在 COVID-19 期间,英国卫生和社会护理工作者暴露于潜在的道德伤害事件:与创伤后应激障碍和复杂性创伤后应激障碍的关系。

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-01 Epub Date: 2023-06-22 DOI:10.1037/tra0001519
Talya Greene, Jasmine Harju-Seppänen, Jo Billings, Chris R Brewin, Dominic Murphy, Michael A P Bloomfield
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引用次数: 0

摘要

目的:在 COVID-19 大流行期间,医疗和社会护理工作者(HSCWs)已被证明面临暴露于潜在精神伤害事件(PMIEs)和精神健康问题的风险。本研究旨在探讨在 COVID-19 第一波高峰过后,英国高危社区工作者暴露于潜在精神伤害事件与达到可能的创伤后应激障碍(PTSD)和可能的复合型创伤后应激障碍(CPTSD)阈值标准之间的关联:前线-COVID 研究通过社交媒体招募英国各地在医院、疗养院或护理院以及其他社区环境中担任不同职务的前线 HSCWs。参与者(n = 1,056)完成了一项横断面在线调查(2020 年 5 月 27 日至 2020 年 7 月 23 日),该调查评估了接触 PMIEs(九项道德伤害事件量表)的情况,以及是否符合可能的创伤后应激障碍和可能的 CPTSD(国际创伤问卷)的症状阈值:结果:目睹他人不法行为和背叛事件相关的精神伤害事件比感知到的自我背叛事件更常见。可能患有《国际疾病分类》第 11 版(ICD-11)创伤后应激障碍的比例为 8.3%,可能患有 ICD-11 CPTSD 的比例为 14.2%。与背叛相关的 PMIE 是预测可能的创伤后应激障碍或可能的 CPTSD 的一个重要因素,此外,在大流行期间被重新部署也是一个重要因素。与可能的创伤后应激障碍相比,预测可能的创伤后应激障碍的唯一变量是无法可靠地获得个人防护设备;没有任何一种PMIE类型是预测可能的创伤后应激障碍与可能的创伤后应激障碍筛查结果呈阳性的差异因素:结论:接触个人防护设备可能对创伤后应激障碍和创伤后应激障碍的发展很重要。结论:暴露于 PIMEs 对创伤后应激障碍和 CPTSD 的发展可能很重要,应研究对 HSCWs 中道德伤害的干预措施。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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Exposure to potentially morally injurious events in U.K. health and social care workers during COVID-19: Associations with PTSD and complex PTSD.

Objective: Health and social care workers (HSCWs) have been shown to be at risk of exposure to potentially morally injurious events (PMIEs) and mental health problems during the COVID-19 pandemic. This study aimed to examine associations between exposure to PMIEs and meeting threshold criteria for probable posttraumatic stress disorder (PTSD) and probable complex PTSD (CPTSD) in U.K. HSCWs immediately after the peak of the first COVID-19 wave.

Method: Frontline HSCWs from across the United Kingdom working in diverse roles in hospitals, nursing or care homes, and other community settings were recruited to the Frontline-COVID study via social media. Participants (n = 1,056) completed a cross-sectional online survey (May 27, 2020-July 23, 2020) which assessed exposure to PMIEs (nine-item Moral Injury Events Scale), and meeting symptom thresholds for probable PTSD and probable CPTSD (International Trauma Questionnaire).

Results: PMIEs related to witnessing others' wrongful actions and betrayal events were more commonly endorsed than perceived self-transgressions. The rate of probable International Classification of Diseases, 11th Revision (ICD-11) PTSD was 8.3%, and of probable ICD-11 CPTSD was 14.2%. Betrayal-related PMIEs were a significant predictor of probable PTSD or probable CPTSD, together with having been redeployed during the pandemic. The only variable that differentially predicted probable CPTSD as compared with probable PTSD was not having had reliable access to personal protective equipment; none of the PMIE types were differential predictors for screening positive for probable PTSD versus probable CPTSD.

Conclusions: Exposure to PIMEs could be important for PTSD and CPTSD development. Interventions for moral injury in HSCWs should be investigated. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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