A study on 149 healthcare professionals in Spain and Mexico reveals that, during the first wave of the COVID-19 pandemic, 57.8% of them suffered from mental disorders such as anxiety, acute stress and depression.

This is stated in the doctoral thesis of Iván Echeverria, a doctoral student at CEU Cardenal Herrera University, whose research has just been published in the scientific journal International Journal of Environmental Research and Public Health. The results indicate that the moral courage shown by healthcare professionals to face the first wave was one of the factors that increased the risk of suffering from mental illness.

Echeverria’s thesis has been carried out at the CEU Cardenal Herrera University, under the direction of Dr. Gonzalo Haro, professor of Mental Health in the Medicine degree and principal investigator of the TXP Group, and Ana Benito, a member of the same group. This thesis studies the effects of the COVID-19 pandemic on the mental health of healthcare workers, as well as the role of factors such as moral courage and purpose in life in preventing the appearance of mental disorders in these professionals. The study was carried out on a sample of 149 health professionals: doctors, nurses, psychologists, assistant nursing care technicians, hospital porters, and also administrative, security or kitchen staff. It compares the results between 90 Spanish professionals, belonging to the Castellón Health Department, and 59 professionals from the Psychiatric Hospital of Campeche, in Mexico.

The research shows that 57.8% of the Spanish healthcare professionals in the first wave presented anxiety, depression or acute stress, while only 39% of their Mexican counterparts suffered from one of these disorders, who were still at the beginning of the pandemic. “We have been surprised that this psychopathology is not related so much to occupational exposure to the COVID-19 virus, but is mainly due to the exposure of friends and family to this virus,” says professor Gonzalo Haro. Among the referred mental illnesses, Spanish professionals have suffered mainly from anxiety disorder, in 43.7%; followed by acute stress disorder, in 32.6%; and, to a lesser extent, major depressive disorder, in 21.3% of the cases.

Healthcare kamikazes: Moral courage and mental health

The idea for the study came to Iván Echeverria when he was confined, waiting to join as a resident doctor, and read an article published in the New York Times about “healthcare kamikazes,” referring to the courage of Spanish healthcare workers in the first wave of the pandemic. “Moral courage,” defined as the set of moral values that gives these professionals the determination to go to work for their patients despite the danger of contagion, was a risk factor for their mental health. “This phenomenon is explained by the concept of “moral distress,” which occurs when the professional cannot act according to their values due to external factors that prevent it, as happened in the first wave of the pandemic due to the lack of personal or personal protective equipment (PPE)”, adds Dr. Ana Benito.

Another factor that has influenced the appearance of these disorders is the purpose in life, which is defined as the perception that a person has about the goal and value of their life. In this first article of his doctoral thesis, Iván Echeverria highlights that “a high purpose in life behaves as a protective factor against anxiety, depression and acute stress. In the same way, a low purpose can favor the appearance of these disorders.”

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