Depression and anxiety predicted more daily pain and poorer physical and mental quality-of-life in adults with SCD, and accounted for more of the variance in all domains of quality-of-life than hemoglobin type.

Palavras-chavesSatisfação profissional, impacto do trabalho, qualidade de vida, saúde ocupacional. resumo objetivo: Avaliar o impacto da carga de trabalho sobre a satisfação profissional, a qualidade de vida e a prevalência de transtornos psiquiátricos menores em profissionais de saúde mental. mé-todo: Estudo transversal com amostra de 203 profissionais de saúde mental. Foram aplicados os instrumentos: IMPACTO-BR, SATIS-BR, SRQ-20 e um questionário sociodemográfico ocupacional. resultados: 75,4% dos participantes eram do sexo feminino, com idade média de 33,7 anos (DP = 9); 15,8% dos participantes apresentaram transtornos psiquiátricos menores. Em relação ao trabalho, obteve-se nível de satisfação global mediano (escore 3,59; DP = 0,485). O impacto global foi avaliado como pequeno (escore 1,85; DP = 0,536). Sobre a qualidade de vida, houve prejuízo nos subitens dor, estado geral de saúde e vitalidade. conclusão: Os dados obtidos com esta pesquisa demonstram que os profissionais que atuam na área da saúde mental sentem-se mais satisfeitos em relação à qualidade dos serviços oferecidos e ao trabalho realizado em equipe. O fator que gerou menor satisfação está relacionado às condições de trabalho oferecidas. Foram observados escores mais elevados na subescala referente ao impacto emocional, assim como maior presença de transtornos psiquiátricos menores nos profissionais de terapia ocupacional e serviço social. Profissionais que trabalham mais de 20 horas semanais apresentam prejuízos na qualidade de vida.. ABstrAct

In several types of chronic pain, catastrophizing has been related to higher pain intensity, and health care utilization but it has not been explored extensively in sickle cell disease (SCD). The objective of the study was to identify the role of catastrophizing in SCD, specifically in relation to painful crises, non-crisis pain, and responses to pain. Two hundred and twenty SCD adults were enrolled in a prospective cohort study of pain and completed between 30 and 188 daily diaries in 6 months. The Catastrophizing subscale (CAT) of the Coping Strategy Questionnaire (CSQ) was administered at baseline and at study exit. Depression and quality of life were measured by the Patient Health Questionnaire and SF-36, respectively, at baseline. The CAT mean was 13.6 (SD=8.4) and higher CAT was correlated with greater depression severity (r=0.48; p<0.001) and poorer quality of life in all domains (r=-0.24 to -0.47; p<0.001). There was no significance difference between CAT mean baseline and exit scores, and the measures were strongly correlated within patients (r=0.69; p<0.001). No difference was found between higher and lower catastrophizers in intensity of pain, distress, interference, and health service utilization, both on crisis or non-crisis SCD-related pain days, after controlling for depression. Adults with SCD had a higher mean catastrophizing score than found in studies of other chronic pain conditions that are not lifelong and life-threatening. CAT scores were not correlated with pain parameters or utilization. The role of catastrophizing in other conditions cannot be generalized to SCD.