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新冠疫情后期医护人员情绪调节、抑郁和焦虑的关系:网络分析。

The relations between emotion regulation, depression and anxiety among medical staff during the late stage of COVID-19 pandemic: a network analysis.

机构信息

Department of Military Medical Psychology, Fourth Military Medical University, 169 West Changle Road, Xi'an, Shaanxi 710032, China.

BrainPark, School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC 3168, Australia.

出版信息

Psychiatry Res. 2022 Nov;317:114863. doi: 10.1016/j.psychres.2022.114863. Epub 2022 Sep 25.


DOI:10.1016/j.psychres.2022.114863
PMID:36191555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9509294/
Abstract

Existing research proposed that moving from a disorder-level analysis to a symptom-level analysis may provide a more fine-grained understanding of psychopathology. This study aimed to explore the relations between two dimensions (i.e., cognitive reappraisal, CR; expressive suppression, ES) of emotion regulation and individual symptoms of depression and anxiety among medical staff during the late stage of COVID-19 pandemic. We examined depression symptoms, anxiety symptoms and emotion regulation among 420 medical staff during the late stage of COVID-19 pandemic via network analysis. Two networks (i.e. emotion regulation-depression network and emotion regulation-anxiety network) were constructed in the present study. Bridge centrality index was calculated for each variable within the two networks. Among the present sample, the prevalences of depression and anxiety are 39.5% and 26.0%. CR and ES showed distinct connections to symptoms of depression and anxiety. Results of bridge centrality showed that in both networks, CR had a negative bridge expected influence value while ES had a positive bridge expected influence value. The results revealed the specific role of CR and ES in relation to depression and anxiety at a symptom level. Implications for clinical preventions and interventions are discussed.

摘要

现有研究表明,从疾病层面的分析转向症状层面的分析,可能会更深入地了解精神病理学。本研究旨在探讨情绪调节的两个维度(即认知重评,CR;表达抑制,ES)与 COVID-19 大流行后期医护人员抑郁和焦虑的个体症状之间的关系。我们通过网络分析,研究了 COVID-19 大流行后期 420 名医护人员的抑郁症状、焦虑症状和情绪调节。本研究构建了两个网络(即情绪调节-抑郁网络和情绪调节-焦虑网络),并计算了两个网络中每个变量的桥中心指数。在本样本中,抑郁和焦虑的患病率分别为 39.5%和 26.0%。CR 和 ES 与抑郁和焦虑症状有明显的联系。桥中心指数的结果表明,在两个网络中,CR 都有负的桥预期影响值,而 ES 有正的桥预期影响值。结果揭示了 CR 和 ES 在症状层面与抑郁和焦虑的具体关系。讨论了对临床预防和干预的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493f/9509294/4030855345dd/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493f/9509294/6ae8c8433360/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493f/9509294/4030855345dd/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493f/9509294/6ae8c8433360/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/493f/9509294/4030855345dd/gr2_lrg.jpg

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本文引用的文献

[1]
How Did Work-Related Depression, Anxiety, and Stress Hamper Healthcare Employee Performance during COVID-19? The Mediating Role of Job Burnout and Mental Health.

Int J Environ Res Public Health. 2022-8-19

[2]
The Effect of Regional Factors on the Mental Health Status of Frontline Nurses and Patients With COVID-19 During COVID-19: The Role of Depression and Anxiety.

Front Public Health. 2022

[3]
Negative Emotions in Chinese Frontline Medical Staff During the Early Stage of the COVID-19 Epidemic: Status, Trend, and Influential Pathways Based on a National Investigation.

Front Psychiatry. 2021-12-23

[4]
Risk factors of psychological distress during the COVID-19 pandemic: The roles of coping style and emotional regulation.

J Affect Disord. 2022-2-15

[5]
A cross-sectional study of the psychological status of 33,706 hospital workers at the late stage of the COVID-19 outbreak.

J Affect Disord. 2022-1-15

[6]
What were the changes during the COVID-19 pandemic era concerning occupational risks among health care workers?

J Infect Public Health. 2021-10

[7]
Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority.

Front Public Health. 2021

[8]
An evaluation of mental health and emotion regulation experienced by undergraduate nursing students in China during the COVID-19 pandemic: A cross-sectional study.

Int J Ment Health Nurs. 2021-10

[9]
A Scoping Review of Psychosocial Risks to Health Workers during the Covid-19 Pandemic.

Int J Environ Res Public Health. 2021-3-2

[10]
Mental health problems and social supports in the COVID-19 healthcare workers: a Chinese explanatory study.

BMC Psychiatry. 2021-1-12

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