Department of Child and Adolescent Psychiatry, Istanbul Medeniyet University, Goztepe Education and Research Hospital, Istanbul, Turkey.
Clinical Psychology Graduate Student, Istanbul Kent University, Istanbul, Turkey.
Int J Soc Psychiatry. 2021 Feb;67(1):84-89. doi: 10.1177/0020764020940742. Epub 2020 Jul 8.
Secondary traumatization exposure and mental health conditions of health care workers gained importance during the coronavirus disease 2019 (COVID-19) epidemic period.
In our study, we aim to research the secondary traumatization and associated factors among health care workers.
This cross-sectional study was applied through an online questionnaire using the snowball sampling method. Two hundred fifty-one health care workers from different units/services and 312 non-medical worker adults attended to the research. Health care workers were divided into two groups based on working with COVID-19 patients at the frontline or not. The data were collected via Introductory Information Form, Secondary Traumatic Stress Scale (STSS) and Patient Health Questionnaire-4 (PHQ-4) between 22 May and 30 May 2020.
Among the 563 participants, 251 (44.6%) were health care workers and 312 (55.4%) were non-medical workers. The anxiety, depression and secondary traumatization scores of the frontline health care workers for the COVID-19 were found to be significantly higher than those of the other health workers or non-medical workers ( < .001). Also, we found that being a woman, being in the first years of the work, living with a parent, having a chronic disease, having a trauma history and increased social media use are related to having higher scores from the secondary traumatization scale.
The secondary traumatization exposure and the mental health conditions of the health care workers directly working with the COVID-19 patients should be taken into consideration. It is important to provide social support, examine and control riskier groups for mental health regularly during the pandemic.
在 2019 年冠状病毒病(COVID-19)流行期间,医护人员的二次创伤暴露和心理健康状况变得尤为重要。
本研究旨在研究医护人员的二次创伤及其相关因素。
本横断面研究通过在线问卷调查,采用雪球抽样法进行。共有 251 名来自不同单位/科室的医护人员和 312 名非医务人员参与了研究。医护人员根据是否在一线接触 COVID-19 患者分为两组。数据于 2020 年 5 月 22 日至 5 月 30 日通过基本信息表、二次创伤应激量表(STSS)和患者健康问卷-4(PHQ-4)收集。
在 563 名参与者中,251 名(44.6%)为医护人员,312 名(55.4%)为非医务人员。COVID-19 一线医护人员的焦虑、抑郁和二次创伤评分明显高于其他医护人员或非医务人员( < .001)。此外,我们发现女性、工作年限较短、与父母同住、患有慢性病、有创伤史和增加社交媒体使用与二次创伤量表评分较高有关。
应考虑直接接触 COVID-19 患者的医护人员的二次创伤暴露和心理健康状况。在大流行期间,为提供社会支持、定期检查和控制精神健康风险较高的群体提供重要支持。