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探讨创伤后分离体验、创伤后应激障碍、污名和恐惧之间的关系:COVID-19 大流行期间的三波研究。

Exploring the relationship between peritraumatic dissociative experiences, post-traumatic stress disorder, stigma, and fear: A three-wave study during the COVID-19 pandemic.

机构信息

OB and HRM Area, Indian Institute of Management Bodh Gaya, Bihar, India.

Imam Ali Hospital at Amol City, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Arch Psychiatr Nurs. 2024 Aug;51:176-182. doi: 10.1016/j.apnu.2024.06.025. Epub 2024 Jul 2.


DOI:10.1016/j.apnu.2024.06.025
PMID:39034076
Abstract

COVID-19 has emerged as a pervasive global challenge, giving rise to both significant public health concerns and a range of psychological experiences, such as fear, stigma, and post-traumatic stress disorder. Importantly, healthcare professionals have been subjected to immense mental health problems as they battle against this disease. This study aimed to investigate the mediating roles of perceived stigma, self-stigma related to COVID-19, and fear of COVID-19 in the associations between peritraumatic dissociative experiences and post-traumatic stress disorder during a three-wave COVID-19 pandemic (4th [T1], no wave [T2], and 5th [T3]) in Iran. Data were collected from healthcare professionals using the Peritraumatic Dissociative Experiences Questionnaire, Impact of Event Scale-6, Perceived Stigma Scale, Fear of COVID-19 Scale, and Self-Stigma Scale-Short. The results of structural equation modelling demonstrated positive associations between peritraumatic dissociative experiences, perceived stigma, self-stigma related to COVID-19, fear of COVID-19, and post-traumatic stress disorder across all survey waves. Moreover, the study revealed that perceived stigma, self-stigma related to COVID-19, and fear of COVID-19 acted as mediators in the association between peritraumatic dissociative experiences and post-traumatic stress disorder. The implications of these findings highlight the urgent need to address the mental health of healthcare professionals in the aftermath of a pandemic. Policy efforts should be directed towards providing adequate mental health resources and support to mitigate the psychological impact of pandemics on healthcare professionals.

摘要

COVID-19 已成为全球性的普遍挑战,不仅引发了重大的公共卫生问题,还带来了一系列心理体验,如恐惧、污名化和创伤后应激障碍。重要的是,医护人员在抗击这种疾病时承受了巨大的心理健康问题。本研究旨在探讨在伊朗 COVID-19 大流行的三个波次(第 4 波[T1]、无波次[T2]和第 5 波[T3])中,创伤前解离体验与创伤后应激障碍之间的关联中,感知污名、与 COVID-19 相关的自我污名和对 COVID-19 的恐惧的中介作用。使用创伤前解离体验问卷、事件影响量表-6、感知污名量表、COVID-19 恐惧量表和自我污名量表-简短版,从医护人员那里收集数据。结构方程模型的结果表明,在所有调查波次中,创伤前解离体验、感知污名、与 COVID-19 相关的自我污名、对 COVID-19 的恐惧与创伤后应激障碍之间存在正相关。此外,研究还表明,感知污名、与 COVID-19 相关的自我污名和对 COVID-19 的恐惧在创伤前解离体验与创伤后应激障碍之间起中介作用。这些发现的意义强调了在大流行后必须关注医护人员的心理健康。政策努力应致力于提供充足的心理健康资源和支持,以减轻大流行对医护人员的心理影响。

相似文献

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Exploring the relationship between peritraumatic dissociative experiences, post-traumatic stress disorder, stigma, and fear: A three-wave study during the COVID-19 pandemic.

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