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基于自我同情和感知社会支持的成分预测紧急工作人员与 COVID-19 相关的 PTSD。

Prediction of PTSD related to COVID-19 in emergency staff based on the components of self-compassion and perceived social support.

机构信息

Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Emergency and Trauma Care Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Psychiatry. 2022 May 31;22(1):368. doi: 10.1186/s12888-022-04017-8.

Abstract

BACKGROUND

On March 11, 2020, the World Health Organization (WHO) proclaimed Coronavirus Disease of 2019 (COVID-19) a pandemic. In addition to severe health problems, the disease has had a major psychological impact on the public. The aim of this research was to examine the association between Post-Traumatic Stress Disorder (PTSD) related to COVID-19 in emergency staff and self-compassion and perceived social support.

METHODS

Data were collected from 222 emergency staff working in two referral educational and health centers for COVID-19 affiliated to Tabriz University of Medical Sciences. The participants were recruited six months following the first case of hospitalization for COVID-19 in these two hospitals in Tabriz, Iran. Four questionnaires were used to measure the variables, including a researcher-made demographic checklist, PTSD Checklist for DSM-5 (PCL-5), the Multidimensional Perceived Social Support Scale (MSPSS) and the Self-Compassion Scale.

RESULTS

The findings showed that age (r = 0.17, P = 0.034), self-judgment (r = 0. 36, P < 0.001), isolation (r = 0.44, P < 0.001) and over-identification (r = 0.15, P = 0.031) were associated with PTSD score, and there was also a statistically significant inverse relationship between the score of the self-kindness (r = - 0.19, P = 0.006) subscale and the overall score of PTSD in the emergency staff.

CONCLUSION

During the COVID-19 pandemic, emergency staff have persistently faced potentially traumatic situations as first-line healthcare workers, suggesting the direness of this group's mental health. By identifying the predisposing factors of the psychological pathology under study, this research can be applied in clinical practice and provide useful information for designing special interventions and protocols for emergency staff.

摘要

背景

2020 年 3 月 11 日,世界卫生组织(WHO)宣布 2019 年冠状病毒病(COVID-19)为大流行。除了严重的健康问题外,该疾病还对公众产生了重大心理影响。本研究旨在探讨与 COVID-19 相关的创伤后应激障碍(PTSD)与应急人员的自我同情和感知社会支持之间的关系。

方法

数据来自于两所隶属于大不里士医科大学的 COVID-19 指定转诊教育和医疗中心的 222 名应急人员。这些人员是在伊朗大不里士这两所医院首次因 COVID-19 住院后六个月招募的。使用了四个问卷来测量变量,包括研究者制定的人口统计学清单、DSM-5 创伤后应激障碍检查表(PCL-5)、多维感知社会支持量表(MSPSS)和自我同情量表。

结果

研究结果表明,年龄(r=0.17,P=0.034)、自我评判(r=0.36,P<0.001)、孤立(r=0.44,P<0.001)和过度认同(r=0.15,P=0.031)与 PTSD 评分相关,并且自我关怀(r=-0.19,P=0.006)分量表的评分与应急人员 PTSD 的总分呈显著负相关。

结论

在 COVID-19 大流行期间,应急人员作为一线医护人员一直面临潜在的创伤性情况,这表明该人群的心理健康状况令人担忧。通过确定所研究心理病理学的易患因素,本研究可应用于临床实践,并为为应急人员设计特殊干预措施和方案提供有用信息。

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