Department of Psychology, University of Mississippi.
Department of Psychiatry, Huntsman Mental Health Institute, University of Utah.
Psychol Trauma. 2023 Mar;15(3):524-535. doi: 10.1037/tra0001345. Epub 2022 Aug 4.
The current studies explored associations between exposure to potentially morally injurious events (PMIEs) and mental health outcomes among frontline workers affected by the coronavirus pandemic.
We administered online self-report surveys to emergency responders ( = 473) and hospital personnel ( = 854) in the Rocky Mountain region of the United States between April and June of 2020. Surveys assessed frequency and intensity of exposure to PMIEs alongside psychological and functional outcomes.
Between 20% and 30% of frontline workers reported exposure to PMIEs of at least moderate frequency and intensity. Exposure to more intense PMIEs was associated with greater psychological symptoms (i.e., stress, depression, and anxiety) and functional impairment (i.e., professional burnout), especially among emergency responders who reported frequent exposure but also hospital workers who reported few exposures.
Efforts to facilitate and maintain the well-being of the public health workforce should specifically address critical incidents encountered by frontline workers that have embedded moral and ethical challenges. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
本研究旨在探讨与冠状病毒大流行相关的一线工作人员所经历的潜在道德伤害事件（PMIEs）与心理健康结果之间的关联。
我们于 2020 年 4 月至 6 月期间，向美国落基山地区的急救人员（n=473）和医院工作人员（n=854）发放了在线自报告调查问卷。调查评估了 PMIEs 的发生频率和强度，以及心理和功能结果。
20%-30%的一线工作人员报告称经历过至少中度频率和强度的 PMIEs。暴露于更强烈的 PMIEs 与更严重的心理症状（即压力、抑郁和焦虑）和功能障碍（即职业倦怠）相关，尤其是在频繁暴露但报告暴露较少的急救人员和医院工作人员中。
为促进和维护公共卫生劳动力的健康福祉而进行的努力，应专门针对一线工作人员所遇到的具有道德和伦理挑战的重大事件。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
