Ciułkowicz Marta, Maciaszek Julian, Misiak Błażej, Pałȩga Anna, Rymaszewska Joanna, Szcześniak Dorota Maria
Department of Psychiatry, Wrocław Medical University, Wroclaw, Poland.
Front Psychiatry. 2021 May 20;12:663224. doi: 10.3389/fpsyt.2021.663224. eCollection 2021.
The SARS-CoV-2 pandemic was announced on March 11th, 2020, due to a surge of newly confirmed cases that significantly impacted populations worldwide, both directly and indirectly. Based on past epidemics research, the mental health implications of introduced restrictions should be expected and adequately addressed irrespective of the practiced profession. The study aimed to explore psychopathological responses, including post-traumatic stress disorder (PTSD), concerning coping strategy clusters during the COVID-19 pandemic among medical and non-medical workers. A cross-sectional web survey of the general population of internet users was performed from March 16th to April 26th, 2020, in Poland during the first peak of COVID-19 cases. A sample of 1,831 professionally active respondents, 64.0% of which pursuing a medical career, filled out General Health Questionnaire-28 (GHQ-28), The Impact of Event Scale-Revised (IES-R), and MiniCOPE, along with the socio-demographic questionnaire exploring personal as well as the work-related possibility of direct exposure to contagion and availability of proper protection, contact with the infected without accurate protective measures as well as the adequacy of workers when compared settings. Individuals labeled with specific clusters had significantly different psychopathological manifestations. Irrespective of performed job maladaptive cluster was associated with significantly higher GHQ-28 and IES-R scores on total subscales and all subscales compared to those representing the non-specific and adaptive cluster. Similar findings were observed concerning the frequency of the GHQ-28 positive score. Moreover, the non-specific cluster was associated with significantly higher GHQ-28 total scores among medical professionals. However, GHQ-28 positive scores were significantly more frequent in medical workers using adaptive clusters when compared to non-specific. Such relations were not observed in the non-medical group. IES-R total and subscales' scores did not significantly vary within medical and non-medical groups when adaptive and non-specific clusters were compared. Pursuing a non-medical career was found to be a determinant of lower scores, while female sex was observed to be determinant of higher scores in both GHQ-28 and IES-R scales. Positive screening for psychopathological and PTSD symptoms was expected regardless of the analyzed groups' coping strategies. Given the dramatically developing situation of the COVID-19 pandemic, support initiatives grounded in research evidence may be essential for maintaining the mental well-being and resilience of both the medical and non-medical workforce.
2020年3月11日,由于新确诊病例激增,严重直接或间接影响全球人口,宣布了新型冠状病毒肺炎大流行。根据以往的流行病研究,无论从事何种职业,都应预计并充分应对所实施限制措施对心理健康的影响。该研究旨在探讨医疗工作者和非医疗工作者在新型冠状病毒肺炎大流行期间,对应对策略集群的心理病理反应,包括创伤后应激障碍(PTSD)。2020年3月16日至4月26日,在波兰新型冠状病毒肺炎病例的第一个高峰期,对互联网用户的普通人群进行了横断面网络调查。1831名职业活跃的受访者样本填写了一般健康问卷-28(GHQ-28)、事件影响量表修订版(IES-R)和简易应对方式问卷(MiniCOPE),以及社会人口学问卷,该问卷探讨了个人以及与工作相关的直接接触传染的可能性、适当防护的可用性、在没有准确防护措施的情况下与感染者接触以及不同工作场景下工作者的充分性。被标记为特定集群的个体有显著不同的心理病理表现。无论从事何种工作,与代表非特定和适应性集群的个体相比,适应不良集群在GHQ-28和IES-R总分量表及所有子量表上的得分显著更高。关于GHQ-28阳性得分频率也观察到类似结果。此外,在医疗专业人员中,非特定集群与显著更高的GHQ-28总分相关。然而,与非特定集群相比,使用适应性集群的医疗工作者中GHQ-28阳性得分显著更频繁。在非医疗组中未观察到这种关系。当比较适应性和非特定集群时,IES-R总分和子量表得分在医疗和非医疗组中没有显著差异。从事非医疗职业被发现是得分较低的一个决定因素,而在GHQ-28和IES-R量表中,女性被观察到是得分较高的一个决定因素。无论分析组的应对策略如何,预计都会出现心理病理和创伤后应激障碍症状的阳性筛查结果。鉴于新型冠状病毒肺炎大流行的急剧发展态势,基于研究证据的支持举措对于维持医疗和非医疗劳动力的心理健康和恢复力可能至关重要。