학술논문
Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study
Document Type
Article
Author
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; 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; Rodríguez-Blázquez, Carmen; Sanz, Ferran; Serra, Consol; Urreta-Barallobre, Iratxe; Kessler, Ronald C.; Bruffaerts, Ronny; Vieta, Eduard; Pérez-Solá, Víctor; Alonso, Jordi; Mortier, Philippe
Source
Epidemiology and Psychiatric Sciences; January 2024, Vol. 32 Issue: 1
Subject
Language
ISSN
20457960; 20457979
Abstract
AbstractAimTo 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.MethodsThis 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).ResultsThirty-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.ConclusionsTSSs 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.