探索周围的断层性经历,创伤后应激障碍,耻辱和恐惧之间的关系:COVID-19大流行期间的一项三波研究
Remya Lathabhavan1, Zohreh Hosseini Marznaki2, Mark Mohan Kaggwa3
1OB and HRM Area, Indian Institute of Management Bodh Gaya, Bihar, India.
Archives of psychiatric nursing
|July 21, 2024
概括
这项研究发现,对COVID-19的耻辱和恐惧在医疗保健专业人员中介于创伤经历和创伤后应激障碍之间的联系. 这些发现强调了对前线工作者的心理健康支持的需要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19的流行,造成了广泛的公共卫生问题和心理困扰.
- 由于其前线角色,医疗保健专业人员 (HCP) 面临着重大的心理健康挑战.
研究的目的:
- 检查感知到的耻辱,自我耻辱和对COVID-19的恐惧的调解作用.
- 了解疫情期间医疗保健工作者中经历过外伤性分离体验和创伤后应激障碍 (PTSD) 之间的关系.
主要方法:
- 从伊朗的医疗保健工作者收集数据的三个波段进行了纵向研究.
- 使用了验证的问卷:经过周期性分离体验问卷,事件影响量-6,感知耻辱量,对COVID-19恐惧量和自我耻辱量-简短.
- 用结构方程建模来分析数据.
主要成果:
- 在每段时间的分离体验,耻辱感 (感知和自我),对COVID-19的恐惧和PTSD之间发现了积极的关联.
- 感知到的耻辱感,自我耻辱感和对COVID-19的恐惧显著调解了周围时间分离体验和PTSD之间的关系.
- 这些调解效应在所有三个调查波中都是一致的.
结论:
- 耻辱感和恐惧是关键的调解者,在流行病期间,医务人员将周围的精神压力与PTSD联系起来.
- 强调迫切需要心理健康干预措施和医疗保健专家的支持系统.
- 政策建议包括分配资源,以减轻大流行对医疗保健工作者的心理影响.
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