Serdà Bernat-Carles, Aymerich Maria, Patiño-Masó Josefina, Cunill Mònica
Health and Healthcare Research Group, Health Sciences Department, Girona Biomedical Research Institute (IDIBGI), University of Girona, 17071 Girona, Spain.
Faculty of Education and Psychology, Quality of Life Research Institute, University of Girona, 17071 Girona, Spain.
Int J Environ Res Public Health. 2021 Oct 24;18(21):11167. doi: 10.3390/ijerph182111167.
Healthcare professionals (HCPs) are among those most affected by the COVID-19 health emergency, with many presenting symptoms of anxiety and depression. Research shows that one of the factors involved in mitigating the impact of stressful situations is the use of cognitive emotional regulation mechanisms. The aims of this study were (a) to describe the functional and dysfunctional cognitive emotional regulation mechanisms (FRMs and DRMs) by gender, (b) to screen the main group of healthcare professionals who are candidates to receive psychological assistance based on FRMs and DRMs, and (c) to determine the HCP profile of candidates for psychological assistance. A cross-sectional descriptive study was conducted. Data were obtained from an adhoc questionnaire-the Cognitive Emotional Regulation Questionnaire (CERQ-18), the Generalized Anxiety Disorder scale (GAD-7), and the nine-item Patient Health Questionnaire (PHQ-9). The representative sample comprised 1452 HCPs. The results revealed significant differences between men and women in the use of DRMs. Women showed a higher use of catastrophizing (≤0.001) and rumination (0.008). The screening procedure detected that 7.5% (109 cases) of the HCPs were candidates to receive psychological support. According to the results of this study, age group (30-39 years old), professional activity (being a nurse or nursing assistant), and having psychological symptoms of anxiety and depression are variables that independently increase the probability of requiring psychological assistance. The gender variable was not found to be an independent factor when it comes to receiving psychological support. In conclusion, it is necessary to consider the influence of cognitive emotional regulation strategies employed by HCPs in the screening of candidates for psychological assistance and design effective interventions to reverse the emotional distress caused by COVID-19.
医护人员是受新冠疫情健康紧急情况影响最大的群体之一,许多人出现了焦虑和抑郁症状。研究表明,减轻压力情境影响的因素之一是使用认知情绪调节机制。本研究的目的是:(a) 按性别描述功能性和功能失调性认知情绪调节机制(FRMs和DRMs);(b) 根据FRMs和DRMs筛选出可能需要心理援助的主要医护人员群体;(c) 确定需要心理援助的医护人员的特征。进行了一项横断面描述性研究。数据来自一份专门设计的问卷——认知情绪调节问卷(CERQ - 18)、广泛性焦虑障碍量表(GAD - 7)和九项患者健康问卷(PHQ - 9)。代表性样本包括1452名医护人员。结果显示,男性和女性在使用DRMs方面存在显著差异。女性在灾难化思维(≤0.001)和反刍思维(0.008)方面的使用率更高。筛查程序检测出7.5%(109例)的医护人员可能需要心理支持。根据本研究结果,年龄组(30 - 39岁)、职业活动(护士或护理助理)以及有焦虑和抑郁的心理症状是独立增加需要心理援助可能性的变量。在接受心理支持方面,未发现性别变量是一个独立因素。总之,在筛选心理援助候选人时,有必要考虑医护人员采用的认知情绪调节策略的影响,并设计有效的干预措施来扭转新冠疫情造成的情绪困扰。