Department of Guidance and Psychological Counseling, Duzce University, Merkez/Düzce, Turkey.
Glob Public Health. 2020 Feb;15(2):236-246. doi: 10.1080/17441692.2019.1656273. Epub 2019 Aug 20.
Healthcare workers who served in southern cities of Turkey have been directly and indirectly affected by the civil war in Syria due to stress and trauma. Hopelessness in these healthcare workers can be a potential contributor to their levels of depression. On the other hand, meaning in life, as both moderating and mediating variable, can serve to counteract depression. This is a study of 286 Turkish healthcare workers who served in a southern border city of Turkey and Syria in February and March of 2018. The study examined the effects of hopelessness and meaning in life on depression level including the moderating and mediating effects of meaning in life on the relationship between hopelessness and depression. A hierarchical regression analysis and bootstrapping procedure were employed to test the research questions. This study found that hopelessness positively predicted depression and meaning in life negatively predicted depression. Meaning in life significantly moderated and partially mediated the association between hopelessness and depression. Healthcare workers who served in a conflict area experienced more depression when they had more hopelessness and less meaning in life. Moreover, meaning in life played a central role as both moderator and mediator. Results are discussed with implications and limitations.
由于压力和创伤，在土耳其南部城市服务的医护人员直接或间接地受到叙利亚内战的影响。这些医护人员的绝望情绪可能是导致他们抑郁程度的一个潜在因素。另一方面，生活意义作为调节变量和中介变量，可以用来对抗抑郁。这是一项针对 2018 年 2 月至 3 月在土耳其和叙利亚南部边境城市服务的 286 名土耳其医护人员的研究。该研究考察了绝望感和生活意义对抑郁水平的影响，包括生活意义对绝望感和抑郁之间关系的调节和中介作用。采用层次回归分析和自举程序来检验研究问题。这项研究发现，绝望感正向预测抑郁，生活意义负向预测抑郁。生活意义显著调节并部分中介了绝望感和抑郁之间的关系。在冲突地区服务的医护人员，当他们感到更加绝望和生活意义更少时，会经历更多的抑郁。此外，生活意义作为调节变量和中介变量起着核心作用。结果讨论了其意义和局限性。
