Incremento de la ingesta de alcohol y drogas como estrategia de afrontamiento en trabajadores hospitalarios durante el brote de COVID-19estudio transversal.

  1. Agustín Madoz-Gúrpide 1
  2. Mónica Leira-Sanmartín 1
  3. Ángela Ibañez-Cuadrado 1
  4. Enriqueta Ochoa-Mangado 1
  1. 1 Hospital Universitario Ramón y Cajal, Madrid, España.
Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Año de publicación: 2023

Volumen: 35

Número: 2

Páginas: 143-150

Tipo: Artículo

DOI: 10.20882/ADICCIONES.1643 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Adicciones: Revista de socidrogalcohol

Objetivos de desarrollo sostenible

Resumen

Situations of psychological stress, such as the current COVID-19 pandemic, could lead to an increase in the consumption of alcohol and other drugs of abuse as an inadequate coping strategy in health workers. This study aimed to investigate the intake of alcohol and drugs of abuse in hospital workers during the first wave of COVID-19. A further focus was to define the worker profile most vulnerable to this behavior through a logistic regression analysis. A cross-sectional study in a tertiary hospital in Madrid, Spain, during the first wave of COVID-19 was designed. Information was collected from a sample (n = 657) of healthcare workers (n = 536) and non-healthcare workers (n = 121). An online survey (including questions about basic health habits, working environment conditions, sociodemographic data, and the 12-item version of the General Health Questionnaire as a measure of psychological well- being) was conducted. Increased consumption of alcohol and/or drugs of abuse during the analyzed period of the pandemic was reported by 17.1% of workers. The following variables were associated with a higher probability of increased consumption of alcohol and/or drugs of abuse: male gender (p = .044), living alone or without dependents (p = .005), staff physician or resident (p = .010), having worked on the COVID frontline (p = .058), poor nutritional habits (p = .004) and self-prescription of psychotropic drugs to manage anxiety and insomnia (p = .003). A significant percentage of hospital workers increased their consumption of alcohol and drugs of abuse during the first wave of the COVID-19 pandemic. A professional risk profile can be defined for this practice

Referencias bibliográficas

  • Alexandrova-Karamanova, A., Todorova, I., Montgomery, A., Panagopoulou, E., Costa, P., Baban, A.,… Mijakoski, D. (2016). Burnout and health behaviors in health professionals from seven European countries. International Archives of Occupational and Environmental Health, 89, 1059–1075. doi:10.1007/s00420-016-1143-5.
  • Bensley, K. M., Seelig, A. D., Armenta, R. F., Rivera, A. C., Peterson, A. V., Jacobson, I. G.,… Williams, E. C. (2018). Posttraumatic stress disorder symptom association with subsequent risky and problem drinking initiation. Journal of Addiction Medicine, 12, 353–362. doi:10.1097/ADM.0000000000000420.
  • Clay, J. M. y Parker, M. O. (2020). Alcohol use and misuse during the COVID-19 pandemic: A potential public health crisis? Lancet Public Health, 5. doi:10.1016/S2468-2667(20)30088-8.
  • Conroy, D. A., Hadler, N. L., Cho, E., Moreira, A., MacKenzie, C., Swanson, L. M.,… Goldstein, C. A. (2021). The effects of COVID-19 stay-at-home order on sleep, health, and working patterns: A survey study of US health care workers. Journal of Clinical Sleep Medicine, 17, 185-191. doi:10.5664/jcsm.8808.
  • Da, B. L., Im, G. Y. y Schiano, T. D. (2020). Coronavirus disease 2019 hangover: A rising tide of alcohol use disorder and alcohol-associated liver disease. Hepatology, 72, 1102–1108. doi:10.1002/hep.31307.
  • Goldberg, D. P. y Hillier, V. F. (1979). A scaled version of the general health questionnaire. Psychological Medicine, 9, 139–145. doi:10.1017/S0033291700021644.
  • Goldberg, D. P. y Williams, P. (1988). A user’s guide to the general health questionnaire. Berks: Windsor: NFER-Nelson.
  • Gomes, C. M., Favorito, L. A., Henriques, J. V. T., Canalini, A. F., Anzolch, K. M. J., de Carvalho Fernandes, R.,… de Bessa, J. (2020). Impact of COVID-19 on clinical practice, income, health and lifestyle behavior of Brazilian urologists. International Braz J Urol, 46, 1042-1056. doi:10.1590/S1677-5538.IBJU.2020.99.15.
  • Grotmol, K. S., Vaglum, P., Ekeberg, Ø., Gude, T., Aasland, O. G. y Tyssen, R. (2010). Alcohol expectancy and hazardous drinking: A 6-year longitudinal and nationwide study of medical doctors. European Addiction Research, 16, 17–22. doi:10.1159/000253860.
  • Lamberti, M., Napolitano, F., Napolitano, P., Arnese, A., Crispino, V., Panariello, G. y di Giuseppe, G. (2017). Prevalence of alcohol use disorders among under- and post-graduate healthcare students in Italy. PLoS ONE, 12. doi:10.1371/journal.pone.0175719.
  • Neill, E., Meyer, D., Toh, W. L., van Rheenen, T. E., Phillipou, A., Tan, E. J. y Rossell, S. L. (2020). Alcohol use in Australia during the early days of the COVID-19 pandemic: Initial results from the COLLATE project. Psychiatry and Clinical Neurosciences, 74, 542–549. doi:10.1111/pcn.13099.
  • Oreskovich, M. R., Shanafelt, T., Dyrbye, L. N., Tan, L., Sotile, W., Satele, D.,… Boone, S. (2015). The prevalence of substance use disorders in American physicians. American Journal on Addictions, 24, 30–38. doi:10.1111/ajad.12173.
  • Pedersen, A. F., Sørensen, J. K., Bruun, N. H., Christensen, B. y Vedsted, P. (2016). Risky alcohol use in Danish physicians: Associated with alexithymia and burnout? Drug and Alcohol Dependence, 160, 119–126. doi:10.1016/j.drugalcdep.2015.12.038.
  • Robinson, J., Sareen, J., Cox, B. J. y Bolton, J. (2009). Self-medication of anxiety disorders with alcohol and drugs: Results from a nationally representative sample. Journal of Anxiety Disorders, 23, 38–45. doi:10.1016/j.janxdis.2008.03.013.
  • Rodriguez, L. M., Litt, D. M. y Stewart, S. H. (2020). Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women. Addictive Behaviors, 110. doi:10.1016/j.addbeh.2020.106532.
  • Romero-Rodríguez, E., Pérula De Torres, L. Á., Fernández García, J. Á., Parras Rejano, J. M., Roldán Villalobos, A. y Camarelles Guillén, F. (2019a). Alcohol consumption in Spanish primary health care providers: A national, cross-sectional study. BMJ Open, 9. doi:10.1136/bmjopen-2018-024211.
  • Romero-Rodríguez, E., Pérula De Torres, L. Á., Parras Rejano, J. M., Leiva-Cepas, F., Camarelles Guillem, F., Fernández Márquez, R.,… Pérula De Torres, C. (2019b). Prevalence of hazardous alcohol use among Spanish primary care providers. BMC Family Practice, 20. doi:10.1186/s12875-019-0999-3.
  • Sánchez-López, M. D. P. y Dresch, V. (2008). The 12-item general health questionnaire (GHQ-12): Reliability, external validity and factor structure in the Spanish population. Psicothema, 20, 839–843.
  • Silczuk, A. (2020). Threatening increase in alcohol consumption in physicians quarantined due to coronavirus outbreak in Poland: The ALCOVID survey. Journal of Public Health, 42, 461–465. doi:10.1093/pubmed/fdaa110.
  • Tobias, J. S. P., da Silva, D. L. F., Ferreira, P. A. M., da Silva, A. A. M., Ribeiro, R. S. y Ferreira, A. S. P. (2019). Alcohol use and associated factors among physicians and nurses in northeast Brazil. Alcohol, 75, 105–112. doi:10.1016/j.alcohol.2018.07.002.
  • Turner, S., Mota, N., Bolton, J. y Sareen, J. (2018). Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature. Depression and Anxiety, 35, 851–860. doi:10.1002/da.22771.
  • Voigt, K., Twork, S., Mittag, D., Göbel, A., Voigt, R., Klewer, J.,… Bergmann, A. (2009). Consumption of alcohol, cigarettes and illegal substances among physicians and medical students in Brandenburg and Saxony (Germany). BMC Health Services Research, 9, 219. doi:10.1186/1472-6963-9-219.
  • Wardell, J. D., Kempe, T., Rapinda, K. K., Single, A., Bilevicius, E., Frohlich, J. R.,… Keough, M. T. (2020). Drinking to cope during COVID-19 pandemic: The role of external and internal factors in coping motive pathways to alcohol use, solitary drinking, and alcohol problems. Alcoholism, Clinical and Experimental Research, 44, 2073–2083. doi:10.1111/acer.14425.
  • Wu, P., Liu, X., Fang, Y., Fan, B., Fuller, C. J., Guan, Z.,… Litvak, I. J. (2008). Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol and Alcoholism, 43, 706–712. doi:10.1093/alcalc/agn073.
Fuente de los datos: Dialnet