新冠疫情后医护人员的应对机制及其与抑郁和焦虑的关系。
Coping Mechanisms and Their Associations With Depression and Anxiety Among Healthcare Workers in the Aftermath of COVID-19 Pandemic.
机构信息
From the Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York (N.M.); Center for Scientific Diversity, Icahn School of Medicine at Mount Sinai, New York, New York (N.M.); Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York (N.M.); Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York (C.H.,L.A.P., J.H.R.); Office of Well-being and Resilience, Mount Sinai Health System, New York, New York (N.R.,C.F.,C.C.,L.A.P., J.H.P.); The City University of New York Graduate School of Public Health and Health Policy, New York, New York (N.R.); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York (C.C., J.M.D.); James J. Peters Department of Veterans Affairs Medical Center, New York, New York (C.C.); Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York (U.C.); and Center for Scientific Diversity, Icahn School of Medicine at Mount Sinai, New York, New York (U.C.).
出版信息
J Occup Environ Med. 2024 Oct 1;66(10):857-862. doi: 10.1097/JOM.0000000000003196. Epub 2024 Jul 31.
OBJECTIVE
This study investigated the associations between anxiety, depression, and coping in healthcare workers during coronavirus disease 2019.
METHODS
A survey used the Generalized Anxiety Disorder 2 to assess anxiety, the Patient Health Questionnaire 2 to assess depression, and the Brief Coping Orientation to Problems Experienced (COPE) scale to evaluate coping mechanisms.
RESULTS
Of the 1172 participants who provided data, 24.7% screened positive for anxiety and 15.7% for depression. Logistic regression indicated that avoidance coping (odds ratio [OR], 3.92 [95% confidence interval (CI), 2.91-5.29]; P < 0.001) and substance use coping (OR, 1.39 [95% CI, 1.00-1.90]; P = 0.049) were associated with higher odds of depression. Avoidance coping (OR, 2.81 [95% CI, 2.15-3.67]; P < 0.001) and social support coping (OR, 1.59 [95% CI, 1.22-2.08]; P = 0.001) were associated with higher odds of anxiety.
CONCLUSIONS
Interventions are needed to improve healthcare workers' coping and well-being.
目的
本研究旨在探讨 2019 年冠状病毒病期间医护人员焦虑、抑郁和应对方式之间的关系。
方法
采用广泛性焦虑障碍量表 2 版评估焦虑，采用患者健康问卷 2 版评估抑郁，采用简明应对方式问卷评估应对机制。
结果
在提供数据的 1172 名参与者中，24.7%的人焦虑筛查呈阳性，15.7%的人抑郁筛查呈阳性。Logistic 回归分析表明，回避应对（比值比 [OR]，3.92 [95%置信区间 [CI]，2.91-5.29]；P < 0.001）和物质使用应对（OR，1.39 [95%CI，1.00-1.90]；P = 0.049）与抑郁的可能性增加相关。回避应对（OR，2.81 [95%CI，2.15-3.67]；P < 0.001）和社会支持应对（OR，1.59 [95%CI，1.22-2.08]；P = 0.001）与焦虑的可能性增加相关。
结论
需要采取干预措施来改善医护人员的应对方式和幸福感。
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