Psycho-Oncology Departmental Unit, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Tumori. 2022 Feb;108(1):77-85. doi: 10.1177/0300891621992129. Epub 2021 Feb 15.
To measure the prevalence and characteristics of distress and hope for the future among psycho-oncologists, who faced the coronavirus disease 2019 (COVID-19) emergency along with other healthcare workers.
A web-based study was conducted among members of the Italian Society of Psycho-Oncology between May 29 and June 5, 2020.
A total of 237 members, aged 28-72 years, completed the COVID-19 Peritraumatic Distress Index (CPDI), Impact of Event Scale-Revised (IES-R), and HOPE questionnaires; 86.92% were female, 58.65% worked in hospitals, 21.10% were exposed to COVID-19, 11.39% experienced peritraumatic distress, and 3.38% had posttraumatic stress disorder symptoms. Peritraumatic distress was associated with living alone (adjusted odds ratio [AOR] 3.05; 95% confidence interval [CI] 1.41-8.13), using sleep remedies (AOR 3.79; 95% CI 1.41-10.21), and the perception of being avoided by family or friends because of work (AOR 2.69; 95% CI 1.02-7.11); high HOPE-Agency scores were associated with the absence of peritraumatic stress (AOR 0.40; 95% CI 0.16-0.96) after adjustment for age and sex.
Psycho-oncologists showed greater resilience than other healthcare workers as they are trained to help others, but also to review their own values and behavior in light of stressful events. Of interest is the association between peritraumatic distress and social isolation, real or perceived. Healthcare institutions should pay attention to the mental well-being of their employees by promoting distress screening using simple tools such as the CPDI and implementing support interventions. Psycho-oncology associations should introduce policies aimed at developing a sense of social connectedness by providing an interactive system of orientation and scientific reference.
测量在应对 2019 年冠状病毒病（COVID-19）紧急情况的同时，与其他医护人员一起面对这一紧急情况的心理肿瘤学家的困扰和对未来的希望的发生率和特征。
2020 年 5 月 29 日至 6 月 5 日，在意大利心理肿瘤学会成员中进行了一项基于网络的研究。
共有 237 名年龄在 28-72 岁之间的成员完成了 COVID-19 创伤前痛苦指数（CPDI）、修订后的事件影响量表（IES-R）和 HOPE 问卷；86.92%为女性，58.65%在医院工作，21.10%接触过 COVID-19，11.39%经历过创伤前痛苦，3.38%有创伤后应激障碍症状。创伤前痛苦与独居（调整后的优势比[OR]3.05；95%置信区间[CI]1.41-8.13）、使用睡眠补救措施（OR 3.79；95%CI 1.41-10.21）和因工作而被家人或朋友回避的感觉有关（OR 2.69；95%CI 1.02-7.11）；高 HOPE-Agency 评分与创伤前无压力（调整年龄和性别后 OR 0.40；95%CI 0.16-0.96）相关。
心理肿瘤学家比其他医护人员更有弹性，因为他们受过帮助他人的培训，但也要根据压力事件审查自己的价值观和行为。有趣的是创伤前痛苦与社会孤立的关联，无论是真实的还是感知到的。医疗机构应通过使用 CPDI 等简单工具进行痛苦筛查并实施支持干预措施，关注员工的心理健康。心理肿瘤学协会应引入旨在通过提供互动式指导和科学参考系统来培养社会联系感的政策。
