2022, Número 4
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Salud Mental 2022; 45 (4)
Doctoring and mothering during the SARS-COV2 pandemic: Characteristics of physicians-mothers during COVID-19 and their impact on mental health
Vargas-Huicochea I, Berenzon S, Tafoya SA, Guízar-Sánchez DP, Kelsall N, Rodríguez-Machain AC, Lanz-Uribe A
Idioma: Ingles.
Referencias bibliográficas: 44
Paginas: 185-198
Archivo PDF: 268.98 Kb.
RESUMEN
Introducción. Durante el COVID-19, los trabajadores de la salud enfrentaron mayor estrés, acentuado por
los roles de género, como la maternidad.
Objetivo. Analizar las características de un grupo de madres médicas,
su impacto en la salud mental, y sus experiencias durante esta pandemia.
Método. Estudio de métodos
mixtos mediante una encuesta en línea que indagó aspectos familiares, emocionales, profesionales y la
experiencia personal de 537 madres médicas durante la primera etapa del COVID-19.
Resultados. Por la
pandemia, las participantes cambiaron sus actividades diarias. Asimismo, incrementaron el número de horas
dedicadas al trabajo profesional (
HM = 5.08,
p ‹ .0001), el cuidado de niños (
HM = 3.74,
p ‹ .0001) y la planificación
y preparación de alimentos (
HM = -6.96,
p ‹ .0001). Disminuyeron las horas dedicadas al ejercicio
físico (
MH = 8.67,
p ‹ .0001) y al cuidado personal (
MH = 9.54,
p ‹ .0001). Señalaron que esta pandemia
generó una falta de espacios definidos, lo que favoreció el multitasking. Miedo y culpa fueron dos palabras habituales
en los discursos de las participantes. También miedo a enfermarse y morir, o miedo a contagiar a sus
familias. Culpabilidad por sentir que no desempeñaron un buen papel ni como médicas ni como madres. Los
síntomas psicológicos más comunes fueron insomnio, tristeza y tensión constante.
Discusión y conclusión.
La pandemia evidenció y exacerbó las disparidades que enfrentan estas doctoras en el campo de la medicina
y la inequidad en las tareas del hogar. La pérdida de los límites entre lo público y lo privado mostró a las médicas
madres conciliando su vida personal y profesional, con repercusiones sustanciales para su salud mental.
REFERENCIAS (EN ESTE ARTÍCULO)
Adesoye, T., Mangurian, C., Choo, E. K., Girgis, C., Sabry-Elnaggar, H., & Linos, E.(2017). Perceived discrimination experienced by physician mothers and desiredworkplace changes: a cross-sectional survey. JAMA Internal Medicine, 177(7),1033-1036. doi: 10.1001/jamainternmed.2017.1394
Amarís-Macías, M. (2004). Roles parentales y el trabajo fuera del hogar. Psicologíadesde el Caribe, (13), 15-28.
Berg, C. A., & Upchurch, R. (2007). A developmental-contextual model of couplescoping with chronic illness across the adult life span. Psychological Bulletin,133(6), 920-954. doi: 10.1037/0033-2909.133.6.920
Bohlken, J., Schömig, F., Lemke, M. R., Pumberger, M., & Riedel-Heller, S. G.(2020). COVID-19 Pandemic: Stress Experience of Healthcare Workers - AShort Current Review. Psychiatrische Praxis, 47(4), 190-197. doi: 10.1055/a-1159-5551
Cañongo León, G., & Palafox Luévano, I. N. (2020). Sobrecarga de trabajo paralas madres en tiempos de COVID-19 - Mayo 9. Boletín UNAM-DGCS412.Retrieved from https://www.dgcs.unam.mx/boletin/bdboletin/2020_412.html
Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., … Zhang, Z. (2020). Mentalhealth care for medical staff in China during the COVID-19 outbreak. TheLancet Psychiatry, 7(4), e15-e16. doi: 10.1016/S2215-0366(20)30078-X
Chowdhry, S. M. (2020). Trying To Do It All: Being a Physician-Mother during theCOVID-19 Pandemic. Journal of Palliative Medicine, 23(5), 731-732. doi:10.1089/jpm.2020.0182
Cluver, L., Lachman, J. M., Sherr, L., Wessels, I., Krug, E., Rakotomalala, S.,… McDonald, K. (2020). Parenting in a time of COVID-19. The Lancet,395(10231), e64. doi: 10.1016/S0140-6736(20)30736-4
Cooney, C. I. (2020, April 8). The Parents Are Not All Right. Medium. Retrieved fromhttps://gen.medium.com/parents-are-not-ok-66ab2a3e42d9
Duque, H., & Aristizábal Diaz-Granados, E. T. (2019). Análisis fenomenológicointerpretativo. Una guía metodológica para su uso en la investigación cualitativaen psicología. Pensando Psicología, 15(25), 1-24. doi: 10.16925/2382-3984.2019.01.03
Eby, L., Casper, W., Lockwood, A., Bordeaux, C., & Brinley, A. (2005). Work and FamilyResearch in IO/OB: Content Analysis and Review of the Literature (1980–2002).Journal of Vocational Behavior, 66(1), 124-197. doi: 10.1016/j.jvb.2003.11.003
Ganguli, I., Sheridan, B., Gray, J., Chernew, M., Rosenthal, M. B., & Neprash, H.(2020). Physician work hours and the gender pay gap—evidence from primarycare. New England Journal of Medicine, 383(14), 1349-1357. doi: 10.1056/NEJMsa2013804
Goodman, S. H., & Garber, J. (2017). Evidence-Based Interventions for DepressedMothers and Their Young Children. Child Development, 88(2), 368-377. doi:10.1111/cdev.12732
Gorbalenya, A. E., Baker, S. C., Baric, R. S., Groot, R. J. de, Drosten, C., Gulyaeva,A. A., … Ziebuhr, J. (2020). Severe acute respiratory syndrome-relatedcoronavirus: The species and its viruses – a statement of the Coronavirus StudyGroup. BioRxiv, 2020. doi: 10.1101/2020.02.07.937862
Guille, C., Frank, E., Zhao, Z., Kalmbach, D. A., Nietert, P. J., Mata, D. A., & Sen,S. (2017). Work-Family Conflict and the Sex Difference in Depression AmongTraining Physicians. JAMA Internal Medicine, 177(12), 1766-1772. doi:10.1001/jamainternmed.2017.5138
Hamel, L., & Salganicoff, A. (2020, April 6). Is There a Widening Gender Gap inCoronavirus Stress?. Coronavirus (COVID-19). KFF. Retrieved from https://www.kff.org/policy-watch/is-there-widening-gender-gap-in-coronavirus-stress/
Jolly, S., Griffith, K. A., De Castro, R., Stewart, A., Ubel, P., & Jagsi, R. (2014).Gender differences in time spent on parenting and domestic responsibilitiesby high-achieving young physician-researchers. Annals of Internal Medicine,160(5), 344-353. doi: 10.7326/M13-0974
Juengst, S. B., Royston, A., Huang, I., & Wright, B. (2019). Family Leave andReturn-to-Work Experiences of Physician Mothers. JAMA Network Open,2(10), e1913054. doi: 10.1001/jamanetworkopen.2019.13054
Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., … Liu, Z. (2020). Themental health of medical workers in Wuhan, China dealing with the 2019novel coronavirus. The Lancet Psychiatry, 7(3), e14. doi: 10.1016/S2215-0366(20)30047-X
Kvale, S. (1996). InterViews: An Introduction to Qualitative Research Interviewing.SAGE Publications, Inc.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., … Hu, S. (2020). Factors Associatedwith Mental Health Outcomes Among Health Care Workers Exposed toCoronavirus Disease 2019. JAMA Network Open, 3(3), e203976. doi: 10.1001/jamanetworkopen.2020.3976
Lancee, W. J., Maunder, R. G., Goldbloom, D. S., & Coauthors for the Impact ofSARS Study. (2008). Prevalence of psychiatric disorders among Torontohospital workers one to two years after the SARS outbreak. PsychiatricServices, 59(1), 91-95. doi: 10.1176/ps.2008.59.1.9122. López-Atanes, M., Recio-Barbero, M., & Sáenz-Herrero, M. (2020). Are women still“the other”? Gendered mental health interventions for health care workers inSpain during COVID-19. Psychological Trauma: Theory, Research, Practiceand Policy, 12(S1), S243-S244. doi: 10.1037/tra0000751
Mache, S., Bernburg, M., Groneberg, D. A., Klapp, B. F., & Danzer, G. (2016).Work family conflict in its relations to perceived working situation and workengagement. Work, 53(4), 859-869. doi: 10.3233/WOR-162257
Makino, M., Kanie, A., Nakajima, A., & Takebayashi, Y. (2020). Mental health crisisof Japanese health care workers under COVID-19. Psychological Trauma:Theory, Research, Practice and Policy, 12(S1), S136-S137. doi: 10.1037/tra0000819
Marchand, A., Bilodeau, J., Demers, A., Beauregard, N., Durand, P., & Haines,V. Y. (2016). Gendered depression: Vulnerability or exposure to work andfamily stressors? Social Science & Medicine, 166, 160-168. doi: 10.1016/j.socscimed.2016.08.021
Markham, A. N., & Buchanan, E. A. (2015). Internet Research: Ethical Concerns.In: Editor(s): James D. Wright (Eds.) International Encyclopedia of the Social& Behavioral Sciences (Second Edition). Elsevier, p. 606-613. doi: 10.1016/B978-0-08-097086-8.11027-X.
Martínez Miguélez, M. (2006). Validez y confiabilidad en la metodología cualitativa.Paradigma, 27(2), 07-33.
Michel, J., Kotrba, L., Mitchelson, J. K., Clark, M., & Baltes, B. (2011). Antecedentsof work–family conflict: A meta‐analytic review. Journal of OrganizationalBehavior, 32(5), 689-725. doi: 10.1002/job.695
Mihailescu, M., & Neiterman, E. (2019). A scoping review of the literature on thecurrent mental health status of physicians and physicians-in-training in NorthAmerica. BMC Public Health, 19(1), 1363. doi: 10.1186/s12889-019-7661-9
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou,P. (2020). Prevalence of depression, anxiety, and insomnia among healthcareworkers during the COVID-19 pandemic: A systematic review and metaanalysis.Brain, Behavior, and Immunity, 88, 901-907. doi: 10.1016/j.bbi.2020.05.026
Perry‐Jenkins, M., & Gerstel, N. (2020). Work and family in the second decade ofthe 21st century. Journal of Marriage and Family, 82(1), 420-453. doi: 10.1111/jomf.12636
Sandven-Thrane, S. (2020). Covid-19: Thoughts from a worried mother. Tidsskriftfor Den Norske Legeforening. doi: 10.4045/tidsskr.20.0220
Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and Addressing Sourcesof Anxiety Among Health Care Professionals During the COVID-19 Pandemic.JAMA, 323(21), 2133-2134. doi: 10.1001/jama.2020.5893
Staniscuaski, F., Reichert, F., Werneck, F. P., de Oliveira, L., Mello-Carpes, P. B.,Soletti, R. C., … Parentin Science Movement. (2020). Impact of COVID-19on academic mothers. Science, 368(6492), 724. doi: 10.1126/science.abc2740
Suarez, V., Suarez-Quezada, M., Oros-Ruiz, S., & Ronquillo-De Jesús, E. (2020).Epidemiology of COVID-19 in Mexico: From the 27th of February to the30thofApril 2020. Revista Clínica Española, 220(8), 463-471. doi: 10.1016/j.rce.2020.05.007
Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T., Trockel, M., Adair, K. C., …Ioannidis, J. P. A. (2019). Evidence Relating Health Care Provider Burnout andQuality of Care: A Systematic Review and Meta-analysis. Annals of InternalMedicine, 171(8), 555-567. doi: 10.7326/M19-1152
Tayfur, O., Bayhan-Karapinar, P., & Metin-Camgoz, S. (2013). The mediating effectsof emotional exhaustion cynicism and learned helplessness on organizationaljustice-turnover intentions linkage. International Journal of Stress Management,20(3), 193-221. doi: 10.1037/a0033938
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reportingqualitative research (COREQ): a 32-item checklist for interviews and focusgroups. International Journal for Quality in Health Care, 19(6), 349-357. doi:10.1093/intqhc/mzm042
Wenham, C., Smith, J., Morgan, R., & Gender and COVID-19 Working Group.(2020). COVID-19: The gendered impacts of the outbreak. The Lancet,395(10227), 846-848. doi: 10.1016/S0140-6736(20)30526-2
World Health Organization [WHO]. (2020). Novel Coronavirus ( 2019-nCoV) :Situation report, (No. 11). World Health Organization, WHO. Retrieved fromhttps://apps.who.int/iris/handle/10665/330776
Yank, V., Rennels, C., Linos, E., Choo, E. K., Jagsi, R., & Mangurian, C. (2019).Behavioral Health and Burnout Among Physician Mothers Who Care for aPerson with a Serious Health Problem, Long-term Illness, or Disability. JAMAInternal Medicine, 179(4), 571-574. doi: 10.1001/jamainternmed.2018.6411
Zhang, H., Tang, L., Ye, Z., Zou, P., Shao, J., Wu, M., … Mu, S. (2020a). The roleof social support and emotional exhaustion in the association between workfamilyconflict and anxiety symptoms among female medical staff: A moderatedmediation model. BMC Psychiatry, 20(1), 266. doi: 10.1186/s12888-020-02673-2
Zhang, W. R., Wang, K., Yin, L., Zhao, W.-F., Xue, Q., Peng, M., … Wang, H.-X.(2020b). Mental Health and Psychosocial Problems of Medical Health Workersduring the COVID-19 Epidemic in China. Psychotherapy and Psychosomatics,89(4), 242-250. doi: 10.1159/000507639
Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., … China Novel CoronavirusInvestigating and Research Team. (2020). A Novel Coronavirus from Patientswith Pneumonia in China, 2019. The New England Journal of Medicine, 382(8),727-733. doi: 10.1056/NEJMoa2001017