Istanbul Medipol University, Faculty of Medicine, Department of Psychiatry, TEM Avrupa Otoyolu Göztepe Çıkışı No: 1, 34214, Bağcılar, Istanbul, Turkey,
Psychiatr Danub. 2021 Sep;33(Suppl 10):161-171.
The aim is to investigate anxiety prevalence among the healthcare workers during COVID-19 pandemic and the also relationship of "significant clinical anxiety" with coping styles and the related factors.
An online questionnaire was performed to evaluate the anxiety responses of 544 healthcare workers, the adopted coping styles and the related factors during COVID-19 pandemic. The questionnaire included the subsections of sociodemographic data, other clinical data and the items on exposure to social media, Generalized Anxiety Disorder-7 (GAD-7) Scale and Coping Styles Scale Brief Form.
Minimal, mild, moderate and severe anxiety were present in 214 (39.3%), 191 (35.1%), 95 (17.5%) and 44 (8.1%) participants, respectively. GAD-7 score was ≥10 in 139 (25.6%) of the participants indicating "significant clinical anxiety". Being female and a nurse were associated with significant clinical anxiety. In addition, the parameters such as "concern about COVID-19, concern about infect COVID-19 to relatives, unwillingness to work, frequency of social media use about COVID-19, sleep disturbances and experiencing somatic symptoms" were observed to be extremely significantly more common in the healthcare workers with "significant clinical anxiety" than those without that mental condition. The regression analysis revealed that higher adoption of using emotional social support, one of the emotional focused coping styles and behavioral disengagement, one of the ineffektive focused coping styles are considered to be predictor of significant clinical anxiety. Whereas, positive reinterpretation, one of the emotional focused coping styles was a predictor in reduction of significant clinical anxiety. Also more frequent exposure to social media and sleep disturbances were the predictors of significant clinical anxiety in the healthcare staff.
Our results have emphasized the factors that should be taken into account and application of coping styles that may be functional in protecting mental health of the healthcare workers in their struggle against a huge disaster affecting worldwide societies.
本研究旨在调查 COVID-19 大流行期间医护人员的焦虑患病率,以及“显著临床焦虑”与应对方式的关系和相关因素。
采用在线问卷的方式,对 544 名医护人员在 COVID-19 大流行期间的焦虑反应、采用的应对方式及相关因素进行评估。问卷包括人口统计学资料、其他临床资料和接触社交媒体、广泛性焦虑障碍 7 项量表(GAD-7)和应对方式量表简式的项目。
214 名(39.3%)、191 名(35.1%)、95 名(17.5%)和 44 名(8.1%)参与者分别有轻度、中度、中重度和重度焦虑。139 名(25.6%)参与者的 GAD-7 评分≥10,表明存在“显著临床焦虑”。女性和护士与显著临床焦虑相关。此外,“对 COVID-19 的担忧、担心感染 COVID-19 给亲属、不愿意工作、对 COVID-19 的社交媒体使用频率、睡眠障碍和出现躯体症状”等参数在有“显著临床焦虑”的医护人员中比无该精神状况的医护人员更为常见。回归分析显示,采用更多的情绪社会支持、一种情绪聚焦应对方式和行为脱离、一种无效聚焦应对方式与显著临床焦虑有关。相反,积极重新诠释、一种情绪聚焦应对方式是降低显著临床焦虑的预测因子。另外,更频繁地接触社交媒体和睡眠障碍是医护人员出现显著临床焦虑的预测因子。
我们的研究结果强调了应该考虑的因素,并应用应对方式,这可能有助于保护医护人员的心理健康,使其能够应对影响全球社会的巨大灾难。