伊朗医护人员在冠状病毒病(COVID-19)疫情期间的抑郁、焦虑及应对反应

Depression, Anxiety and Coping Responses among Iranian Healthcare Professionals during the Coronavirus Disease (COVID-19) Outbreak.

作者信息

Etesam Farnaz, Arab Bafrani Melika, Akbarpour Samaneh, Tarighatnia Helia, Rajabi Gilda, Dolatshahi Mahsa, Vahabi Zahra

机构信息

Department of Geriatric Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Psychiatry. 2022 Oct;17(4):446-454. doi: 10.18502/ijps.v17i4.10694.

Abstract

This cross-sectional study aimed to assess the effects of different coping strategies on the mood states (anxiety and depression) of healthcare providers in the novel coronavirus disease (COVID-19) pandemic. From February to April 2020, we asked medical staff in 4 referral hospitals in Iran to voluntarily complete online questionnaires including: Generalized Anxiety Disorder (GAD-2) questionnaire, Patient Health Questionnaire (PHQ-2) and the Coping Strategies Questionnaire-28. Univariate and multiple logistic regressions were applied to identify the associations of coping strategies and mood states. 258 people filled out the online questionnaire. Of them, 39.9% and 39.1% reported anxiety and depression, respectively, with age as a risk factor. Overall, participants used more emotion-based coping strategies. Anxiety and depression were associated with applying more of emotion-based and less of problem-based coping mechanisms. The findings remained stable even after adjustment for confounding variables including age, gender and direct contact with COVID-19 patients. Providing social support to health workers, planning to reduce their perceived stigma, and educating them about how to use more effective coping mechanisms can be beneficial in reducing the psychological impact on this segment of the population in the event of COVID-19.

摘要

这项横断面研究旨在评估在新型冠状病毒病(COVID-19)大流行期间,不同应对策略对医护人员情绪状态(焦虑和抑郁)的影响。2020年2月至4月,我们让伊朗4家转诊医院的医务人员自愿完成在线问卷,包括:广泛性焦虑障碍问卷(GAD-2)、患者健康问卷(PHQ-2)和应对策略问卷-28。采用单因素和多因素逻辑回归来确定应对策略与情绪状态之间的关联。258人填写了在线问卷。其中,分别有39.9%和39.1%的人报告有焦虑和抑郁,年龄是一个风险因素。总体而言,参与者更多地使用基于情绪的应对策略。焦虑和抑郁与更多地应用基于情绪的应对机制以及较少地应用基于问题的应对机制有关。即使在对包括年龄、性别和与COVID-19患者的直接接触等混杂变量进行调整后,研究结果仍然稳定。在COVID-19疫情期间,为医护人员提供社会支持、计划减少他们所感受到的污名,并教育他们如何使用更有效的应对机制,可能有助于减轻对这部分人群的心理影响。

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