Investigação de transtornos de estresse pós-traumáticos em pacientes e familiares acometidos pela Covid-19
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Jan 23, 2024
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Resumo
Objetivo: Investigar a presença de sinais e sintomas de Transtorno de Estresse Pós-Traumático (TEPT) e fatores de risco para o seu desenvolvimento, em indivíduos que foram infectados pela COVID-19 ou tiveram familiar ou amigo próximo que foi infectado. Métodos: Trata-se de um estudo de corte transversal, desenvolvido entre setembro de 2021 a agosto de 2022, por meio de formulário eletrônico divulgado em mídias sociais para população maior de 18 anos. A avaliação foi totalmente pautada na versão brasileira do Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5). Resultados: Atenderam ao critério de inclusão 119 indivíduos; do total, 73% dos entrevistados são do sexo feminino; 61% têm entre 20 e 29 anos; 32% são profissionais da área da saúde e 22% trabalham em alguma unidade de saúde. A pontuação média do PCL-5 foi de 21,76 pontos. Outros dados como qualidade do sono e renda familiar, foram cruzados com os valores obtidos no PCL-5 e considerados fatores de risco. Conclusão: Conclui-se que pandemia impactou a saúde mental da população, desencadeando diversos tipos de sofrimento psíquico, sendo, alguns grupos considerados mais vulneráveis para seu desenvolvimento.
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GoesV., SantosA. M. dos, GuimarãesA. de O., SouzaG. B. V. de, NascimentoA. L. D., SenaL. E. O. de J., EstácioR. C. C. M., GomesM. V., AlmeidaL. V. A., & SchneiderF. M. (2024). Investigação de transtornos de estresse pós-traumáticos em pacientes e familiares acometidos pela Covid-19. Revista Eletrônica Acervo Saúde, 24(1), e14677. https://doi.org/10.25248/reas.e14677.2024
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Referências
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11. CAMPO-ARIAS A, et al. Relation of perceived discrimination with depression, insomnia and post-traumatic stress in COVID-19 survivors. Psychiatry Research, 2022; 307: 1-4.
12. DELLA MONICA A, et al. The impact of Covid-19 healthcare emergency on the psychological well-being of health professionals: a review of literature. Annali di igiene: medicina preventiva e di comunita, 2022; 34(1): 27-44.
13. PEARLIN LI. The social contexts of stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects, 1993; 303-315.
14. PARK HY, et al. Psychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge. J Korean Med Sci, 2020; 35(47): 1-5.
15. BASSI M, et al. The Relationship between Post-Traumatic Stress and Positive Mental Health Symptoms among Health Workers during COVID-19 Pandemic in Lombardy, Italy. Journal of Affective Disorders, 2021; 280: 1-6.
16. BUYSSE DJ, et al. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatric Research, 1989; 28(2): 193-213.
17. BERTOLAZI AN. Tradução, adaptação cultural e validação de dois instrumentos de avaliação do sono: Escala de Sonolência de Epworth e Índice de Qualidade de Sono de Pittsburgh. 2008. Dissertação (mestrado em medicina) Faculdade de Medicina. Programa de Pós-graduação em medicina. Universidade Federal do Rio Grande do Sul (UFGRS). Porto Alegre, 2008; 93.
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19. POYRAZ BÇ, et al. Psychiatric Morbidity and Protracted Symptoms after COVID-19. Psychiatry Research, 2021; 295: 113604.
20. TARSITANI L, et al. “Post-Traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge”. Journal of General Internal Medicine, 2021; 36(6): 1702-1707.
21. SUN L, et al. Prevalence and Risk Factors for Acute Posttraumatic Stress Disorder during the COVID-19 Outbreak. Journal of Affective Disorders, 2021; 283: 123-129.
22. PUERTAS-GONZALES JA, et al. The psychological impact of the COVID-19 pandemic on pregnant women. Psychiatry Research, 2021; 301: 1-6.
23. XIAO W, et al. Prevalência e risco de sintomas de TEPT entre sobreviventes de uma infecção por COVID-19. Psiquiatria Res., 2023; 326: 115304.
24. CHENG P, et al. Psychometric Property Study of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Chinese Healthcare Workers during the Outbreak of Corona Virus Disease 2019. Journal of Affective Disorders, 2020; 277: 368-374.
25. WANIGASOORIYA K, et al. Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK. BJ Psych Open, 2021; 7(1): e24.
26. OUYANG H, et al. The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study. Translational psychiatry, 2022; 12: 1-7.
27. LI Y, et al. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PloS one, 2021; 16(3).
28. YOUNGRONG L, et al. Associations Between General Perceptions of COVID-19 and posttraumatic stress disorder in Korean Hospital Workers: Effect Modification by Previous Middle East Respiratory Syndrome Coronavirus Experience and Occupational Type. Journal of Preventive Medicine and Public Health, 2021; 54(2): 86-95.
29. QI X, et al. Factors associated with peritraumatic stress symptoms among the frontline healthcare workers during the outbreak of COVID-19 in China. BMJ Open, 2022; 12: 1-14.
30. KACHADOURIAN LK, et al. Transdiagnostic Psychiatric Symptoms, Burnout, and Functioning in Frontline Health Care Workers Responding to the COVID-19 Pandemic: A Symptomics Analysis. The Journal of Clinical Psychiatry, 2021; 82(3).
31. VAN DER MEER CAI, et al. Gender and Age Differences in Trauma and PTSD Among Dutch Treatment-Seeking Police Officers. The Journal of Nervous and Mental Disease, 2017; 205(2): 87-92.
32. VINDEGAARD N e BENROS ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, behavior, and immunity, 2020; 89: 531-542.
33. VLAKE JH, et al. Psychological distress and health-related quality of life in patients after hospitalization during the COVID-19 pandemic: A singlecenter, observational study. PloS ONE, 2021; 16(8): 1-22.
34. EINVIK G, et al. Prevalence and Risk Factors for Post-Traumatic Stress in Hospitalized and Non-Hospitalized COVID- 19 Patients. Int. J. Environ. Res. Public Health, 2021; 18(4): 2079.
35. MÉNDEZ R, et al. Short-term neuropsychiatric outcomes and quality of life in COVID-19 survivors. J Intern Med, 2021; 290: 621-631.
36. CHEN Y, et al. Prevalence and Predictors of Posttraumatic Stress Disorder, Depression and Anxiety among Hospitalized Patients with Coronavirus Disease 2019 in China. BMC Psychiatry, 2021; 21(1): 80.
2. MACHADO CO, et al. Impactos da Covid-19 na saúde mental da equipe de enfermagem de Unidades de Terapia Intensiva: uma revisão de escopo. Revista Eletrônica Acervo Saúde, 2022; 15(11): e11188.
3. SHAIK L, et al. COVID-19 e Distúrbios do Sono: Uma Revisão da Literatura de Evidências Clínicas. Medicina (Kaunas), 2023; 5: 818.
4. ANDRECHUK CRS, et al. O impacto da pandemia de COVID-19 nos distúrbios do sono entre profissionais de enfermagem. Revista Latino-Americana de Enfermagem, 2023; 31: e3795.
5. SCHENKER MT, et al. Sono e variabilidade diária dos sintomas de TEPT: uma avaliação ecológica momentânea e estudo monitorado por actigrafia em adultos jovens expostos ao trauma. Revista Europeia de Psicotraumatologia, 2023; 14(2).
6. SOLOMON Z, et al. Trajectories of PTSD and secondary traumatization: A longitudinal study. Journal of Psychiatric Research, 2021; 138: 354-359.
7. AMERICAN PSYCHIATRIC ASSOCIATION. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. Porto Alegre: Artmed, 2014; 5.
8. SANCHEZ GM, et al. COVID-19 Pandemic as a Traumatic Event and Its Associations with Fear and Mental Health: A Cognitive-Activation Approach. Int. J. Environ. Res. Public Health, 2021; 18: 9210.
9. JAVIDI H e YADOLLAHIE M. Post-traumatic stress disorder. The international journal of occupational and environmental medicine, 2021; 3(1): 2-9.
10. LENFERINK L, et al. Predicting transitions between longitudinal classes of post-traumatic stress disorder, adjustment disorder and well-being during the COVID-19 pandemic: protocol of a latent transition model in a general Dutch sample. BMJ Open, 2022; 12: 1-6.
11. CAMPO-ARIAS A, et al. Relation of perceived discrimination with depression, insomnia and post-traumatic stress in COVID-19 survivors. Psychiatry Research, 2022; 307: 1-4.
12. DELLA MONICA A, et al. The impact of Covid-19 healthcare emergency on the psychological well-being of health professionals: a review of literature. Annali di igiene: medicina preventiva e di comunita, 2022; 34(1): 27-44.
13. PEARLIN LI. The social contexts of stress. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress: Theoretical and clinical aspects, 1993; 303-315.
14. PARK HY, et al. Psychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge. J Korean Med Sci, 2020; 35(47): 1-5.
15. BASSI M, et al. The Relationship between Post-Traumatic Stress and Positive Mental Health Symptoms among Health Workers during COVID-19 Pandemic in Lombardy, Italy. Journal of Affective Disorders, 2021; 280: 1-6.
16. BUYSSE DJ, et al. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatric Research, 1989; 28(2): 193-213.
17. BERTOLAZI AN. Tradução, adaptação cultural e validação de dois instrumentos de avaliação do sono: Escala de Sonolência de Epworth e Índice de Qualidade de Sono de Pittsburgh. 2008. Dissertação (mestrado em medicina) Faculdade de Medicina. Programa de Pós-graduação em medicina. Universidade Federal do Rio Grande do Sul (UFGRS). Porto Alegre, 2008; 93.
18. OSÓRIO FL, et al. Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Transcultural Adaptation of the Brazilian Version”. Archives of Clinical Psychiatry (São Paulo), 2017; 44(1): 10-19.
19. POYRAZ BÇ, et al. Psychiatric Morbidity and Protracted Symptoms after COVID-19. Psychiatry Research, 2021; 295: 113604.
20. TARSITANI L, et al. “Post-Traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge”. Journal of General Internal Medicine, 2021; 36(6): 1702-1707.
21. SUN L, et al. Prevalence and Risk Factors for Acute Posttraumatic Stress Disorder during the COVID-19 Outbreak. Journal of Affective Disorders, 2021; 283: 123-129.
22. PUERTAS-GONZALES JA, et al. The psychological impact of the COVID-19 pandemic on pregnant women. Psychiatry Research, 2021; 301: 1-6.
23. XIAO W, et al. Prevalência e risco de sintomas de TEPT entre sobreviventes de uma infecção por COVID-19. Psiquiatria Res., 2023; 326: 115304.
24. CHENG P, et al. Psychometric Property Study of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) in Chinese Healthcare Workers during the Outbreak of Corona Virus Disease 2019. Journal of Affective Disorders, 2020; 277: 368-374.
25. WANIGASOORIYA K, et al. Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK. BJ Psych Open, 2021; 7(1): e24.
26. OUYANG H, et al. The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study. Translational psychiatry, 2022; 12: 1-7.
27. LI Y, et al. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PloS one, 2021; 16(3).
28. YOUNGRONG L, et al. Associations Between General Perceptions of COVID-19 and posttraumatic stress disorder in Korean Hospital Workers: Effect Modification by Previous Middle East Respiratory Syndrome Coronavirus Experience and Occupational Type. Journal of Preventive Medicine and Public Health, 2021; 54(2): 86-95.
29. QI X, et al. Factors associated with peritraumatic stress symptoms among the frontline healthcare workers during the outbreak of COVID-19 in China. BMJ Open, 2022; 12: 1-14.
30. KACHADOURIAN LK, et al. Transdiagnostic Psychiatric Symptoms, Burnout, and Functioning in Frontline Health Care Workers Responding to the COVID-19 Pandemic: A Symptomics Analysis. The Journal of Clinical Psychiatry, 2021; 82(3).
31. VAN DER MEER CAI, et al. Gender and Age Differences in Trauma and PTSD Among Dutch Treatment-Seeking Police Officers. The Journal of Nervous and Mental Disease, 2017; 205(2): 87-92.
32. VINDEGAARD N e BENROS ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, behavior, and immunity, 2020; 89: 531-542.
33. VLAKE JH, et al. Psychological distress and health-related quality of life in patients after hospitalization during the COVID-19 pandemic: A singlecenter, observational study. PloS ONE, 2021; 16(8): 1-22.
34. EINVIK G, et al. Prevalence and Risk Factors for Post-Traumatic Stress in Hospitalized and Non-Hospitalized COVID- 19 Patients. Int. J. Environ. Res. Public Health, 2021; 18(4): 2079.
35. MÉNDEZ R, et al. Short-term neuropsychiatric outcomes and quality of life in COVID-19 survivors. J Intern Med, 2021; 290: 621-631.
36. CHEN Y, et al. Prevalence and Predictors of Posttraumatic Stress Disorder, Depression and Anxiety among Hospitalized Patients with Coronavirus Disease 2019 in China. BMC Psychiatry, 2021; 21(1): 80.