承担新冠疫情防控职责的一线政府工作人员中与新冠病毒病相关的自我污名化、创伤后应激障碍、失眠和智能手机成瘾问题
COVID-19-Related Self-Stigma, Post-Traumatic Stress Disorder, Insomnia, and Smartphone Addiction Among Frontline Government Workers with COVID-19 Pandemic Control Duties.
作者信息
Huang Po-Ching, Hung Ching-Hsia, Chen Guan-Wei, Cashin Ciaran, Griffiths Mark D, Yang Wen-Chi, Wang Hsiao-Wen, Lin Chung-Ying, Ko Nai-Ying
机构信息
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
出版信息
Psychol Res Behav Manag. 2022 Oct 18;15:3069-3080. doi: 10.2147/PRBM.S383842. eCollection 2022.
PURPOSE
The duties related to COVID-19 control and prevention may have caused psychological stress for the individuals in charge (eg, frontline government workers) and have reportedly led to mental health issues, such as insomnia and post-traumatic stress disorder (PTSD). However, the prevalence of these COVID-19-related disorders and their associated factors remain unclear. Therefore, the purpose of the present study was to investigate the prevalence rates of insomnia, PTSD, COVID-19-related self-stigma, and smartphone addiction, along with the identification of risk factors and protective factors for Taiwan frontline government workers with COVID-19 pandemic control duties.
METHODS
The survey was carried out with 151 participants between September and October 2021. All participants completed the Fear of COVID-19 Scale (assessing fear of COVID-19), Self-Stigma Scale (assessing self-stigma during the COVID-19 pandemic), Smartphone Application-Based Addiction Scale (assessing the risk of smartphone addiction), Insomnia Severity Index (assessing insomnia), Impacts of Event Scale-6 (assessing PTSD), and a self-designed set of questions assessing trait resilience.
RESULTS
The results showed that the prevalence rate was 31.1% for insomnia and 33.8% for PTSD. Furthermore, service duration (adjusted odds ratio [AOR] = 0.93; 95% confidence interval [CI] = 0.86, 0.999) and trait resilience (AOR = 0.19; 95% CI = 0.08, 0.46) were protective factors and fear of COVID-19 (AOR = 1.91; 95% CI = 1.02, 3.57) was a risk factor for insomnia. Fear of COVID-19 (AOR = 2.63; 95% CI = 1.35, 5.14), self-stigma (AOR = 3.62; 95% CI = 1.19, 11.02), and smartphone addiction (AOR = 1.09, 95% CI = 1.001, 1.19) were risk factors, and trait resilience was a protective factor (AOR = 0.58; 95% CI = 0.29, 1.17) for PTSD.
CONCLUSION
The findings demonstrated a high prevalence of insomnia and PTSD. Risk-reducing strategies and protective factor promotion strategies are recommended to help reduce the symptoms of insomnia and PTSD among Taiwan frontline government workers.
目的
与新冠疫情防控相关的职责可能给负责人（如政府一线工作人员）带来心理压力，据报道已导致心理健康问题，如失眠和创伤后应激障碍（PTSD）。然而，这些与新冠疫情相关疾病的患病率及其相关因素仍不清楚。因此，本研究的目的是调查台湾承担新冠疫情防控职责的政府一线工作人员的失眠、创伤后应激障碍、与新冠疫情相关的自我污名化及智能手机成瘾的患病率，同时确定危险因素和保护因素。
方法
于2021年9月至10月对151名参与者进行了调查。所有参与者均完成了新冠恐惧量表（评估对新冠的恐惧）、自我污名化量表（评估新冠疫情期间的自我污名化）、基于智能手机应用的成瘾量表（评估智能手机成瘾风险）、失眠严重程度指数（评估失眠）、事件影响量表-6（评估创伤后应激障碍）以及一套自行设计的评估特质复原力的问题。
结果
结果显示，失眠的患病率为31.1%，创伤后应激障碍的患病率为33.8%。此外，服务时长（调整后的优势比[AOR]=0.93；95%置信区间[CI]=0.86，0.999）和特质复原力（AOR=0.19；95%CI=0.08，0.46）是失眠的保护因素，而对新冠的恐惧（AOR=1.91；95%CI=1.02，3.57）是失眠的危险因素。对新冠的恐惧（AOR=2.63；95%CI=1.35，5.14）、自我污名化（AOR=3.62；95%CI=1.19，11.02）和智能手机成瘾（AOR=1.09，95%CI=1.001，1.19）是创伤后应激障碍的危险因素，特质复原力是创伤后应激障碍的保护因素（AOR=0.58；95%CI=0.29，1.17）。
结论
研究结果表明失眠和创伤后应激障碍的患病率较高。建议采取降低风险策略和促进保护因素的策略，以帮助减轻台湾政府一线工作人员的失眠和创伤后应激障碍症状。
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