Efecto de la pandemia por COVID-19 en la salud mental de los otorrinolaringólogos en Hispanoamérica

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Steven Osorio-Anaya
Honell Molina-Villar
Alejandro Uribe-Escobar
María del Carmen Ochoa-Martelo

Resumen

Introducción: La pandemia puede generar compromiso en la salud mental, especialmente del personal de salud expuesto directamente al virus. La Otorrinolaringología es una de las especialidades con mayor riesgo de exposición y contagio por SARS-CoV-2. Objetivo: Evaluar la salud mental en los otorrinolaringólogos de Hispanoamérica ante la actual pandemia COVID-19. Diseño: Estudio de corte transversal. Métodos: Se evaluaron variables socioeconómico/demográficas en otorrinolaringólogos y su asociación con las escalas PHQ-9 y GAD-7. Resultados: Se estudiaron 256 otorrinolaringólogos de Hispanoamérica. La escala PHQ-9 presentó una media de 5.45 (DE 4.22). La escala GAD-7 presentó una media de 4.55 (DE 3.457). La prevalencia de depresión mayor y ansiedad fue de 14.8% y 7%, respectivamente. En el análisis multivariado, los otorrinolaringólogos a los que se les ha realizado prueba con hisopado nasofaríngeo tienen una predicción significativa para presentar una puntuación alta en la escala PHQ-9 (p = .027). En la puntuación de la escala GAD-7, los individuos con mayor edad tienen una predicción significativa de menor puntuación en la escala (p = .002). Los otorrinolaringólogos con más años de experiencia (p = .037) y aquellos que les han realizado prueba de RT-PCR con hisopado nasofaríngeo para SARS-CoV-2, tienen una predicción significativa para presentar una puntuación alta en la escala GAD-7 (p = .027). Conclusión: La exposición a la prueba de hisopado nasofaríngeo para el diagnóstico de COVID-19 fue la única variable independiente que se asoció con aumento de las puntuaciones en las escalas GAD-7 y PHQ-9.

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Osorio-Anaya S, Molina-Villar H, Uribe-Escobar A, Ochoa-Martelo M del C. Efecto de la pandemia por COVID-19 en la salud mental de los otorrinolaringólogos en Hispanoamérica. Acta otorrinolaringol cir cabeza cuello [Internet]. 2 de julio de 2021 [citado 17 de septiembre de 2021];49(2):121 - 128. Disponible en: https://revista.acorl.org.co/index.php/acorl/article/view/550
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Biografía del autor/a

Honell Molina-Villar, Universidad de Cartagena

Residente otorrinolaringología IV año

Alejandro Uribe-Escobar, Universidad de Cartagena

Residente Otorrinolaringología III año Universidad de Cartagena (Cartagena, Colombia)

María del Carmen Ochoa-Martelo, Universidad Simón Bolívar

Residente Psiquiatría Universidad Simón Bolívar

Citas

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60. doi: 10.23750/abm.v91i1.9397

Burki T. COVID-19 in Latin America. Lancet. 2020;20(5):547-8. doi: 10.1016/S1473-3099(20)30303-0

Liu Z, Zhang L. At the center of the COVID-19 pandemic: Lessons learned for otolaryngology-head and neck surgery in China. Int Forum Allergy Rhinol. 2020;10(5):584-6 doi: 10.1002/alr.22585

Chen N, Zhou M, Dong X, Qu J, Gong F, Han F, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13. doi: 10.1016/s0140-6736(20)30211-7

Chan JF, Yuang S, Kok K, To K, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020;395(10223):514-23. doi: 10.1016/s0140-6736(20)30154-9

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: 10.1016/s0140-6736(20)30183-5

Kowalski LP, Sanabria A, Rdige J, Tong W, de Bree R, Rinaldo A, et al. COVID-19 pandemic: Effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. 2020;42(6):1259-67. doi: 10.1002/hed.26164

Chan JYK, Wong EWY, Lam W. Practical Aspects of Otolaryngologic Clinical Services During the 2019 Novel Coronavirus Epidemic: An Experience in Hong Kong. JAMA Otolaryngol Head Neck Surg. 2020;146(6):519-20. doi: 10.1001/jamaoto.2020.0488

Patel ZM, Fernandez J, Hwang P, Nayak J, Dodd R, Sajjadi H, et al. Letter: Precautions for Endoscopic Transnasal Skull Base Surgery During the COVID-19 Pandemic. Neurosurgery. 2020;87(1):E66-e67. doi: 10.1093/neuros/nyaa125

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(6):102694. doi: 10.1016/j.amjoto.2020.102694

Prasad A, Civantos A, Byrnes Y, Chorath K, Poonia S, Chang C, et al. Snapshot Impact of COVID-19 on Mental Wellness in Nonphysician Otolaryngology Health Care Workers: A National Study. OTO Open. 2020;4(3):1-12. doi: 10.1177/2473974X20948835

Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936. doi: 10.1016/j.psychres.2020.112936

Tian F, Li H, Tian S, Yang J, Shao J, Tian C. Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Res. 2020;288:112992. doi: 10.1016/j.psychres.2020.112992

Chevance A, Gourion D, Hoertel N, Llorca P, Thomas P, Bocher R, et al. Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review. Encephale. 2020;46(3):193-201. doi: 10.1016/j.encep.2020.04.005

Crespo-Facorro B. Mental health and the SARS-CoV-2 pandemic. Rev Psiquiatr Salud Ment. 2020;13(2):55-6. doi: 10.1016/j.rpsm.2020.04.010

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. doi: 10.1016/j.psychres.2020.112954

Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. 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 Behav Immun. 2020;87:11-7. doi: 10.1016/j.bbi.2020.03.028

Liu X, Kakade M, Fuller C, Fan B, Fang Y, Kong J. et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23. doi: 10.1016/j.comppsych.2011.02.003

Shreffler J, Petrey J, Huecker M. The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. West J Emerg Med. 2020;21(5):1059-66 doi: 10.5811/westjem.2020.7.48684

Asmundson GJG, Taylor S. How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. J Anxiety Disord. 2020;71:102211. doi: 10.1016/j.janxdis.2020.102211

Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatr. 2020;51:102076. doi: 10.1016/j.ajp.2020.102076

Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L, Ahmad A. Epidemic of COVID-19 in China and associated Psychological Problems. Asian J Psychiatr. 2020;51:102092. doi: 10.1016/j.ajp.2020.102092

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976

Kroenke K, Spitzer R, Williams J. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x

Baader T, Molina J, Venezian B, Rojas C. Validity and utility of PHQ9 (Patient Helth Questionnarie) in the diagnosis of depression in user patients of primary care in Chile. Rev Chil Neuro-Psiquiat. 2012;50(1):10-22.

Spitzer RL, Kroenke K, Williams J, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7 doi: 10.1001/archinte.166.10.1092

García-Campayo J, Zamorano E, Ruiz M, Pardo A, Pérez-Páramo M, López-Gómez V, et al. Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health Qual Life Outcomes. 2010;8:8. doi: 10.1186/1477-7525-8-8

Givi B, Schiff B, Chinn S, Clayburgh D, Gopalakrishna Iyer N, Jalisi S, et al. Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg. 2020;146(6):579-84. doi: 10.1001/jamaoto.2020.0780

Pappa S, Ntella V, Giannakas T, Giannakoulis V, 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. doi: 10.1016/j.bbi.2020.05.026

Xiao X, Zhu X, Fu S, Hu Y, Li X, Xiao J. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. J Affect Disord. 2020;274:405-10. doi: 10.1016/j.jad.2020.05.081

Ibanez-Vizoso JE, Alberdi-Paramo I, Diaz-Marsa M. International Mental Health perspectives on the novel coronavirus SARS-CoV-2 pandemic. Rev Psiquiatr Salud Ment (Engl Ed). 2020;13(2):111-3. doi: 10.1016/j.rpsm.2020.04.002

Civantos AM, Byrnes Y, Chang C, Prasad A, Chorath K, Poonia S, et al. Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: National study. Head Neck. 2020;42(7):1597-609. doi: 10.1002/hed.26292

Firew T, Sano E, Lee J, Flores S, Lang K, Salman K, et al. Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers' infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open. 2020;10(10):e042752. doi: 10.1136/bmjopen-2020-042752

Hossain MM, Tasnim S, Sultana A, Faizah F, Mazumder H, Zou L, et al. Epidemiology of mental health problems in COVID-19: a review. F1000Res. 2020;9:636. doi: 10.12688/f1000research.24457.1

Vindegaard N, Benros M. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531-42. doi: 10.1016/j.bbi.2020.05.048