Kumar Shankar, Kota Sushmitha, Kayarpady Anvitha, Gopal Archana, Rudra Prashanth N
Department of Psychiatry, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Ind Psychiatry J. 2023 Jan-Jun;32(1):31-36. doi: 10.4103/ipj.ipj_128_21. Epub 2022 Nov 10.
Health-care professionals who are involved in treating COVID patients use multiple coping strategies to overcome stress. Studies have shown that individuals having poor coping strategies and resilience are more prone toward psychological symptoms.
The study was conducted to assess the coping strategies and resilience and its association with psychological symptoms of frontline doctors working in a COVID care center.
It was a cross-sectional study using convenient sampling conducted among 150 frontline doctors working in a COVID care center.
The study tools included were sociodemographic questionnaire, Depression, Anxiety, and Stress Scale 21, Brief-COPE Scale, and Connor-Davidson Resilience Scale which was sent using Google Forms to participants after obtaining informed consent.
Statistical analysis was conducted using Chi-square test for categorical variables, -test for continuous variables, and Mann-Whitney U test for ordinal data, Spearman correlation for correlations, and backward multiple linear regression to predict psychological symptoms.
Doctors with severe stress had higher dysfunctional coping and lower resilience scores ( = 0.001). There was a positive correlation of stress, anxiety, and depression with problem-focused, emotional-focused, and dysfunctional coping, and there was a negative correlation between total resilience scores with stress and depression. Stress and anxiety were predicted by dysfunctional coping and resilience. Depression was predicted by dysfunctional coping (β = 1.25, < 0.001), resilience (β = -0.08, = 0.005), and duration of working hours per month (β = -0.008, = 0.05).
There is an urgent need to look at therapeutic strategies and factors which enhance resilience and promote better coping in this population.
参与治疗新冠患者的医护人员会采用多种应对策略来克服压力。研究表明，应对策略和适应力较差的个体更容易出现心理症状。
本研究旨在评估新冠护理中心一线医生的应对策略、适应力及其与心理症状的关联。
这是一项横断面研究，采用便利抽样法，对150名在新冠护理中心工作的一线医生进行了调查。
研究工具包括社会人口学问卷、抑郁、焦虑和压力量表21、简易应对方式问卷和康纳-戴维森适应力量表，在获得知情同意后，通过谷歌表单发送给参与者。
对分类变量采用卡方检验，对连续变量采用t检验，对有序数据采用曼-惠特尼U检验，对相关性采用斯皮尔曼相关性分析，并采用向后多元线性回归来预测心理症状。
压力严重的医生功能失调性应对得分较高，适应力得分较低（P = 0.001）。压力、焦虑和抑郁与问题聚焦、情绪聚焦和功能失调性应对呈正相关，总适应力得分与压力和抑郁呈负相关。功能失调性应对和适应力可预测压力和焦虑。功能失调性应对（β = 1.25，P < 0.001）、适应力（β = -0.08，P = 0.005）和每月工作时长（β = -0.008，P = 0.05）可预测抑郁。
迫切需要研究治疗策略和因素，以增强这一人群的适应力并促进更好的应对。
