Graduate School of Medical Sciences, Kitasato University, Kanagawa 252-0373, Japan.
Department of Rehabilitation Therapist, Saiseikai Higashikanagawa Rehabilitation Hospital, Kanagawa 221-0822, Japan.
Int J Environ Res Public Health. 2021 Mar 10;18(6):2801. doi: 10.3390/ijerph18062801.
Sense of coherence (SOC) is a psychological factor that contributes to mental health maintenance under stressful environment. Likewise, level of SOC might affect mental health among healthcare workers during the COVID-19 pandemic differently. In this study, we investigated the relationships between lifestyle changes and mental health (General Health Questionnaire-12: GHQ-12) among different level of SOC (weak, moderate, or strong by SOC-13). The data of 898 healthcare workers from cross-sectional survey dataset were extracted and analyzed. As results, based on GHQ-12 score, 86.1% of 244 participants with weak SOC, 60.1% of 606 participants with moderate SOC, and 31.3% of 48 participants with strong SOC had poor mental health. Both SOC levels and lifestyle changes (except alcohol consumption) had significant main effects on the GHQ-12 score. Analysis on the association between lifestyle changes and mental health status stratified by SOC level reveled that among participants with weak SOC, those who increased their leisure and activity time had reduced odds of poor mental health than those who made no changes (OR: 0.08, CI: 0.01 to 0.64). Healthcare workers with weak SOC were at risk of poor mental health during the COVID-19 pandemic, and lifestyle changes may improve their mental health.
社会适应感（SOC）是一种心理因素，有助于在压力环境下维持心理健康。同样，SOC 水平可能会在 COVID-19 大流行期间对医护人员的心理健康产生不同的影响。在这项研究中，我们调查了不同 SOC 水平（SOC-13 中的弱、中或强）之间生活方式改变与心理健康（一般健康问卷-12：GHQ-12）之间的关系。从横断面调查数据集提取并分析了 898 名医护人员的数据。结果显示，根据 GHQ-12 评分，244 名 SOC 较弱的参与者中有 86.1%、606 名 SOC 中等的参与者中有 60.1%、48 名 SOC 较强的参与者中有 31.3%的人心理健康状况较差。SOC 水平和生活方式改变（除饮酒外）对 GHQ-12 评分均有显著的主效应。根据 SOC 水平对生活方式改变与心理健康状况的关联进行分层分析显示，在 SOC 较弱的参与者中，与没有改变生活方式的参与者相比，增加休闲和活动时间的参与者心理健康状况较差的可能性降低（OR：0.08，CI：0.01 至 0.64）。在 COVID-19 大流行期间，SOC 较弱的医护人员心理健康状况较差，生活方式的改变可能会改善他们的心理健康。
