ORIGINAL ARTICLE
Resilience and post-traumatic stress disorder among healthcare workers during the COVID-19 outbreak
 
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1
Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Estado de México, MEXICO
 
2
Department of Psychology, Health and Technology, University of Twente, Enschede, THE NETHERLANDS
 
3
Health Sciences Area, Valencian International University, Valencia, SPAIN
 
4
Departamento de Clínicas de Salud Mental, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, MEXICO
 
5
Escuela de Psicología, Universidad Internacional del Ecuador, Quito, ECUADOR
 
6
Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, MEXICO
 
 
Online publication date: 2023-05-13
 
 
Publication date: 2023-09-01
 
 
Electron J Gen Med 2023;20(5):em505
 
KEYWORDS
ABSTRACT
During the health emergency caused by the COVID-19 pandemic, one of the most affected sectors was the healthcare workers (HCWs), since it is a population group with a high risk of developing post-traumatic stress disorder (PTSD), anxiety, or depression. Resilience is one of the abilities that can favor a greater adaptation to adverse circumstances. Therefore, the aim of the present research was to know the association between resilience and PTSD in HCWs during the COVID-19 outbreak, which contributes to the development of preventive strategies and therapeutic interventions for this debilitating mental disorder. The study was prospective ex post facto, cross-sectional; it had a non-probabilistic sample of 613 Mexican HCWs. Data was collected through the platform www.personalcovid.com. The results obtained showed that resilience is negatively related to PTSD, with nurses being the most at-risk group among HCWs.
 
REFERENCES (55)
1.
WHO. WHO COVID-19 dashboard. World Health Organization; 2023. Available at: https://covid19.who.int/ (Accessed: 5 January 2023).
 
2.
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamane... PMid:32202646 PMCid:PMC7090843.
 
3.
Cabedo E, Prieto J, Quiles L, et al. Factors associated to emotional impact of COVID-19 pandemic on health professional. Behav Psychol. 2022;30(1):69-91. https://doi.org/10.51668/bp.83....
 
4.
Ventura R. Atención psicosocial en desastres [Psychosocial care in disasters]. Editorial Ciencias Médicas [Editorial Medical Sciences]; 2011.
 
5.
Johns G, Samuel V, Freemantle L, Lewis J, Waddington L. The global prevalence of depression and anxiety among doctors during the COVID-19 pandemic: Systematic review and meta-analysis. J Affect Disord. 2021;298:431-41. https://doi.org/10.1016/j.jad.... PMid:34785264 PMCid:PMC8596335.
 
6.
Brooks S, Amlôt R, Rubin GJ, Greenberg N. Psychological resilience and post-traumatic growth in disaster-exposed organisations: Overview of the literature. BMJ Mil Health. 2020;166(1):52-6. https://doi.org/10.1136/jramc-... PMid:29420257.
 
7.
Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: Rapid review and meta-analysis. BMJ. 2020;369:m1642. https://doi.org/10.1136/bmj.m1... PMid:32371466 PMCid:PMC7199468.
 
8.
Mosheva M, Gross R, Hertz‐Palmor N, et al. The association between witnessing patient death and mental health outcomes in frontline COVID‐19 healthcare workers. Depress Anxiety. 2021;38:468-79. https://doi.org/10.1002/da.231... PMid:33544405 PMCid:PMC8014064.
 
9.
Luceño-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(15):5514. https://doi.org/10.3390/ijerph... PMid:32751624 PMCid:PMC7432016.
 
10.
Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2021;126:252-64. https://doi.org/10.1016/j.neub... PMid:33774085 PMCid:PMC9754720.
 
11.
Naushad VA, Bierens JJ, Nishan KP, et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehosp Disaster Med. 2019;34(6):632-43. https://doi.org/10.1017/S10490... PMid:31625487.
 
12.
Rodríguez C. Cinco retos psicológicos de la crisis del COVID-19 [Five psychological challenges of the COVID-19 crisis]. JONNPR. 2020;5(6):583-88. https://doi.org/10.19230/jonnp....
 
13.
Liu N, Zhang F, Wei C, et al. Prevalence, and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Res. 2020;287: 112921. https://doi.org/10.1016/j.psyc... PMid:32240896 PMCid:PMC7102622.
 
14.
Robles R, Rodríguez E, Vega-Ramírez H, et al. Mental health problems among healthcare workers involved with the COVID-19 outbreak. Braz J Psychiatry. 2021;43(5):494-503. https://doi.org/10.1590/1516-4... PMid:33331498 PMCid:PMC8555639.
 
15.
Benjet C, Bromet E, Karam EG, et al. The epidemiology of traumatic event exposure worldwide: Results from the world mental health survey consortium. Psychol Med. 2016;46(2):327-43. https://doi.org/10.1017/S00332... PMid:26511595 PMCid:PMC4869975.
 
16.
Dalvie S, Daskalakis NP. The biological effects of trauma. Complex Psychiatry. 2021;7(1-2):16-8. https://doi.org/10.1159/000517... PMid:35592091 PMCid:PMC8443929.
 
17.
Lee JY, Kim SW, Kim JM. The impact of community disaster trauma: A focus on emerging research of PTSD and other mental health outcomes. Chonnam Med J. 2020;56(2):99-107. https://doi.org/10.4068/cmj.20... PMid:32509556 PMCid:PMC7250671.
 
18.
Daskalakis NP, Rijal CM, King C, Huckins LM, Ressler KJ. Recent genetics and epigenetics approaches to PTSD. Curr Psychiatry Rep. 2018;20(5):30. https://doi.org/10.1007/s11920... PMid:29623448 PMCid:PMC6486832.
 
19.
Labrague LJ. Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies. J Nurs Manag. 2021;29(7):1893-905. https://doi.org/10.1111/jonm.1... PMid:33843087 PMCid:PMC8250179.
 
20.
Lenzo V, Quattropani MC, Sardella A, Martino G, Bonanno GA. Depression, anxiety, and stress among healthcare workers during the COVID-19 outbreak and relationships with expressive flexibility and context sensitivity. Front Psychol. 2021;12:623033. https://doi.org/10.3389/fpsyg.... PMid:33692724 PMCid:PMC7937736.
 
21.
Oakley LD, Kuo WC, Kowalkowski JA, Park W. Meta-analysis of cultural influences in trauma exposure and PTSD prevalence rates. J Transcult Nurs. 2021;32(4):412-24. https://doi.org/10.1177/104365... PMid:33593236.
 
22.
Brewin CR. Coherence, disorganization, and fragmentation in traumatic memory reconsidered: A response to Rubin et al. (2016). J Abnorm Psychol. 2016;125(7):1011-7. https://doi.org/10.1037/abn000... PMid:27732029.
 
23.
Broekman BF, Olff M, Boer F. The genetic background to PTSD. Neurosci Biobehav Rev. 2007;31(3):348-62. https://doi.org/10.1016/j.neub... PMid:17126903.
 
24.
Sherin JE, Nemeroff CB. Post-traumatic stress disorder: The neurobiological impact of psychological trauma. Dialogues Clin Neurosci. 2011;13(3):263-78. https://doi.org/10.31887/DCNS.... PMid:22034143 PMCid:PMC3182008.
 
25.
APA. APA dictionary of psychology. American Psychological Association; 2022. Avaiilable at: https://dictionary.apa.org (Accessed: 5 January 2023).
 
26.
Bonanno GA, Mancini AD. Beyond resilience and PTSD: Mapping the heterogeneity of responses to potential trauma. Psychol Trauma: Theory Res Pract Policy. 2012;4(1):74-83. https://doi.org/10.1037/a00178....
 
27.
Vecina M. Emociones positivas [Positive emotions]. Psychol Papers. 2006;27(1):9-17.
 
28.
García del Castillo J A, García del Castillo-López A, López-Sánchez C, DiasPaulo C. Conceptualización teórica de la resiliencia psicosocial y su relación con la salud [Theoretical conceptualization of psychosocial resilience and its relationship with health]. Health Drug. 2016;16(1):59-68. https://doi.org/10.21134/haaj.....
 
29.
Poseck B, Baquero B, Jiménez ML. La experiencia traumática desde la psicología positiva: Resiliencia y crecimiento postraumático [The traumatic experience from positive psychology: Resilience and post-traumatic growth]. Role Psychol. 2006;27(1):40-9.
 
30.
Resnick KS, Fins JJ. Professionalism and resilience after COVID-19. Acad Psychiatry. 2021;45(5):552-6. https://doi.org/10.1007/s40596... PMid:33649940 PMCid:PMC7920636.
 
31.
Benham TL, Hart A, Bortolin M, et al. Preparing for the second surge: Preventing posttraumatic stress disorder and building resilience for health care workers in the face of COVID-19. Disaster Med Public Health Prep. 2022;16(2):714-7. https://doi.org/10.1017/dmp.20... PMid:33046178 PMCid:PMC7684017.
 
32.
Ruiz-Fernández MD, Ramos-Pichardo JD, Ibáñez-Masero O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galán M. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs. 2020;29:4321-30. https://doi.org/10.1111/jocn.1... PMid:32860287.
 
33.
Ma R, Oakman JM, Zhang M, Zhang X, Chen W, Buchanan NT. Lessons for mental health systems from the COVID-19 front line: Chinese healthcare workers’ challenges, resources, resilience, and cultural considerations. Traumatology. 2021;27(4):432-43. https://doi.org/10.1037/trm000....
 
34.
Conversano C, Marchi L, Miniati M. Psychological distress among healthcare professionals involved in the COVID-19 emergency: Vulnerability and resilience factors. Clin Neuropsychiatry. 2020;17(2):94-6. https://doi.org/10.36131/CN202... PMid:34908976 PMCid:PMC8629057.
 
35.
Miguel-Puga JA, Cooper-Bribiesca D, Avelar-Garnica FJ, et al. Burnout, depersonalization and anxiety contribute to posttraumatic stress in frontline health workers at COVID-19 patient care, a follow-up study. Brain Behav. 2021;11:e02007. https://doi.org/10.1002/brb3.2... PMid:33319496 PMCid:PMC7883101.
 
36.
Dobson H, Malpas CB, Burrell AJ, et al. Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic. Australas Psychiatry. 2020;29(1):26-30. https://doi.org/10.1177/103985... PMid:33043677 PMCid:PMC7554409.
 
37.
Jiang M, Shao X, Rao S, et al. Emotional state of Chinese healthcare workers during COVID-19 pandemic. Front Psychol. 2022;13:854815. https://doi:10.3389/fpsyg.2022... PMid:35401318 PMCid:PMC8984149.
 
38.
Campo-Arias A, Jiménez-Villamizar MP, Caballero-Domínguez CC. Healthcare workers’ distress and perceived discrimination related to COVID-19 in Colombia. Nurs Health Sci. 2021;23(3):763-7. https://doi.org/10.1111/nhs.12... PMid:33999491 PMCid:PMC8242481.
 
39.
McKay D, Heisler M, Mishori R, Catton H, Kloiber O. Attacks against health-care personnel must stop, especially as the world fights COVID-19. Lancet. 2020;395:1743-5. https://doi.org/10.1016/S0140-... PMCid:PMC723962.
 
40.
Narita Z, Okubo R, Sasaki Y, et al. COVID-19-related discrimination, PTSD symptoms, and psychological distress in healthcare workers. Int J Ment Health Nurs. 2023;32:139-46. https://doi.org/10.1111/inm.13... PMid:36176263 PMCid:PMC9538840.
 
41.
Montero I, León G. Sistema de clasificación del método en los informes de investigación en psicología [Method classification system in research reports in psychology]. Int J Clin Health Psychol. 2005;5(1):115-27.
 
42.
Foa EB, Cashman L, Jaycox L. Perry K. The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychol Assess. 1997; 9(4):445-51. https://doi.org/10.1037/1040-3....
 
43.
Novy DM, Stanley MA, Averill P, Daza P. Psychometric comparability of English- and Spanish-language measures of anxiety and related affective symptoms. Psychol Assess. 2001;13(3):347-55. https://doi.org/10.1037//1040-... PMid:11556271.
 
44.
Palomar J, Gómez NE. Desarrollo de una escala de medición de resiliencia con Mexicanos (RESI-M) [Development of a resilience measurement scale with Mexicans (RESI-M)]. Interdisciplinaria. 2010;27(1):7-22.
 
45.
Dominguez-Rodriguez A, Martínez-Arriaga RJ, Herdoiza-Arroyo PE, et al. E-health psychological intervention for COVID-19 healthcare workers: Protocol for its implementation and evaluation. Int J Environ Res Public Health. 2022;19(19):12749. https://doi.org/10.3390/ijerph... PMid:36232049 PMCid:PMC9566813.
 
46.
Blanca MJ, Alarcón R, Arnau J, Bono R, Bendayan R. Non-normal data: Is ANOVA still a valid option? Psicothema. 2017;29(4):552-7. https://doi.org/10.7334/psicot... PMid:29048317.
 
47.
Lorente L, Vera M, Peiró T. Nurses’ stressors and psychological distress during the COVID-19 pandemic: The mediating role of coping and resilience. J Adv Nurs. 2021;77(3):1335-44. https://doi.org/10.1111/jan.14... PMid:33210768 PMCid:PMC7753515.
 
48.
Schreiber M, Cates DS, Formanski S, King M. Maximizing the resilience of healthcare workers in multi-hazard events: Lessons from the 2014-2015 ebola response in Africa. Mil Med. 2019;184(Suppl1):114-20. https://doi.org/10.1093/milmed... PMid:30901435.
 
49.
Acero J. Emoción como exploración [Emotion as exploration]. Philos Rev. 2009;26(52):133-62.
 
50.
Mealer M, Conrad, D, Evans, J, et al. Feasibility, and acceptability of a resilience training program for intensive care unit nurses. Am J Crit Care. 2014;23(6):e97-105. https://doi.org/10.4037/ajcc20... PMid:25362680.
 
51.
Cantor-Cruz F, McDouall-Lombana J, Parra A, et al. Mental health care of health workers during COVID-19: Recommendations based on evidence and expert consensus. Rev Colomb Psiquiatr. 2021;50(3):225-31. https://doi.org/10.1016/j.rcpe... PMid:34629561 PMCid:PMC7955936.
 
52.
Heath C, Sommerfield A, von Ungern-Sternberg BS. Resilience strategies to manage psychological distress among healthcare workers during the COVID-19 pandemic: A narrative review. Anaesthesia. 2020;75:1364-71. https://doi.org/10.1111/anae.1... PMid:32534465 PMCid:PMC7323405.
 
53.
Weight CJ, Sellon JL, Lessard-Anderson CR, Shanafelt TD, Olsen KD, Laskowski ER. Physical activity, quality of life, and burnout among physician trainees: The effect of a team-based, incentivized exercise program. Mayo Clin Proc. 2013;88(12):1435-42. https://doi.org/10.1016/j.mayo... PMid:24290117.
 
54.
Fox S, Lydon S, Byrne D, Madden C, Connolly F, O’Connor P. A systematic review of interventions to foster physician resilience. Postgrad Med J. 2018;94(1109):162-70. https://doi.org/10.1136/postgr... PMid:29018095.
 
55.
Robles R, Ascencio L, Díaz D, et al. Implementation science of telepsychotherapy for anxiety, depression, and somatization in health care workers dealing with COVID-19. Telemed J E Health. 2022. https://doi.org/10.1089/tmj.20... PMid:36126309.
 
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