Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv 6139001, Israel.
The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Int J Environ Res Public Health. 2020 Jul 14;17(14):5074. doi: 10.3390/ijerph17145074.
Psychological distress during the COVID-19 pandemic is not solely limited to SARS-CoV-2 infection. It may also be related to social, cultural, and environmental factors, which may act as additional stressors. The aim of the current study was to explore the association between psychological distress and subjective overload among dentists in different countries, and whether it is associated with COVID-19-related factors. A cross-sectional survey was conducted among 1302 dentists from China, India, Israel, Italy, and the UK, who filled out demographics data, COVID-19-related factor questions, subjective overload, and psychological distress scales. Our findings showed that the positive association between subjective overload and psychological distress was different among countries, suggesting higher rate of intensity in Italy compared to China, India, and Israel (the UK was near significance with China and Israel). The interaction variable of the subjective overload × psychological distress was significantly associated with a particular country, with those individuals reporting fear of contracting COVID-19 from patients, fear of their families contracting COVID-19, and receiving enough professional knowledge regarding COVID-19. Given the above, dentists were found to have elevated levels of subjective overload and psychological distress, which differed among the countries, presumably due to certain background issues such as social, cultural, and environmental factors.
在 COVID-19 大流行期间，心理困扰不仅限于 SARS-CoV-2 感染。它也可能与社会、文化和环境因素有关，这些因素可能成为额外的压力源。本研究旨在探讨不同国家牙医的心理困扰与主观负担之间的关系，以及这种关系是否与 COVID-19 相关因素有关。我们对来自中国、印度、以色列、意大利和英国的 1302 名牙医进行了横断面调查，他们填写了人口统计学数据、与 COVID-19 相关的因素问题、主观负担和心理困扰量表。我们的研究结果表明，主观负担和心理困扰之间的正相关在不同国家之间存在差异，这表明意大利的主观负担和心理困扰比中国、印度和以色列更高（英国与中国和以色列接近显著）。主观负担×心理困扰的交互变量与特定国家显著相关，这些国家的人报告担心从患者那里感染 COVID-19，担心他们的家人感染 COVID-19，以及获得足够的 COVID-19 专业知识。鉴于上述情况，牙医的主观负担和心理困扰水平升高，而且在不同国家之间存在差异，这可能是由于社会、文化和环境等背景因素。
