Hyperthermia in the reduction of traumatic and depressive symptoms in workers involved in accidents

Authors

  • Cristina Queirós Universidade do Porto, Faculdade de Psicologia e de Ciências da Educação http://orcid.org/0000-0002-8045-5317
  • Simão Oliveira Universidade do Porto, Faculdade de Psicologia e de Ciências da Educação https://orcid.org/0000-0002-8045-5317
  • Sílvia Monteiro Fonseca Universidade do Porto, Faculdade de Psicologia e de Ciências da Educação
  • Sara Faria Universidade do Porto, Faculdade de Psicologia e de Ciências da Educação https://orcid.org/0000-0002-1943-2255
  • Sónia Cunha Instituto Nacional de Emergência Médica, Centro de Apoio Psicológico e Intervenção em Crise https://orcid.org/0000-0001-6221-0714

DOI:

https://doi.org/10.14195/1647-7723_29-2_4

Keywords:

Accidents,, hyperthermia,, post-traumatic stress,, depression,, sleep.

Abstract

The risk of become psychologically ill (e.g. anxiety, depression or post-traumatic stress) is high among workers whose professional activity involves intervening in accidents, whether when rescuing or in other functions. Sleep disorders, nightmares, and intrusive thoughts are also common. Although trauma interventions are more cognitive-behavioural in nature, and in depression/anxiety they are more pharmacological, whole-body hyperthermia is starting to be used in depression. This study aims to examine the impact of one hyperthermia session on the emotional state and on the quality/duration of sleep among 19 varied professionals, some of whom perform their duties in accidents. The data were collected using a Xiaomi smart band for sleep time measurement and online questionnaires to measure anxiety, depression, stress, burnout, and traumatic symptoms, applied before the session and then weekly for a month after the session. An improvement in general and emotional well-being and increased sleep time/quality were found, suggesting that hyperthermia could be a promising intervention in the future.

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References

Ahola, K., Toppinen-Tanner, S. e Seppanen, J. (2017). Interventions to alleviate burnout symptoms and to support return to work among employees with burnout: Systematic review and meta-analysis. Burnout Research, 4, 1-11.

Alexander, D. A., & Klein, S. (2001). Ambulance personnel and critical incidents. British Journal of Psychiatry, 178(1), 76–81. DOI: https://doi.org/10.1192/bjp.178.1.76

Areosa, J. (2018). O trabalho como palco do sofrimento. International Journal on Work Conditions, 15, 81-95.

Areosa, J. & Queirós, C. (2020). Burnout: uma patologia social reconfigurada na era COVID-19? International Journal on Work Conditions, 20, 71-90. DOI: https://doi.org/10.25762/abh3-qh73

Aronsson, G., Theorell, T., Grape, T., Hammarström, A., Hogstedt, C., Marteinsdottir, I., … Hall, C. (2017). A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health, 17(1), 1-13. DOI: https://doi.org/10.1186/s12889-017-4153-7

Benedek, D. M., Fullerton, C., & Ursano, R. J. (2007). First Responders: Mental Health Consequences of Natural and Human-Made Disasters for Public Health and Public Safety Workers. Annual Review of Public Health, 28(1), 55–68. DOI: https://doi.org/10.1146/annurev.publhealth.28.021406.144037

Berger, W., Coutinho, E. S. F., Figueira, I., Marques-Portella, C., Luz, M. P., Neylan, T. C., Mendlowicz, M. V. (2012). Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Social Psychiatry and Psychiatric Epidemiology, 47(6), 1001–1011. DOI: https://doi.org/10.1007/s00127-011-0408-2

Berk, M., Tye, S., Walder, K., & McGee, S. (2016). Hyperthermia for Major Depressive Disorder? JAMA Psychiatry, E1. DOI: https://doi.org/10.1001/jamapsychiatry.2016.1532

Betti, S., Lova, R. M., Rovini, E., Acerbi, G., Santarelli, L., Cabiati, M., … Cavallo, F. (2018). Evaluation of an integrated system of wearable physiological sensors for stress monitoring in working environments by using biological markers. IEEE Transactions on Biomedical Engineering, 65(8), 1748-1758. DOI: https://doi.org/10.1109/TBME.2017.2764507

Bianchi, R. (2020). Do burnout and depressive symptoms form a single syndrome? Confirmatory factor analysis and exploratory structural equation modeling bifactor analysis. Journal of Psychosomatic Research, 131, 109954.

Bianchi, R., Schonfeld, I. & Laurent, E. (2015). Is it time to consider the “burnout syndrome” a distinct illness? Frontiers in Public Health, 3, (art. 158), 1-3.

Burman, R., & Goswami, T. G. (2018). A systematic literature review of work stress. International Journal of Management Studies, 5(3-9), 112-132. DOI: https://doi.org/10.18843/ijms/v5i3(9)/15

Buselli, R., Baldanzi, S., Corsi, M., Chiumiento, M., Del Lupo, E., Carmassi, C., … Cristaudo, A. (2020). Psychological Care of Health Workers during the COVID-19 Outbreak in Italy: Preliminary Report of an Occupational Health Department (AOUP) Responsible for Monitoring Hospital Staff Condition. Sustainability, 12(12), 5039.DOI: https://doi.org/10.3390/su12125039

CE - COMISSÃO EUROPEIA (2018). Comunicação da Comissão ao parlamento Europeu, ao Conselho, ao Comité Económico e Social Europeu e ao Comité das Regiões sobre a viabilização da transformação digital dos serviços de saúde e de prestação de cuidados no Mercado Único Digital, a capacitação dos cidadãos e a construção de uma sociedade mais saudável. Bruxelas: Comissão Europeia.

Choi, B., Hwang, S., & Lee, S. H. (2017). What drives construction workers’ acceptance of wearable technologies in the workplace? Indoor localization and wearable health devices for occupational safety and health. Automation in Construction, 84, 31-41. DOI: https://doi.org/10.1016/j.autcon.2017.08.005

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396. DOI: https://doi.org/10.2307/2136404

Concheiro-Moscoso, P., del Carmen Miranda-Duro, M., Fraga, C., Queirós, C., Marques, A. J. P. da S., & Groba, B. (2020). Design of a System to Implement Occupational Stress Studies Trough Wearables Devices and Assessment Tests. Proceedings, 54(1), 19. DOI: https://doi.org/10.3390/proceedings2020054019

Concheiro-Moscoso, P., Martínez-Martínez, F. J., Miranda-Duro, M. del C., Pousada, T., Nieto-Riveiro, L., Groba, B., … Pereira, J. (2021). Study Protocol on the Validation of the Quality of Sleep Data from Xiaomi Domestic Wristbands. International Journal of Environmental Research and Public Health, 18(3), 1106. DOI: https://doi.org/10.3390/ijerph18031106

DGS - DIREÇÃO-GERAL DE SAÚDE (2020). COVID-19 e Saúde Mental. In https://saudemental.covid19.min-saude.pt/

Duarte, I., Teixeira, A., Castro, L., Marina, S., Ribeiro, C., Jácome, C. (…) Serrão, C. (2020). - Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health, 20, 1885. DOI: https://doi.org/10.1186/s12889-020-09980-z

Elgendi, M., & Menon, C. (2019). Assessing anxiety disorders using wearable devices: Challenges and future directions. Brain Sciences, 9(3), 1-12. DOI: https://doi.org/10.3390/brainsci9030050

EU-OSHA, EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2014). Cálculo do custo do stresse e dos riscos psicossociais relacionados com o trabalho. Luxembourg: Publications Office of the European Union.

EU-OSHA, EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2017). Estimating the cost of work-related accidents and ill health: An analysis of European data sources. Luxembourg: Publications Office of the European Union.

EU-OSHA, EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2018). Healthy workers, thriving companies - a practical guide to wellbeing at work. Luxembourg: Publications Office of the European Union.

EU-OSHA, EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2019). The value of occupational safety and health and the societal costs of work-related injuries and diseases. Luxembourg: Publications Office of the European Union.

EU-OSHA, EUROPEAN AGENCY FOR SAFETY AND HEALTH AT WORK (2020). COVID-19: Back to the workplace - adapting workplaces and protecting workers. Luxembourg: Publications Office of the European Union.

EUROFOUND, EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND WORKING CONDITIONS (2018). Burnout in the workplace: A review of data and policy responses in the EU. Luxembourg: Publications Office of the European Union.

EUROFOUND, EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND WORKING CONDITIONS (2020a). Living, working and COVID-19: First findings, April 2020. Luxembourg: Publications Office of the European Union.

EUROFOUND, EUROPEAN FOUNDATION FOR THE IMPROVEMENT OF LIVING AND WORKING CONDITIONS (2020b). Labour market change: COVID-19 – policy responses across Europe. Luxembourg: Publications Office of the European Union.

Evans, S. S., Repasky, E. A., & Fisher, D. T. (2015). Fever and the thermal regulation of immunity: The immune system feels the heat. Nature Reviews Immunology, 15(6), 335-349. DOI: https://doi.org/10.1038/nri3843

Everly, G. S. Jr., Perrin, P., & Everly, G.S. (2008). Psychological Issues in Escape, Rescue, Survival in the Wake of Disaster. Morgantown, West Virginia, USA: National Institute of Occupational Safety and Health.

Eysenbach G. (2001). What is e-health? Journal of Medical Internet Research, 3(2), E20. DOI: https://doi.org/10.2196/jmir.3.2.e20

Feng, Z., Xu, L., Cheng, P., Zhang, L., Li, L.-J., & Li, W.-H. (2020). The psychological impact of COVID-19 on the families of first-line rescuers. Indian Journal of Psychiatry, 62(9), 438. DOI: https://doi.org/10.4103/psychiatry.indianjpsychiatry_1057_20

Figueiredo-Ferraz, H., Gil-Monte, P., Queirós, C., & Passos, F. (2014). Factorial validity of the “Spanish Burnout Inventory” among Portuguese police officers. Psicologia Reflexão e Crítica, 27, 291–299. DOI: https://doi.org/10.1590/1678-7153.201427209

Fink, M. & Shorter, E. (2016). Hyperthermia for Major Depressive Disorder? JAMA Psychiatry, E1. DOI: https://doi.org/0.1001/jamapsychiatry.2016.1627

Gaggioli, A., Cipresso, P., Serino, S., Campanaro, D. M., Pallavicini, F., Wiederhold, B. K., & Riva, G. (2014). Positive technology: A free mobile platform for the self-management of psychological stress. Studies in Health Technology and Informatics, 199, 25-29. DOI: https://doi.org/10.3233/978-1-61499-401-5-25

Gartner, A., Behnke, A., Conrad, D., Kolassa, I., & Rojas, R. (2019). Emotion Regulation in Rescue Workers: Differential Relationship With Perceived Work-Related Stress and Stress-Related Symptoms. Frontiers in Psychology, 9. DOI: https://doi.org/10.3389/fpsyg.2018.02744

Gil-Monte, P. R. (2011). CESQT: Cuestionario para la evaluación del síndrome de quemarse por el trabajo. Madrid: TEA Ediciones.

Guk, K., Han, G., Lim, J., Jeong, K., Kang, T., Lim, E. K., & Jung, J. (2019). Evolution of wearable devices with real-time disease monitoring for personalized healthcare. Nanomaterials, 9(6), 1-23. DOI: https://doi.org/10.3390/nano9060813

Han, L., Zhang, Q., Chen, X., Zhan, Q., Yang, T., & Zhao, Z. (2017). Detecting work-related stress with a wearable device. Computers in Industry, 90, 42-49. DOI: https://doi.org/10.1016/j.compind.2017.05.004

Hanusch, K.U., & Janssen, C. W. (2019). The impact of whole-body hyperthermia interventions on mood and depression - are we ready for recommendations for clinical application? International Journal of Hyperthermia, 36(1), 573-581. DOI: https://doi.org/10.1080/02656736.2019.1612103

Hanusch, K.U.,Janssen, C.H, Billheimer, D., Jenkins, I., Spurgeon, E., Lowr, C.A., & Raison, C.L. (2013). Whole-Body Hyperthermia for the Treatment of Major Depression: Associations with Thermoregulatory Cooling. American Journal of Psychiatry 170(7), 802-804. DOI: https://doi.org/10.1176/appi.ajp.2013.12111395

Hochstrasser, B., Brühlmann, T., Cattapan, K., Hättenschwiler, J., Holsboer-Trachsler, E., Kawohl, W., Sculze, B., Seifritz, E., Schaufeli, W., Zemp, A., & Keck, M. E. (2016a). Le traitement du burnout, partie 1: principes fondamentaux. Forum Médical Suisse, 16(25), 538-541. DOI: https://doi.org/10.4414/fms.2016.02688

Hochstrasser, B., Brühlmann, T., Cattapan, K., Hättenschwiler, J., Holsboer-Trachsler, E., Kawohl, W., Sculze, B., Seifritz, E., Schaufeli, W., Zemp, A., & Keck, M. E. (2016b). Le traitement du burnout, partie 2: recommandations pratiques. Forum Médical Suisse, 16(26-27), 561-566. DOI: https://doi.org/10.4414/fms.2016.02688

Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., … Zhu, J. M. (2020). Frontline Nurses’ Burnout, Anxiety, Depression, and Fear Statuses and Their Associated Factors During the COVID-19 Outbreak in Wuhan, China: A Big-Scale Cross-Sectional Study. SSRN Electronic Journal. DOI: https://doi.org/10.2139/ssrn.3566144

Hurwitz, M. D. (2019). Hyperthermia and immunotherapy: Clinical opportunities. International Journal of Hyperthermia, 36, 4-9. DOI: https://doi.org/10.1080/02656736.2019.1653499

Iavicoli, S., Leka, S., & Nielsen, K. (2020): Promoting Occupational Health Psychology through professional bodies: The role of the European Academy of Occupational Health Psychology, Work & Stress. DOI: https://doi.org/10.1080/02678373.2020.1774939

Ibrayeva, А. S., Tyrdaliyeva, B. S., Aimbetova, G. Y., Koshimbekov, M. K., & Igissenova, A. I. (2019). Some aspects of the organization of medical and psychological rehabilitation of rescuers in the republic of Kazakhstan. Electronic Journal of General Medicine, 16(6), em178. DOI: https://doi.org/10.29333/ejgm/115855

ILO - INTERNATIONAL LABOUR OFFICE (2019). Safety and health at the heart of the future of work: Building on 100 years of experience. Geneva: International Labour Organization.

INSA (2020). Saúde mental em tempos de pandemia COVID-19: Policy Brief, outubro 2020. Lisboa: Instituto Nacional de Saúde Doutor Ricardo Jorge.

Jacobs, J. V., Hettinger, L. J., Huang, Y. H., Jeffries, S., Lesch, M. F., Simmons, L. A., … Willetts, J. L. (2019). Employee acceptance of wearable technology in the workplace. Applied Ergonomics, 78, 148-156. DOI: https://doi.org/10.1016/j.apergo.2019.03.003

Jahrami, H., BaHammam, A. S., Bragazzi, N. L., Saif, Z., Faris, M., & Vitiello, M. V. (2021). Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis. Journal of Clinical Sleep Medicine, 17(2), 299–313. DOI: https://doi.org/10.5664/jcsm.8930

Janssen, C. & Hanusch, K. (2011). Passive Whole Body Hyperthermia in depressed Patients. Die Naturheilkunde 2011(5), 14-16.

Janssen, C. W., Lowry, C. A., Mehl, M. R., Allen, J. J. B., Kelly, K. L., Gartner, D. E., … Raison, C. L. (2016). Whole-Body Hyperthermia for the Treatment of Major Depressive Disorder. JAMA Psychiatry, 73(8), 789. DOI: https://doi.org/10.1001/jamapsychiatry.2016.1031

Kaminski, J. (2021). The Rise of Telehealth: COVID-19 and beyond. Editorial. Canadian Journal of Nursing Informatics, 16(1). DOI: https://cjni.net/journal/?p=8560

Khakurel, J., Melkas, H., & Porras, J. (2018). Tapping into the wearable device revolution in the work environment: A systematic review. Information Technology and People, 31(3), 791-818. DOI: https://doi.org/10.1108/ITP-03-2017-0076

Kluge, E.-H. W. (2020). The electronic health record: Ethical Considerations. DOI: https://doi.org/10.1016/b978-0-12-822045-0.00001-0

Koutsimani, P., Montgomery, A. & Georganta, K. (2019). The Relationship Between Burnout, Depression, and Anxiety: A Systematic Review and Meta-Analysis. Frontiers in Psychology, 10, 1-19.

Li, D.-J., Ko, N.-Y., Chen, Y.-L., Wang, P.-W., Chang, Y.-P., Yen, C.-F., & Lu, W.-H. (2020). COVID-19-Related Factors Associated with Sleep Disturbance and Suicidal Thoughts among the Taiwanese Public: A Facebook Survey. International Journal of Environmental Research and Public Health, 17(12), 4479. DOI: https://doi.org/10.3390/ijerph17124479

Liu, S., Yang, L., Zhang, C., Xiang, Y., Liu, Z., Hu, S., & Zhang, B. (2020). Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry, 7(4), e17-e18. DOI: https://doi.org/10.1016/S2215-0366(20)30077-8

Lourenço, L. (2015). Risco, perigo e crise: pragmatismo e contextualização. In A. Siqueira, N. Valencio, M. Siena & M.A. Malagoli (Eds.). Riscos de desastres relacionados à água: aplicabilidade de bases concetuais das Ciências Humanas e Sociais para a análise de casos concretos (p.3-43). Santa Paula - São Carlos, S. Paulo: Rima

Lourenço, L., e Betâmio de Almeida, A. (2018). A teoria do risco: alguns conceitos à luz da teoria do risco. In L. Lourenço (Ed.), Riscos e crises: da teoria à plena manifestação (17-79). Imprensa da Universidade de Coimbra. DOI: https://doi.org/10.14195/978-989-26-1697-1_1

Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33, 335-343. DOI: https://doi.org/10.1016/0005-7967(94)00075-U

Lowry, C., Flux, M., & Raison, C. (2018). Whole-Body Heating: An Emerging Therapeutic Approach to Treatment of Major Depressive Disorder. FOCUS, 16(3), 259–265.

DOI: https://doi.org/10.1176/appi.focus.20180009

Lu, J., Yang, N., He, J., & Wu, H. (2014). The Influence Paths of Emotion on the Occupational Safety of Rescuers Involved in Environmental Emergencies - Systematic Review Article. Iranian Journal of Public Health, 43(11), 1478-1485.

Mao, X., Fung, O. W. M., Hu, X., & Loke, A. Y. (2018). Psychological impacts of disaster on rescue workers: A review of the literature. International Journal of Disaster Risk Reduction, 27, 602–617. DOI: https://doi.org/10.1016/j.ijdrr.2017.10.020

Martínez, J., Méndez, I., Esteban C., Sogorb, A. & Fernández, J. (2020). Profiles of Burnout, Coping Strategies and Depressive Symptomatology. Frontiers in Psychology, 11(591).

DOI: https://doi.org/0.3389/fpsyg.2020.00591

Martínez-Martínez, F. J., Concheiro-Moscoso, P., Miranda-Duro, M. D. C., Boedo, F. D., Muiño, F. J. M., & Groba, B. (2020). Validation of Self-Quantification Xiaomi Band in a Clinical Sleep Unit. Proceedings, 54(1), 29. DOI: https://doi.org/10.3390/proceedings2020054029

Maslach, C. (2017). Finding solutions to the problem of burnout. Consulting Psychology Journal: Practice and Research, 69(2), 143-152.

Maslach, C., Schaufeli, W. & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422.

Mateus, C. (2019). Empresas perdem mais de €300 milhões/ano com exaustão dos trabalhadores. In https://expresso.pt/dossies/diario/2019-01-17-Empresas-perdem-mais-de-300-milhoes-ano-com-exaustao-dos-trabalhadores

Mateus, C. (2020) Stresse e burnout custam €3,2 mil milhões por ano às empresas. In https://expresso.pt/economia/2020-07-17-Stresse-e-burnout-custam-32-mil-milhoes-por-ano-as-empresas

Matos, M., Pinto-Gouveia, J., & Martins, S. (2011). O impacto traumático de experiências de vergonha: Estudo das propriedades psicométricas da versão portuguesa da Impact of Event Scale – Revised. Psychologica, 54, 413-438. DOI: https://doi.org/10.14195/1647-8606_54_16

McCabe, D. (2019). The Impact of Event Scale - Revised (IES-R). In https://consultgeri.org/try-this/general-assessment/issue-19

Montemurro, N. (2020). The emotional impact of COVID-19: From medical staff to common people. Brain, Behavior, and Immunity, 87, 23-24.

Moreira-Pinto, A. (2020). A hipertermia, terapêutica inspirada no processo de produção de febre, pode ser usada no tratamento oncológico. In https://www.cuf.pt/mais-saude/hipertermia-um-complemento-no-tratamento-do-cancro

Moreira-Pinto, J., Ferreira, A., Ferreira, C., Cruz, A., Moreira Pinto (2018). Fever-range Whole Body Hyperthermia with concomitant Capecitabine in third line therapy for BRCA mutated metastatic breast cancer. Poster at 32nd Annual Meeting of the ESHO – European Society for Hyperthermic Oncology, 16-19 May, Berlin.

Morren, M., Dirkzwager, A., Kessels, F., & Yzermans, C. (2007). The influence of a disaster on the health of rescue workers: a longitudinal study. Canadian Medical Association Journal, 176(9), 1279-1283.

Naushad, V. A., Bierens, J. J., Nishan, K. P., Firjeeth, C. P., Mohammad, O. H., Maliyakkal, A. M., … Schreiber, M. D. (2019). A Systematic Review of the Impact of Disaster on the Mental Health of Medical Responders. Prehospital and Disaster Medicine, 34(6), 632–643. DOI: https://doi.org/10.1017/s1049023x19004874

OECD/EU, ORGANIZATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT (2019). Health at a Glance: Europe 2019: OECD indicators. Paris: OECD Publishing, Paris. DOI: https://doi.org/10.1787/4dd50c09-en

Oh, C.-M., Kim, H. Y., Na, H. K., Cho, K. H., & Chu, M. K. (2019). The Effect of Anxiety and Depression on Sleep Quality of Individuals With High Risk for Insomnia: A Population-Based Study. Frontiers in Neurology, 10. DOI: https://doi.org/10.3389/fneur.2019.00849

Oh, H., Rizo, C., Enkin, M., J. & adad. A. (2005). What is eHealth: A Systematic Review of Published Definitions. Journal of Medical Internet Research, 7(1): e1. DOI: https://doi.org/10.2196/jmir.7.1.e1

OPP - ORDEM DOS PSICÓLOGOS PORTUGUESES (2014). O custo dos problemas de saúde psicológica no trabalho. Lisboa.

OPP - ORDEM DOS PSICÓLOGOS PORTUGUESES (2020a). Contributo OPP – o custo do stress e dos problemas de saúde psicologica no trabalho. Lisboa.

OPP - ORDEM DOS PSICÓLOGOS PORTUGUESES (2020b). COVID-19, Dossier para Organizações: recomendações para lideres, departamentos de recursos humanos e colaboradores. Lisboa.

Ornell, F., Halpern, S., Kessler, F. & Narvaez, J. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de Saúde Pública, 36(4), e00063520.

Pais-Ribeiro, J. L., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das Escalas de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia Saúde & Doenças, 5, 229-239.

Paiva, T., Reis, C., Feliciano, A., Canas-Simião, H., Machado, M. A., Gaspar, T., … Matos, M. G. (2021). Sleep and Awakening Quality during COVID-19 Confinement: Complexity and Relevance for Health and Behavior. International Journal of Environmental Research and Public Health, 18(7), 3506. DOI: https://doi.org/10.3390/ijerph18073506

Pereira, A. & Queiros, C. (2021). O Stress e as suas consequências na saúde e no bem-estar. In I. Leal & J.L. Pais-Ribeiro (Eds.). Manual de Psicologia da Saúde (cap. 19, pp. 137-145). Lisboa: Pactor.

Queirós, C., Borges, E., Teixeira A. & Maio, T. (2018). Estratégias de prevenção do stress ocupacional, burnout e bullying. In E. Borges (Ed.). Saúde e Enfermagem do Trabalho (pp.139-157). Porto: Lidel.

Queirós, C., Gonçalves, S. & Marques, A. (2014), Burnout: da conceptualização à gestão em contexto laboral. In H. V. Neto, J. Areosa & P. Arezes (Eds). Manual de Riscos Psicossociais (pp.172-192). Vila do Conde: Civeri Publishing.

Queirós, C., Oliveira, S., Fonseca, S. M., & Marques, A. (2020a). Stress no trabalho e indicadores fisiológicos: um estudo com wearable sensors. Psicologia, Saúde & Doenças, 21(1), 183-190. DOI: http://dx.doi.org/10.15309/20psd210127

Queirós, C., Oliveira, S., Sá, C., & Marques, A. J. (2020b). Hipertermia e intervenção nos estados emocionais: revisão da literatura. Psicologia, Saúde & Doenças, 21(1), 213-220.

DOI: http://dx.doi.org/10.15309/20psd210131

Queirós, C., Faria, S., Fonseca, S.M., & Oliveira, S. (2020c). Relatório interno: Hipertermia de corpo inteiro e seu impacto no stress, burnout e ansiedade (resultados outubro 2019 - junho 2020). Porto: LabRP da FPCEUP.

Riemann, D., Krone, L., Wulff, K., & Nissen, C. (2019). Sleep, insomnia, and depression. Neuropsychopharmacology, 0,1–16. DOI: https://doi.org/10.1038/s41386-019-0411-y

Rodríguez-López, A. M., Rubio-Valdehita, S., & Díaz-Ramiro, E. M. (2020). Influence of the COVID-19 Pandemic on Mental Workload and Burnout of Fashion Retailing Workers in Spain. International Journal of Environmental Research and Public Health, 18, 983. DOI: https://doi.org/10.3390/ijerph18030983

Roslan, N. S., Yusoff, M. S. B., Asrenee, A. R., & Morgan, K. (2021). Burnout Prevalence and Its Associated Factors among Malaysian Healthcare Workers during COVID-19 Pandemic: An Embedded Mixed-Method Study. Healthcare, 9(1), 90. DOI: https://doi.org/10.3390/healthcare9010090

SAMHSA - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (2018). Disaster Technical Assistance Center Supplemental Research Bulletin - First Responders: Behavioral Health Concerns, Emergency Response, and Trauma. Rockville, Maryland, USA: SAMHSA.

Schaufeli, W., Leiter, M., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career Development International, 14(3), 204-220.

Segers, C. (2020). Psychological Resilience, Burnout Syndrome, and Stress related Psychiatric Disorders among Healthcare Professionals during the COVID-19 Crisis. Psychosociological Issues in Human Resource Management 8(1), 7-12.

Setti I., & Argentero P. (2016) Traumatization and PTSD in Rescue Workers: Prevention, Assessment, and Interventions. In C. Marti, V., Preedy V. & V. Patel V. (Eds) Comprehensive Guide to Post-Traumatic Stress Disorders (pp.301-317). Springer. DOI: https://doi.org/10.1007/978-3-319-08359-9_78

Sinclair, R., Allen, T., Barber, L., Bergman, M., Britt, T., Butler, A.,(…)Yuan, Z. (2020). Occupational Health Science in the Time of COVID-19: Now more than Ever. Occupational Health Science. DOI: https://doi.org/10.1007/s41542-020-00064-3

Skitzki, J.J., Repasky, E.A., & Evans, S.S. (2009). Hyperthermia as an immunotherapy strategy for cancer. Current Opinion in Investigational Drugs. 10(6): 550–558.

Sobko, T., & Brown, G. (2019). Reflecting on personal data in a health course: Integrating wearable technology and ePortfolio for eHealth. Australasian Journal of Educational Technology, 35(3), 55-70. DOI: https://doi.org/10.14742/ajet.4027

SOMS (2020). Princípio médico da Hipertermia para o corpo inteiro. In https://soms.pt/index.php/pt/hipertermia/corpo-inteiro/principio-medico

Toker, S., & Melamed, S. (2017). Stress, Recovery, Sleep, and Burnout. In C.L. Cooper & J.C. Quick (Eds).The Handbook of Stress and Health (pp.168–185). New Jersey: John Wiley & Sons. DOI: https://doi.org/10.1002/9781118993811.ch10

Trigo, M., Canudo, N., Branco, F., & Silva, D. (2010). Estudo das propriedades psicométricas da Perceived Stress Scale (PSS) na população portuguesa. Psychologica, 53, 353–378. DOI: https://doi.org/10.14195/1647-8606_53_17

Trumello, C., Bramanti, S. M., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., … Babore, A. (2020). Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. International Journal of Environmental Research and Public Health, 17(22), 8358. DOI: https://doi.org/10.3390/ijerph17228358

Verbeek, J., Mattioli, S., & Curti, S. (2019). Systematic reviews in occupational health and safety: Where are we and where should we go? La Medicina Del Lavoro, 110(5), 331-341. DOI: https://doi.org/10.23749/mdl.v110i5.8952

Watkins, L.E., Sprang, K.R., & Rothbaum, B.O. (2018). Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions. Frontiers in Behavioral Neuroscience, 12,258. DOI: https://doi.org/10.3389/fnbeh.2018.00258

Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale – Revised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). New York: Guilford Press.

Weiss, D.S. (2007). The Impact of Event Scale: Revised. In J.P. Wilson & C.S. Tang (Eds.), Cross-cultural assessment of psychological trauma and PTSD (pp. 219-238). New York: Springer.

WHO - WORLD HEALTH ORGANIZATION (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases (28 MAY 2019). In https://www.who.int/mental_health/evidence/burn-out/en/

Woesner, M. E. (2019). What is old is new again : The use of whole-body hyperthermia for depression recalls the medicinal uses of hyperthermia, fever therapy, and hydrotherapy. Current Neurobiology, 10(2), 56–66.

Xiang, Y.-T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7(3), 228–229. DOI: https://doi.org/10.1016/S2215-0366(20)30046-8

Yagawa, Y., Tanigawa, K., Kobayashi, Y., & Yamamoto, M. (2017). Cancer immunity and therapy using hyperthermia with immunotherapy, radiotherapy, chemotherapy, and surgery. Cancer Metastasis Treatement, 3, 218-230. DOI: https://doi.org/10.20517/2394-4722.2017.35

Zhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., … Zhang, B. (2020). Survey of Insomnia and Related Social Psychological Factors among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Frontiers in Psychiatry, 11(306). DOI: https://doi.org/10.3389/fpsyt.2020.00306

Zhou, X., Snoswell, C., Harding, L., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. (2020). The Role of Telehealth in Reducing the Mental Health Burden from COVID-19. Telemedicine Journal and e-Health, 26(4), 1-3. DOI: https://doi.org/10.1089/tmj.2020.0068

Published

2022-10-03