School of Education-Polytechnic of Porto, Portugal and Centre for Research and Innovation in Education, 4200-465 Porto, Portugal.
Faculty of Medicine, MEDCIDS-Department of Community Medicine, Information and Decision in Health, University of Porto, 4200-450 Porto, Portugal.
Int J Environ Res Public Health. 2021 Jan 13;18(2):636. doi: 10.3390/ijerph18020636.
During the COVID-19 pandemic, healthcare workers (HCW) have been exposed to multiple psychosocial stressors. Resilience might protect employees from the negative consequences of chronic stress. The aim of this study was to explore the mediating role of resilience in the relationship between depression and burnout (personal, work-related, and client-related). A cross-sectional study was performed using an online questionnaire distributed via social networks. A survey was conducted comprising standardized measures of resilience (Resilience Scale-25 items), depression (subscale of Depression Anxiety Stress Scales-21 items), and burnout (Copenhagen Burnout Inventory Scale-19 items). A total of 2008 subjects completed the survey, and a hierarchical regression model was estimated for each burnout dimension. The results revealed that depression had not only a directed effect on personal, work- and client-related burnout, but also an indirect small effect on it through resilience. Psychological resilience played a partial mediating role between depression and all burnout dimensions. This partial mediation suggests that there may be other possible variables (e.g., social connection, self-compassion, gratitude, sense of purpose) that further explain the associations.
在 COVID-19 大流行期间，医护人员（HCW）面临多种心理社会压力源。韧性可能会保护员工免受慢性压力的负面影响。本研究旨在探讨韧性在抑郁和倦怠（个人、工作相关和与客户相关）之间关系中的中介作用。使用通过社交网络分发的在线问卷进行了一项横断面研究。进行了一项调查，其中包括韧性（25 项韧性量表）、抑郁（抑郁焦虑压力量表的子量表-21 项）和倦怠（哥本哈根倦怠量表-19 项）的标准化测量。共有 2008 名受试者完成了调查，并为每个倦怠维度估计了一个分层回归模型。结果表明，抑郁不仅对个人、工作和与客户相关的倦怠有直接影响，而且通过韧性对其有间接的小影响。心理韧性在抑郁和所有倦怠维度之间发挥部分中介作用。这种部分中介表明，可能还有其他可能的变量（例如，社会联系、自我同情、感恩、目标感）可以进一步解释这些关联。
