在撒哈拉以南非洲护士样本中,道德压力对抑郁的影响因性别而异

IF 1.2 Q4 PSYCHIATRY Psychiatry international Pub Date : 2024-05-06 DOI:10.3390/psychiatryint5020014
John Bosco Chika Chukwuorji, Michael Onwe Nwogiji, C. M. Ifeagwazi, Okechukwu Hope Eke, Dumkelechuku Obed-Ohen, O. Osondu, Dwi Kartika Rukmi, Crystal Njoku, Adaeze Chike-Okoli
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引用次数: 0

摘要

尽管研究表明,精神痛苦会损害不同人群的心理健康,但有关这种关联的潜在调节因素的信息却很少。我们以撒哈拉以南非洲护士为样本,研究了道德困扰与抑郁症状之间的联系。我们探讨了这种关系在性别、年龄和工作经验方面可能对哪些人和何时有效。参与者包括来自尼日利亚东南部一家高等医疗机构的 398 名护士。使用临床护士道德压力问卷(MDQ)和流行病学研究中心抑郁量表修订版(CEDS-R)收集数据。基于 Hayes 回归的宏观调节效应结果表明,高道德压力与抑郁症状增加之间的关系对女性而言是稳健的,但对男性而言并不显著。虽然年龄越大、护理年限越长,抑郁症状越轻,但护士的年龄和工作年限并不能调节道德困扰与抑郁症状之间的关系。为了促进精神健康和维护护士的人格,在政策和实践中应考虑道德如何导致抑郁症状的性别差异。
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How Moral Distress Contributes to Depression Varies by Gender in a Sample of Sub-Saharan African Nurses
Although research has shown that moral distress harms mental health in diverse populations, information on potential moderators of such associations is scarce. In a sample of sub-Saharan African nurses, we examined the link between moral distress and depressive symptoms. We explored for whom and when such relationships may hold with regard to gender, age, and work experience. Participants consisted of 398 nurses drawn from a tertiary healthcare institution in southeastern Nigeria. Data were collected using the Moral Distress Questionnaire (MDQ) for clinical nurses, and the Center for Epidemiological Studies Depression Scale Revised (CEDS-R). Hayes regression-based macro results for the moderation effects indicated that the association of high moral distress with increased depressive symptoms was robust for women but not significant for men. Although older age and higher years of nursing experience were associated with reduced symptoms of depression, nurses’ age and years of work experience did not moderate the relationship between moral distress and depressive symptoms. To promote mental well-being and preserve the integrity of nurses, gender-based differentials in how morals contribute depressive symptoms should be considered in policy and practice.
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