Zhao Fushuai, Lung Hsuan, Chen Po-Fei, Chang Mei-Chung, Lung For-Wey
Anning Psychiatric Rehabilitation Hospital, Changchun Sixth Hospital, Changchun City, China.
Department of Dentistry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Front Psychiatry. 2022 Apr 25;13:837916. doi: 10.3389/fpsyt.2022.837916. eCollection 2022.
The outbreak of the coronavirus disease 2019 (COVID-19) has created unprecedented challenges to the healthcare system, religion, and alexithymic trait that impacts the psychological resilience of healthcare workers during the COVID-19 pandemic. This study aimed to investigate the role religion and alexithymia play in mental distress and the level of happiness of psychiatric hospital healthcare workers in China amidst the COVID-19 pandemic. Furthermore, whether symptom dimensions (anxiety, depression, hostility, inferiority, and insomnia) are associated with the level of happiness, and a 6-month follow-up was also investigated. A total of one-hundred and ninety healthcare workers were recruited from a psychiatric hospital in Jilin, China, and 122 were followed up after 6 months. All participants filled out the 20-item Toronto Alexithymia Scale, five-item Brief-Symptom Rating Scale, and the Chinese Oxford Happiness Questionnaire. The mental distress of healthcare workers decreased from 2.6 to 1.5% in 6-months. Religious belief was not associated with the mental distress or happiness of healthcare workers. Instead, for those whose anxiety decreased over 6 months, their social adaptation status increased. For those whose inferiority level decreased over time, their perceived level of psychological well-being and overall happiness increased. In over half a century of living in different societies, religion stabilizes the mental health of those in Taiwan amidst the stress of the COVID-19 pandemic, but not in China. However, both regions found healthcare workers with alexithymic traits experienced a higher level of mental distress, implying that the collectivist culture of Confucian philosophy continues to influence the emotional expression and alexithymic traits of healthcare workers in China and Taiwan. To ensure a healthy and robust clinical workforce in the treatment and control of the pandemic, the cultural impact on the psychological resilience of medical workers needs to be addressed.
2019年冠状病毒病（COVID-19）的爆发给医疗系统、宗教以及述情障碍特质带来了前所未有的挑战，而述情障碍特质会影响COVID-19大流行期间医护人员的心理韧性。本研究旨在调查宗教和述情障碍在中国COVID-19大流行期间对精神病医院医护人员心理困扰和幸福水平所起的作用。此外，还研究了症状维度（焦虑、抑郁、敌意、自卑和失眠）是否与幸福水平相关，并进行了为期6个月的随访。总共从中国吉林的一家精神病医院招募了190名医护人员，6个月后对122人进行了随访。所有参与者填写了20项多伦多述情障碍量表、5项简明症状评定量表和中国牛津幸福问卷。医护人员的心理困扰在6个月内从2.6%降至1.5%。宗教信仰与医护人员的心理困扰或幸福无关。相反，对于那些焦虑在6个月内有所下降的人，他们的社会适应状况有所改善。对于那些自卑水平随时间下降的人，他们的心理幸福感和总体幸福感有所提高。在生活于不同社会的半个多世纪里，宗教在COVID-19大流行的压力下稳定了台湾地区民众的心理健康，但在中国并非如此。然而，两个地区都发现有述情障碍特质的医护人员心理困扰水平较高，这意味着儒家哲学的集体主义文化继续影响着中国大陆和台湾地区医护人员的情感表达和述情障碍特质。为了在疫情的治疗和防控中确保拥有一支健康且强大的临床工作队伍，需要解决文化对医务人员心理韧性的影响。
