{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T01:59:43Z","timestamp":1772848783915,"version":"3.50.1"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"unspecified","delay-in-days":127,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1935789323000721_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>Frontline healthcare workers (FHCWs) exposed to COVID-19 patients are at an increased risk of developing psychological burden. This study aims to determine the prevalence of mental health symptoms and associated factors among Mexican FHCWs attending COVID-19 patients.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323000721_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>FHCWs, including attending physicians, residents\/fellows, and nurses providing care to COVID-19 patients at a private hospital in Monterrey, Mexico, were invited to answer an online survey between August 28, and November 30, 2020. Symptoms of depression, anxiety, post-traumatic stress, and insomnia were evaluated with the Patient Health Questionnaire (PHQ)-9, Generalized Anxiety Disorder (GAD)-7, Impact of Event Scale-Revised (IES-R), and Insomnia Severity Index (ISI). Multivariate analysis was performed to identify variables associated with each outcome.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323000721_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>131 FHCWs, 43.5% attending physicians, 19.8% residents\/fellows, and 36.6% nurses were included. The overall prevalence of depression, anxiety, post-traumatic stress, and insomnia was 36%, 21%, 23%, and 24% respectively. Multivariate analysis revealed that residents\/fellows and nurses reported more depression and insomnia than attending physicians. Although not significant, residents\/fellows were more likely to experience all symptoms than nurses.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1935789323000721_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Mexican FHCWs, especially nurses and residents\/fellows, experienced a significant psychological burden while attending to COVID-19 patients. Tailored interventions providing support to FHCWs during future outbreaks are required.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/dmp.2023.72","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T09:37:40Z","timestamp":1683538660000},"source":"Crossref","is-referenced-by-count":5,"title":["Prevalence of Depression, Anxiety, Post-Traumatic Stress, and Insomnia Symptoms Among Frontline Healthcare Workers in a COVID-19 Hospital in Northeast Mexico"],"prefix":"10.1017","volume":"17","author":[{"given":"Argenis","family":"Lopez-Salinas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A.","family":"Arnaud-Gil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Saucedo-Martinez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7022-2395","authenticated-orcid":false,"given":"Raul E.","family":"Ruiz-Lozano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel F.","family":"Martinez-Resendez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose J.","family":"Gongora-Cortes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guillermo","family":"Torre-Amione","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"key":"S1935789323000721_ref21","first-page":"1163","article-title":"Assessment of the impact of event scale revised for post traumatic stress disorder in Chilean subjects","volume":"139","author":"Caamano","year":"2011","journal-title":"Rev Med Chil."},{"key":"S1935789323000721_ref42","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30263-2"},{"key":"S1935789323000721_ref37","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.15845"},{"key":"S1935789323000721_ref15","first-page":"S134","article-title":"Violence against health personnel before and during the health contingency COVID-19","volume":"58","author":"Aspera-Campos","year":"2020","journal-title":"Rev Med Inst Mex Seguro Soc."},{"key":"S1935789323000721_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-022-00728-x"},{"key":"S1935789323000721_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1461"},{"key":"S1935789323000721_ref39","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqn122"},{"key":"S1935789323000721_ref46","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.676307"},{"key":"S1935789323000721_ref8","first-page":"1","article-title":"COVID 19: psychological effects and associated factors in Mexican nurses","author":"Cortes-Alvarez","year":"2020","journal-title":"Disaster Med Public Health Prep."},{"key":"S1935789323000721_ref38","article-title":"Perception of mistreatment during medical residency in Mexico: evaluation and bioethical analysis","author":"Derive","year":"2021","journal-title":"Inv Ed Med"},{"key":"S1935789323000721_ref40","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-136-5-200203050-00011"},{"key":"S1935789323000721_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.026"},{"key":"S1935789323000721_ref35","first-page":"73","article-title":"Prevalencia de depresi\u00f3n y ansiedad en m\u00e9dicos residentes del Hospital de Especialidades Centro M\u00e9dico Nacional La Raza","volume":"22","author":"D\u00e1vila-Valero","year":"2006","journal-title":"Medicina Interna de M\u00e9xico."},{"key":"S1935789323000721_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2020.260"},{"key":"S1935789323000721_ref45","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-104"},{"key":"S1935789323000721_ref31","first-page":"639","article-title":"Stress among hospital nursing staff: its causes and effects","volume":"15","author":"Gray-Toft","year":"1981","journal-title":"Soc Sci Med A."},{"key":"S1935789323000721_ref41","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2021.S1.200343"},{"key":"S1935789323000721_ref43","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.1062"},{"key":"S1935789323000721_ref49","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-021-02211-9"},{"key":"S1935789323000721_ref14","doi-asserted-by":"publisher","DOI":"10.6061\/clinics\/2021\/e2907"},{"key":"S1935789323000721_ref28","doi-asserted-by":"crossref","unstructured":"28. 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