Enfermedad mental entre médicos en la pandemia COVID-19

Autores/as

DOI:

https://doi.org/10.25118/2763-9037.2021.v11.57

Palabras clave:

Trastornos mentales, pandemias, enfermedades profesionales, síndrome de burnout

Resumen

Introducción: La pandemia de COVID-19 exacerbó la angustia existencial que rodea a la muerte. La inseguridad y la incertidumbre relacionadas con los límites de la ciencia y la falta de consenso científico sobre esta nueva enfermedad resaltan la necesidad de investigar, reflexionar y revisar la información sobre los problemas de salud mental relacionados con el trabajo médico, especialmente para aquellos en la primera línea de la prestación de atención. para personas con COVID-19. También es necesario discutir el estigma asociado al sufrimiento psicológico de esta población, especialmente durante la pandemia, e identificar los trastornos mentales de manera temprana y buscar inmediatamente servicios de salud mental especializados. Métodos: una revisión narrativa dirigida a discutir el estado del arte y actualizar el conocimiento sobre enfermedades mentales entre los médicos en la pandemia de COVID-19. Resultados: La literatura científica revela altas tasas de prevalencia de trastorno mental común (TMC), síntomas depresivos, agotamiento y suicidio entre estudiantes, residentes, docentes y profesionales médicos. La pandemia COVID-19 presenta un riesgo de trastornos de salud mental, comúnmente descritos como la cuarta ola de la pandemia, que se desencadenaría por elementos biopsicosociales que surgen del período de cuarentena y la priorización de la atención física sobre la provisión de atención de salud mental. Conclusiones: Las instituciones de salud deben revisar y reflexionar sobre su papel en la promoción, mantenimiento y prevención del sufrimiento psicológico y los trastornos mentales identificados entre los médicos. Estas medidas contribuirán a planificar mejores estrategias que preserven su salud mental, con consecuencias positivas para la sociedad en su conjunto.

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Baldassin S. O desgaste no internato: o nascimento do coping de um médico. In: Guimarães KB. Saúde mental do médico e do estudante de medicina. São Paulo: Casa do Psicólogo; 2007. p. 51-60. https://www.pearsonclinical.com.br/saude-mental-do-medico-e-do-estudante-de-medicina.html

Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Braz J Psychiatry. 2017;39:369-78. https://doi.org/10.1590/1516-4446-2017-2223 PMid:28876408 MCid:PMC7111407

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316:2214-36. https://doi.org/10.1001/jama.2016.17324 PMid:27923088 PMCid:PMC5613659

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314:2373-83. https://doi.org/10.1001/jama.2015.15845 PMid:26647259 PMCid:PMC4866499

Rodrigues TM, Melo EV, Oliva-Costa EF. Prevalência da síndrome de Burnout e fatores associados entre médicos egressos de universidade pública brasileira. In: 17º Congresso da ISMA-BR. 2017. Anais do ISMA-BR. http://www.ismabrasil.com.br/congressos/congresso-2017/patrocine

Duarte D, El-Hagrassy MM, Couto TC, Gurgel W, Fregni F, Correa H. Male and female physician suicidality: a systematic review and meta-analysis. JAMA Psychiatry. 2020;77:587-97. https://doi.org/10.1001/jamapsychiatry.2020.0011 PMid:32129813 PMCid:PMC7057173

Pereira-Lima K, Mata DA, Loureiro SR, Crippa JA, Bolsoni LM, Sen S. Association between physician depressive symptoms and medical errors: a systematic review and meta-analysis. JAMA Netw Open. 2019;2:e1916097. https://doi.org/10.1001/jamanetworkopen.2019.16097 PMid:31774520 PMCid:PMC6902829

Williams R, Bisson J, Kemp V. Principles for responding to people's psychosocial and mental health needs after disasters [Internet]. The Royal College of Psychiatrists. 2014 Nov [cited 2020 Mar 31]. https://www.apothecaries.org/wp-content/uploads/2019/02/OP94.pdf

World Health Organization (WHO). Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected [Internet]. 2020 Mar 19 [cited 2021 Jun 10]. https://www.who.int/publications/i/item/10665-331495

Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of insomnia and related social psychological factors among medical staff involved with the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306. https://doi.org/10.3389/fpsyt.2020.00306 PMid:32346373 PMCid:PMC7171048

Torjesen I. Covid-19: doctors need proper mental health support, says BMA. BMJ. 2020;369:m2192. https://doi.org/10.1136/bmj.m2192 PMid:32482682

Shah N, Raheem A, Sideris M, Velauthar L, Saeed F. Mental health amongst obstetrics and gynaecology doctors during the COVID-19 pandemic: results of a UK-wide study. Eur J Obstet Gynecol Reprod Biol. 2020;253:90-4. https://doi.org/10.1016/j.ejogrb.2020.07.060 PMid:32829231 PMCid:PMC7417944

Rimmer A. Covid-19: two fifths of doctors say pandemic has worsened their mental health. BMJ. 2020;371:m4148. https://doi.org/10.1136/bmj.m4148 PMid:33109530

Lazzerini M, Putoto G. COVID-19 in Italy: momentous decisions and many uncertainties. Lancet Glob Health. 2020;8:e641-2. https://doi.org/10.1016/S2214-109X(20)30110-8

Rathod S, Pallikadavath S, YoungAH, Graves L, Rahman MM, Brooks A, et al. Psychological impact of COVID-19 pandemic: protocol and results of first three weeks from an international cross-section survey - focus on health professionals. J Affect Disord Rep. 2020;1:100005. https://doi.org/10.1016/j.jadr.2020.100005 PMid:33313579 PMCid:PMC7507987

Rimmer A. Covid-19: drop the hero narrative and support doctors' mental health, says charity. BMJ. 2021;372:n337. https://doi.org/10.1136/bmj.n337 PMid:33541858

Supporting the mental health of NHS staff. The role of NHS leaders in reducing mental health stigma and creating mentally healthy cultures [Internet]. 2021 [cited 2021 Jun 10]. https://cdn.mentalhealthatwork.org.uk/wp-content/uploads/2021/02/02114357/BMA-Stigma-Resource-.pdf

da Silva AG, Miranda DM, Diaz AP, Telles AL, Malloy-Diniz LF, Palha AP. Mental health: why it still matters in the midst of a pandemic. Braz J Psychiatry. 2020;42:229-31. https://doi.org/10.1590/1516-4446-2020-0009 PMid:32267344 PMCid:PMC7236155

Mari J. O pior da pandemia se dará na saúde mental [Internet]. Folha de São Paulo. 2020 [cited 2020 Jun 08]. https://www1.folha.uol.com.br/opiniao/2020/05/o-pior-da-pandemia-se-dara-na-saude-mental.shtml

Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N, et al. Suicide risk and prevention during the COVID-19 pandemic [Internet]. 2020 [cited 2020 Sep 28]. https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30171-1/fulltext

Coluna Mundo. Médica da linha de frente contra coronavírus comete suicídio nos EUA [Internet]. Folha de São Paulo. 2020 [cited 2020 Jun 13]. https://www1.folha.uol.com.br/mundo/2020/04/medica-da-linha-de-frente-contra-coronavirus-comete-suicidio-nos-eua.shtml

Meleiro AM. Consequências do trabalho na saúde mental do médico: qual a realidade? In: Cordeiro Q, Razzouk D, Lima MG. Trabalho e saúde mental dos profissionais da saúde. São Paulo: CRMESP; 2016. p. 107-30. https://sbph.org.br/wp-content/uploads/2014/03/trabalho-e-saude-mental-dos-profissionais-da-saude.pdf

Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-7. https://doi.org/10.1016/j.bbi.2020.05.026 PMid:32437915 PMCid:PMC7206431

De Boni RB, Balanzá-Martínez V, Mota JC, Cardoso TA, Ballester P, Atienza-Carbonell, B, et al. Depression, anxiety, and lifestyle among essential workers: a web survey from Brazil and Spain during the COVID-19 pandemic. J Med Internet Res. 2020;22:e22835. https://doi.org/10.2196/22835 PMid:33038075 PMCid:PMC7641648

Badahdah A, Khamis F, Al Mahyijari N, Al Balushi M, Al Hatmi H, Al Salmi I, et al. The mental health of health care workers in Oman during the COVID-19 pandemic. Int J Soc Psychiatry. 2021;67:90-5. https://doi.org/10.1177/0020764020939596 PMid:32635837 PMCid:PMC8191150

Civantos AM, Bertelli A, Gonçalves A, Getzen E, Chang C, Long Q, et al. Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: a national study. Am J Otolaryngol. 2020;41:102694. https://doi.org/10.1016/j.amjoto.2020.102694 PMid:32854041 PMCid:PMC7442010

Ministério da Saúde, FIOCRUZ. Saúde mental e atenção psicossocial na pandemia Covid-19 [Internet]. [cited 2020 Jun 15]. https://www.fiocruzbrasilia.fiocruz.br/wp-content/uploads/2020/04/Sa%C3%BAde-Mental-e-Aten%C3%A7%C3%A3o-Psicossocial-na-Pandemia-Covid-19-recomenda%C3%A7%C3%B5es-gerais.pdf

Galbraith N, Boyda D, McFeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bull. 2021;45:93-7. https://doi.org/10.1192/bjb.2020.44 PMid:32340645 PMCid:PMC7322151

Salum GA, Rehmenklau JF, Csordas MC, Pereira FP, Castan JU, Ferreira AB, et al. Supporting people with severe mental health conditions during the COVID-19 pandemic: considerations for low- and middle-income countries using telehealth case management. Braz J Psychiatry. 2020;42:451-2. https://doi.org/10.1590/1516-4446-2020-1078 PMid:32578690 PMCid:PMC7430400

Fukuti P, Uchôa CL, Mazzoco MF, Corchs F, Kamitsuji CS, De Rossi L, et al. How institutions can protect the mental health and psychosocial well-being of their healthcare workers in the current COVID-19 pandemic. Clinics (Sao Paulo). 2020;75:e1963. https://doi.org/10.6061/clinics/2020/e1663

Publicado

2021-09-18

Cómo citar

1.
Meleiro AMA da S, Danila AH, Humes E de C, Baldassin SP, Silva AG da, Oliva-Costa EF de. Enfermedad mental entre médicos en la pandemia COVID-19. Debates em Psiquiatria [Internet]. 18 de septiembre de 2021 [citado 21 de septiembre de 2024];11:1-20. Disponible en: https://revistardp.org.br/revista/article/view/57

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