医生在新冠大流行期间的职业经历对心理健康的影响。
The Impact of Physicians' COVID-19 Pandemic Occupational Experiences on Mental Health.
机构信息
The Feinstein Institutes for Medical Research, Northwell Health, Great Neck, New York (Dr Schwartz, Dr McCann-Pineo, Rasul, Corley, Dr Jan); Department of Occupational Medicine Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Schwartz, Dr McCann-Pineo, Rasul, Corley); Center Traumatic Stress, Resilience and Recovery at Northwell Health, Great Neck, New York (Dr Schwartz, Dr McCann-Pineo, Dr Bellehsen, Rasul, Corley); Unified Behavioral Health Center for Military Veterans and their Families, Northwell Health, Great Neck, New York (Dr Bellehsen); Division of Infectious Disease, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Singh, Dr Malhotra); Division of Pediatrics and Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Jan); Division of Pediatrics, Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, New York (Dr Jan); Department of Psychiatry and Resident Mental Health Program, Lenox Hill Hospital, New York, New York (Dr Parashar); Department of Psychiatry, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Parashar, Dr Young); Division of Hospital Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr George); Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Yacht); Department of Psychiatry, Zucker Hillside Hospital at Northwell Health, Glen Oaks, New York (Dr Young).
出版信息
J Occup Environ Med. 2022 Feb 1;64(2):151-157. doi: 10.1097/JOM.0000000000002380.
OBJECTIVE
To examine the association between a number of negative COVID-19 occupational experiences and probable anxiety, depression, and PTSD among physicians.
METHODS
Cross-sectional examination of longitudinal registry data consisting of physician personal and occupational well-being. Multivariable logistic regressions were performed to determine the association between negative COVID-19 experiences and outcomes.
RESULTS
Of the 620 eligible physicians, approximately half were female (49%), and 71% white with a mean age of 46.51 (SD = 13.28). A one-point increase in negative experience score was associated with a 23% increase in probable anxiety (OR = 1.23, 95% CI: 1.14-1.34), a 23% increase in probable depression (OR = 1.23, 95% CI: 1.13-1.33), and a 41% increase in probable PTSD (OR = 1.41, 95% CI: 1.30-1.52).
CONCLUSIONS
Negative pandemic experiences were strongly associated with adverse mental health outcomes while greater resilience was protective.
目的
研究 COVID-19 相关职业经历与医生中可能出现的焦虑、抑郁和创伤后应激障碍之间的关系。
方法
对包含医生个人和职业健康的纵向登记数据进行横断面检查。采用多变量逻辑回归来确定 COVID-19 负面经历与结果之间的关联。
结果
在 620 名符合条件的医生中，约有一半是女性（49%），71%是白人，平均年龄为 46.51（标准差=13.28）。负性体验评分每增加 1 分，焦虑的可能性就会增加 23%（OR=1.23，95%CI：1.14-1.34），抑郁的可能性增加 23%（OR=1.23，95%CI：1.13-1.33），创伤后应激障碍的可能性增加 41%（OR=1.41，95%CI：1.30-1.52）。
结论
负面的大流行经历与不良心理健康结果密切相关，而更强的适应力具有保护作用。
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