PEDRO FUKUTI
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina
LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica, Hospital das Clínicas, Faculdade de Medicina
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bookPart História da psiquiatria(2019) MAZZOCO, Marina Flaborea; FUKUTI, Pedro; FERREIRA, Pedro Mendonça; CASTELLANA, Gustavo Bonini- COMVC-19: A Program to protect healthcare workers' mental health during the COVID-19 Pandemic. What we have learned(2021) FUKUTI, Pedro; UCHOA, Caroline Louise Mesquita; MAZZOCO, Marina Flaborea; CRUZ, Isabella D'Andrea Garcia da; ECHEGARAY, Mariana V. F.; HUMES, Eduardo de Castro; SILVEIRA, Julia Belizario; SANTI, Talita Di; MIGUEL, Euripedes Constantino; CORCHST, FelipeOBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.
- Dimensions of emotional distress among Brazilian workers in a COVID-19 reference hospital: A factor analytical study(2022) CARVALHO-ALVES, Marcos O.; PETRILLI-MAZON, Vitor A.; BRUNONI, Andre R.; MALBERGIER, Andre; FUKUTI, Pedro; V, Guilherme Polanczyk; MIGUEL, Euripedes C.; CORCHS, Felipe; WANG, Yuan-PangBACKGROUNDThe coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for public health and has caused the loss of millions of lives worldwide. Hospital workers play a key role in averting the collapse of the health system, but the mental health of many has deteriorated during the pandemic. Few studies have been devoted to identifying the needs of workers on frontline duty.AIMTo investigate dimensions of common emotional symptoms and associated predictors among Brazilian workers in a COVID-19 reference hospital.METHODSThis is an observational study of the mental health of professionals in a COVID-19 hospital in the city of Sao Paulo. We invited all hospital employees to respond to an online survey between July and August 2020, during the first peak of the pandemic. Data of 1000 participants who completed the survey were analyzed (83.9% were women and 34.3% were aged 30 to 40). Hospital workers self-reported the presence of symptoms of depression, anxiety, trauma-related stress, and burnout through the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Impact of Event Scale-Revised and the Mini-Z Burnout Assessment respectively. Responses were assembled and subjected to exploratory factor analysis to reveal workers' core emotional distress. Multiple linear regression models were subsequently carried out to estimate the likelihood of dimensions of distress using questions on personal motivation, threatening events, and institutional support.RESULTSAround one in three participants in our sample scored above the threshold of depression, anxiety, post-traumatic stress disorder, and burnout. The factor analysis revealed a three-factor structure that explained 58% of the total data variance. Core distressing emotional domains were avoidance and re-experience, depression-anxiety, and sleep changes. Regression analysis revealed that institutional support was a significant protective factor for each of these dimensions (beta range = -0.41 to -0.20, P < 0.001). However, participants' personal motivation to work in healthcare service was not associated with these emotional domains. Moreover, the likelihood of presenting the avoidance and re-experience dimension was associated with having a family member or close friend be hospitalized or die due to COVID-19 and having faced an ethical conflict.CONCLUSIONDistressing emotional domains among hospital workers were avoidance and re-experience, depression and anxiety, and sleep changes. Improving working conditions through institutional support could protect hospital workers' mental health during devastating public health crises.
- How Institutions Can Protect the Mental Health and Psychosocial Well-Being of Their Healthcare Workers in the Current COVID-19 Pandemic(2020) FUKUTI, Pedro; UCHOA, Caroline Louise Mesquita; MAZZOCO, Marina Flaborea; CORCHS, Felipe; KAMITSUJI, Carla Satie; ROSSI, Luciane De; RIOS, Izabel Cristina; LANCMAN, Selma; BONFA, Eloisa; BARROS-FILHO, Tarcisio Eloy Pessoa de; MIGUEL, Euripedes Constantino
bookPart Manifestações psiquiátricas no contexto das pandemias: Covid-19(2021) FUKUTI, Pedro; CRUZ, Isabella D´Andrea Garcia da; SANTI, Talita Di; PENTEADO, Camila Truzzi; CHO, Aline Jimi Myung; SALDANHA, Natalia L.; UCHôA, Louise Mesquita; MAZZOCO, Marina FlaboreabookPart A formação do psiquiatra: residência médica(2021) FUKUTI, Pedro; GIMENEZ, Rodrigo Darouche; LUCIANO, Alan Campos; HUMES, Eduardo de Castro; SALLET, Paulo Clemente- COMVC-19, a Program to Protect Healthcare Workers' Mental Health During the COVID-19 Pandemic, and the Second Wave of the Pandemic: A New Moment and the Impact of Previous Experiences(2021) SCARDUELLI, Fabio Cassiodoro Veiga; FUKUTI, Pedro; CORCHS, Felipe; MIGUEL, Euripedes Constantino; HUMES, Eduardo de Castro