罪恶感,而不是羞耻感,调解了COVID-19期间前线护士在道德痛苦和自杀念头之间长度关系
David P Cenkner1, Candace W Burton2, Danisha Jenkins3
1Department of Psychology, University of California, Irvine, Irvine, California, USA.
Journal of clinical psychology
|October 21, 2025
概括
罪恶感,而不是羞耻感,在COVID-19大流行期间调解了护士的道德困境和自杀想法之间的联系. 针对内的干预措施可能有助于减少护士的自杀念头.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 心理学 心理学 心理学
背景情况:
- 随着COVID-19的流行,护士们的道德困境显著增加.
- 道德上的痛苦与不良的心理健康结果有关,包括抑郁症和自杀念头.
- 在道德痛苦和这些结果之间调解的心理机制仍然不清楚.
研究的目的:
- 调查罪恶感和羞耻感是否调解了在护士中道德困扰和抑郁症状/自杀念头之间的关系.
- 了解在疫情期间将职场道德困扰与负面心理健康结果联系在一起的心理途径.
主要方法:
- 评估了96名注册护士的队列,他们直接照顾COVID-19患者.
- 自我报告的道德痛苦,内,羞愧,抑郁和自杀念头的措施是在3个月的两个时间点进行的.
- 进行调解分析以检查拟议的关系.
主要成果:
- 时间1的内显著调解了时间1的道德痛苦和时间2的自杀念头之间的关联.
- 时间上的羞耻1并没有显著调解道德痛苦和自杀念头之间的关系.
- 无论是内还是耻辱都没有介绍道德困扰和抑郁症症状之间的关系;然而,道德困扰直接预测了抑郁症症状.
结论:
- 教育护士了解道德困境对心理的影响至关重要.
- 专注于解决内感的干预措施可能有效地减少精神困扰的护士的自杀念头.
- 道德困扰对抑郁症症状的直接影响突出了对支持性工作环境的需求.
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