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意大利医护人员与普通人群在与新冠病毒传播相关的风险认知、行为及心理困扰方面的差异

Differences Between Health Workers and General Population in Risk Perception, Behaviors, and Psychological Distress Related to COVID-19 Spread in Italy.

作者信息

Simione Luca, Gnagnarella Camilla

机构信息

Istituto di Scienze e Tecnologie della Cognizione, CNR, Rome, Italy.

Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.

出版信息

Front Psychol. 2020 Sep 4;11:2166. doi: 10.3389/fpsyg.2020.02166. eCollection 2020.

Abstract

In this study, we investigated the perception of risk and the worries about COVID-19 infection in both healthcare workers and the general population in Italy. We studied the difference in risk perception in these two groups and how this related to demographic variables and psychological factors such as stress, anxiety, and death anxiety. To this aim, we administered an online questionnaire about COVID-19 together with other questionnaires assessing the psychological condition of participants. First, we found that the exposition to infection risk, due to living area or job, increased the perceived stress and anxiety (i.e., medical staff in North Italy was more stressed and anxious with respect to both medical- and non-medical participants from Center and South Italy). Then, we conducted hierarchical logistic regression models on our data to assess the response odds ratio relatively to each regressor on each dependent variable. We found that health workers reported higher risk perception, level of worry, and knowledge as related to COVID-19 infection compared to the general population. Psychological state, sex, and living area were less related to these factors. Instead, judgments about behaviors and containment rules were more linked to demographics, such as sex. We discussed these results in the light of risk factors for psychological distress and possible interventions to meet the psychological needs of healthcare workers.

摘要

在本研究中,我们调查了意大利医护人员和普通人群对新冠病毒感染的风险认知及担忧情况。我们研究了这两组人群在风险认知上的差异,以及这种差异如何与人口统计学变量和心理因素(如压力、焦虑和死亡焦虑)相关。为此,我们发放了一份关于新冠病毒的在线问卷以及其他评估参与者心理状况的问卷。首先,我们发现,由于居住地区或工作原因而面临感染风险,会增加感知到的压力和焦虑(即意大利北部的医护人员比来自意大利中部和南部的医护及非医护参与者压力更大、焦虑更甚)。然后,我们对数据进行分层逻辑回归模型分析,以评估每个自变量相对于每个因变量的反应比值比。我们发现,与普通人群相比,医护人员报告的与新冠病毒感染相关的风险认知、担忧程度和知识水平更高。心理状态、性别和居住地区与这些因素的相关性较小。相反,对行为和防控规则的判断与人口统计学特征(如性别)的联系更为紧密。我们根据心理困扰的风险因素以及满足医护人员心理需求的可能干预措施对这些结果进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51a5/7499804/ecfc1720952a/fpsyg-11-02166-g001.jpg

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