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新冠疫情期间美国医疗保健专业人员面临的心理健康挑战

Mental Health Challenges of United States Healthcare Professionals During COVID-19.

作者信息

Pearman Ann, Hughes MacKenzie L, Smith Emily L, Neupert Shevaun D

机构信息

School of Psychology, Georgia Institute of Technology, Atlanta, GA, United States.

Department of Psychology, North Carolina State University, Raleigh, NC, United States.

出版信息

Front Psychol. 2020 Aug 13;11:2065. doi: 10.3389/fpsyg.2020.02065. eCollection 2020.

Abstract

As COVID-19 continues to impact global society, healthcare professionals (HCPs) are at risk for a number of negative well-being outcomes due to their role as care providers. The objective of this study was to better understand the current psychological impact of COVID-19 on HCPs in the United States This study used an online survey tool to collect demographic data and measures of well-being of adults age 18 and older living in the United States between March 20, 2020 and May 14, 2020. Measures included anxiety and stress related to COVID-19, depressive symptoms, current general anxiety, health questions, tiredness, control beliefs, proactive coping, and past and future appraisals of COVID-related stress. The sample included 90 HCPs and 90 age-matched controls ( = 34.72 years, = 9.84, range = 23 - 67) from 35 states of the United States. A multivariate analysis of variance was performed, using education as a covariate, to identify group differences in the mental and physical health measures. HCPs reported higher levels of depressive symptoms, past and future appraisal of COVID-related stress, concern about their health, tiredness, current general anxiety, and constraint, in addition to lower levels of proactive coping compared to those who were not HCPs ( < 0.001, η = 0.28). Within the context of this pandemic, HCPs were at increased risk for a number of negative well-being outcomes. Potential targets, such as adaptive coping training, for intervention are discussed.

摘要

随着新冠疫情持续影响全球社会,医护人员因其护理提供者的角色面临多种负面健康后果的风险。本研究的目的是更好地了解新冠疫情目前对美国医护人员的心理影响。本研究使用在线调查工具收集了2020年3月20日至2020年5月14日期间居住在美国的18岁及以上成年人的人口统计学数据和幸福感指标。测量指标包括与新冠疫情相关的焦虑和压力、抑郁症状、当前的一般焦虑、健康问题、疲劳、控制信念、积极应对,以及对新冠相关压力的过去和未来评估。样本包括来自美国35个州的90名医护人员和90名年龄匹配的对照组(平均年龄 = 34.72岁,标准差 = 9.84,范围 = 23 - 67岁)。使用教育程度作为协变量进行了多变量方差分析,以确定心理健康和身体健康指标方面的组间差异。与非医护人员相比,医护人员报告的抑郁症状、对新冠相关压力的过去和未来评估、对自身健康的担忧、疲劳、当前的一般焦虑和受限程度更高,此外积极应对水平更低(p < 0.001,η = 0.28)。在这场疫情的背景下,医护人员面临多种负面健康后果的风险增加。文中讨论了诸如适应性应对训练等潜在的干预目标。

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