Mental health in Chilean healthcare workers during the post-COVID-19 pandemic

Authors

Keywords:

mental health; anxiety; depression; healthcare workers; Covid-19 pandemic

Abstract

Introduction: In a post-pandemic scenario, studies show that anxiety, depression, and stress have become chronic among mental health workers. The objective of this study is to evaluate symptoms of anxiety and depression in Chilean healthcare workers, taking into account differences by sex, age, and type of facility.

Method: This cross-sectional study, conducted in 2022, administered an online questionnaire to a sample of 623 healthcare workers, 81.1 % of whom were women (n=505) and 18.9 % men (n=118). 60.5 % (n=385) worked in hospitals, and 39.5 % (n=238) worked in Family Health Care Centers. Depressive symptom questionnaires (PHQ-9) and anxiety questionnaires (GAD-7) were administered.

Results: 41.0 % of workers in Primary Health Care centers showed a moderate to severe level of anxiety; in comparison, 29.8 % of the total sample of public health workers presented a moderate to severe level. Regarding the PHQ-9, 29.3 % and 41.5 % of hospital and primary health care workers, respectively, presented a moderate to severe level of depressive symptoms; in comparison, 33.4 % of the total sample presented a moderate to severe level.

Discussion: Post-pandemic articles published up to the present date were reviewed to reflect how the effects of the COVID-19 pandemic on mental health persisted until 2022. Comparing the results with recent studies shows that stress, anxiety, and depression are still prevalent among Chilean health workers. Therefore, it is necessary to continue supporting healthcare workers to find a balance between their own needs and those of their patients.

Downloads

Download data is not yet available.

Author Biographies

Ximena Cecilia Macaya Sandoval, Universidad de Concepción. Concepción.

Doctora en Salud Mental. Máster en Educación. Departamento de Psiquiatría y Salud Mental. Facultad de Medicina, Universidad de Concepción. Concepción. Postítulo en Educación Emocional y Bienestar, Universidad de Barcelona. Barcelona. España.

Carolina Isabel Inostroza Rovegno, Universidad de Concepción. Concepción.

Psicóloga. Doctora en Psicología. Máster en Psicología de la Salud. Departamento de Psicología.

Robert Kohn, Brown University School of Medicine. Providence. Rhode Island.

Médico Psiquiatra. Doctor en Medicina de la Universidad de Illinois. Illinois.

Benjamín de la Cruz Vicente Parada, Universidad de Concepción. Concepción.

Médico Psiquiatra. Doctor en Filosofía. Mención Epidemiología y Psiquiatría Social. Profesor Titular. Facultad de Medicina. Departamento de Psiquiatría y Salud Mental.

References

1. Samaniego A, Urzúa A, Buenahora M, Vera-Villarroel P. Sintomatología asociada a trastornos de salud mental en trabajadores sanitarios en Paraguay: efecto COVID-19(2020). Rev. Inter. de Ps [Internet]. 2020 [citado 13/08/2025];54(1). Disponible en: https://journal.sipsych.org/index.php/ijp/article/view/1298/1013

2. Giardino DL, Huck-Iriart C, Riddick M, Garay A. The endless quarantine: the impact of the COVID-19 outbreak on healthcare workers after three months of mandatory social isolation in Argentina. Sleep Med [Internet]. 2020 [citado 13/08/2025];76:16–25. Disponible en: https://doi.org/10.1016/j.sleep.2020.09.022

3. Urzúa A, Samaniego A, Caqueo-Urízar A, Zapata Pizarro A, Irarrázaval Domínguez M. Salud mental en trabajadores de la salud durante la pandemia por COVID-19 en Chile Rev. Méd. de Chile [Internet]. 2020 [citado 13/08/2025];148(8):1121–1127. Disponible en: https://doi.org/10.4067/S0034-98872020000801121

4. Alvarado R, Ramírez J, Lanio I, Cortés M, Aguirre J, Bedregal P, et. al. El impacto de la pandemia de COVID-19 en la salud mental de los trabajadores de la salud en Chile: datos iniciales de The Health Care Workers Study. Rev. Méd. Chile [Internet]. 2021 [citado 13/08/2025];149(8). Disponible en: http://dx.doi.org/10.4067/s0034-98872021000801205

5. Giorgi G, Lecca LI, Alessio F, Finstad GL, Bondanini G, Lulli LG, Arcangeli G, Mucci N. COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review. Int J Environ Res Public Health [Internet]. 2020 [cited 13/08/2025];17(21):7857. Available from: https://doi.org/10.3390/ijerph17217857

6. Leka S, Griffiths A. Work Organization & Stress: Systematic Problem Approaches for Employers, Managers and Trade Union Representatives. Protecting Workers’ Health Series [Internet]. Geneva, Switzerland: World Health Organization; 2003 [cited 13/08/2025]. Available from: http://www.who.int/occupational_health/publications/en/oehstress.pdf

7. Gómez-Aranda C, García-Pérez A, González-Aragón ÁE, Reyes-Jiménez O. Asociación entre estrés laboral y dependencia nicotínica en trabajadores de la salud. Rev Med Inst Mex Seguro Soc [Internet]. 2021 [citado 13/08/2025];59(6):510-516. Disponible en: http://revistamedica.imss.gob.mx/editorial/index.php/revista_medica/article/view/4137/4289

8. Pérez J. ¿Qué es el estrés laboral y cómo medirlo? Salud Uninorte [Internet]. 2019 [citado 13/08/2025];35(1). Disponible en: https://www.scielo.org.co/pdf/sun/v35n1/2011-7531-sun-35-01-156.pdf

9. Medrano-Aispuro D, Hernández-Barba C, Haro-Acosta M, Quiñones-Montelongo K, Rosales-Soria R. Principales secuelas de SARS-CoV-2 en trabajadores de la salud en Baja California, México. Rev Asoc Esp Espec Med Trab [Internet]. 2023 [citado 13/08/2025];32(3):199-207. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S3020-11602023000300004

10. Ayala A, Campos M, Fong J. El síndrome de burnout en el personal de salud asociado a la pandemia Covid-19. RS [Internet]. 2022 [citado 13/08/2025];1(3):10-23. Disponible en: https://n9.cl/wugyn

11. Zambrano Bohórquez B, Villarín Castro A, Muñoz Bodas F, Gómez Rey I. Síndrome de Burnout, resiliencia y miedo a la COVID-19 en personal sanitario durante la pandemia por SARS-CoV-2. Rev Clin Med. Fam [Internet]. 2022 [citado 13/08/2025];15(3):134-142. Disponible en: https://n9.cl/bfdnf

12. Gómez-Aranda C, García-Pérez A, González-Aragón ÁE, Reyes-Jiménez O. Asociación entre estrés laboral y dependencia nicotínica en trabajadores de la salud. Rev. Méd. Inst. Mex. Seguro Soc [Internet]. 2021 [citado 13/08/2025];59(6):510-516. Disponible en: https://revistamedica.imss.gob.mx/index.php/revista_medica/article/view/4137

13. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et. al. Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease. JAMA [Internet]. 2019 [cited 24/09/2025];3(3):e203976. Available from: https://doi.org/10.1001/jamanetworkopen.2020.3976

14. Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review. Psychiatr Prax [Internet]. 2020 [cited 13/08/2025];47(4):190–197. Available from: https://doi.org/10.1055/a-1159-5551

15. Maliwichi L, Kondowe F, Mmanga C, Mchenga M, Kainja J, Nyamali S, Ndasauka Y. The mental health toll among healthcare workers during the COVID-19 Pandemic in Malawi. Sci Rep [Internet]. 2024 [cited 13/08/2025];14(1):10327. Available from: https://www.nature.com/articles/s41598-024-61216-x

16. World Health Organization. [Internet]. Americas: WHO; c2019-11 [updated 19 March 2020; cited 14/09/2025]. Coronavirus Disease (COVID-19) Outbreak: Rights, Roles and Responsibilities of Health Workers, Including Key Considerations for Occupational Safety and Health. 2020. Available from: https://iris.who.int/server/api/core/bitstreams/83467b4a-92bc-49e7-ba02-c56ee19ccf64/content

17. Rosales Vaca KM, Cruz Barrientos OI, Girón López S, Noriega S, More Árias A, Guariente SMM, Zazula R. Mental Health of Health care Workers of Latin American Countries: A Review of Studies Published during the First Year of COVID-19 Pandemic. Psychiatry Res [Internet]. 2022 [cited 13/08/2025];311:114501. Available from https://pubmed.ncbi.nlm.nih.gov/35320759/

18. De Oliveira FES, Trezena S, Dias VO, Martelli Júnior H, Martelli DRB. Trastornos mentales comunes en profesionales de atención primaria de salud durante el período de pandemia de COVID-19: Un estudio transversal de la macrorregión norte de Minas Gerais, Brasil. Epidemiol. E Serviços Saúde [Internet]. 2023 [citado 13/08/2025];32: e2022432. Disponible en: https://doi.org/10.1590/s2237-96222023000100012

19. Cabana AB, Luis G, Lorena F, de los Ángeles DM, Jimena B, Mariana G, Álvaro M, Gustavo M, Fernando B, Sebastián G. Experiencias subjetivas del personal de salud durante la emergencia sanitaria en Uruguay. An. Fac. Med [Internet]. 2023, [citado 13/08/2025];10 (2). Disponible en: https://doi.org/10.25184/anfamed2023v10n2a9

20. Mejía CR, Serna-Alarcón V, Vilela-Estrada MA, Armada J, Ubillus M, Beraún-Barrantes J, Álvarez-Risco A, del-Aguila-Arcentales S, Davies NM, Yáñez JA. Prevalence of Post-Traumatic Stress Disorder Risk Post-COVID-19 in 12 Countries in Latin America: A Cross-Sectional Survey. Front. Public Health [Internet]. 2024 [cited 13/08/2025];11:1302694. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1302694/full

21. Naranjo-Hidalgo T, Poveda-Ríos S. Conductas ansiógenas y depresivas en el personal de salud de Ecuador ante la emergencia COVID-19. Rev. Médica Electrónica [Internet]. 2021 [citado 13/08/2025];43:1383-1394. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242021000501383

22. Gámez-Pérez MG, Del Campo-Balsa MT, Mahillo-Fernández I. Assessment of mental health in medical professionals who exercised their activity during the covid-19 health crisis. Rev. Asoc. Española Espec. En Med. Trab [Internet]. 2023 [cited 04/07/2025]; 32:34-44. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S3020-11602023000100004&lng=es&nrm=iso&tlng=es

23. Kroenke K, Spitzer RL, Williams JB. PHQ-9: validity of a brief depression severity measure. J Gen Intern Med [Internet]. 2001 [cited 04/07/2025];16(9):606-613. Available from: https://doi.org/10.1046/j.1525-1497.2001.016009606.

24. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med [Internet]. 2006 [cited 04/07/2025];166(10):1092-1097. Available from: https://doi.org/10.1001/archinte.166.10.1092

25. Muñoz-Ortega S, Santamaría-Guayaquil D, Pluas-Borja J, Alvarado-Villa G, Sandoval V, Alvarado R, et.al. Mental Health in Healthcare Workers Post-COVID-19: A Latin American Review and Insights into Personalized Management Strategies. J Pers Med [Internet]. 2024 [cited 04/07/2025];14(7):680. Available from: https://doi.org/10.3390/jpm14070680

26. Noguera Novoa CN, Sarmiento-Melendez YT, Sierra-Hincapié GM, González-Díaz JM. Síntomas Depresivos en Trabajadores de la Salud dos años después del inicio de la pandemia COVID-19 en Bogotá, Colombia. Rev. Colomb. Psiquiatr [Internet]. 2023 [citado 13/08/2025];54(S1):61-69. Disponible en: https://doi.org/10.1016/j.rcp.2023.04.006

27. Susser E, Alvarado R, Mascayano F. The COVID-19 Health Care Workers Study (HEROES) [Internet]. USA, Washington, DC: Pan American Health Organization; 2021 [cited 04/07/2025]. Available from: https://iris.paho.org/handle/10665.2/55563

28. Saldivia S, Aslan J, Cova F, Vicente B, Inostroza C, Rincón P. Psychometric characteristics of the Patient Health Questionnaire (PHQ-9). Rev. Méd. de Chile [Internet]. 2019 [cited 04/07/2025];147(1):53-60. Available from: http://dx.doi.org/10.4067/S0034-98872019000100053

29. Vicente B, Rioseco P, Saldivia S, Kohn R, Torres S. Estudio chileno de prevalencia de patología psiquiátrica (DSM-III-R/CIDI) (ECPP). Rev. Med. de Chile [Internet]. 2002 [citado 04/07/2025];130(5):527-536. Disponible en: https://dx.doi.org/10.4067/S0034-988720020005000077

30. Salgado de Snyder VN, Villatoro AP, McDaniel MD, Ocegueda AS, Garcia D, Parra-Medina D. Occupational Stress and Mental Health Among Healthcare Workers Serving Socially Vulnerable Populations During the COVID-19 Pandemic. Front. Public Health [Internet]. 2021 [cited 04/07/2025];9:782846. Available from: https://doi.org/10.3389/fpubh.2021.7828466

31. Sørengaard TA, Saksvik-Lehouillier I. Insomnia among employees in occupations with critical societal functions during the COVID-19 pandemic. Sleep Med [Internet]. 2022 [cited 04/07/2025];91:185-88. Available from: https://doi.org/10.1016/j.sleep.2021.02.025

32. Osório FL, Zuardi AW, Silveira I, Crippa J, Hallak J, Pereira-Lima K, Loureiro SR. Monitoring the Mental Health and Professional Overload of Health Workers in Brazil: A Longitudinal Study Considering the First Wave of the COVID-19 Pandemic. Front. Psychiatry [Internet]. 2022 [cited 04/07/2025];13:852157. Available from: https://doi.org/10.3389/fpsyt.2022.852157

33. Valencia-Contrera M, Valenzuela-Suazo S, Rodríguez-Campo V, Valdebenito-Arandela D, Valderrama-Alarcón M. Riesgos psicosociales y calidad de vida en trabajadores de atención primaria: revisión integrativa. SANUS [Internet]. 2021 [citado 04/07/2025];7(1) e278. Disponible en: https://doi.org/10.36789/revsanus.vi1.278

34. González-Arratia López Fuentes N, Valdez Medina J. Resiliencia. Diferencias por edad en hombres y mujeres mexicanos. Act. Invest [Internet]. 2018 [citado 13/08/2025];5(2):1996-2010 Disponible en: https://doi.org/10.1016/S2007-4719(15)30019-3

Published

2026-03-11

How to Cite

1.
Macaya Sandoval XC, Inostroza Rovegno CI, Kohn R, Vicente Parada B de la C. Mental health in Chilean healthcare workers during the post-COVID-19 pandemic. Humanid. méd. [Internet]. 2026 Mar. 11 [cited 2026 Mar. 15];26. Available from: https://humanidadesmedicas.sld.cu/index.php/hm/article/view/2968

Issue

Section

Original articles