Steudte-Schmiedgen Susann, Stieler Lisa, Erim Yesim, Morawa Eva, Geiser Franziska, Beschoner Petra, Jerg-Bretzke Lucia, Albus Christian, Hiebel Nina, Weidner Kerstin
Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Front Psychiatry. 2021 Aug 17;12:686667. doi: 10.3389/fpsyt.2021.686667. eCollection 2021.
The COVID-19 pandemic has led to ongoing challenges for healthcare systems across the world. Previous research has provided evidence for an increased prevalence of depression and anxiety as well as post-traumatic stress disorder (PTSD). In Germany, however, only scarce data on correlates and predictors for PTSD symptomatology in the context of the COVID-19 pandemic among healthcare workers (HCW) are available. This research is part of a large prospective web-based survey (egePan-VOICE study) among HCW in Germany. The current sample ( = 4,724) consisted of physicians ( = 1,575), nurses ( = 1,277), medical technical assistants (MTA, = 1,662), and psychologists ( = 210). PTSD symptomatology was measured using the abbreviated version of the Impact of Event Scale (IES-6). In addition, sociodemographic, occupational, COVID-19-related, psychological (e.g., depressive symptoms and generalized anxiety), as well as work-related variables were assessed. Our findings revealed significant higher PTSD symptoms with medium effect sizes among HCW reporting an increased self-report burden during the pandemic, increased fear of becoming infected or infecting relatives with the virus, sleep problems, feeling physically or mentally exhausted, as well as increased levels of depressiveness and generalized anxiety. According to multiple linear regression analysis, the most relevant predictors for higher IES-6 scores were increased level of generalized anxiety and depressiveness, increased fear of infecting relatives, as well as medical profession (MTA compared to physicians). Despite the cross-sectional design of our study, the here identified associations with PTSD symptomatology may provide a basis for future preventive interventions.
新冠疫情给全球医疗系统带来了持续挑战。此前的研究已证明，抑郁、焦虑以及创伤后应激障碍（PTSD）的患病率有所上升。然而，在德国，关于医护人员在新冠疫情背景下PTSD症状的相关因素和预测指标的数据却十分匮乏。本研究是德国医护人员一项基于网络的大型前瞻性调查（egePan-VOICE研究）的一部分。当前样本（n = 4724）包括医生（n = 1575）、护士（n = 1277）、医学技术助理（MTA，n = 1662）和心理学家（n = 210）。使用事件影响量表简化版（IES-6）来测量PTSD症状。此外，还评估了社会人口统计学、职业、与新冠疫情相关、心理（如抑郁症状和广泛性焦虑）以及与工作相关的变量。我们的研究结果显示，在疫情期间自我报告负担增加、对感染病毒或传染给亲属的恐惧增加、睡眠问题、身心疲惫感以及抑郁和广泛性焦虑水平升高的医护人员中，PTSD症状显著更严重，效应量为中等。根据多元线性回归分析，IES-6得分较高的最相关预测因素是广泛性焦虑和抑郁水平升高、对传染给亲属的恐惧增加以及职业（与医生相比，MTA）。尽管我们的研究采用横断面设计，但此处确定的与PTSD症状的关联可能为未来的预防性干预提供依据。
