Saúde Mental em Profissionais de Saúde no Enfrentamento ao Covid-19: Revisão Sistemática
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Este estudo objetivou revisar, de forma sistemática, achados da literatura científica relativos a indicadores de saúde mental em profissionais de saúde no enfrentamento à pandemia de Covid-19. A revisão seguiu as recomendações do PRISMA, incluindo artigos publicados nesta temática, excluindo-se comentários, editoriais e artigos de revisão da literatura. Foram examinados 28 artigos científicos considerando seu país de origem, participantes, métodos utilizados, indicadores relativos à saúde mental (sintomas descritos) e principais conclusões. Houve grande variabilidade nas estratégias metodológicas utilizadas nos estudos (número de participantes e instrumentos), porém os achados foram consistentes em apontar alterações relevantes em termos de sintomas de ansiedade, depressão e alterações no sono como recorrentes em profissionais de saúde atuantes no combate à pandemia. Intervenções por meio de grupos de conversação, realizados on-line, conduzidos por profissionais da área da saúde mental, poderiam auxiliar a combater os efeitos da pandemia referentes ao desenvolvimento de problemas emocionais.
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Referências
*Anmella, G., Fico, G., Roca, A., Gómez-Ramiro, M., Vázquez, M., Murru, A., … Vieta, E. (2020). Unravelling potential severe psychiatric repercussions on healthcare professionals during the COVID-19 crisis. Journal of Affective Disorders, 273(1), 422– 424. doi:10.1016/j.jad.2020.05.061
Arbix, G. (2020). Ciência e Tecnologia em um mundo de ponta-cabeça. Estudos Avançados, 34(99), 65–76. doi:10.1590/s0103-4014.2020.3499.005
Borges, L. M., Barnes, S. M., Farnsworth, J. K., Bahraini, N. H., & Brenner, L. A. (2020). A commentary on moral injury among health care providers during the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S138– S140. doi:10.1037/tra0000698
*Cai, W., Lian, B., Song, X., Hou, T., Deng, G., & Li, H. (2020). A cross-sectional study on mental health among health care workers during the outbreak of Corona Virus Disease 2019. Asian Journal of Psychiatry, 51(April), 1–4. doi:10.1016/j.ajp.2020.102111
Chong, M.-Y., Wang, W.-C., Hsieh, W.-C., Lee, C.-Y., Chiu, N.-M., Yeh, W.-C., … Chen, C.-L. (2004). Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. British Journal of Psychiatry, 185(2), 127–133. doi:10.1192/bjp.185.2.127
*Civantos, A. M., Byrnes, Y., Chang, C., Prasad, A., Chorath, K., Poonia, S. K., … Rajasekaran, K. (2020). Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: National study. Head and Neck, 42(7). doi:10.1002/hed.26292
*Dong, Z.-Q., Ma, J., Hao, Y.-N., Shen, X.-L., Liu, F., Gao, Y., & Zhang, L. (2020). The social psychological impact of the COVID-19 pandemic on medical staff in China: A cross-sectional study. European Psychiatry, 63(1), e65, 1–8. doi:10.1192/j. eurpsy.2020.59
*Fawaz, M., & Samaha, A. (2020). The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. International Journal of Social Psychiatry, 66(6) 560–565. doi:10.1177/ 0020764020932202
Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. doi:10.1016/S2215-0366(20)30168-1
*Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., … Liu, Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, 87(July), 11–17. doi:10.1016/j.bbi.2020.03.028
*Khanna, R. C., Honavar, S. G., Metla, A. L., Bhattacharya, A., & Maulik, P. K. (2020). Psychological impact of COVID-19 on ophthalmologists-in-training and practising ophthalmologists in India. Indian Journal of Ophthalmology, 68(6), 994–998. doi:10.4103/ijo.IJO_1458_20
Kröger, C. (2020). Shattered Social Identity and Moral Injuries: Work-Related Conditions in Health Care Professionals During the COVID-19 Pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S156–S158. doi:10.1037/tra0000715
*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), 1–12. doi:10.1001/jamanetworkopen.2020.3976
*Liu, C.-Y., Yang, Y., Zhang, X.-M., Xu, X., Dou, Q.-L., Zhang, W.-W., & Cheng, A. S. K. (2020). The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: A cross-sectional survey. Epidemiology and Infection, 148, 1–7. doi:10.1017/S0950268820001107
Liu, C. H., Zhang, E., Wong, G. T. F., Hyun, S., & Hahm, H. C. (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Research, 290(April), 1–7. doi:10.1016/j.psychres.2020.113172
*Lu, W., Wang, H., Lin, Y., & Li, L. (2020). Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research, 288(April), 1–5. doi:10.1016/j.psychres.2020.112936
McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W. T., Sham, P. C., … Wong, J. G. W. S. (2007). Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Canadian Journal of Psychiatry, 52(4), 241–247. doi:10.1177/070674370705200406
*Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., … Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management, 28(5) 1002–1009. doi:10.1111/jonm.13014
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine, 6(7), e1000097. doi:10.1371/journal.pmed.1000097
*Naser, A. Y., Dahmash, E. Z., Al-Rousan, R., Alwafi, H., Alrawashdeh, H. M., Ghoul, I., … Alyami, H. S. (2020). Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: A cross-sectional study. Brain and Behavior, 10(8), June, 1–13. doi:10.1002/brb3.1730
Organização Mundial da Saúde. (2020). Folha informativa – COVID-19. Brasil: OMS. Retrieved from https://www.paho.org/bra/index.php?option=com_content&view= article&id=6101:covid19&Itemid=875
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88(August), 901–907. doi:10.1016/j.bbi.2020.05.026
*Podder, I., Agarwal, K., & Datta, S. (2020). Comparative analysis of perceived stress in dermatologists and other physicians during home-quarantine and COVID-19 pandemic with exploration of possible risk factors: A web-based cross-sectional study from Eastern India. Dermatologic Therapy, 33(4), May, 1–7. doi:10.1111/dth.13788
*Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S., … Lu, L. (2020). Psychological impact of the COVID-19 pandemic on healthcare workers: A cross-sectional study in China. General Psychiatry, 33(3), e100259. doi:10.1136/gpsych-2020-100259
*Rossi, R., Socci, V., Pacitti, F., Di Lorenzo, G., Di Marco, A., Siracusano, A., & Rossi, A. (2020). Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. JAMA Network Open, 3(5), e2010185. doi:10.1001/jamanetworkopen.2020.10185
Ruiz, M. A., & Gibson, C.-A. M. (2020). Emotional impact of the COVID-19 pandemic on U.S. health care workers: A gathering storm. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S153–S155 doi:10.1037/tra0000851
*Sethi, B. A., Sethi, A., Ali, S., & Aamir, H. S. (2020). Impact of Coronavirus disease (COVID-19) pandemic on health professionals. Pakistan Journal of Medical Sciences, 36(COVID19-S4). doi:10.12669/pjms.36.covid19-s4.2779
*Song, X., Fu, W., Liu, X., Luo, Z., Wang, R., Zhou, N., … Lv, C. (2020). Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain, Behavior, and Immunity, 88(June), 60–65. doi:10.1016/j.bbi.2020.06.002
*Sun, D., Yang, D., Li, Y., Zhou, J., Wang, W., Wang, Q., … Zhang, Q. (2020). Psychological impact of 2019 novel coronavirus (2019-nCoV) outbreak in health workers in China. Epidemiology and Infection, 148, 1–6. doi:10.1017/S0950268820001090
*Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., … Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 48(6), 592–598. doi:10.1016/j.ajic.2020.03.018
*Tu, Z., He, J., & Zhou, N. (2020). Sleep quality and mood symptoms in conscripted frontline nurse in Wuhan, China during COVID-19 outbreak. Medicine, 99(26), e20769. doi:10.1097/MD.0000000000020769
*Wang, S., Xie, L., Xu, Y., Yu, S., Yao, B., & Xiang, D. (2020). Sleep disturbances among medical workers during the outbreak of COVID-2019. Occupational Medicine (Oxford, England), 2–7. doi:10.1093/occmed/kqaa074
*Wu, W., Zhang, Y., Wang, P., Zhang, L., Wang, G., Lei, G., … Luo, M. (2020). Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. Journal of Medical Virology, 92(10), 1–9. doi:10.1002/jmv.25914
*Xing, J., Sun, N., Xu, J., Geng, S., & Li, Y. (2020). Study of the mental health status of medical personnel dealing with new coronavirus pneumonia. PLoS ONE, 15(5), 1–10. doi:10.1371/journal.pone.0233145
*Yin, Q., Sun, Z., Liu, T., Ni, X., Deng, X., Jia, Y., … Liu, W. (2020). Post-traumatic stress symptoms of health care workers during the corona virus disease 2019. Clinical Psychology and Psychotherapy, 27(3), 384–395. doi:10.1002/cpp.2477
Zerbini, G., Ebigbo, A., Reicherts, P., Kunz, M., & Messman, H. (2020). Psychosocial burden of healthcare professionals in times of Covid-19: A survey conducted at the university hospital Augsburg. GMS German Medical Science, 18, 1–9. doi:10.3205/000281
*Zhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., … Zhang, B. (2020). Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Frontiers in Psychiatry, 11(April), 1–9. doi:10.3389/fpsyt.2020.00306
*Zhang, W. R., Wang, K., Yin, L., Zhao, W. F., Xue, Q., Peng, M., … Wang, H. X. (2020). Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychotherapy and Psychosomatics, 89(4), 242–250. doi:10.1159/000507639
*Zhuo, K., Gao, C., Wang, X., Zhang, C., & Wang, Z. (2020). Stress and sleep: a survey based on wearable sleep trackers among medical and nursing staff in Wuhan during the COVID-19 pandemic. General Psychiatry, 33(3), e100260. doi:10.1136/ gpsych-2020-100260