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以色列-哈马斯战争期间心理健康工作者的焦虑、创伤后症状、媒体诱发的二次创伤、创伤后成长和韧性。

Anxiety, post-traumatic symptoms, media-induced secondary trauma, post-traumatic growth, and resilience among mental health workers during the Israel-Hamas war.

机构信息

Lev Hasharon Mental Health Center, Netanya, Israel.

Faculty of Medicine, Department of Nursing, The Stanley Steyer School of Health Professions, Tel-Aviv University, Tel Aviv, Israel.

出版信息

Stress Health. 2024 Oct;40(5):e3459. doi: 10.1002/smi.3459. Epub 2024 Aug 6.

DOI:10.1002/smi.3459
PMID:39106087
Abstract

The ongoing Israel-Hamas war is posing additional challenges for mental health workers in an already stressful workplace. This study centres on the psychological effects of the shared traumatic reality on mental health workers, arising from the Israel-Hamas war. One month after exposure to the terrorist attack of 7 October 2023 and the outbreak of war following this event, 147 mental health workers completed questionnaires regarding a variety of variables such as demographics, anxiety symptoms, acute stress symptoms, media-induced secondary trauma, personal resilience, National resilience (NR), and post-traumatic growth (PTG). The study found that mental health workers with previous trauma displayed higher anxiety symptoms, acute stress symptoms, and media-induced secondary trauma. Additionally, acute stress and anxiety were positively correlated with media-induced secondary trauma. Religiosity, personal resilience, and NR were found associated with lower anxiety and acute stress symptoms. Religiosity was also positively correlated with personal resilience, NR, and PTG. The PTG of mental health workers working with trauma survivors and evacuees was higher compared to that of other mental health workers. Both adverse and adaptive reactions were evident among mental health workers. While traumatic stress is expected, individual, professional, and NR factors may mitigate its effects. Providing training, social support, regulated media exposure, stress management, and meaning-focused coping strategies can help safeguard workers' well-being.

摘要

正在进行的以巴冲突给已经压力很大的工作场所的心理健康工作者带来了额外的挑战。本研究集中于以巴冲突导致心理健康工作者共同经历创伤现实的心理影响。在 2023 年 10 月 7 日恐怖袭击事件发生一个月后,以及随后的战争爆发后,147 名心理健康工作者完成了关于各种变量的问卷,如人口统计学、焦虑症状、急性应激症状、媒体引起的二次创伤、个人韧性、国家韧性(NR)和创伤后成长(PTG)。研究发现,有先前创伤经历的心理健康工作者表现出更高的焦虑症状、急性应激症状和媒体引起的二次创伤。此外,急性应激和焦虑与媒体引起的二次创伤呈正相关。宗教信仰、个人韧性和 NR 与较低的焦虑和急性应激症状有关。宗教信仰也与个人韧性、NR 和 PTG 呈正相关。与其他心理健康工作者相比,与创伤幸存者和疏散人员一起工作的心理健康工作者的创伤后成长更高。心理健康工作者表现出了既有负面又有适应的反应。虽然创伤性应激是可以预期的,但个人、专业和 NR 因素可能会减轻其影响。提供培训、社会支持、规范的媒体接触、压力管理和以意义为中心的应对策略可以帮助保护工作人员的福祉。

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