Transtornos mentais comuns, depressão e incidência de COVID-19 em profissionais da atenção primária.

Abstract

The mental health of health professionals must be continuously assisted and understood as one of the priority pillars, since it can strengthen the resilience network in coping with this pandemic. This study aimed to analyze sociodemographic and occupational predictors of common mental disorders and depression among primary care professionals. This is a cross-sectional, observational, cross-sectional study with a quantitative approach. The study was carried out in the city of Uberaba-MG, in the Health Units that are part of the Family Health Program. The population consisted of 466 health professionals (nurses, nursing technicians, doctors, dentists, oral health assistants, community health agents, psychologists, physiotherapists, nutritionists, social workers) who work in Primary Care in the municipality, with sample calculation of 479 participants. An identification form created by the researchers was used, with face and content validity performed by judgment, the Self Reporting Questionnaire (SQR-20) and the Patient Health Questionnaire Instrument (PHQ-9). Data collection and analysis began only after inclusion in the Plataforma Brasil system and approval by the Ethics and Research Committee. Data were double-entered into an electronic spreadsheet and analyzed using the Statistical Package for the Social Sciences (SPSS), version 21.0. For the evaluation of statistical significance, a margin of error of 5% (p≤0.05) was considered. A total of 466 health professionals working in primary care in the city of Uberaba participated in the study. Of these, 350 (75.1%) were women, 185 (39.7%) were community health agents with a mean age of 40.99 (±9.1). the majority (71.2%) contracted COVID-19, were not hospitalized (99.6%). Regarding the common mental disorder, it is noteworthy that 25.3% of the participants were classified as positive. In the bivariate analysis using the contingency table and calculation of the chi frame and prevalence ratio, the variables that were significant with the presence of CMD were marital status, family income, having incomplete higher education or higher education, sleeping 6 hours or less , being up to 40 years old was presented as a risk factor for the development of CMD, having had COVID-19, having some pre-existing pathology, working overtime and having a diagnosis of mental disorder prior to the pandemic were also considered risk factors . Regarding depression, 133 (28.5%) were positive for depression indicators. The regression showed that the variables having children, having some pathology, having a diagnosis of a mental disorder before the pandemic, having a positive result in this research for CMD, family income of up to 3 MW and having completed higher education or higher were confirmed as predictor variables. The results point to need for interventions and care with the mental health of primary care professionals, as well as the implementation of health policies aimed at the promotion, prevention and treatment of mental disorders.