دورية أكاديمية

Did the prevalence of depressive symptoms change during the COVID-19 pandemic? A multilevel analysis on longitudinal data from healthcare workers.

التفاصيل البيبلوغرافية
العنوان: Did the prevalence of depressive symptoms change during the COVID-19 pandemic? A multilevel analysis on longitudinal data from healthcare workers.
المؤلفون: Hoffmann S; Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Germany.; Lausitz Center for Digital Public Health, Institute of Health, Brandenburg University of Technology Cottbus-Senftenberg, Germany., Schulze S; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Germany.; Social and Preventive Medicine, Department of Sports and Health Sciences, Intra-faculty unit 'Cognitive Sciences', Faculty of Human Science, University of Potsdam, Germany.; Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, Germany., Löffler A; Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Germany., Becker J; Institute for Clinical Chemistry, Laboratory Diagnostics and Microbiology, Sana Kliniken Niederlausitz gGmbH, Senftenberg, Germany., Hufert F; Department of Microbiology and Virology, Medical University Brandenburg Theodor Fontane, Neuruppin, Germany., Gremmels HD; Institute for Clinical Chemistry, Laboratory Diagnostics and Microbiology, Sana Kliniken Niederlausitz gGmbH, Senftenberg, Germany., Holmberg C; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Germany.; Institute of Social Medicine and Epidemiology, Brandenburg Medical School Theodor Fontane, Germany., Rapp MA; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Germany.; Social and Preventive Medicine, Department of Sports and Health Sciences, Intra-faculty unit 'Cognitive Sciences', Faculty of Human Science, University of Potsdam, Germany., Entringer S; Charité - Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Psychology, Germany.; Department of Pediatrics, and Development, Health and Disease Research Program University of California, Irvine, USA., Spallek J; Department of Public Health, Brandenburg University of Technology Cottbus-Senftenberg, Germany.; Lausitz Center for Digital Public Health, Institute of Health, Brandenburg University of Technology Cottbus-Senftenberg, Germany.; Faculty of Health Sciences Brandenburg, Joint Faculty of the University of Potsdam, Brandenburg University of Technology Cottbus-Senftenberg and Brandenburg Medical School, Germany.
المصدر: The International journal of social psychiatry [Int J Soc Psychiatry] 2024 Feb; Vol. 70 (1), pp. 87-98. Date of Electronic Publication: 2023 Sep 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: England NLM ID: 0374726 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1741-2854 (Electronic) Linking ISSN: 00207640 NLM ISO Abbreviation: Int J Soc Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Publication: <2002->: London : Sage Publications
Original Publication: London Avenue Publishing Co
مواضيع طبية MeSH: COVID-19*/epidemiology, Humans ; Depression/epidemiology ; Pandemics ; SARS-CoV-2 ; Cohort Studies ; Prevalence ; Multilevel Analysis ; Health Personnel/psychology
مستخلص: Background: Healthcare workers (HCW) are at high risk to develop mental health problems during the COVID-19 pandemic because of additional work load, perceived stress, and exposure to patients with COVID-19. Currently, there are few studies on change over time in the prevalence of depressive symptoms during pandemic start among HCW. Thus, the aims of the current study were to examine whether depressive symptoms increased during the pandemic and were associated with perceived stress and own COVID-19 infection and workplace exposure to virus-infected patients.
Methods: The cohort study used longitudinal data from HCW collected monthly (July 2020 till December 2020) during the first year of the pandemic before vaccination became available. The sample of n  = 166 was drawn from a German hospital and included medical (e.g. nurses, therapists, and physicians) and administrative staff. Using multilevel models, we analyzed the change in depressive symptoms [assessed with General Depression Scale (GDS), a validated German version of the Center for Epidemiological Studies Depression Scale (CES-D)] and its association with perceived stress across the study period. Laboratory-confirmed own infection was tested as a potential moderator in this context. Subscales of the GDS were used to examine change over time of depressive symptom modalities (e.g. emotional, somatic, and social interactions (β, 95% confidence interval).
Results: Depression scores increased significantly during the study period (β = .03, 95% CI [0.02, 0.05]). Perceived stress was associated with depressive symptoms (β = .12, 95% CI [0.10, 0.14]) but did not change over time. Exposure to COVID-19 infection was associated with a higher increase of depressive symptoms (β = .12, 95% CI [0.10, .14]). Somatic symptoms of depression increased among medical HCW with workplace exposure to COVID-19 (β = .25, 95% CI [0.13, 0.38]), but not in administrators (β = .03, 95% CI [-0.04, 0.11]).
Conclusion: Research is needed to identify factors that promote the reduction of depressive symptoms in medical HCW with exposition to COVID-19 patients. Awareness of infection protection measures should be increased.
Competing Interests: Conflict of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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فهرسة مساهمة: Keywords: COVID-19; Depressive symptoms; healthcare workers; pandemic
تواريخ الأحداث: Date Created: 20230906 Date Completed: 20240214 Latest Revision: 20240214
رمز التحديث: 20240214
مُعرف محوري في PubMed: PMC10860357
DOI: 10.1177/00207640231196737
PMID: 37671660
قاعدة البيانات: MEDLINE
الوصف
تدمد:1741-2854
DOI:10.1177/00207640231196737