Universidad de Castilla la Mancha, Ciudad Real Medical School, Department of Medical Psychology, Camino de Moledores S/N, 13071, Ciudad Real, Spain.
Int J Behav Med. 2024 Aug;31(4):527-537. doi: 10.1007/s12529-023-10190-1. Epub 2023 Jun 14.
The study of the COVID-19 disease consequences on healthcare professionals' mental health has drawn a great interest in psychology and other behavioral sciences. Previous studies mainly focused on professionals' health in terms of psychopathology, therefore, there is no research examining their positive mental health during both the first and the second wave. Also, there is no research studying healthcare professionals' social recognition during the pandemic and the influence of this variable on professionals' positive health.
Following the WHO's recommendations, our objective was to measure pathology (i.e., anxiety and traumatic intensity), positive health (i.e., Hedonic, Psychological and Social Well-being) and social recognition in a sample of 200 healthcare professionals in the frontline care of Covid-19 patients.
In both waves, participants showed high levels of anxiety and traumatic intensity, although, as expected, in the second (vs. the first) wave psychopathological symptoms decreased. Concerning positive health indicators, in the second wave, health professionals showed more hedonic and psychological well-being than in the first one. However, in the second wave social well-being was lower than in the first wave, an expected though apparently paradoxical result, linked to the decrease in healthcare professionals' social recognition between the first and the second wave. In fact, bootstrapping procedures and Sobel Test confirm the mediating role of social recognition on the effect of Covid-19 wave on social well-being.
Public institutions, governments, and society in general, should recognize health professionals' work, given that social recognition is a fundamental protection factor for social well-being.
COVID-19 对医护人员心理健康的影响研究引起了心理学和其他行为科学的极大兴趣。以前的研究主要集中在专业人员的健康方面的精神病理学,因此,没有研究在第一波和第二波期间检查他们的积极心理健康。此外,没有研究在大流行期间研究医护人员的社会认可以及该变量对专业人员积极健康的影响。
根据世界卫生组织的建议,我们的目标是在一线照顾 COVID-19 患者的 200 名医护人员样本中测量病理学(即焦虑和创伤强度)、积极健康(即享乐、心理和社会幸福感)和社会认可。
在两波中,参与者表现出高水平的焦虑和创伤强度,尽管正如预期的那样,在第二波(与第一波相比)中,精神病理症状有所下降。关于积极健康指标,在第二波中,卫生专业人员比第一波表现出更多的享乐和心理幸福感。然而,在第二波中,社会幸福感低于第一波,这是一个意料之中但显然自相矛盾的结果,这与第一波和第二波之间医护人员的社会认可下降有关。事实上,引导程序和 Sobel 检验证实了社会认可对新冠疫情对社会幸福感的影响的中介作用。
公共机构、政府和整个社会都应该认识到卫生专业人员的工作,因为社会认可对于社会幸福感是一个基本的保护因素。