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这场大流行并非在真空中发生:新冠疫情及其他灾难对澳大利亚劳动力心理健康的影响。

The Pandemic Is Not Occurring in a Vacuum: The Impact of COVID-19 and Other Disasters on Workforce Mental Health in Australia.

作者信息

Podubinski Tegan, Glenister Kristen M

机构信息

Department of Rural Health, University of Melbourne, Wangaratta, Victoria, Australia.

出版信息

Disaster Med Public Health Prep. 2021 Jul 23;17:e25. doi: 10.1017/dmp.2021.238.

Abstract

OBJECTIVE

Prior to coronavirus disease (COVID-19), many Australians experienced extreme bushfires, droughts, and floods. A history of experiencing these events might be a risk factor for increased psychological distress during COVID-19. This study aimed to provide insight into the mental health of Australian workers during the initial COVID-19 outbreak, with an additional focus on whether previous disaster exposure and impact from that disaster is a risk factor for increased psychological distress.

METHODS

A snowball recruitment strategy was used. Participants (n = 596) completed an online survey, which included the Depression Anxiety Stress Scales-21, and questions related to mental health and disaster exposure.

RESULTS

Overall, 19.2%, 13.4%, and 16.8% of participants were experiencing moderate to extremely severe depression, anxiety, and stress symptoms, respectively. Multiple regression found that higher depression, anxiety, and stress symptoms were associated with a pre-existing mental health diagnosis; only higher stress symptoms were associated with having experienced a disaster, with impact, in addition to COVID-19.

CONCLUSIONS

People who have experienced impact from an additional disaster might need additional support to protect their mental health during COVID-19. A focus on the cumulative mental health impacts of multiple disasters and the implications for organizational communities where recovery work is undertaken, such as schools and workplaces, is needed.

摘要

目的

在冠状病毒病(COVID-19)之前,许多澳大利亚人经历了极端的丛林大火、干旱和洪水。经历这些事件的历史可能是COVID-19期间心理困扰增加的一个风险因素。本研究旨在深入了解COVID-19初期澳大利亚工人的心理健康状况,特别关注以前的灾难暴露以及该灾难的影响是否是心理困扰增加的风险因素。

方法

采用滚雪球式招募策略。参与者(n = 596)完成了一项在线调查,其中包括抑郁焦虑压力量表-21,以及与心理健康和灾难暴露相关的问题。

结果

总体而言,分别有19.2%、13.4%和16.8%的参与者经历了中度至极其严重的抑郁、焦虑和压力症状。多元回归发现,较高的抑郁、焦虑和压力症状与先前存在的心理健康诊断相关;只有较高的压力症状与除COVID-19之外还经历过有影响的灾难相关。

结论

经历过额外灾难影响的人在COVID-19期间可能需要额外的支持来保护他们的心理健康。需要关注多重灾难对心理健康的累积影响以及对开展恢复工作的组织社区(如学校和工作场所)的影响。

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