Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico
Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is e...
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creator | Granados Villalpando, Jesús Maximiliano Baeza Flores, Guadalupe Del Carmen Ble Castillo, Jorge Luis Celorio Méndez, Karla Del Socorro Juárez Rojop, Isela Esther Morales Contreras, José Antonio Olvera Hernández, Viridiana Quiroz Gómez, Sergio Romero Tapia, Sergio de Jesús Ruíz Quiñones, Jesús Arturo Guzmán Priego, Crystell Guadalupe |
description | Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors. |
doi_str_mv | 10.3390/ijerph20054230 |
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COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph20054230</identifier><identifier>PMID: 36901239</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adaptation, Psychological ; Adult ; Age ; Analysis ; Anxiety ; Anxiety - epidemiology ; Comorbidity ; Coping ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Cross-Sectional Studies ; Depression - epidemiology ; Depression, Mental ; Female ; Gender ; Health care ; Health Personnel - psychology ; Humans ; Infections ; Informed consent ; Job stress ; Male ; Medical personnel ; Medical research ; Medicine, Experimental ; Mental depression ; Mental disorders ; Mental Health ; Mexico ; Middle Aged ; Normal distribution ; Pandemics ; Post traumatic stress disorder ; Preventive medicine ; Questionnaires ; Resignations ; Risk factors ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Stress ; Stress, Psychological - epidemiology ; Workers</subject><ispartof>International journal of environmental research and public health, 2023-02, Vol.20 (5), p.4230</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4010-2f2f344df1b3476bc75e1aab525c529b2b2772ffd6b88164e7164c9d633a4fd63</citedby><cites>FETCH-LOGICAL-c4010-2f2f344df1b3476bc75e1aab525c529b2b2772ffd6b88164e7164c9d633a4fd63</cites><orcidid>0000-0002-8228-1314 ; 0000-0001-5075-6824</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001768/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001768/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36901239$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Granados Villalpando, Jesús Maximiliano</creatorcontrib><creatorcontrib>Baeza Flores, Guadalupe Del Carmen</creatorcontrib><creatorcontrib>Ble Castillo, Jorge Luis</creatorcontrib><creatorcontrib>Celorio Méndez, Karla Del Socorro</creatorcontrib><creatorcontrib>Juárez Rojop, Isela Esther</creatorcontrib><creatorcontrib>Morales Contreras, José Antonio</creatorcontrib><creatorcontrib>Olvera Hernández, Viridiana</creatorcontrib><creatorcontrib>Quiroz Gómez, Sergio</creatorcontrib><creatorcontrib>Romero Tapia, Sergio de Jesús</creatorcontrib><creatorcontrib>Ruíz Quiñones, Jesús Arturo</creatorcontrib><creatorcontrib>Guzmán Priego, Crystell Guadalupe</creatorcontrib><title>Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Age</subject><subject>Analysis</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Comorbidity</subject><subject>Coping</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression, Mental</subject><subject>Female</subject><subject>Gender</subject><subject>Health care</subject><subject>Health Personnel - psychology</subject><subject>Humans</subject><subject>Infections</subject><subject>Informed consent</subject><subject>Job stress</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Mexico</subject><subject>Middle Aged</subject><subject>Normal distribution</subject><subject>Pandemics</subject><subject>Post traumatic stress disorder</subject><subject>Preventive medicine</subject><subject>Questionnaires</subject><subject>Resignations</subject><subject>Risk factors</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Stress</subject><subject>Stress, Psychological - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Granados Villalpando, Jesús Maximiliano</au><au>Baeza Flores, Guadalupe Del Carmen</au><au>Ble Castillo, Jorge Luis</au><au>Celorio Méndez, Karla Del Socorro</au><au>Juárez Rojop, Isela Esther</au><au>Morales Contreras, José Antonio</au><au>Olvera Hernández, Viridiana</au><au>Quiroz Gómez, Sergio</au><au>Romero Tapia, Sergio de Jesús</au><au>Ruíz Quiñones, Jesús Arturo</au><au>Guzmán Priego, Crystell Guadalupe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2023-02-27</date><risdate>2023</risdate><volume>20</volume><issue>5</issue><spage>4230</spage><pages>4230-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36901239</pmid><doi>10.3390/ijerph20054230</doi><orcidid>https://orcid.org/0000-0002-8228-1314</orcidid><orcidid>https://orcid.org/0000-0001-5075-6824</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation, Psychological Adult Age Analysis Anxiety Anxiety - epidemiology Comorbidity Coping Coronaviruses COVID-19 COVID-19 - epidemiology Cross-Sectional Studies Depression - epidemiology Depression, Mental Female Gender Health care Health Personnel - psychology Humans Infections Informed consent Job stress Male Medical personnel Medical research Medicine, Experimental Mental depression Mental disorders Mental Health Mexico Middle Aged Normal distribution Pandemics Post traumatic stress disorder Preventive medicine Questionnaires Resignations Risk factors SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Stress Stress, Psychological - epidemiology Workers |
title | Mental Health Disorders and Coping Strategies in Healthcare Workers during the COVID-19 Pandemic: An Analytical Cross-Sectional Study in Southeastern Mexico |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-14T02%3A50%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Mental%20Health%20Disorders%20and%20Coping%20Strategies%20in%20Healthcare%20Workers%20during%20the%20COVID-19%20Pandemic:%20An%20Analytical%20Cross-Sectional%20Study%20in%20Southeastern%20Mexico&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Granados%20Villalpando,%20Jes%C3%BAs%20Maximiliano&rft.date=2023-02-27&rft.volume=20&rft.issue=5&rft.spage=4230&rft.pages=4230-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph20054230&rft_dat=%3Cgale_pubme%3EA751917044%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2785196046&rft_id=info:pmid/36901239&rft_galeid=A751917044&rfr_iscdi=true |