The first wave of COVID-19 and mental distress of physician residents in Brazil: a comparison between two cohorts

The first wave of COVID-19 and mental distress of physician residents in Brazil: a comparison between two cohorts

The reorganization of healthcare systems to face the COVID-19 pandemic has led to concerns regarding psychological distress of healthcare workers, and training requirements of physician residents. To assess the influence of COVID-19 pandemic on depression, anxiety, burnout and training schedules of...

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Bibliographic Details
Published in:Human resources for health Vol. 21; no. 1; p. 10
Main Authors: de Mélo Silva Júnior, Mário Luciano, Sapia, Arthur Violante, Cavalcanti Neto, Jonas Marques, Barbosa, Nathallya Maria Gomes, Neiva, Victória Beatriz Costa, Sauaia Filho, Euler Nicolau
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 14-02-2023
BioMed Central
BMC
Subjects:
Anxiety
Brazil
Brazil - epidemiology
Burnout
Burnout, Professional - epidemiology
Burnout, Professional - psychology
Coronaviruses
COVID-19
COVID-19 - epidemiology
Cross-Sectional Studies
Data collection
Depression
Depression - epidemiology
Depression, Mental
Diagnosis
Epidemics
Health aspects
Health Personnel - psychology
Humans
Internship and Residency
Mental depression
Mental health
Pandemics
Personal protective equipment
Physicians
Physicians - psychology
Professional ethics
Psychological aspects
Psychological Distress
Public health
Questionnaires
Residency training
Risk factors
SARS-CoV-2
Sensitivity analysis
Social networks
Stress (Psychology)
Surveys
Workload
Workloads
Brazil
Depression
Anxiety
Burnout
Residency training
Workload
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Summary:The reorganization of healthcare systems to face the COVID-19 pandemic has led to concerns regarding psychological distress of healthcare workers, and training requirements of physician residents. To assess the influence of COVID-19 pandemic on depression, anxiety, burnout and training schedules of residents. Two independent cross-sectional studies (the first in November 2019 [control], the second in June 2020, during the first wave of COVID-19 pandemic) enrolling physician residents from Brazil, using online surveys. In each of them, we collected demographic and training program data, and assessed depression, anxiety and burnout through PHQ-2, GAD-2 and MBI (2-item version) scales, respectively. We controlled confounding variables with logistic regression analysis. The COVID-19 cohort (n = 524) presented a briefer workload and had at least 1 day off per week more frequently, in relation to the control cohort (n = 1 419). The majority of residents (464/524, 89.5%) had a reduction in their duty hours, and believed they would need an extra training period after the end of the pandemic (399/524, 76.2%). The frequency of depression increased (46.0% vs. 58.8%, aOR = 1.64, 95% CI = 1.32-2.05), anxiety did not change (56.5% vs. 56.5%, aOR = 1.24, 95% CI = 0.99-1.55) and burnout decreased (37.0% vs. 26.1%, aOR = 0.77, 95% CI = 0.60-0.99). Sensitivity analysis did not change these results. Mental distress is frequent among residents and associated with both training program and social environments. The consequences of the COVID-19 pandemic on training requirements should be specifically addressed by supervisors and policymakers, in a case-by-case basis. Psychological support must be provided to healthcare workers.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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ISSN:1478-4491
1478-4491
DOI:10.1186/s12960-022-00790-5