COVID-19大流行对医护人员心理健康的影响:一项为期6个月的队列纵向调查研究

IF 5.2 3区 医学 Q1 PSYCHIATRY Revista de psiquiatria y salud mental Pub Date : 2023-01-01 DOI:10.1016/j.rpsm.2022.08.001
Manuel Canal-Rivero , Cristian Montes-García , Nathalia Garrido-Torres , Amanda Moreno-Mellado , Pablo Reguera-Pozuelo , Miguel Ruiz-Veguilla , Benedicto Crespo-Facorro
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引用次数: 2

摘要

简介医护人员(HCW)已被确定为因冠状病毒疾病19(新冠肺炎)大流行而遭受心理负担的风险群体。此外,新冠肺炎大流行引起的情绪反应可能存在性别差异。该研究的目的是探讨新冠肺炎以及可能的性别差异对HCW队列中心理健康状况和自杀的影响。材料和方法一千四百三十二名HCW在2020年5月对包括社会人口学、临床和心理测量测试在内的在线调查做出了回应,251名HCW于2020年11月做出了回应。采用一般健康问卷28(GHQ-28)对两个时间段的心理健康状况进行测量。结果HCW报告在随访期间躯体症状恶化。在GHQ-28的所有维度以及问卷总分中都发现了性别差异。事后分析显示,在躯体和焦虑维度以及GHQ-28总分方面,时间和性别之间存在显著的相互作用。新冠肺炎传播产生的压力和在工作中不知所措的感觉是心理困扰的主要预测因素,尽管每个领域都有一组特定的预测因素。结论在随访期间,躯体反应是最敏感的方面。此外,女性一开始的心理困扰更大,尽管这些差异往往会随着时间的推移而消失。最后,一个复杂的因素网络预测了不同维度的心理困扰,显示了面临重大灾害的高危人群预防的复杂性。
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The impact of COVID-19 pandemic on the psychological well-being among health care workers: A 6-month cohort longitudinal survey study

Introduction

Health care workers (HCW) have been identified as a risk group to suffer psychological burden derived from Coronavirus Disease 19 (COVID-19) pandemic. In addition, possible gender differences in the emotional reactions derived from COVID-19 pandemic have been suggested in this population. The aims of the study were to explore the impact of COVID-19 as well as possible gender differences on mental health status and suicidality in a cohort of HCW.

Materials and methods

One thousand four hundred and thirty-two HCW responded to an online survey including sociodemographic, clinical, and psychometric tests in May 2020 while 251 HCW answered in November 2020. Mental health status was measured by General Health Questionnaire 28 (GHQ-28) in both time periods.

Results

HCW informed of a worsening in somatic symptomatology over the follow up period. Gender differences were found in all GHQ-28 dimensions as well in the total score of the questionnaire. Post hoc analyses displayed significant interaction between the time and gender in somatic and anxiety dimensions as well as in GHQ-28 total score. Stress produced by COVID-19 spreading and the feeling of being overwhelmed at work resulted the main predictors of psychological distress although each domain is characterized by a specific set of predictors.

Conclusions

Somatic reactions represent the most sensitive dimension over the follow-up period. Moreover, women are characterized by a greater psychological distress at the beginning, although these differences tend to disappear over time. Finally, a complex network of factors predicted different dimensions of psychological distress, showing the complexity of prevention in high-risk populations facing major disasters.

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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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