Predictors burden in mental health workers during the COVID-19 pandemic

a quantitative study, collected between October and December 2020 through a sociodemographic questionnaire and Mental Health Service Burden Assessment Scale, in four services in a municipality in the state of São Paulo, Brazil, with 108 workers. Descriptive analysis and multiple linear regression of ordinary least squares were performed, in search of predictors for variation in the scale score.

Results:

it showed median work burden (2.03). Predictors: psychological or psychiatric follow-up; normal performance of activities during the pandemic; direct action with suspected or confirmed cases of COVID-19; and belonging to the risk group (people over 60 years of age, diabetics, hypertensive, cardiac, respiratory problems) (p<0.05).

Conclusions:

working conditions observed during the pandemic, simultaneously with workers’ mental health care needs predict burden at work in health.

Descriptors:
Mental Health; Health Personnel; Mental Health Services; Burnout, Professional; COVID-19

Scale factor	Mean	95%CI lower limit	95%CI upper limit	Standard deviation	Minimum	Maximum
GLOBAL IMPACTO-BR	2.03	1.89	2.16	0.71	1.00	4.67
F1- Effects on physical and mental health	1.95	1.78	2.11	0.84	1.00	4.80
F2- Effects on team functioning	2.15	2.01	2.30	0.76	1.00	4.17
F3- Feeling overwhelmed	2.19	2.04	2.34	0.78	1.00	5.00

Variables	β	r²*(%)	p value
Age group 48 and older	-0.11	-1.18	0.23
Male	-0.09	-1.00	0.31
Black race/color	-0.15	-1.54	0.12
With a partner	-0.07	-0.81	0.41
Higher education	-0.01	-0.09	0.92
Weekly workload	-0.02	-0.24	0.81
Decreased income during the pandemic	0.06	0.71	0.47
Other employment relationship	-0.01	-0.13	0.89
Living with people from the risk group for COVID-19	-0.00	-0.05	0.95
Belonging to the risk group	0.12	1.23	0.22
Performing some type of psychiatric and/or psychological follow-up	0.30	2.99	0.00
Acting in direct contact with suspected and/or confirmed cases of COVID-19	0.21	2.34	0.02
Normally performing work activities	0.20	2.14	0.03

Variables	Factor 1 Physical and mental burden			Factor 2 Team impact			Factor 3 Feeling overwhelmed
Variables	β	r²* (%)	p value	β	r²* (%)	p value	β	r²* (%)	p value
Age group 48 and older	-0.09	-0.96	0.33	-0.19	-1.96	0.05	-0.03	-0.28	0.77
Males	-0.09	-1.07	0.28	-0.02	-0.24	0.80	-0.11	-1.11	0.26
Black race/color	-0.12	-1.38	0.17	-0.19	-2.01	0.04	-0.05	-0.55	0.57
With a partner	-0.09	-1.02	0.30	-0.08	-0.88	0.37	-0.00	-0.09	0.92
Higher education	-0.03	-0.30	0.76	0.02	0.22	0.82	-0.04	-0.43	0.66
Weekly workload	-0.00	-0.09	0.92	-0.02	-0.25	0.79	-0.04	-0.38	0.69
Decreased income during the pandemic	0.10	1.17	0.24	0.01	0.19	0.84	0.06	0.62	0.53
Other employment relationship	-0.08	-0.92	0.36	-0.05	-0.52	0.60	0.08	0.84	0.40
Living with people from the risk group for COVID-19	0.01	0.11	0.91	0.02	0.29	0.76	-0.05	-0.53	0.59
Belonging to the risk group	0.22	2.33	0.02	0.07	0.69	0.49	0.02	0.26	0.79
Performing some type of psychiatric and/or psychological follow-up	0.35	3.73	0.00	0.26	2.60	0.01	0.22	2.09	0.03
Acting in direct contact with suspected and/or confirmed cases of COVID-19	0.15	1.83	0.07	0.20	2.22	0.02	0.21	2.17	0.03
Normally performing work activities	0.17	1.96	0.05	0.15	1.61	0.10	0.18	1.85	0.06

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
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[1] Corresponding author: Guilherme Correa Barbosa E-mail: g.barbosa@unesp.br