Molnár László, Zana Ágnes, Stauder Adrienne
Doctoral School of Semmelweis University Budapest, Budapest, Hungary.
Institute of Behavioural Sciences, Semmelweis University Budapest, Budapest, Hungary.
Front Psychiatry. 2024 Mar 27;15:1354612. doi: 10.3389/fpsyt.2024.1354612. eCollection 2024.
While literature is abundant on the negative mental health impact of the COVID-19 outbreak, few studies focus on the Central and Eastern European region.
We examined stress, burnout, and sleeping troubles among mental health professionals in the context of psychosocial risk factors related to participation in COVID care during the fourth and fifth waves.
Mental health professionals (N=268) completed an online cross-sectional survey in Hungary, between November 2021 and April 2022. Of the respondents, 58.2% directly participated in COVID care. The main data collection instrument was the Copenhagen Psychosocial Questionnaire (COPSOQ II), including 20 subscales on work-related psychosocial factors and 3 outcome scales (stress, burnout, and sleeping troubles). We added a question on competence transgression, and items on sociodemographic and professional background.
Participation in COVID care was associated with higher work pace (59.08 versus 49.78), more role conflicts (55.21 versus 45.93), lower scores on the influence at work (38.18 versus 51.79), predictability (44.71 versus 57.03), reward (55.82 versus 65.03), role clarity (70.19 versus 75.37), social support from supervisor (59.24 versus 65.55), job satisfaction (54.36 versus 62.84), trust regarding management (55.89 versus 67.86), justice and respect (44.51 versus 54.35) scales. Among those involved in COVID care, only the stress score was higher (47.96 vs. 42.35) in the total sample; however, among psychiatrists, both stress (52.16 vs. 38.60) and burnout scores (58.30 vs. 47.06) were higher. Stepwise multiple regression revealed that work-family conflict, emotional demands and workplace commitment were independent predictors of higher stress and burnout scores; furthermore, competence transgression had a significant effect on stress, and being a psychiatric specialist had a significant effect on burnout. These models explained 40.5% of the variance for stress and 39.8% for burnout.
During the fourth and fifth waves, although COVID care was more well-organized, psychiatrists, as specialist physicians responsible for the quality of the care, were still experiencing challenges regarding their competence and influence at work, which may explain their increased levels of stress and burnout.
虽然关于新冠疫情对心理健康的负面影响的文献很多，但很少有研究关注中东欧地区。
我们在第四波和第五波疫情期间，研究了心理健康专业人员在参与新冠护理相关的社会心理风险因素背景下的压力、倦怠和睡眠问题。
2021年11月至2022年4月期间，心理健康专业人员（N = 268）在匈牙利完成了一项在线横断面调查。在受访者中，58.2%直接参与了新冠护理。主要数据收集工具是哥本哈根社会心理问卷（COPSOQ II），包括20个关于工作相关社会心理因素的子量表和3个结果量表（压力、倦怠和睡眠问题）。我们增加了一个关于能力违规的问题，以及社会人口统计学和专业背景的项目。
参与新冠护理与更高的工作节奏（59.08对49.78）、更多的角色冲突（55.21对45.93）、工作影响力得分较低（38.18对51.79）、可预测性（44.71对57.03）、奖励（55.82对65.03）、角色清晰度（70.19对75.37）、上级的社会支持（59.24对65.55）、工作满意度（54.36对62.84）、对管理层的信任（55.89对67.86）、公平与尊重（44.51对54.35）量表相关。在参与新冠护理的人员中，仅总样本中的压力得分较高（47.96对42.35）；然而，在精神科医生中，压力（52.16对38.60）和倦怠得分（58.30对47.06）都更高。逐步多元回归显示，工作 - 家庭冲突、情感需求和工作场所承诺是压力和倦怠得分较高的独立预测因素；此外，能力违规对压力有显著影响，而作为精神科专家对倦怠有显著影响。这些模型解释了压力变异的40.5%和倦怠变异的39.8%。
在第四波和第五波疫情期间尽管新冠护理的组织更加完善，但作为负责护理质量的专科医生，精神科医生在工作能力和影响力方面仍面临挑战，这可能解释了他们压力和倦怠水平的上升。
