Caring for the caregivers: mental health of health workers

Authors

  • Rubén M. Alvarado Universidad de Chile. Facultad de Medicina. Escuela de Salud Pública.

DOI:

https://doi.org/10.31052/1853.1180.v10.n2.7319

Keywords:

mental health, health workers

Abstract

Literature is revised on the basics and the evidence that would support an early detection intervention for the first psychotic episode. There is enough evidence to support that during the first psychotic episode there are important neurobiological and psychosocial changes, which considerably determine the future prognosis, especially as regards the overall performance and the levels of disability (“critical period hypothesis”). In turn, there is evidence supporting that less untreated psychosis time during the first period is associated with a better prognosis. This has lead to the development of interventions to allow for detection as early as possible from the onset of the first psychosis symptoms. The results obtained (all in developed countries) show a marked improvement in the untreated psychosis time, in recovery and prognosis of the disease and in reduction of associated risks (such as drug abuse and suicide). Based on these antecedents, the WHO has recommended that the countries should adopt policies on the issue, focused on early detection in individuals with psychotic episodes.

Downloads

Download data is not yet available.

Author Biography

Rubén M. Alvarado, Universidad de Chile. Facultad de Medicina. Escuela de Salud Pública.

Médico Psiquiatra Magister en Salud Pública PhD (C) en Psiquiatría y Cuidados Comunitarios

References

Alvarado R, Raffo S, Gómez B, Riveros A, Sagaceta A, Salinas J, Pérez J. 1991.Programa de Salud Mental para la Atención Primaria, en el Servicio de Salud Metropolitano Sur. Revista de Psiquiatría; 8 (2): 805 – 814.

Alvarado R, Vásquez P, Soto S, Pérez J, Raffo S. 1995. Diagnóstico de salud mental en trabajadores de hospitales y consultorios de atención primaria. Cuadernos Médico Sociales (2); 36:30 – 34.

Alvarado R, Vera A, Toledo MI, Serrano F, Gatica CG, Núñez C, Gody S, Soto O, Alfaro J, Asún D. 1989. Validación de escalas para medir trastornos depresivos, por ansiedad y somatoformes. Cuadernos de Psicología N° 2, Universidad Diego Portales, Santiago de Chile.

Orpinas P y cols. 1987. Validación de la Escala Breve para la detección de Beber Problema(EBBA). Educación Médica y Alcoholismo. Documento de Trabajo Nº 8. División de Ciencias Médicas Oriente, Facultad de Medicina, Universidad de Chile.

/ SP

Vicente B et al. 2004. Population of psychiatric disordersin Chile: 6 – month and 1 – month rates. British Journal ofPsychiatry; 184: 299 – 305.

Marmot M et al. 1999. Health and the psychosocialenvironment at work. En: Marmot M & Wilkinson RG, SocialDeterminants of Health. Oxford: Oxford University Press. Pp.105 – 131.

Ferguson DM, Horwood LJ, Woodward LJ. 2001.Unemployment and psychosocial adjustment in young adults:causation or selection? Social Science & Medicine; 53: 305 –320.

Ferrie JE et al. 2005. Self – reported job insecurity andhealth in the Withehall II study: potential explanations of therelationships. Social Science & Medicine; 60: 1593 – 1602.

Giddens A. 2001. Sociología. Cap. 13: El trabajo y lavida económica. Madrid: Alianza Editorial. Pp. 477 – 534.

Instituto Nacional de Seguridad e Higiene en el Trabajo.2001. Estrés, Aspectos Médicos. Madrid: Servicio de Edicionesy Publicaciones del INSHT.

Wilhelm K, Kovess V, Rios-Seidel C, Finch A. 2004. Work and mental health. Social Psychiatry & Psychiatric Epidemiology; 39: 866 – 873.

Carlson NR. Fisiología de la conducta. Cap 18: Trastornos por estrés. Barcelona: Editorial Ariel SA. Pp. 718 - 732.

Fernández – Abascal EG. 1999. El estrés: aspectos básicosy de intervención. En: Fernández – Abascal EG & Palmero F.Emociones y Salud. Barcelona: Editorial Ariel SA. Pp. 327 –348.

Karasek RA. 1979. Job demands, job decisión latitude,mental strain: implications for job redesign. AdministrationScience Quartely; 24: 285 – 308.

Siegrist J. 1996. Adverse health effects of high effort /low reward conditions. Journal Occupational Health Psychology;1: 27 – 41.

Bosma H et al. 1998. Two alternative job stress modelsand the risk of coronary heart disease. American Journal ofPublic Health; 88: 68 – 74.

Freudenberger HJ. 1974. Staff burn-out. Journal of SocialIssues; 30: 159 – 165.

Gil – Monte P & Peiró JM. 1997. Desgaste psíquico enel trabajo: el síndrome de quemarse. Madrid: Editorial SíntesisSA.

Pines A & Aronson E. 1988. Career burnout: causes andcures. New York: The Free Press.

Maslach C. 1982. Burnout: the cost of caring. New York:Prentice – Hall Press.

Maslach C, Schaufeli WB, Laiter MP. 2001. Job Burnout.Annual Review Psychology; 52: 397 – 422.

Maslach C & Jackson SE. 1981. Maslach BurnoutInventory. Palo Alto, California: Consulting Psichologisy Press

How to Cite

1.
Alvarado RM. Caring for the caregivers: mental health of health workers. Rev. Salud Pública (Córdoba) [Internet]. 2014 Apr. 15 [cited 2024 Jul. 17];10(2):31-7. Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/7319

Issue

Section

Scientific Articles