Palabras clave
coping
post-Covid
Centros de Atención Psicosocial
Cómo citar
Resumen
Se estimó la prevalencia de depresión, ansiedad y TEPT en individuos con trastornos mentales graves (TMG) y trastornos por uso de sustancias (TUS) en el periodo pospandémico y se analizó su relación con el coping (estrategias de afrontamiento). Se realizó un estudio transversal utilizando estadística descriptiva, pruebas no paramétricas y regresión logística con un nivel de significación p < 0,05, IC 95%. La edad media de los participantes era de 48,4 años (DE 12,7) y el 59,7% eran varones. Los individuos con TMG tenían una prevalencia de TEPT (71,6%), ansiedad (68,9%) y depresión (63,5%). En el grupo con TUS, las tasas de prevalencia fueron: ansiedad (80%), depresión (72%) y TEPT (71,6%). Los síntomas fueron significativamente mayores en el grupo TMG. El uso de afrontamiento evitativo se asoció con mayores probabilidades de ansiedad (OR = 4,41; IC 95% = 1,23-18,8; p = 0,031) y TEPT (OR = 3,47; IC 95% = 1,06-12,9; p = 0,048). Las altas tasas de síntomas asociados al coping desadaptativo, especialmente la evitación, sugieren la necesidad de incluir el entrenamiento en habilidades de coping en las intervenciones psicosociales.
Citas
Adan, A., Antúnez, J. M., & Navarro, J. F. (2017). Coping strategies related to treatment in substance use disorder patients with and without comorbid depression. Psychiatry Research, 251, 325–332. https://doi.org/10.1016/j.psychres.2017.02.035
Barrett, E. A., Simonsen, C., Aminoff, S. R., Hegelstad, W. T. F., Lagerberg, T. V., Melle, I., Mork, E., & Romm, K. L. (2022). The COVID‐19 pandemic impact on wellbeing and mental health in people with psychotic and bipolar disorders. Brain and Behavior, 12(5), e2559. https://doi.org/10.1002/brb3.2559
Bertolucci, P. H., Brucki, S. M. D, Campacci S. R., & Juliano, Y. (1994). O mini-exame do estado mental em uma população geral: Impacto da escolaridade. Arquivos de Neuro-psiquiatria, 52, 1–7. https://doi.org/10.1590/S0004-282X1994000100001
Biviá-Roig, G., Soldevila-Matías, P.; Haro, G., González-Ayuso, V., Arnau, F., Peyró Gregori, L., García-Garcés, L., Sánchez-López, M. I., & Lisón, J. F. (2022). The impact of the COVID-19 pandemic on the lifestyles and levels of anxiety and depression of patients with schizophrenia: A retrospective observational study. Healthcare, 10(128). https://doi.org/10.3390/healthcare10010128
Blithikioti, C., Nuno, L., Paniello, B., Gual, A., & Miquel, L. (2021). Impact of COVID-19 lockdown on individuals under treatment for substance use disorders: Risk factors for adverse mental health outcomes. Journal of Psychiatric Research, 139, 47-53. https://doi.org/10.1016/j.jpsychires.2021.05.006
Bower, M., Smout, S., Donohoe-Bales, A., O'Dean, S., Teesson, L., Boyle, J., Lim, D., Nguyen, A., Calear, A. L., Batterham, P. J., Gournay, K., & Teesson, M. (2023). Ahidden pandemic? An umbrella review of global evidence on mental health in the time of COVID-19. Frontiers in Psychiatry, 14, 1107560. https://doi.org/10.3389/fpsyt.2023.1107560
Brosch, K., Meller, T., Pfarr, J.-K., Stein, F., Schmitt, S., Ringwald, K. G., Waltemate, L., Lemke, H., Thiel, K., Schrammen, E., Hülsmann, C., Meinert, S., Dohm, K., Leehr, E. J., Opel, N., Krug, A., Dannlowski, U., Nenadić, I., & Kircher, T. (2022). Which traits predict elevated distress during the Covid-19 pandemic? Results from a large, longitudinal cohort study with psychiatric patients and healthy controls. Journal of Affective Disorders, 297, 18–25. https://doi.org/10.1016/j.jad.2021.10.017
Caqueo-Urízar, A., Urzúa, A., Ponce-Correa, F., & Ferrer, R. (2021). Psychosocial effects of the COVID-19 pandemic on patients with schizophrenia and their caregivers. Frontiers in Psychology, 12, 729793. https://doi.org/10.3389/fpsyg.2021.729793
Carvalho, C. N., Fortes, S., Castro, A. P. B. de., Cortez-Escalante, J., & Rocha, T. A. H. (2023). The covid-19 pandemic and hospital morbidity due to mental and behavioral disorders in Brazil: An interrupted time series analysis, from January 2008 to July 2021. Epidemiologia e Serviços de Saúde, 32(1), e2022547. https://doi.org/10.1590/S2237-96222023000100016
Cohrdes, C., Pryss, R., Baumeister, H., Eicher, S., Knoll, N., & Hölling, H. (2023). Support-and meaning-focused coping as key factors for maintaining adult quality of life during the COVID-19 pandemic in Germany. Frontiers in Public Health, 11, 1196404. https://doi.org/10.3389/fpubh.2023.1196404
Christine, M. C., Norman, S. E., & Nancy, L. K. (2002). Coping and psychological distress for men with substance use disorders. Current Psychology, 21, 35–49. https://doi.org/10.1007/BF02903158
Dickerson, F., Katsafanas, E., Newman, T., Origoni, A., Rowe, K., Squire, A., Ziemann, R. S., Khushalani, S., & Yolken, R. (2022). Experiences of persons with serious mental illness during the COVID-19 pandemic. Psychiatric Services, 73(2), 133–140. https://doi.org/10.1176/appi.ps.202100130
Faro, A. (2015). Análise fatorial confirmatória e normatização da Hospital Anxiety and Depression Scale (HADS). Psicologia: Teoria e Pesquisa, 31, 349–353. https://doi.org/10.1590/0102-37722015032072349353
Faro, A., Bahiano, M. A., Nakano, T. C., Reis, C., Silva, B. F. P., & Vitti, L. S. (2020). COVID-19 e saúde mental: A emergência do cuidado. Estudos de Psicologia (Campinas), 37, e200074. https://doi.org/10.1590/1982-0275202037e200074
Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of personality and social psychology, 48(1), 150. https://psycnet.apa.org/doi/10.1037/0022-3514.48.1.150
Folstein, M. F., Folstein, S. E., & Mchugh, P. R. (1975). Mini Mental State. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198. https://doi.org/10.1016/0022-3956(75)90026-6
Goossens, P. J. J., & van Achterberg, T. (2008). Coping styles of outpatients with a bipolar disorder. Archives of psychiatric nursing, 22(5), 245–253. https://doi.org/10.1016/j.apnu.2007.07.001
Goularte, J. F., Serafim, S. D., Colombo, R., Hogg, B., Caldieraro, M. A., & Rosa, A. (2021). COVID-19 and mental health in Brazil: Psychiatric symptoms in the general population. Journal of Psychiatric Research, 132, 32–37. https://doi.org/10.1016/j.jpsychires.2020.09.021
Gurvich, C., Thomas, N., Thomas, E. H. X., Hudaib, A.-R., Sood, L., Fabiatos, K., Sutton, K., Isaacs, A., Arunogiri, S., Sharp, G., & Kulkarni, J. (2021). Coping styles and mental health in response to societal changes during the COVID-19 pandemic. International Journal of Social Psychiatry, 67(5), 540–549. https://doi.org/10.1177/0020764020961790
Hallal, P. C., Sardinha, L. M. V., Aquino, É. C., Wehrmeister, F. C., & Paula, P. C. B. (2023). Inquérito telefônico de fatores de risco para doenças crônicas não transmissíveis em tempos de pandemia – Covitel 2: Relatório final [Livro eletrônico]. Vital Strategies; Umane.
Hyman, S. M., Hong, K.-I. A., Chaplin, T. M., Dabre, Z., Comegys, A. D., Kimmerling, A., & Sinha, R. (2009). A stress-coping profile of opioid dependent individuals entering naltrexone treatment: A comparison with healthy controls. Psychology of Addictive Behaviors, 23(4), 613–619. https://doi.org/10.1037/a0017324
Iasevoli, F., Fornaro, M., D’Urso, G., Galletta, D., Casella, C., Paternoster, M., Buccelli, C., de Bartolomeis, A., & the COVID-19 in Psychiatry Study Group. (2021). Psychological distress in patients with serious mental illness during the COVID-19 outbreak and one-month mass quarantine in Italy. Psychological Medicine, 51(6), 1054–1056. https://doi.org/10.1017/S0033291720001841
Kathirvel, N. (2020). Post COVID-19 pandemic mental health challenges. Asian Journal of Psychiatry, 53, 102430. https://doi.org/10.1016/j.ajp.2020.102430
Kristensen, C. H. (2005). Estresse Pós-Traumático: Sintomatologia e Funcionamento Cognitivo (Tese de Doutorado, Universidade Federal do Rio Grande do Sul, Rio Grande do Sul, Brasil). https://lume.ufrgs.br/bitstream/handle/10183/6328/000484122.pdf
Kronenberg, L. M., Goossens, P. J. J., van Busschbach, J., van Achterberg, T., & van den Brink, W. (2015). Coping styles in substance use disorder (SUD) patients with and without co-occurring attention deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD). BMC Psychiatry, 15(1), 159. https://doi.org/10.1186/s12888-015-0530-x
Lazarus, R., & Folkman, S. (1984). Stress, Appraisal and Coping. New York, NY: Springer Publishing Company.
Leonti, R. M., Muntele-Hendreș, D., & Turliuc, M. N. (2024). The effects of the COVID-19 pandemic on perceived stress among Romanian young adults: Negative affect and avoidant coping as mediators. Annals of Psychology, 40(1), 20–30. https://doi.org/10.6018/analesps.534641
Lewis, K. J. S., Gordon-Smith, K., Saunders, K. E. A., Dolman, C., South, M., Geddes, J., Craddock, N., Di Florio, A., Jones, I., & Jones, L. (2022). Mental health prior to and during the COVID‐19 pandemic in individuals with bipolar disorder: Insights from prospective longitudinal data. Bipolar Disorders, 24(6), 658–666. https://doi.org/10.1111/bdi.13204
Li, J.-B., Yang, A., Dou, K., Wang, L.-X., & Lin, X. (2020). Chinese public’s knowledge perceived severity, and perceived controllability of the COVID-19 and their associations with emotional and behavioral reactions social participation and precautionary behavior: A national survey. BMC Public Health, 20 (1), 1589. https://doi.org/10.31234/osf.io/5tmsh
Lommer, K., Schurr, T., Frajo-Apor, B., Plattner, B., Chernova, A., Conca, A., Fronthaler, M., Haring, C., Holzner, B., Macina, C., Marksteiner, J., Miller, C., Pardeller, S., Perwanger, V., Pycha, R., Schmidt, M., Sperner-Unterweger, B., Tutzer, F., & Hofer, A. (2022). Addiction in the time of COVID-19: Longitudinal course of substance use, psychological distress, and loneliness among a transnational Tyrolean sample with substance use disorders. Frontiers in Psychiatry, 13, 918465. https://doi.org/10.3389/fpsyt.2022.918465
Martinotti, G., Alessi, M. C., Di Natale, C., Sociali, A., Ceci, F., Lucidi, L., Picutti, E., Di Carlo, F., Corbo, M., Vellante, F., Fiori, F., Tourjansky, G., Catalano, G., Carenti, M. L., Incerti, C. C., Bartoletti, L., Barlati, S., Romeo, V. M., Verrastro, . . . & di Giannantonio, M. (2020). Psychopathological burden and quality of life in substance users during the COVID-19 lockdown period in Italy. Frontiers in Psychiatry, 11, 572245. https://doi.org/10.3389/fpsyt.2020.572245
Ministério da Saúde. (2011). Portaria nº 3.088, de 23 de dezembro de 2011. Institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental e com ecessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de Saúde (SUS). Brasília-DF. Disponível em https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html
Organização Pan-Americana de Saúde. (2023, 5 de maio). OMS declara fim da emergência de saúde pública de importância internacional referente à COVID-19. https://www.paho.org/pt/noticias/5-5-2023-oms-declara-fim-da-emergencia-saude-publica-importancia-internacional-referente
Pinkham, A. E., Ackerman, R. A., Depp, C. A., Harvey, P. D., & Moore, R. C (2021). COVID-19-related psychological distress and engagement in preventative behaviors among individuals with severe mental illnesses. NPJ Schizophrenia, 7(7). https://doi.org/10.1038/s41537-021-00136-5
Prefeitura de Juiz de Fora. (2020). Decreto Municipal nº 13.894, de 18 de março de 2020. Declara situação de emergência em saúde pública, em decorrência da infecção humana pelo novo Coronavírus (Covid-19) e dá outras providências. Juiz de Fora. https://www.pjf.mg.gov.br/e_atos/e_atos_vis.php?id=75017
Ritsner, M. S., Gibel, A., Ponizovsky, A. M., Shinkarenko, E., Ratner, Y., & Kurs, R. (2006). Coping patterns as a valid presentation of the diversity of coping responses in schizophrenia patients. Psychiatry research, 144(2-3), 139–152. https://doi.org/10.1016/j.psychres.2005.09.017
Saltzman, L. Y., Hansel, T. C., & Bordnick, P. S. (2020). Loneliness, isolation, and social support factors in post-COVID-19 mental health. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S55. https://doi.org/10.1177/1359105320960581
Sapiens Labs (2024). The mental state of the world in 2023: A perspective on internet enabled populations – A Publication of the Global Mind Project. Disponível em: https://sapienlabs.org/wp-content/uploads/2024/03/4th-Annual-Mental-State-of-the-World-Report.pdf
Savóia, M. G., Santana, P. R., & Mejias, N. P. (1996). Adaptação do inventário de Estratégias de Coping de Folkman e Lazarus para o português. Psicologia USP, 7(1-2), 183-201. https://doi.org/10.1590/S1678-51771996000100009
Sidana, A., Chavan, B. S., Rohilla, R., & Singh, J. (2021). Coping with craving and withdrawal due to substance use disorders during the COVID-19 lockdown. Primary Care Companion for CNS Disorders, 23(2), 20m02802. https://doi.org/10.4088/PCC.20m02802
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen, D., Iacobucci, M., Hoe, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55–64. https://doi.org/10.1016/j.jad.2020.08.001
Wu, J., Zheng, Y., Xiong, S., Zhang, W., & Guo, S. (2022). The effect of perceived threat avoidability of COVID-19 on coping strategies and psychic anxiety among Chinese college students in the early stage of COVID-19 pandemic. Frontiers in Psychiatry, 13, 854698. https://doi.org/10.3389/fpsyt.2022.854698
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.