Prevalência de depressão, suas consequências e estratégias de enfrentamento em profissionais de saúde de um hospital regional do Distrito Federal
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Publicado
May 15, 2025
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Resumo
Objetivo: Conhecer a prevalência de depressão entre os profissionais de saúde do Hospital Regional da Asa Norte e os mecanismos de enfrentamento (coping) por eles utilizados. Métodos: Estudo transversal, descritivo e analítico com abordagem quantitativa com profissionais de saúde que trabalham no Hospital Regional da Asa Norte. Resultados: A prevalência de sintomas depressivos entre os participantes foi de 75,76%, sendo que 53,54 % destes relataram sintomas depressivos de moderada a alta gravidade. Profissionais na faixa de 30 a 39 anos apresentaram uma prevalência de depressão 78% maior do que aqueles com 50 anos ou mais (p = 0,0300). Quanto ao mecanismo de coping, observou-se que a maioria dos profissionais utilizava mecanismos de enfrentamento positivos. Conclusão: Identificou-se uma alta prevalência de depressão entre os profissionais de saúde, semelhante a descobertas publicadas internacionalmente, que indicam prevalência aumentada de transtornos mentais entre trabalhadores da área. Assim, torna-se evidente que esse é um problema a ser abordado como uma prioridade em saúde pública.
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Como Citar
CarvalhoM. R. M. de, RibeiroT. de C., & PereiraC. de C. G. (2025). Prevalência de depressão, suas consequências e estratégias de enfrentamento em profissionais de saúde de um hospital regional do Distrito Federal. Revista Eletrônica Acervo Saúde, 25(5), e20071. https://doi.org/10.25248/reas.e20071.2025
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Referências
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10. FAHRENKOPF AM, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ, 2008; 336(7642): 488–491.
11. FERRARI A, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 2022; 9(2): 137-150.
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13. GONDA X. et al. Prediction and prevention of suicide in patients with unipolar depression and anxiety. Annals of General Psychiatry, 2007; 6(1).
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15. HALBESLEBEN JRB, RATHERT C. Linking physician burnout and patient outcomes. Health Care Management Review, 2008; 33(1): 29–39.
16. HARDEVELD F. et al. Prevalence and predictors of recurrence of major depressive disorder in the adult population. Acta Psychiatrica Scandinavica, 2009; 122(3): 184–191.
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20. KESSLER RC, BROMET EJ. The Epidemiology of Depression Across Cultures. Annual Review of Public Health, 2013; 34: 119–138.
21. KIM E, et al. Duration of New-Onset Depressive Symptoms During Medical Residency. JAMA Network Open, 2024; 7(6): e2418082.
22. KROENKE K, et al. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 2001; 16(9): 606–613.
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25. 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): e0246454.
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28. MINAHAN J, et al. The COVID-19 Pandemic and Psychosocial Outcomes Across Age Through the Stress and Coping Framework. The Gerontologist, 2020; 61(2): 228–239.
29. PALACIOS-DELGADO J, et al. How Important are Optimism and Coping Strategies for Mental Health? Effect in Reducing Depression in Young People. Psychiatry International, 2024; 5(3): 532–543.
30. PAPPA S, et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 2020; 88: 901–907.
31. REZENDE AAF, PEREIRA AC. Estratégias de coping de profissionais da saúde de Piracicaba durante a COVID-19. Revista Psicologia, Diversidade e Saúde, 2023; 12: e5214.
32. RIETH R, et al. Coping strategies and characteristics of the nursing staff of a private hospital. Rev Rene, 2016; 16(1).
33. SAADE S, et al. Depressive symptoms in helping professions: a systematic review of prevalence rates and work-related risk factors. International Archives of Occupational and Environmental Health, 2021; 95(1): 67–116.
34. SALLET P, et al. Manual do Residente de Psiquiatria. Santana de Parnaíba: Manole, 2023.
35. SANTOS IS, et al. Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saúde Pública, v. 29, n. 8, p. 1533–1543, 1 ago. 2013.
36. SCOTT KM, et al. Association of Mental Disorders With Subsequent Chronic Physical Conditions: World Mental Health Surveys From 17 Countries. JAMA Psychiatry, 2016; 73(2): 150–158.
37. SØVOLD LE. et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health, 2021; 9(7).
38. THE LANCET GLOBAL HEALTH. Mental Health Matters. The Lancet Global Health, 2020; 8(11).
39. WEST CP, et al. Association of Perceived Medical Errors With Resident Distress and Empathy. JAMA, 2006; 296(9): 1071.
40. ZHAO H, et al. Global, regional, and national burden of depressive disorders among young people aged 10–24 years, 2010–2019. Journal of Psychiatric Research, 2024; 170: 47–57.
2. AMERICAN PSYCHIATRIC ASSOCIATION. Manual diagnóstico e estatístico de transtornos mentais: DSM-V. 5 ed. Porto Alegre: Artmed, 2014.
3. BRASILEIRO SV. Adaptação transcultural e propriedades psicométricas do COPE breve em uma amostra brasileira. Dissertação (Mestrado em Ciências da Saúde) – Universidade Federal de Goiás, Goiânia, 2012; 85p.
4. CAI H, et al. Prevalence of Suicidality in Major Depressive Disorder: A Systematic Review and Meta-Analysis of Comparative Studies. Frontiers in Psychiatry, 2021; 12.
5. CARVER CS, et al. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 1989; 56(2): 267–283.
6. CHEN L, et al. Prevalence and risk factors for depression among training physicians in China and the United States. Scientific Reports, 2022; 12(1): 8170.
7. CORDEIRO R, et al. Stress e estratégias de coping em profissionais de saúde. Revista Portuguesa de Enfermagem de Saúde Mental, 2020; (7).
8. DIAS EN, PAIS-RIBEIRO JL. O Modelo de Coping de Folkman e Lazarus: Aspectos Históricos e Conceituais. Revista Psicologia e Saúde, 2019; 11(2): 55.
9. EVANS-LACKO S, KNAPP M. Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries. Social Psychiatry and Psychiatric Epidemiology, 2016; 51(11): 1525–1537.
10. FAHRENKOPF AM, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ, 2008; 336(7642): 488–491.
11. FERRARI A, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry, 2022; 9(2): 137-150.
12. FRANCK E, et al. The Role of Coping Behavior in Healthcare Workers’ Distress and Somatization During the COVID-19 Pandemic. Frontiers in Psychology, 2021; 12.
13. GONDA X. et al. Prediction and prevention of suicide in patients with unipolar depression and anxiety. Annals of General Psychiatry, 2007; 6(1).
14. GREENBERG PE, et al. The Economic Burden of Adults with Major Depressive Disorder in the United States (2019). Advances in Therapy, 2023; 40(10): 4460–4479.
15. HALBESLEBEN JRB, RATHERT C. Linking physician burnout and patient outcomes. Health Care Management Review, 2008; 33(1): 29–39.
16. HARDEVELD F. et al. Prevalence and predictors of recurrence of major depressive disorder in the adult population. Acta Psychiatrica Scandinavica, 2009; 122(3): 184–191.
17. HOLMSTRAND C, et al. Long‐term suicide risk in no, one or more mental disorders: the Lundby Study 1947–1997. Acta Psychiatrica Scandinavica, 2015; 132(6): 459–469.
18. INSTITUTE FOR HEALTH METRICS AND EVALUATION (IHME). IHME | GHDx. GBD Results Tool, 2021.
19. KA H, et al. Excess mortality and life-years lost in people diagnosed with depression: A 20-year population-based cohort study. European Neuropsychopharmacology, 2024; 91: 1–8.
20. KESSLER RC, BROMET EJ. The Epidemiology of Depression Across Cultures. Annual Review of Public Health, 2013; 34: 119–138.
21. KIM E, et al. Duration of New-Onset Depressive Symptoms During Medical Residency. JAMA Network Open, 2024; 7(6): e2418082.
22. KROENKE K, et al. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 2001; 16(9): 606–613.
23. LAZARUS R, FOLKMAN S. Stress appraisal and coping. New York: Springer, 1984.
24. LASALVIA A, et al. The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy. International Journal of Environmental Research and Public Health, 2021; 18(24): 13374.
25. 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): e0246454.
26. MATA DA, et al. Prevalence of Depression and Depressive Symptoms Among Resident Physicians. JAMA, 2015; 314(22): 2373.
27. MEYER B. Coping with severe mental illness: Relations of the brief COPE with symptoms, functioning, and well-being. Journal of Psychopathology and Behavioral Assessment, 2001; 23(4): 265–277.
28. MINAHAN J, et al. The COVID-19 Pandemic and Psychosocial Outcomes Across Age Through the Stress and Coping Framework. The Gerontologist, 2020; 61(2): 228–239.
29. PALACIOS-DELGADO J, et al. How Important are Optimism and Coping Strategies for Mental Health? Effect in Reducing Depression in Young People. Psychiatry International, 2024; 5(3): 532–543.
30. PAPPA S, et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 2020; 88: 901–907.
31. REZENDE AAF, PEREIRA AC. Estratégias de coping de profissionais da saúde de Piracicaba durante a COVID-19. Revista Psicologia, Diversidade e Saúde, 2023; 12: e5214.
32. RIETH R, et al. Coping strategies and characteristics of the nursing staff of a private hospital. Rev Rene, 2016; 16(1).
33. SAADE S, et al. Depressive symptoms in helping professions: a systematic review of prevalence rates and work-related risk factors. International Archives of Occupational and Environmental Health, 2021; 95(1): 67–116.
34. SALLET P, et al. Manual do Residente de Psiquiatria. Santana de Parnaíba: Manole, 2023.
35. SANTOS IS, et al. Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saúde Pública, v. 29, n. 8, p. 1533–1543, 1 ago. 2013.
36. SCOTT KM, et al. Association of Mental Disorders With Subsequent Chronic Physical Conditions: World Mental Health Surveys From 17 Countries. JAMA Psychiatry, 2016; 73(2): 150–158.
37. SØVOLD LE. et al. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health, 2021; 9(7).
38. THE LANCET GLOBAL HEALTH. Mental Health Matters. The Lancet Global Health, 2020; 8(11).
39. WEST CP, et al. Association of Perceived Medical Errors With Resident Distress and Empathy. JAMA, 2006; 296(9): 1071.
40. ZHAO H, et al. Global, regional, and national burden of depressive disorders among young people aged 10–24 years, 2010–2019. Journal of Psychiatric Research, 2024; 170: 47–57.