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      Impactos do estresse na exposição ocupacional de bombeiros: revisão integrativa Translated title: Impacts of stress on occupational exposure of firefighters: an integrative review Translated title: Impactos del estrés en la exposición ocupacional de los bomberos: una revisión integradora

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          Abstract

          RESUMO Objetivo identificar os impactos na saúde mental de bombeiros relacionados ao estresse da exposição ocupacional. Método trata-se de uma revisão integrativa da literatura nas bases de dados CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus e SCIELO. Para a estratégia de busca utilizou-se os descritores: “Occupational Stress”, “Firefighters”, “Occupational Exposure”. Como critérios de inclusão estabeleceu-se: artigos originais; entre os anos de 2009 e 2019; disponíveis completos; estudos transversais; nos idiomas português, inglês e/ou espanhol; e cuja população de estudo incluíssem bombeiros. Resultados nessa revisão foram analisados 11 artigos. Evidenciou-se que a exposição de bombeiros impactou o desencadeamento de sintomas de depressão e transtorno de estresse pós-traumático. Conclusão as evidências deste estudo demonstraram que a exposição ocupacional de bombeiros interfere no seu padrão de saúde mental causando estresse por meio do sofrimento psíquico. Este estudo alerta para a necessidade de intervenção e promoção à saúde do bombeiro.

          Translated abstract

          ABSTRACT Objective to identify mental health impacts of occupational exposure-related stress among firefighters. Method this integrative literature review searched the CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus and SCIELO databases, suing the descriptors: “Occupational Stress”, “Firefighters”, “Occupational Exposure”. The inclusion criteria were: original articles; between the years 2009 and 2019; full text available; cross-sectional studies; in Portuguese, English and/or Spanish; and whose study population included firefighters. Results 11 articles were analyzed. Firefighters’ exposure was found to impact the triggering of depressive symptoms and post-traumatic stress disorder. Conclusion the evidence in this study demonstrated that firefighters’ occupational exposure interferes with their mental health patterns, causing stress through psychological suffering. This study warns of the need for intervention and promotion of firefighters’ health.

          Translated abstract

          RESUMEN Objetivo identificar los impactos en la salud mental del estrés relacionado con la exposición ocupacional entre los bomberos. Método esta revisión integradora de la literatura buscó en las bases de datos CINAHL (EBSCO), PsycINFO, MEDLINE®, LILACS, Web of Science, Scopus y SCIELO, demandando los descriptores: “Estrés ocupacional”, “Bomberos”, “Exposición ocupacional”. Los criterios de inclusión fueron: artículos originales; entre los años 2009 y 2019; Texto completo disponible; estudios transversales; en portugués, inglés y / o español; y cuya población de estudio incluyó bomberos. Resultados se analizaron 11 artículos. Se descubrió que la exposición de los bomberos afecta la activación de síntomas depresivos y el trastorno de estrés postraumático. Conclusión la evidencia de este estudio demostró que la exposición ocupacional de los bomberos interfiere con sus patrones de salud mental, provocando estrés a través del sufrimiento psicológico. Este estudio advierte de la necesidad de intervención y promoción de la salud de los bomberos.

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          Most cited references35

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013.

            Since the introduction of specified diagnostic criteria for mental disorders in the 1970s, there has been a rapid expansion in the number of large-scale mental health surveys providing population estimates of the combined prevalence of common mental disorders (most commonly involving mood, anxiety and substance use disorders). In this study we undertake a systematic review and meta-analysis of this literature. We applied an optimized search strategy across the Medline, PsycINFO, EMBASE and PubMed databases, supplemented by hand searching to identify relevant surveys. We identified 174 surveys across 63 countries providing period prevalence estimates (155 surveys) and lifetime prevalence estimates (85 surveys). Random effects meta-analysis was undertaken on logit-transformed prevalence rates to calculate pooled prevalence estimates, stratified according to methodological and substantive groupings. Pooling across all studies, approximately 1 in 5 respondents (17.6%, 95% confidence interval:16.3-18.9%) were identified as meeting criteria for a common mental disorder during the 12-months preceding assessment; 29.2% (25.9-32.6%) of respondents were identified as having experienced a common mental disorder at some time during their lifetimes. A consistent gender effect in the prevalence of common mental disorder was evident; women having higher rates of mood (7.3%:4.0%) and anxiety (8.7%:4.3%) disorders during the previous 12 months and men having higher rates of substance use disorders (2.0%:7.5%), with a similar pattern for lifetime prevalence. There was also evidence of consistent regional variation in the prevalence of common mental disorder. Countries within North and South East Asia in particular displayed consistently lower one-year and lifetime prevalence estimates than other regions. One-year prevalence rates were also low among Sub-Saharan-Africa, whereas English speaking counties returned the highest lifetime prevalence estimates. Despite a substantial degree of inter-survey heterogeneity in the meta-analysis, the findings confirm that common mental disorders are highly prevalent globally, affecting people across all regions of the world. This research provides an important resource for modelling population needs based on global regional estimates of mental disorder. The reasons for regional variation in mental disorder require further investigation.
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              The PICO strategy for the research question construction and evidence search

              Evidence based practice is the use of the best scientific evidence to support the clinical decision making. The identification of the best evidence requires the construction of an appropriate research question and review of the literature. This article describes the use of the PICO strategy for the construction of the research question and bibliographical search.
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                Author and article information

                Journal
                reuerj
                Revista Enfermagem UERJ
                Rev. enferm. UERJ
                Universidade do Estado do Rio de Janeiro (Rio de Janeiro, RJ, Brazil )
                0104-3552
                2020
                : 28
                : e52825
                Affiliations
                [1] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro Brazil
                Article
                S0104-35522020000100410 S0104-3552(20)02800000410
                10.12957/reuerj.2020.52825
                09ffcccd-c3f9-4872-8a19-c32cb88116be

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

                History
                : 16 July 2020
                : 05 November 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 35, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Artigos de Revisão

                Occupational exposure,Psychological Distress,Occupational Stress,Bomberos,Exposición ocupacional,Distrés Psicológico,Estrés Ocupacional,Bombeiros,Exposição Ocupacional,Estresse Psicológico,Estresse Ocupacional,Firefighters

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