Department of Personality, Assessment and Psychological Treatment, Universidad de Málaga, Málaga, Spain.
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States; Department of Psychiatry, Clinical Psychology and Mental Health, Hospital Universitario La Paz, Madrid, Spain.
J Psychiatr Res. 2022 Apr;148:181-187. doi: 10.1016/j.jpsychires.2021.12.030. Epub 2021 Dec 14.
Healthcare workers (HCWs) from COVID-19 pandemic hotspots across the globe have reported mental health problems, including anxiety, depression, or sleep problems. Many studies have focused on identifying modifiable risk factors, such as being afraid of getting infected or reporting shortage of personal protective equipment, but none have explored the role of protective factors.
This cross-sectional study used an online survey to describe the association between three potentially protective factors (self-reported resilience, self-perceived social support from colleagues at work, and self-perceived social support from relatives and friends) and three mental health outcomes, namely psychological distress, depression symptoms, and death thoughts in a large sample of Spanish HCWs during the first wave of the COVID-19 pandemic.
We recruited 2372 respondents between April 26th and June 22nd, 2020. Resilience and self-perceived social support were inversely associated with mental health problems (psychological distress, depression symptoms, and death thoughts), after adjusting for potential sources of confounding.
Resilience and self-perceived social support might protect HCWs against negative mental health outcomes. Public health strategies targeting these modifiable determinants might help to reduce the impact of the pandemic on HCWs' mental health.
来自全球 COVID-19 疫情热点地区的医护人员报告了心理健康问题，包括焦虑、抑郁或睡眠问题。许多研究都集中在确定可改变的风险因素上，例如害怕感染或报告个人防护设备短缺，但没有研究探讨保护因素的作用。
本横断面研究使用在线调查描述了三种潜在保护因素（自我报告的韧性、工作中同事感知到的自我支持以及亲戚和朋友感知到的自我支持）与三种心理健康结果（心理困扰、抑郁症状和死亡念头）之间的关联，调查对象为 COVID-19 大流行第一波期间西班牙医护人员中的一个大样本。
我们于 2020 年 4 月 26 日至 6 月 22 日招募了 2372 名受访者。调整潜在混杂因素后，韧性和自我感知的社会支持与心理健康问题（心理困扰、抑郁症状和死亡念头）呈负相关。
韧性和自我感知的社会支持可能会保护医护人员免受负面心理健康结果的影响。针对这些可改变的决定因素的公共卫生策略可能有助于减轻大流行对医护人员心理健康的影响。
