Pachi Argyro, Kavourgia Evgenia, Bratis Dionisios, Fytsilis Konstantinos, Papageorgiou Styliani Maria, Lekka Dimitra, Sikaras Christos, Tselebis Athanasios
Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
Healthcare (Basel). 2023 Jul 15;11(14):2031. doi: 10.3390/healthcare11142031.
Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of anger and aggression in relation to psychological resilience and alcohol abuse among healthcare workers during the first wave of the COVID-19 pandemic. A total of 120 physicians and 123 nurses completed an online survey of the Dimensions of Anger Reactions-5 (DAR-5), the Brief Aggression Questionnaire (BAQ), the Brief Resilience Scale (BRS), and the Alcohol Screening questionnaire CAGE which is an acronym for the focus of the questions (Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers). Demographic and professional data were also recorded. A total of 53 men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale and one out of ten respondents presented with current problematic alcohol use. Male participants demonstrated lower scores on the DAR-5 scale compared to females. Individuals with current problematic alcohol use displayed higher scores on the BAQ compared to those without alcohol use disorders. Regression analysis revealed that 16.4% of the variance in the BAQ scores can be attributed to scores on the DAR-5, 5.9% to the BRS scores, 2.1% to the CAGE scores, 1.7% to gender, and 1.2% to years of work experience. Mediation analysis highlighted the role of psychological resilience as a negative mediator in the DAR-5 and BAQ relationship. Professional experience and alcohol abuse emerged as positive and negative risk factors contributing to aggression and psychological resilience. The findings hold practical implications for implementing interventions to strengthen resilience in order to compensate for aggressive tendencies and discourage addictive issues.
在疫情期间,医护人员中持续出现心理健康问题、行为改变和成瘾问题。本研究的目的是调查在新冠疫情第一波期间,医护人员的愤怒和攻击水平与心理韧性及酒精滥用之间的关系。共有120名医生和123名护士完成了一项在线调查,内容包括愤怒反应维度-5(DAR-5)、简短攻击问卷(BAQ)、简短韧性量表(BRS)以及酒精筛查问卷CAGE(该问卷名称是其问题焦点的首字母缩写:减少饮酒、因批评而烦恼、有负罪感、有警觉反应)。还记录了人口统计学和专业数据。共有53名男性和190名女性参与了研究。近三分之一的参与者在DAR-5量表上得分呈阳性,十分之一的受访者目前存在酒精使用问题。男性参与者在DAR-5量表上的得分低于女性。与没有酒精使用障碍的人相比,目前存在酒精使用问题的个体在BAQ上得分更高。回归分析显示,BAQ得分方差的16.4%可归因于DAR-5得分,5.9%归因于BRS得分,2.1%归因于CAGE得分,1.7%归因于性别,1.2%归因于工作年限。中介分析强调了心理韧性在DAR-5与BAQ关系中作为负向中介的作用。专业经验和酒精滥用分别成为导致攻击行为和心理韧性的正向和负向风险因素。这些发现对于实施干预措施以增强韧性具有实际意义,从而弥补攻击倾向并减少成瘾问题。