psychology from the UVM (studies incorporated into the UNAM). Full-Time Professor at Juárez Autonomous University of Tabasco, Candidate for National Researcher (SNI); Member of the Mexican Network of Researchers in Organizational Studies (REMINEO); Member of the Mexican Association of Suicidology; International and National Speaker on topics on violence and suicide prevention. He has published various scientific articles and book chapters related to topics of psychosocial health, violence, suicide, depression, older adults, health marketing, organizational studies, among others. Member of the Divisional Bioethics Commission (DACS); Member of the Institutional Research Ethics Commission; Representative of Professors in the H. University Council; Member of the Basic Core of the Master of Science in Psychosocial Intervention (PNPC-DACS) and the Master's Degree in Comprehensive Social Gerontology (PNPC-DACS). Member of the Complementary Nucleus of the Master's Degree in Educational Management (PNPC-DAEA) and the Master's Degree in Intervention and Innovation of Educational Practice (PNPC-DAEA).