West China Hospital, Sichuan University, Chengdu City, Sichuan Province, China.
BMC Health Serv Res. 2020 Nov 4;20(1):1007. doi: 10.1186/s12913-020-05871-6.
The COVID-19 has been a pandemic around the world, which affirmatively brought mental health problems to medical staff. We aimed to investigate the prevalence of anxiety in Chinese medical staff and examine the mediation effects of coping styles on the relationship between social support and anxiety.
A cross-sectional study via internet survey was conducted from 15 March to 30 March, 2020. The social demographic data, Self-rated Anxiety Scale, Social Support Rate Scale and Trait Coping Style Scale were collected. Pearson correlation and a structural equation model were performed to examine the relationships of these variables. The bootstrap analysis was conducted to evaluate the mediation effects.
A total of 453 medical staff participated in this study. The mean score of SAS was 46.1 (SD = 10.4). Up to 40.8% of the participants had anxiety symptoms. The participants lived with family members had lower SAS score (45.1 ± 9.8 vs 49.6 ± 11.8). Social support was negatively associated with anxiety, mediated by positive coping and negative coping partially significantly with an effect size of - 0.183.
Chinese medical staff had a high level of anxiety during the COVID-19 pandemic. Coping styles had effects on the association between social support and anxiety. Sufficient social support and training on positive coping skills may reduce anxiety in medical staff.
COVID-19 已在全球范围内流行，这无疑给医务人员带来了心理健康问题。我们旨在调查中国医务人员焦虑症的患病率，并检验应对方式在社会支持与焦虑之间的关系中的中介作用。
这是一项 2020 年 3 月 15 日至 3 月 30 日通过互联网调查进行的横断面研究。收集社会人口统计学数据、自评焦虑量表、社会支持率量表和特质应对方式量表。采用 Pearson 相关和结构方程模型来检验这些变量之间的关系。采用 bootstrap 分析评估中介效应。
共有 453 名医务人员参加了这项研究。SAS 的平均得分为 46.1（SD=10.4）。高达 40.8%的参与者有焦虑症状。与家人同住的参与者 SAS 评分较低（45.1±9.8 与 49.6±11.8）。社会支持与焦虑呈负相关，积极应对和消极应对部分显著中介，中介效应量为-0.183。
在 COVID-19 大流行期间，中国医务人员的焦虑程度较高。应对方式对社会支持与焦虑之间的关系有影响。充分的社会支持和积极应对技能的培训可能会降低医务人员的焦虑。
