Longitudinal Insights into the Mental Health of Healthcare Workers: Emotional Shifts During Two Years of the COVID-19 Crisis.

IF 2.7 3区 医学 Q3 NEUROSCIENCES Brain Sciences Pub Date : 2024-11-19 DOI:10.3390/brainsci14111155
Maia Stanisławska-Kubiak, Grażyna Teusz, Michał Ziarko, Ewa Mojs
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Abstract

Objective: Numerous studies have highlighted the prevalence of mental health disorders among healthcare professionals during the COVID-19 pandemic, with varying indications of emotional strain. This study compares the psychological functioning of healthcare workers at the onset of the pandemic and two years later, offering a comprehensive assessment of their emotional and mental health status in the evolving context of COVID-19.

Methods: This longitudinal analysis examined the relationship between stress, emotional processing, and their positive/negative impacts on medical personnel working in Polish hospitals and outpatient clinics in 2020 (n = 285) and 2022 (n = 252). The study employed the Toronto Alexithymia Scale-20 (TAS-20), Cohen's Perceived Stress Scale (PSS-10), Mini-COPE, Acceptance of Illness Scale (AIS), Emotional Processing Scale (EPS), STAI, and PANAS to assess psychological responses and coping mechanisms.

Results: Findings revealed a significant increase in denial, substance use, self-blame, negative mood, and impaired psychological and somatic functioning, alongside heightened symptoms of depression and anxiety. Conversely, a marked decrease in planning, positive reinterpretation, acceptance, religious coping, and seeking social support (both emotional and instrumental) was observed over the two-year period.

Conclusion: The prolonged nature of the COVID-19 pandemic has profoundly affected the psychological resilience of healthcare professionals, eroding critical emotional resources necessary for maintaining interpersonal relationships and mental well-being. These results underscore the need for targeted interventions to support the mental health of medical staff in the ongoing crisis.

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医疗工作者心理健康的纵向观察:COVID-19危机两年期间的情感转变。
目的:许多研究强调,在 COVID-19 大流行期间,医护人员的心理健康失调现象十分普遍,而且情绪紧张的迹象也各不相同。本研究比较了大流行开始时和两年后医护人员的心理功能,在 COVID-19 不断变化的背景下对他们的情绪和心理健康状况进行了全面评估:这项纵向分析研究了 2020 年(n = 285)和 2022 年(n = 252)在波兰医院和门诊诊所工作的医务人员的压力、情绪处理及其积极/消极影响之间的关系。研究采用了多伦多亚历山大量表-20(TAS-20)、科恩感知压力量表(PSS-10)、迷你 COPE、疾病接受量表(AIS)、情绪处理量表(EPS)、STAI 和 PANAS 来评估心理反应和应对机制:研究结果表明,在抑郁和焦虑症状加重的同时,否认、药物使用、自责、消极情绪、心理和躯体功能受损的情况明显增加。相反,在两年的时间里,计划性、积极的重新解释、接受、宗教应对和寻求社会支持(包括情感支持和工具支持)明显减少:COVID-19大流行的长期性深刻影响了医护人员的心理复原力,侵蚀了维持人际关系和心理健康所需的关键情感资源。这些结果表明,有必要采取有针对性的干预措施,在持续的危机中为医务人员的心理健康提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Brain Sciences
Brain Sciences Neuroscience-General Neuroscience
CiteScore
4.80
自引率
9.10%
发文量
1472
审稿时长
18.71 days
期刊介绍: Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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