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Occupational exposure to anesthetic agents and mental health among anesthetic technicians

Published online by Cambridge University Press:  26 August 2025

M. A. Ghrab
Affiliation:
Occupational medicine, University Hospital Hedi Chaker
I. Sellami*
Affiliation:
Occupational medicine, University Hospital Hedi Chaker LR/18/ES-28, University of Sfax
A. Haddar
Affiliation:
Occupational medicine, University Hospital Hedi Chaker
A. Feki
Affiliation:
Rheumatology, University Hospital Hedi Chaker, Sfax, Tunisia
M. Hajjaji
Affiliation:
Occupational medicine, University Hospital Hedi Chaker
M. L. Masmoudi
Affiliation:
Occupational medicine, University Hospital Hedi Chaker
K. Jmal Hammami
Affiliation:
Occupational medicine, University Hospital Hedi Chaker
*
*Corresponding author.

Abstract

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Introduction

Exposure to anesthetic agents (AA) has long been a subject of concern, both for patients and healthcare workers. Recent studies highlighted potential associations between a prolonged exposure and healthcare concerns, including psychological effects such as depression.

Objectives

The aim of this study was to assess signs of depression among anesthetic technicians (AT) and evaluate its associated factors.

Methods

We conducted a cross-sectional study among AT in two University Hospitals in Sfax, Tunisia, between January and July 2024 during periodic health assessment visits. Sociodemographic and professional data were collected. The Patient-Health-Questionnaire-9 (PHQ-9) was used to assess signs of depression.

Results

Our population consisted of 60 AT with a mean age of 47.9±7.1 years. Two participants (3.3%) were males. Nine participants (15%) had a known psychiatric history. The mean seniority was 24±7.5 years in healthcare and 10.4±8.1 years in the current ward. The mean duration of exposure to anesthetic gases was 18.3±10.7 years. Sevoflurane was the most utilized AA, used by 75% of the population. Ninety-five percent of the population had shift work.

The median PHQ-9 score was 7 interquartile range IQR [2;11]. Moderate to severe signs of depression were found in 26.7% of the population. Duration of exposure to anesthetic gases was significantly lower among those presenting moderate to severe signs of depression (11 IQR [5;21]) compared to those presenting no or mild signs of depression (20 IQR [11;28]) (p=0.02).

Conclusions

Long professional exposure to AA showed lower depression scores among AT. Comprehensive studies are needed to evaluate the broader mental health and cognitive effects of these agents. Understanding these dynamics is essential for ensuring the safety of healthcare professionals.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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