Depressive symptoms among nursing professionals: evidence from a university hospital in the context of the COVID-19 pandemic
DOI:
https://doi.org/10.34019/2446-5739.2026.v12.51588Keywords:
Depression, Nursing, COVID-19, Mental Health, EpidemiologyAbstract
Objetivo: Analisar a associação entre sintomas e níveis de depressão em profissionais de enfermagem em uma instituição hospitalar no período pandêmico da COVID-19, discutindo implicações para o cenário pós-pandêmico. Métodos: Estudo epidemiológico transversal, realizado em hospital universitário de Uberlândia (MG), com profissionais de enfermagem que assistiram pacientes com COVID-19. Aplicaram-se questionário sociodemográfico, econômico, laboral e o Inventário de Depressão Beck, via formulário eletrônico, e analisado no software R 3.6. Resultados: Participaram 290 profissionais, majoritariamente mulheres (71,7%), pardas (50,0%) e com formação técnica (60,3%), em sua maioria classificada com depressão mínima (75,6%). A prevalência de sintomas depressivos foi maior entre indivíduos com nível superior em enfermagem e carga horária igual ou superior a 40 horas. Onze sintomas do Inventário de Beck apresentaram significância. Conclusão: Os achados evidenciam sintomas-chave associados a esses profissionais e reforçam a necessidade de estratégias institucionais permanentes de prevenção, acolhimento e monitoramento em saúde mental no período pós-pandêmico.
ABSTRACT
Objective: To analyze the association between depressive symptoms and levels of depression among nursing professionals in a hospital institution during the COVID-19 pandemic, discussing implications for the post-pandemic scenario. Methods: A cross-sectional epidemiological study conducted at a university hospital in Uberlândia, Minas Gerais, Brazil, involving nursing professionals who provided care to patients with COVID-19. Sociodemographic, economic, and occupational questionnaires and the Beck Depression Inventory were administered via an electronic form, and data were analyzed using R software version 3.6. Results: A total of 290 professionals participated, predominantly women (71.7%), of mixed race (50.0%), and with technical-level training (60.3%), most of whom were classified as having minimal depression (75.6%). The prevalence of depressive symptoms was higher among individuals with a higher education degree in nursing and a workload of 40 hours or more per week. Eleven symptoms from the Beck Depression Inventory showed statistical significance. Conclusion: The findings highlight key symptoms associated with these professionals and reinforce the need for permanent institutional strategies for prevention, support, and mental health monitoring in the post-pandemic period.
Downloads
References
Marchi RC, Dalri B, Almeida Da Silva L, Oliveira A, Mendes C, Lúcia Do Carmo M, et al. Carga horária de trabalho dos enfermeiros e sua relação com as reações fisiológicas do estresse. Rev Latino-Am Enferm [Internet]. 2014 [cited 2025 Nov 14];22(6). Disponível em: https://doi.org/10.1590/0104-1169.3292.2503
Santos AF dos, Martins W. Saúde Mental dos profissionais de enfermagem diante da sobrecarga de trabalho: uma revisão integrativa de literatura. E-Acadêmica [Internet]. 2022 [cited 2025 Nov 14];3(2):e5132188. Disponível em: https://doi.org/10.52076/eacad-v3i2.188
Santos GGS, de Almeida Silva AC, Curty de Souza Vergilio JM, Aquino Duarte T, Amorim TV. Depression, anxiety and stress symptoms in nursing students: a cross-sectional study. Rev. Enf. UFJF [Internet]. 2024 [cited 2025 Nov 14];10(1). Disponível em: https://doi.org/10.34019/2446-5739.2024.v10.46350
Zhang Y, Liu F, Ma J, Wu J, Shen C, Chang F, et al. Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking. BMC Nursing [Internet]. 2025 Jan 6;24(1). Disponível em: https://doi.org/10.1186/s12912-024-02604-6
Radovanovic CAT, Carreira L. Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review. Rev Bras Enferm. 2020;73(Suppl 2):e20200338. Disponível em: http://dx.doi.org/10.1590/0034-7167-2020-0338
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The Mental Health of Medical Workers in Wuhan, China Dealing with the 2019 Novel Coronavirus. The Lancet Psychiatry [Internet]. 2020 [cited 2025 Nov 14];7(3):e14. Disponível em: https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(20)30047-X/fulltext
Marques Mota H, Silva L de AM. Ansiedade, depressão e estresse em enfermeiros durante e após a pandemia COVID-19: Um olhar para a literatura. SciGen [Internet]. 2024 [cited 16 nov 2025 2025];5(2):550-61. Disponível em: https://www.scientiageneralis.com.br/index.php/SG/article/view/639
Souza BA de, Gouveia AO de, Souza JRB de, Borges RC de S, Silva LAT. Fatores organizacionais e psicossociais na saúde mental de enfermeiros hospitalares. Rev. DELOS [Internet]. 2024 [cited nov 16 2025];17(62):e3040. Disponível em: https://ojs.revistadelos.com/ojs/index.php/delos/article/view/3040
Cohen J. Statistical power analysis for the behavioral sciences. 2a ed. New York: Lawrence Erlbaum Associates; 1988. 579 p.
Alves da Paixão Nobre F, Albuquerque MC dos S, Rêgo Cabral Júnior C. Prevalência de Ansiedade e Depressão em profissionais de Enfermagema na Pandemia da COVID-19. Rev Mosaico [Internet]. 2024 [cited 2025 Nov 15];15(1):1-14. Available from: https://doi.org/10.21727/rm.v15i1.3866
Cunha JA. Manual da versão em português das escalas Beck. Casa do Psicólogo; 2001.
Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: Psychometric properties. J Consulting Clinical Psy [Internet] 1988;56(6):893–7. Disponível em: https://psycnet.apa.org/record/1989-10559-001
R: The R Project for Statistical Computing [Internet]. R: the R project for statistical computing; [cited 2025 Nov 10]. Disponível em: https://www.r-project.org/.
The Comprehensive R Archive Network [Internet]. CRAN - Package fBasics; [cited 2025 Nov 10]. Disponível em: https://cran.r-project.org/web/packages/fBasics/index.html
The Comprehensive R Archive Network [Internet]. Package “epiDisplay [cited 2025 Nov 10]. Disponível em: https://cran.r-project.org/web/packages/epiDisplay/epiDisplay.pdf
Revelle WR (Photographer). psych: Procedures for Personality and Psychological Research 2017.
Marschner IC. Glm2: fitting generalized linear models with convergence problems. The R Journal [Internet]. 2011;3:12. Disponível em: https://journal.r-project.org/articles/RJ-2011-012/
The Comprehensive R Archive Network [Internet]. CRAN: r news; [cited 2025 Nov 10]. Disponível em: https://cran.r-project.org/doc/Rnews/.
Signorell A, Aho K, Anderegg N, Aragon T, Arachchige C, Arppe A, et al. R Project [Internet]. DescTools: tools for descriptive statistics - CRAN; 2019 [cited 2025 Nov 10]. Disponível em: https://cran.r-project.org/web/packages/DescTools/DescTools.pdf
Taber KS. The use of cronbach’s alpha when developing and reporting research instruments in science education. Res Sci Educ [Internet]. 2017 [cited 2025 Nov 10]; 48(6):1273-96. Disponível em: https://doi.org/10.1007/s11165-016-9602-2
Ferreira LB da S, Ribeiro R de CHM, Pompeo DA, Contrin LM, Werneck AL, Ribeiro RM, et al. Nível de estresse e avaliação preliminar da síndrome de Burnout em Enfermeiro da UTI na COVID-19 - Estudo de caso. Res Soc Develop [Internet]. 2022 [cited 2025 Nov 10];11(2):e31111225658. Disponível em: https://doi.org/10.33448/rsd-v11i2.25658
Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm [Internet]. 2020 [cited 2025 Nov 10];73(suppl 2). Disponível em: http://dx.doi.org/10.1590/0034-7167-2020-0434
Pedrolo E, Ramos TH, Ziesemer N de B, Boostel R, Raeffner R. Licensed practical nurses professionals: ten year salary time series. Res Soc Develop [Internet]. 2021 [cited 2025 Nov 10];10(16). Disponível em: https://doi.org/10.33448/rsd-v10i16.23840.
Assis BB, Azevedo C, Moura CC, Mendes PG, Rocha LL, Roncalli AA, et al. Factors associated with stress, anxiety and depression in nursing professionals in the hospital context. Rev Bras Enferm [Internet]. 2022 [cited 2025 Nov 14];75. Disponível em: https://doi.org/10.1590/0034-7167-2021-0263.
American Psychiatric Association. DSM-5. Artmed Editora; 2014.
Costa VH dos S. Análise dos Fatores Que Levam Enfermeiros À Depressão. Zenodo [Internet]. 2020 [cited 2025 Nov 10];3(6). Disponível em: https://zenodo.org/records/4292351
Junior MD da SJ, Silva RR, Santos MIS, Ferreira ARA, Passos JP. Os Efeitos Da Pandemia No Bem-estar Dos Enfermeiros Brasileiros No Combate Ao COVID-19: Uma Revisão De Escopo. Arq Ciências Saúde UNIPAR [Internet]. 2023 [cited 2025 Nov 13];27(2):701–19. Disponível em: https://doi.org/10.25110/arqsaude.v27i2.2023-011
Liu CH, Zhang E, Wong GTF, Hyun S, Hahm H “Chris”. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psy Research [Internet]. 2020 [cited 2025 Nov 13];290:113172. Disponível em: https://doi.org/10.1016/j.psychres.2020.113172
Varma P, Junge M, Meaklim H, Jackson ML. Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: A global cross-sectional survey. Prog Neuropsychopharmacol Biol Psychiatry [Internet]. 2021 [cited 2025 Nov 13];109(110236):110236. Disponível em: https://doi.org/10.1016/j.pnpbp.2020.110236.
Appel AP, Carvalho AR da S, Santos RP dos. Prevalence and factors associated with anxiety, depression and stress in a COVID-19 nursing team. Rev Gaúcha Enferm [Internet]. 2021 [cited 2025 Nov 13];42(spe). Disponível em: https://doi.org/10.1590/1983-1447.2021.20200403
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Amanda Michelly de Oliveira Balbino, Francyele Alves da Paixão Nobre, Cyro Rêgo Cabral Junior, Maria Cicera dos Santos de Albuquerque

This work is licensed under a Creative Commons Attribution 4.0 International License.