Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
J Ment Health. 2023 Dec;32(6):1111-1121. doi: 10.1080/09638237.2022.2069709. Epub 2022 May 13.
Literature investigating the impact of COVID-19 on healthcare professionals barely addresses predictors of somatic symptom burden during the COVID-19 pandemic.
As biopsychosocial models propose that not only the disease but also sociodemographic and psychosocial factors contribute to the development and maintenance of symptoms, this study investigates the predictive value of these factors for bothersome somatic symptoms in SARS-CoV-2 negative healthcare professionals.
German healthcare professionals were assessed with self-rating questionnaires and underwent SARS-CoV-2 IgG antibody tests at baseline and 8 weeks later between April and August 2020. Differences in psychosocial variables between the time points were analyzed and regression analyses were performed to predict somatic symptoms at follow-up.
1185 seronegative healthcare professionals completed both assessments. Previous somatic symptom burden, higher levels of anxiety, being a nurse, younger age, higher psychological symptom burden, lower efficiency, and higher fatigability at baseline predicted somatic symptom burden at follow-up. Comparisons between baseline and follow-up showed a significant improvement in psychological impairment and deterioration of physical exhaustion.
Our study applies a biopsychosocial perspective to bothersome somatic symptoms during the COVID-19 pandemic and contributes to the identification of potential risk factors as a starting point for future interventions that could support the handling of symptoms.
研究 COVID-19 对医护人员影响的文献几乎没有涉及 COVID-19 大流行期间躯体症状负担的预测因素。
生物心理社会模型提出，不仅疾病，而且社会人口学和心理社会因素也会导致症状的发展和维持，因此本研究调查了这些因素对 SARS-CoV-2 阴性医护人员躯体症状的预测价值。
德国医护人员在 2020 年 4 月至 8 月期间基线和 8 周后进行自我评估问卷和 SARS-CoV-2 IgG 抗体检测。分析了两个时间点之间心理社会变量的差异，并进行回归分析以预测随访时的躯体症状。
1185 名血清阴性医护人员完成了两次评估。基线时的既往躯体症状负担、较高的焦虑水平、护士职业、较年轻的年龄、较高的心理症状负担、较低的效率和较高的疲劳感，均预测了随访时的躯体症状负担。与基线相比，随访时的心理障碍显著改善，身体疲劳明显恶化。
本研究从生物心理社会角度探讨了 COVID-19 大流行期间的躯体症状问题，并确定了潜在的危险因素，为未来的干预措施提供了支持，以帮助处理这些症状。
