<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532021000100075</article-id>
<article-id pub-id-type="doi">10.31252/rpso.26.06.2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[PREVALÊNCIA E FATORES ASSOCIADOS A SINTOMAS DE ANSIEDADE, DEPRESSÃO E PERTURBAÇÃO PÓS-STRESS TRAUMÁTICO EM PROFISSIONAIS DE SAÚDE DURANTE A PANDEMIA POR COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[PREVALENCE AND ASSOCIATED FACTORS OF SYMPTOMS OF ANXIETY, DEPRESSION AND POST-TRAUMATIC STRESS DISORDER IN HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urzal]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Donas-Boto]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Vian]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nova Medical School Faculdade de Ciências Médicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Lisboa  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Ciências ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade de Lisboa Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>11</volume>
<fpage>75</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532021000100075&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532021000100075&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: A pandemia por COVID-19 trouxe preocupações crescentes quanto à saúde mental dos profissionais de saúde.  Objetivos: Investigar a prevalência e fatores associados a sintomas de ansiedade, depressão e perturbação pós-stresstraumático em profissionais de saúde portugueses durante a pandemia por COVID-19.  Material e Métodos: Foram distribuídos questionários a uma amostra de conveniência de profissionais de saúde, documentando dados demográficos, antecedentes clínicos, suporte psicossocial, dados relativos à infeção por COVID-19 e atividade laboral desempenhada. Foram avaliados os sintomas de ansiedade, depressão e perturbação pós-stresstraumático através da Escala Hospitalar de Ansiedade e Depressão (HADS-subescalas HADS-Ansiedade e HADS-Depressão) e da Escala de Impacto de Eventos 6 (IES-6).  Resultados: Uma percentagem significativa dos profissionais de saúde (n=554) apresenta sintomas de ansiedade (40,61%), depressão (25,99%) e perturbação pós-stresstraumático (20,40%). Dos fatores associados a sintomas mais graves, destacam-se alterações ao agregado familiar (HADS-Ansiedadep&lt;0,001; HADS-Depressãop=0,015; IES-6p=0,002) e menor satisfação com apoio de familiares e amigos (HADS-Ansiedade e HADS-Depressão,p&lt;0,001). Enfermeiros e assistentes operacionais apresentam mais sintomas de ansiedade (p=0,011;p&lt;0,001) e depressão (p=0,003;p=0,007), comparativamente aos médicos. O trabalho com doentes COVID-19 associa-se a pontuações superiores (HADS-Ansiedadep=0,030; HADS-Depressãop=0,019; IES-6p=0,008).  Discussão: As alterações à rotina trazidas pela pandemia são fatores de risco significativos para o desenvolvimento dos grupos sintomáticos investigados. A satisfação com o suporte social é mais importante do que a frequência do contato. Quando comparados com profissionais de saúde com atividade clínica sem doentes COVID-19 ou com atividade não clínica, aqueles com contato próximo e prolongado com doentes COVID-19 têm maior risco de desenvolvimento de sintomas de ansiedade, depressão e perturbação pós-stresstraumático.  Conclusões: A pandemia por COVID-19 associa-se a sintomas de ansiedade, depressivos e de perturbação pós-stress traumático nos profissionais de saúde, influenciados por alterações à rotina, suporte psicossocial, grupo profissional e trabalho clínico desenvolvido. Os presentes dados contribuem para a caracterização da dimensão do sofrimento psicológico dos profissionais de saúde e para o planeamento de estratégias de intervenção.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The COVID-19 pandemic has raised growing concerns towards the mental health of healthcare workers.  Objectives: To investigate the prevalence and associated factors of anxiety, depression, and post-traumatic stress disorder symptoms in Portuguese healthcare workers during the COVID-19 pandemic.  Material and Methods: An online questionnaire was delivered to a convenience sample of healthcare workers. The questionnaire collected data on demographics, clinical history, psychosocial support, COVID-19 infection, type of work performed during the pandemic and evaluated anxiety, depression and post-traumatic stress disorder symptoms through the Hospital Anxiety and Depression Scale (HADS - HADS-Anxiety and HADS-Depression subscales) and the Impact of Events Scale 6 (IES-6).  Results: A significant percentage of healthcare workers (n=554) reports anxiety (40,61%), depression (25,99%) and post-traumatic stress disorder symptoms (20,40%). Factors associated with more severe symptoms include changes in household (HADS-Anxiety,p&lt;0,001; HADS-Depression,p=0,015; IES-6,p=0,002) and lower satisfaction with social support (HADS-Anxiety and HADS-Depression,p&lt;0,001). Nurses and nurse assistants display more anxiety (p=0,011;p&lt;0,001) and depression symptoms (p=0,003;p=0,007) compared with doctors. Working with COVID-19 patients is associated with higher symptom scores (HADS-Anxietyp=0,030; HADS-Depressionp=0,019;IES-6p=0,008).  Discussion: Changes in daily routine brought by the pandemic are significant risk factors for the development of the identified symptoms. Satisfaction with social support is more relevant than frequency of contact. Healthcare workers with longer and closer contact with COVID-19 patients bear an increased risk of anxiety, depression, and post-traumatic stress disorder symptoms, compared with those with clinical activity without COVID-19 patients and non-clinical activity.  Conclusions: The COVID-19 pandemic is associated with significant anxiety, depression, and post-traumatic stress disorder symptoms in healthcare workers, and is influenced by changes in daily routine, psychosocial support, professional group, and type of clinical work. The collected data outlines the dimension of psychological suffering in healthcare workers and may contribute to the development of intervention strategies for this population.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Depressão]]></kwd>
<kwd lng="pt"><![CDATA[Perturbação Pós-stress Traumático]]></kwd>
<kwd lng="pt"><![CDATA[Profissionais de Saúde]]></kwd>
<kwd lng="pt"><![CDATA[Pandemia]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Post-traumatic Stress Disorder]]></kwd>
<kwd lng="en"><![CDATA[Healthcare Workers]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
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