<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592025000100082</article-id>
<article-id pub-id-type="doi">10.19136/hs.a24.1.5853</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Depresión, insomnio y consumo de sustancias psicoactivas en personal de enfermería de área COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Depression, insomnia and psychoactive substances consumption in nursing staff in COVID-19 area]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreón Gutiérrez]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Nieto]]></surname>
<given-names><![CDATA[Laura Roxana De Los]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Treviño]]></surname>
<given-names><![CDATA[María Guadalupe Esmeralda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loredo Lárraga]]></surname>
<given-names><![CDATA[Laura Virginia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cadena Santos]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Ruíz]]></surname>
<given-names><![CDATA[Martha Dalila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Ciudad Victoria Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Ciudad Victoria Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Ciudad Victoria Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Ciudad Victoria Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Nuevo Laredo Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[Nuevo Laredo Tamaulipas]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>82</fpage>
<lpage>100</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592025000100082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592025000100082&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592025000100082&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Evaluar la relación de depresión e insomnio y su interacción con factores sociodemográficos, laborales y de consumo de sustancias en profesionales de enfermería en áreas COVID-19.  Materiales y métodos:  Muestra de 222 profesionales de enfermería residentes en Tamaulipas, México, que atendieron a pacientes COVID-19 durante el periodo julio-agosto 2022. Se recolectaron datos demográficos, laborales y de consumo de sustancias. Se utilizó el Índice de Severidad del Insomnio (ISI-7) y el Cuestionario de Evaluación del Estado de Salud del Paciente (PHQ-9) para valorar el nivel de depresión. Las variables fueron analizadas con estadística descriptiva. Se empleó el Coeficiente de Correlación de Spearman y Chi cuadrada para el análisis correlacional; así como las pruebas de U de Mann-Whitney y H de Kruskal-Wallis para la comparación entre grupos.  Resultados: El 79.3% del profesional de enfermería son del sexo femenino, el 33.8% labora en el turno nocturno. La mediana de edad fue de 34 años y de la antigüedad laboral fue de 7 años. Se encontraron prevalencias elevadas en el consumo de alcohol (82.0%), tabaco (46.4%) y marihuana (14.9%). El 50.0% del personal presentó depresión entre moderada y severa; y el 51.3% problemas de insomnio. Existe una asociación significativa entre el insomnio y depresión con el consumo de sustancias psicotrópicas (p&lt;.000), donde los consumidores presentaron los niveles más alterados (p&lt;.000). Los niveles de depresión e insomnio eran mayores cuando tenían menor antigüedad laboral(depresión: r  s = -.295; insomnio: r  s = -.335) y edad (depresión: r  s = -.344; insomnio: r  s = -.345), siendo correlaciones significativas (p&lt;.000). El turno más afectado por la depresión fue el nocturno (p&lt;.05).  Conclusión: La depresión y el insomnio fueron situaciones que los profesionales de enfermería enfrentaron durante la pandemia de COVID-19, viviendo un proceso de adaptación complejo caracterizado por el consumo de alcohol, tabaco y otras sustancias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To evaluate the relationship between depression and insomnia and their interaction with sociodemographic, occupational, and substance use factors among nursing professionals in COVID-19 areas.  Material and Methods:  A sample of 222 nursing professionals residing in Tamaulipas, Mexico, who cared for COVID-19 patients during the period July-August 2022. Demographic, occupational, and substance use data were collected. The Insomnia Severity Index (ISI-7) and the Patient Health Status Assessment Questionnaire (PHQ-9) were used to assess depression levels. Variables were analyzed using descriptive statistics. The Spearman correlation coefficient and chi-square test were used for correlational analysis; and the Mann-Whitney U test and Kruskal-Wallis H test were used for comparisons between groups.  Results:  79.3% of nursing professionals are female, and 33.8% work night shifts. The median age was 34 years, and their seniority was 7 years. High prevalence rates were found for alcohol (82.0%), tobacco (46.4%), and marijuana (14.9%). Fifty percent of staff presented moderate to severe depression, and 51.3% had insomnia. There is a significant association between insomnia and depression and psychotropic substance use (p&lt;.000), with users presenting the most disturbed levels (p&lt;.000). Depression and insomnia levels were higher in younger workers (depression: r  s = -.295; insomnia: r  s = -.335) and in older workers (depression: r  s = -.344; insomnia: r  s = -.345), with significant correlations (p &lt; .000). The night shift was the most affected by depression (p &lt; .05).  Conclusion:  Depression and insomnia were situations that nursing professionals faced during the COVID-19 pandemic, experiencing a complex adaptation process characterized by the use of alcohol, tobacco, and other substances.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
<kwd lng="es"><![CDATA[Insomnio]]></kwd>
<kwd lng="es"><![CDATA[Uso de sustancias]]></kwd>
<kwd lng="es"><![CDATA[Personal de Enfermería]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Insomnia]]></kwd>
<kwd lng="en"><![CDATA[Substance Use]]></kwd>
<kwd lng="en"><![CDATA[Nursing Staff]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
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