Health professionals may be a vulnerable group to posttraumatic stress symptoms (PTSS) during the Coronavirus disease 2019 (COVID-19) pandemic. To investigate how health professionals who experienced a traumatic event are expressing PTSS and factors related to risk for higher PTSS symptomatology can inform how health professionals are facing their role in this crisis. This was an Internet cross-sectional survey. Participants were 49,767 Brazilian health professionals who have ever faced a traumatic event, which was about 25.9% of an initial sample of health professionals. PTSS symptoms were assessed using the Impact of Event Scale-Revised (IES-R) and latent profile analysis (LPA) explored subpopulations within participants based on their scores. Distinct profiles were compared for psychological distress (e.g., depression and anxiety) and quality of life. Multinomial logistic regression analysis was conducted to investigate the relationship between IES-R profiles and COVID-19 related experiences, thoughts, and perceptions. A two-profile model was the most appropriate for the IES-R data pointing out a group with a high level of PTSS (named high-PTSS; n = 10,401, 20.9%) and another expressing a low level of symptoms (named low-PTSS; n = 39,366, 79.1%). The high-PTSS profile demonstrated worse psychological scores (global psychological distress, somatization, depression, and anxiety) and worse quality of life (physical, psychological, social, and environmental) with moderate magnitudes. Small but significant predictors of the high-PTSS profile included sociodemographic characteristics and COVID-19 related experiences, thoughts, and perceptions. Most individuals who experienced a traumatic event were not in the high-PTSS profile. For those who were, however, psychological and quality of life measures were much worse. During the initial phase of the COVID-19 pandemic, several characteristics emerged as risks to report trauma.
O presente trabalho tem por objetivo apresentar os indicadores não verbais das emoções secundárias culpa, vergonha e nojo revelados nas últimas décadas pela ciência psicológica. Um sinal não verbal pode incluir itens como expressões faciais, posições da cabeça, e comportamentos auto direcionados. Emoções secundárias como culpa, vergonha e orgulho e seus descritos sinais não verbais podem configurar importante fonte de informação em contextos investigativos que envolvam análise de oitivas em depoimentos judiciais fornecendo subsídios para tomada de decisão estratégica e do manejo do processo de investigação de depoimentos. Este artigo traz uma revisão narrativa que descreve três emoções secundárias e seus respectivos indicadores não verbais. Os indicadores não verbais de emoções secundárias em pauta são apresentados de acordo com a conceituação do sistema de codificação da ação facial (FACS) e de recomendações técnicas recomendadas por achados de pesquisa. Culpa, vergonha e orgulho apresentam indicadores não verbais objetivos e distintos de expressividade.
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