Yin YuanYuan, Han Sizhu, Guan Jiaoqiong, Wang DuanWei, Wang HaiRong, Yuan Ti-Fei, Yang Ying
Shandong Mental Health Center, Jinan, Shandong, China.
Wenzhou Medical University, School of Mental Health, Wenzhou, Zhejiang, China.
Front Psychiatry. 2023 May 24;14:1140511. doi: 10.3389/fpsyt.2023.1140511. eCollection 2023.
The COVID-19 pandemic has caused significant psychological stress among healthcare workers. This study aimed to clarify the factors that influenced health workers' posttraumatic stress disorder (PTSD) symptoms.
A total of 443 healthcare workers from eight Mental Health Centers in Shandong were recruited to attend an online survey. Participants completed self-evaluation measures of exposure to the COVID-19 environment and PTSD symptoms, as well as measures of potential protective factors such as euthymia and perceived social support.
About 45.37% of healthcare workers had severe symptoms of PTSD symptoms. Healthcare workers with more serious PTSD symptoms were significantly related to higher exposure to COVID-19 ( = 0.177, < 0.001), as well as lower levels of euthymia ( = -0.287, < 0.001) and perceived social support ( = -0.236, < 0.001). The structural equation model (SEM) further revealed that the impact of exposure to COVID-19 on PTSD symptoms was partially mediated by euthymia, and moderated by perceived social support, especially from others (e.g., friends, leaders, relatives and colleagues).
These findings suggested that improving the state of euthymia, getting social support from others could alleviate PTSD symptoms among healthcare workers during the COVID-19.
新型冠状病毒肺炎疫情给医护人员带来了巨大的心理压力。本研究旨在明确影响医护人员创伤后应激障碍（PTSD）症状的因素。
招募了来自山东8家精神卫生中心的443名医护人员参加在线调查。参与者完成了对接触新型冠状病毒肺炎环境和PTSD症状的自我评估测量，以及对潜在保护因素（如心境正常和感知到的社会支持）的测量。
约45.37%的医护人员有严重的PTSD症状。PTSD症状较严重的医护人员与更高的新型冠状病毒肺炎暴露水平（r = 0.177，P < 0.001）、更低的心境正常水平（r = -0.287，P < 0.001）和感知到的社会支持水平（r = -0.236，P < 0.001）显著相关。结构方程模型（SEM）进一步显示，接触新型冠状病毒肺炎对PTSD症状的影响部分由心境正常介导，并受感知到的社会支持调节，尤其是来自他人（如朋友、领导、亲属和同事）的支持。
这些发现表明，改善心境正常状态、获得他人的社会支持可以减轻新型冠状病毒肺炎疫情期间医护人员的PTSD症状。
