Department of Health Services Research and Management, University of London, London WC1E 7HU, UK.
Department of Psychiatry, Imperial College London, London W12 0NN, UK.
Int J Environ Res Public Health. 2023 Feb 17;20(4):3539. doi: 10.3390/ijerph20043539.
Experiences of adversity can generate positive psychological effects alongside negative impacts. Little research to date has evaluated predictors of post-traumatic growth in mental or community healthcare workers during the COVID-19 pandemic. Following a survey of 854 community and mental healthcare staff in the United Kingdom in July to September 2020, multiple linear regression was used to determine the association between hypothesised risk and protective factors (personal, organisational and environmental variables) and total scores on the Post-traumatic Growth Inventory-Short Version. Positive self-reflection activities, black and minority ethnic status, developing new healthcare knowledge and skills, connecting with friends and family, feeling supported by senior management, feeling supported by the UK people, and anxiety about the personal and work-related consequences of COVID-19 each significantly independently predicted greater post-traumatic growth. Working in a clinical role and in mental healthcare or community physical healthcare predicted lower post-traumatic growth. Our research supports the value of taking an organisational growth-focused approach to occupational health during times of adversity, by supporting staff to embrace opportunities for personal growth. Valuing staff's cultural and religious identity and encouraging self-reflective activities, such as mindfulness and meditation, may help to promote post-traumatic growth.
逆境经历既能产生积极的心理影响，也会带来消极影响。迄今为止，很少有研究评估过在 COVID-19 大流行期间，心理健康或社区医护人员创伤后成长的预测因素。在 2020 年 7 月至 9 月对英国 854 名社区和心理健康医护人员进行调查后，采用多元线性回归来确定假设的风险和保护因素（个人、组织和环境变量）与创伤后成长量表短版总分之间的关联。积极的自我反思活动、黑人或少数民族身份、发展新的医疗保健知识和技能、与朋友和家人联系、感到得到上级管理层的支持、感到得到英国人民的支持、以及对 COVID-19 个人和工作相关后果的焦虑，都显著独立地预测了更大的创伤后成长。从事临床工作和精神保健或社区身体保健工作预测创伤后成长较低。我们的研究支持在逆境时期采取以组织成长为重点的职业健康方法的价值，通过支持员工抓住个人成长的机会。重视员工的文化和宗教身份，并鼓励自我反思活动，如正念和冥想，可能有助于促进创伤后成长。
