PDF del Art\u00edculo<\/strong><\/a><\/div>\nRESUMEN.<\/strong><\/p>\nIntroducci\u00f3n:<\/strong> Los trastornos de salud mental ocupacional representan una carga creciente para los sistemas de salud y la productividad laboral en Latinoam\u00e9rica, aunque la evidencia epidemiol\u00f3gica sobre su incidencia en poblaci\u00f3n trabajadora peruana es limitada.<\/p>\nObjetivo:<\/strong> Determinar la incidencia de estr\u00e9s, ansiedad y s\u00edntomas depresivos severos, y evaluar los factores de riesgo demogr\u00e1ficos, laborales y conductuales asociados a su desarrollo en una cohorte de trabajadores peruanos.<\/p>\nMaterial y M\u00e9todos:<\/strong> Estudio de cohorte retrospectivo que incluy\u00f3 trabajadores evaluados entre 2013 y 2021 con al menos una evaluaci\u00f3n de seguimiento. Los desenlaces se definieron mediante PHQ-9 \u226515 (depresi\u00f3n), GAD-7 \u226515 (ansiedad) y PSS10 \u226527 (estr\u00e9s). Se estimaron tasas de incidencia y hazard ratios ajustados mediante modelos de Cox.<\/p>\nResultados:<\/strong> Se analizaron 12,049 trabajadores (84.9% hombres, edad media 37.2 a\u00f1os) con 32,540 personas-a\u00f1o de seguimiento. Las tasas de incidencia fueron 9.62, 3.69 y 4.49 por 1000 personasa\u00f1o para estr\u00e9s, ansiedad y depresi\u00f3n, respectivamente. El trabajo nocturno se asoci\u00f3 consistentemente con mayor riesgo de los tres desenlaces (HRa: 2.33, 2.22 y 3.17). El sexo masculino se asoci\u00f3 con menor riesgo de estr\u00e9s (HRa 0.44) y depresi\u00f3n (HRa 0.52). La mayor antig\u00fcedad laboral se asoci\u00f3 con mayor riesgo de estr\u00e9s (HRa 4.00 para \u226510 a\u00f1os vs <1 a\u00f1o). El tiempo sentado >4 horas se asoci\u00f3 espec\u00edficamente con depresi\u00f3n (HRa 1.68).<\/p>\nConclusiones:<\/strong> en esta cohorte cl\u00ednica, el trabajo nocturno se consolid\u00f3 como el factor de riesgo independiente m\u00e1s consistente para el desarrollo de estr\u00e9s, ansiedad y depresi\u00f3n severos. Se identificaron perfiles de vulnerabilidad espec\u00edficos, incluyendo a los profesionales de la salud y trabajadores con mayor antig\u00fcedad laboral para el riesgo de estr\u00e9s, y el sedentarismo prolongado como un factor de riesgo espec\u00edfico para la depresi\u00f3n. Estos hallazgos respaldan la necesidad de focalizar la vigilancia ocupacional en estos grupos y en la organizaci\u00f3n del trabajo nocturno.<\/p>\nTitle: <\/strong>DEVELOPMENT OF SEVERE STRESS, ANXIETY, AND DEPRESSION IN PERUVIAN WORKERS: INCIDENCE AND\u00a0 <\/strong>RISK FACTORS IN A RETROSPECTIVE COHORT<\/strong><\/p>\nAbstract:<\/strong><\/p>\nIntroduction:<\/strong> Occupational mental health disorders represent a growing burden on health systems and labor productivity in Latin America, although epidemiological evidence regarding their incidence in the Peruvian working population is limited.<\/p>\nObjective:<\/strong> This study investigates the incidence of severe stress, anxiety, and depressive symptoms, and evaluates the demographic, occupational, and behavioral risk factors associated with their development in a cohort of Peruvian workers.<\/p>\nMaterial and Methods:<\/strong> A retrospective cohort design was used, including workers evaluated between 2013 and 2021 with at least one follow-up assessment. Outcomes were defined using PHQ-9\u226515 (depression), GAD-7 \u226515 (anxiety), and PSS-10 \u226527 (stress). Incidence rates and adjusted hazard ratios (aHR) were estimated using Cox proportional hazards models.<\/p>\nResults:<\/strong> A total of 12,049 workers (84.9% male, mean age 37.2 years) were analyzed, with 32,540 person-years of follow-up. Incidence rates were 9.62, 3.69, and 4.49 per 1,000 personyears for stress, anxiety, and depression, respectively. Night shift work was consistently associated with a higher risk for all three outcomes (aHR: 2.33, 2.22, and 3.17). Male sex was associated with a lower risk of stress (aHR 0.44) and depression (aHR 0.52). Greater employment seniority was associated with a higher risk of stress (aHR 4.00 for \u226510 years vs <1 year). Sitting time >4 hours was specifically associated with depression (aHR 1.68).<\/p>\nConclusions:<\/strong> In this clinical cohort, night shift work emerged as the most consistent independent risk factor for the development of severe stress, anxiety, and depression. Specific vulnerability profiles were identified, including healthcare professionals and workers with greater employment seniority for stress risk, and prolonged sedentary behavior as a specific risk factor for depression. These findings support the need to target occupational surveillance on these groups and on the organization of night shift work.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"[vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb rt_row_paddings=\u00bbtrue\u00bb rt_bg_effect=\u00bbclassic\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbcover\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb rt_bg_video_format=\u00bbself-hosted\u00bb][vc_column rt_wrp_col_paddings=\u00bbfalse\u00bb rt_border_top=\u00bb\u00bb rt_border_bottom=\u00bb\u00bb rt_border_left=\u00bb\u00bb rt_border_right=\u00bb\u00bb rt_border_top_mobile=\u00bb\u00bb rt_border_bottom_mobile=\u00bb\u00bb rt_border_left_mobile=\u00bb\u00bb rt_border_right_mobile=\u00bb\u00bb rt_bg_image_repeat=\u00bbrepeat\u00bb rt_bg_size=\u00bbauto auto\u00bb rt_bg_position=\u00bbright top\u00bb rt_bg_attachment=\u00bbscroll\u00bb][\/vc_column][\/vc_row][vc_row rt_row_background_width=\u00bbdefault\u00bb rt_row_style=\u00bbdefault-style\u00bb rt_row_borders=\u00bb\u00bb […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-73745","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/73745"}],"collection":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/comments?post=73745"}],"version-history":[{"count":3,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/73745\/revisions"}],"predecessor-version":[{"id":73756,"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/pages\/73745\/revisions\/73756"}],"wp:attachment":[{"href":"https:\/\/www.aeemt.org\/web\/wp-json\/wp\/v2\/media?parent=73745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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