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Use of Psychological Interventions by Healthcare Workers in Post-COVID-19 Period: Longitudinal Study

Published online by Cambridge University Press:  26 August 2025

B. García-Vázquez*
Affiliation:
Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz (HULP) Psychiatry, Instituto de Investigación Sanitaria La Paz (IdiPAZ) Psychiatry, Universidad Autónoma de Madrid (UAM)
C. Bayón Pérez
Affiliation:
Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz (HULP) Psychiatry, Instituto de Investigación Sanitaria La Paz (IdiPAZ) Psychiatry, Universidad Autónoma de Madrid (UAM) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Investigación Carlos III
M. F. Bravo Ortiz
Affiliation:
Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz (HULP) Psychiatry, Instituto de Investigación Sanitaria La Paz (IdiPAZ) Psychiatry, Universidad Autónoma de Madrid (UAM) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Investigación Carlos III
R. Mediavilla Torres
Affiliation:
Psychiatry, Universidad Autónoma de Madrid (UAM) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Instituto de Investigación Carlos III Hospital Universitario La Princesa Instituto de Investigación Sanitaria del Hospital Universitario La Princesa, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Despite healthcare workers (HCWs) facing mental health challenges during COVID-19, their use of psychological support is limited. Understanding these dynamics is crucial for identifying mental health needs and vulnerable groups within Spanish healthcare services.

Objectives

This study analyzes psychological support use among Spanish HCWs post-pandemic onset over 2 years, and its link to workplace and COVID-19 factors from 2020 data.

Methods

Longitudinal research involved Spanish HCWs. Data from online surveys covered demographics (age and gender), depressive symptoms (PHQ-9), workplace-and COVID-19-related factors (type of job, direct exposure to COVID-19 patients, adequate access to personal protective equipment, social stigma for working with COVID-19 patients, decision making on patient prioritization, and perceived social network support at work), and psychological support use across 2020, 2021, and 2022. We received responses from 296, 294, and 251 participants at time points 1, 2, and 3, respectively.

Results

Predominantly female participants (n=242, 82%) and with a median age of 43 years. Psychological support seeking increased from 15% in 2020 to 23% in 2022. Notably, one in four HCWs not seeking help showed major depressive disorder symptoms. Predictors for seeking support included patient prioritization decision-making (OR 5.59, 95% CI 2.47-12.63) and probable depression (wave 2: OR 1.12, 95% CI 1.06-1.19; wave 3: OR 1.10, 95% CI 1.04-1.16). Table 1 shows the association between workplace- and COVID-19-related variables at baseline and use of psychological support at follow-up.

Table 1.
Wave 2Wave 3
Odds ratio95% CIOdds ratio95% CI
Direct exposure to COVID-19 patients2.03(0.93, 4.41)1.03(0.53, 2.03)
Access to protective equipment0.81(0.55, 1.19)1.10(0.75, 1.60)
Social stigma for working with COVID-19 patients1.20(0.84, 1.71)1.13(0.80, 1.60)
Patient prioritization5.59(2.47, 12.63)1.45(0.64, 3.26)
Social support from colleagues1.45(0.88, 2.41)1.17(0.75, 1.85)

Conclusions

A significant portion of HCWs may seek psychological support post-pandemic, regardless of prior workplace or COVID-19 stressors. Targeted mental health initiatives are crucial, emphasizing health promotion, primary prevention, and support for individuals, including those with depressive symptoms.

Disclosure of Interest

None Declared

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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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