Quality of life and post-traumatic stress in dentists after the COVID-19 pandemic
Keywords:
trastornos por estrés postraumático, calidad de vida, odontólogos, pandemia, COVID-19Abstract
Introduction: The COVID-19 pandemic may alter the perception of certain components of health-related quality of life, which may increase symptoms of post-traumatic stress disorder.
Objective: To determine the association between health-related quality of life and the prevalence of post-traumatic stress disorder in dentists following the COVID-19 pandemic.
Methods: Cross-sectional study, carried out in a region of Peru, from August to December 2022. Four hundred and twenty-four dentists participated, answering a questionnaire with socio-labor and health variables; post-traumatic stress disorder was measured with the COVID-19-PTSD questionnaire and health-related quality of life with the EuroQol-5D scale. A descriptive and multivariate analysis was performed using Poisson family generalized linear models to evaluate the association between the variables.
Results: Of the participants, 24.8 % presented post-traumatic stress disorder. In health-related quality of life, 26.9 % revealed problems related to anxiety/depression; 20.8 % pain/discomfort; 9.2 % daily activity; 6.6 % mobility and 2.6 % personal care. Affected daily activity and the presence of anxiety/depression were associated with higher prevalence of post-traumatic stress disorder (p< 0.000).
Conclusions: High prevalence of post-traumatic stress disorder and altered quality of life in its dimensions were found. Affected daily activity and the presence of anxiety/depression increase the likelihood of developing.
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References
1. Terry Jordán Y, Bravo-Hernández N, Elias-Armas KS, Espinosa-Caras I. Aspectos psicosociales asociados a la pandemia por COVID-19. Revista Información Científica. 2020 [acceso 02/02/2023]; 99(6):585-595. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3113
2. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395(10227): 912–920. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
3. Medina Ortiz O, Araque-Castellanos F, Ruiz-
Domínguez LC, Riaño-Garzón M, Bermúdez V. Trastornos del sueño a consecuencia de la pandemia por COVID-19. Rev. perú. med. exp. salud public. 2020; 37(4): 755-761. Doi: https://doi.org/10.17843/rpmesp.2020.374.6360
4. Kang L, Li Y, Hu S, Chen M, Yang C, Yang B, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020 [acceso 03/02/2023]; 7(3): e14. Disponible en: https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30047-X/fulltext
5. Becerra Canales B, Calle Quispe M, Condori Becerra Á. Estado de ánimo y salud mental de estomatólogos peruanos durante la pandemia de COVID-19. Rev Cubana Estomatol [Internet]. 2021 [acceso 03/02/2023]; 58(4) Disponible en: http://revestomatologia.sld.cu/index.php/est/article/view/3481
6. Tovani Palone MR, Shamsoddin E. Use of mouthwashes in the management of COVID-19 patients in intensive care units: recommendations and current evidence. Einstein (Sao Paulo). 2021;19:eCE6419. Doi: https://doi.org/10.31744/einstein_journal/2021CE6419
7. Shamsoddin E, DeTora LM, Tovani-Palone MR, Bierer BE. Dental care in times of the COVID-19 pandemic: A review. Med Sci (Basel). 2021;9(1):13. Doi: https://doi.org/10.3390/medsci9010013.1.
8. Tovani Palone MR, Shamsoddin E, Franchi. Recommendations for safe paediatric dental practices during the COVID-19 pandemic: An update. Eur J Paediatr Dent. 2021;22. Disponible en: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1371191
9. Mejía CR, Charri JC, Rodríguez-Alarcón JF, Flores-Lovon K, Cuzcano-Gonzales KV, et al. Perception of Possible SARS-CoV-2 Infection and Associated Complications in Seven Labor Sectors in Peru. Electron J Gen Med. 2021;18(2):279. Doi: https://doi.org/10.29333/ejgm/9730
10. Mejía CR, Rodríguez-Alarcón JF, Vera Gonzales JJ, Ponce López VL, Chamorro Espinoza SE, Quispe-Sancho A, et al. Fear perception of the COVID-19 Pandemic in Peru. Electron J Gen Med. 2021;18(3):285. Doi: https://doi.org/10.29333/ejgm/9764
11. Group WHOQOL. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Quality of life research:an international journal of quality of life aspects of treatment, care and rehabilitation. 1993;2(2):153-9. Disponible en https://pubmed.ncbi.nlm.nih.gov/8518769/
12. Kandula UR, Wake AD. Assessment of Quality of Life Among Health Professionals During COVID-19: Review. J Multidiscip Healthc. 2021;14:3571-3585. Doi: https://doi.org/10.2147/JMDH.S344055
13. Asociación Estadounidense de Psiquiatría. Manual diagnóstico y estadístico de trastornos mentales (DSM-5); Pub psiquiátrico americano: Washington, DC, EE. UU, 2013. Disponible en: https://dsm.psychiatryonline.org/pb-assets/dsm/update/Spanish_DSM5Update2016.pdf
14. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Respuestas psicológicas inmediatas y factores asociados durante la etapa inicial de la epidemia de la enfermedad por coronavirus 2019 (COVID-19) entre la población general en China. En t. J. Environ. Res. Salud Pública. 2020;17:1729. Disponible en: https://sepsis-one.org/immediate-psychological-responses-and-associated-factors-during-the-initial-stage-of-the-2019-coronavirus-disease-covid-19-epidemic-among-the-general-population-in-china/
15. Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology. Int J Environ Res Public Health. 2020 [citado 03/02/2023];17(11):4151. Disponible en: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7312976/
16. Parrado González A, León Jariego JC. COVID-19: Factores asociados al malestar emocional y morbilidad psíquica en población española. Rev Esp Salud Pública. 2020; 94: 82. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7721455
17. Villca Villegas JL, Moreno Choque RA, Gómez Verduguez CA, Vargas Aguilar AA. Influencia de la pandemia del Covid-19 en la Salud Mental de los Trabajadores en salud: Pandemia de COVID-19 y Salud Mental en trabajadores en salud. Gac Med Bol. 2021 [citado 12/02/2023]; 44(1):75-80. Disponible en: http://www.gacetamedicaboliviana.com/index.php/gmb/article/view/200 https://doi.org/10.47993/gmb.v44i1.200
18. Badia X, Roset M, Montserrat S, Herdman M, Segura A. La versión española del EuroQol: descripción y aplicaciones. Med Clin (Barc). 1999; 112 (Supl 1): 79-86. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10618804/
19. Cabasés J M. El EQ-5D como medida de resultados en salud. Gaceta Sanitaria. 2015; 29(6):401-3. Doi: https://doi.org/10.1016/j.gaceta.2015.08.007
20. Forchuk C, Nazarov A, Cazar R, Davis B, San Ciro K, Don Richardson J. The influence of depression-PTSD comorbidity on health-related quality of life in treatment-seeking veterans. European Journal of Psychotraumatology. 2020; 11(1):1-11. Doi: https://doi.org/10.1080/20008198.2020.1748460
21. Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J y Chae JH. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiología y salud. 2016; 38: e2016048. Doi: https://doi.org/10.4178/epih.e2016048
22. Klaser K, Thompson EJ, Nguyen LH, Sudre CH, Antonelli M, Murray B et al. Anxiety and depression symptoms after COVID-19 infection: results from the COVID Symptom Study app. J Neurol Neurosurg Psychiatry. 2021; 92:1254-58. Doi: https://doi.org/10.1136/jnnp-2021-327565
23. Li L, Wu MS, Tao J, Wang W, He J, Liu R, et al. A Follow-Up Investigation of Mental Health Among Discharged COVID-19 Patients in Wuhan, China. Front Public Health. 2021; 9:640352. Doi: https://doi.org/10.3389/fpubh.2021.640352
24. Tenorio Mucha J, Romero Albino Z, Roncal Vidal V, Cuba Fuentes MS. Calidad de vida de adultos mayores de la Seguridad Social peruana durante la pandemia por COVID-19. Rev. Cuerpo Med. HNAAA. 2021 [acceso 23/02/2023]; 14(Suppl 1):42-48. Doi: http://dx.doi.org/10.35434/rcmhnaaa.2021.14sup1.1165
25. Guzmán Muñoz E, Concha Cisternas Y, Lira Cea C, Vásquez J, Castillo Retamal M. Impacto de un contexto de pandemia sobre la calidad de vida de adultos jóvenes. Rev. Cuba. de Medicina Mil. 2021 [acceso 24/02/2023]; 50(2). Doi: http://dx.doi.org/10.1093/jtm/taaa020
26. Salehi M, Amanat M, Mohammadi M, Salmanian M, Rezaei N, Saghazadeh A, Garakani A. The prevalence of post-traumatic stress disorder related symptoms in Coronavirus outbreaks: A systematic-review and meta-analysis. Journal of Affective Disorders. 2021; 282:527-38. Doi: https://doi.org/10.1016/j.jad.2020.12.188
27. Richardson JD, Ketcheson F, King L, Shnaider P, Marlborough M, Thompson A, Elhai JD. Patrón de comorbilidad psiquiátrica en veteranos que buscan tratamiento. Investigación en psiquiatría. 2017; 258:488-93. Doi: https://doi.org/10.1016/j.psychres.2017.08.091
28. Richardson JD, Long ME, Pedlar D, Elhai JD. Trastorno de estrés postraumático y calidad de vida relacionada con la salud entre una muestra de veteranos de mantenimiento de la paz desplegados en las fuerzas canadienses que buscan tratamiento y pensión. Revista canadiense de psiquiatría. 2008; 53(9):594-600. Doi: https://doi.org/10.1177/070674370805300906
29. Steiner AJ, Boulos N, Mirocha J, Wright SM, Collison KL, IsHak WW. Calidad de vida y funcionamiento en el trastorno de estrés postraumático comórbido y el trastorno depresivo mayor después del tratamiento con monoterapia con citalopram. Neurofarmacología Clínica. 2017; 40(1):16-23. Doi: https://doi.org/10.1097/WNF.0000000000000190
2. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020; 395(10227): 912–920. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
3. Medina Ortiz O, Araque-Castellanos F, Ruiz-
Domínguez LC, Riaño-Garzón M, Bermúdez V. Trastornos del sueño a consecuencia de la pandemia por COVID-19. Rev. perú. med. exp. salud public. 2020; 37(4): 755-761. Doi: https://doi.org/10.17843/rpmesp.2020.374.6360
4. Kang L, Li Y, Hu S, Chen M, Yang C, Yang B, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020 [acceso 03/02/2023]; 7(3): e14. Disponible en: https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30047-X/fulltext
5. Becerra Canales B, Calle Quispe M, Condori Becerra Á. Estado de ánimo y salud mental de estomatólogos peruanos durante la pandemia de COVID-19. Rev Cubana Estomatol [Internet]. 2021 [acceso 03/02/2023]; 58(4) Disponible en: http://revestomatologia.sld.cu/index.php/est/article/view/3481
6. Tovani Palone MR, Shamsoddin E. Use of mouthwashes in the management of COVID-19 patients in intensive care units: recommendations and current evidence. Einstein (Sao Paulo). 2021;19:eCE6419. Doi: https://doi.org/10.31744/einstein_journal/2021CE6419
7. Shamsoddin E, DeTora LM, Tovani-Palone MR, Bierer BE. Dental care in times of the COVID-19 pandemic: A review. Med Sci (Basel). 2021;9(1):13. Doi: https://doi.org/10.3390/medsci9010013.1.
8. Tovani Palone MR, Shamsoddin E, Franchi. Recommendations for safe paediatric dental practices during the COVID-19 pandemic: An update. Eur J Paediatr Dent. 2021;22. Disponible en: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/covidwho-1371191
9. Mejía CR, Charri JC, Rodríguez-Alarcón JF, Flores-Lovon K, Cuzcano-Gonzales KV, et al. Perception of Possible SARS-CoV-2 Infection and Associated Complications in Seven Labor Sectors in Peru. Electron J Gen Med. 2021;18(2):279. Doi: https://doi.org/10.29333/ejgm/9730
10. Mejía CR, Rodríguez-Alarcón JF, Vera Gonzales JJ, Ponce López VL, Chamorro Espinoza SE, Quispe-Sancho A, et al. Fear perception of the COVID-19 Pandemic in Peru. Electron J Gen Med. 2021;18(3):285. Doi: https://doi.org/10.29333/ejgm/9764
11. Group WHOQOL. Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL). Quality of life research:an international journal of quality of life aspects of treatment, care and rehabilitation. 1993;2(2):153-9. Disponible en https://pubmed.ncbi.nlm.nih.gov/8518769/
12. Kandula UR, Wake AD. Assessment of Quality of Life Among Health Professionals During COVID-19: Review. J Multidiscip Healthc. 2021;14:3571-3585. Doi: https://doi.org/10.2147/JMDH.S344055
13. Asociación Estadounidense de Psiquiatría. Manual diagnóstico y estadístico de trastornos mentales (DSM-5); Pub psiquiátrico americano: Washington, DC, EE. UU, 2013. Disponible en: https://dsm.psychiatryonline.org/pb-assets/dsm/update/Spanish_DSM5Update2016.pdf
14. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Respuestas psicológicas inmediatas y factores asociados durante la etapa inicial de la epidemia de la enfermedad por coronavirus 2019 (COVID-19) entre la población general en China. En t. J. Environ. Res. Salud Pública. 2020;17:1729. Disponible en: https://sepsis-one.org/immediate-psychological-responses-and-associated-factors-during-the-initial-stage-of-the-2019-coronavirus-disease-covid-19-epidemic-among-the-general-population-in-china/
15. Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 Pandemic in the Italian Population: Validation of a Post-Traumatic Stress Disorder Questionnaire and Prevalence of PTSD Symptomatology. Int J Environ Res Public Health. 2020 [citado 03/02/2023];17(11):4151. Disponible en: https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7312976/
16. Parrado González A, León Jariego JC. COVID-19: Factores asociados al malestar emocional y morbilidad psíquica en población española. Rev Esp Salud Pública. 2020; 94: 82. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7721455
17. Villca Villegas JL, Moreno Choque RA, Gómez Verduguez CA, Vargas Aguilar AA. Influencia de la pandemia del Covid-19 en la Salud Mental de los Trabajadores en salud: Pandemia de COVID-19 y Salud Mental en trabajadores en salud. Gac Med Bol. 2021 [citado 12/02/2023]; 44(1):75-80. Disponible en: http://www.gacetamedicaboliviana.com/index.php/gmb/article/view/200 https://doi.org/10.47993/gmb.v44i1.200
18. Badia X, Roset M, Montserrat S, Herdman M, Segura A. La versión española del EuroQol: descripción y aplicaciones. Med Clin (Barc). 1999; 112 (Supl 1): 79-86. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10618804/
19. Cabasés J M. El EQ-5D como medida de resultados en salud. Gaceta Sanitaria. 2015; 29(6):401-3. Doi: https://doi.org/10.1016/j.gaceta.2015.08.007
20. Forchuk C, Nazarov A, Cazar R, Davis B, San Ciro K, Don Richardson J. The influence of depression-PTSD comorbidity on health-related quality of life in treatment-seeking veterans. European Journal of Psychotraumatology. 2020; 11(1):1-11. Doi: https://doi.org/10.1080/20008198.2020.1748460
21. Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J y Chae JH. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiología y salud. 2016; 38: e2016048. Doi: https://doi.org/10.4178/epih.e2016048
22. Klaser K, Thompson EJ, Nguyen LH, Sudre CH, Antonelli M, Murray B et al. Anxiety and depression symptoms after COVID-19 infection: results from the COVID Symptom Study app. J Neurol Neurosurg Psychiatry. 2021; 92:1254-58. Doi: https://doi.org/10.1136/jnnp-2021-327565
23. Li L, Wu MS, Tao J, Wang W, He J, Liu R, et al. A Follow-Up Investigation of Mental Health Among Discharged COVID-19 Patients in Wuhan, China. Front Public Health. 2021; 9:640352. Doi: https://doi.org/10.3389/fpubh.2021.640352
24. Tenorio Mucha J, Romero Albino Z, Roncal Vidal V, Cuba Fuentes MS. Calidad de vida de adultos mayores de la Seguridad Social peruana durante la pandemia por COVID-19. Rev. Cuerpo Med. HNAAA. 2021 [acceso 23/02/2023]; 14(Suppl 1):42-48. Doi: http://dx.doi.org/10.35434/rcmhnaaa.2021.14sup1.1165
25. Guzmán Muñoz E, Concha Cisternas Y, Lira Cea C, Vásquez J, Castillo Retamal M. Impacto de un contexto de pandemia sobre la calidad de vida de adultos jóvenes. Rev. Cuba. de Medicina Mil. 2021 [acceso 24/02/2023]; 50(2). Doi: http://dx.doi.org/10.1093/jtm/taaa020
26. Salehi M, Amanat M, Mohammadi M, Salmanian M, Rezaei N, Saghazadeh A, Garakani A. The prevalence of post-traumatic stress disorder related symptoms in Coronavirus outbreaks: A systematic-review and meta-analysis. Journal of Affective Disorders. 2021; 282:527-38. Doi: https://doi.org/10.1016/j.jad.2020.12.188
27. Richardson JD, Ketcheson F, King L, Shnaider P, Marlborough M, Thompson A, Elhai JD. Patrón de comorbilidad psiquiátrica en veteranos que buscan tratamiento. Investigación en psiquiatría. 2017; 258:488-93. Doi: https://doi.org/10.1016/j.psychres.2017.08.091
28. Richardson JD, Long ME, Pedlar D, Elhai JD. Trastorno de estrés postraumático y calidad de vida relacionada con la salud entre una muestra de veteranos de mantenimiento de la paz desplegados en las fuerzas canadienses que buscan tratamiento y pensión. Revista canadiense de psiquiatría. 2008; 53(9):594-600. Doi: https://doi.org/10.1177/070674370805300906
29. Steiner AJ, Boulos N, Mirocha J, Wright SM, Collison KL, IsHak WW. Calidad de vida y funcionamiento en el trastorno de estrés postraumático comórbido y el trastorno depresivo mayor después del tratamiento con monoterapia con citalopram. Neurofarmacología Clínica. 2017; 40(1):16-23. Doi: https://doi.org/10.1097/WNF.0000000000000190
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2023-07-24
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Chauca Saavedra CL, Becerra-Canales B, Hernández-Huaripaucar E, Curro- Urbano O, Quispe-Nombreras V. Quality of life and post-traumatic stress in dentists after the COVID-19 pandemic. Rev. Hosp. Psiq. Habana [Internet]. 2023 Jul. 24 [cited 2025 Aug. 23];20(2). Available from: https://revhph.sld.cu/index.php/hph/article/view/338
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