社会支持对创伤后应激障碍的影响：失眠和焦虑的链式中介作用。
Impact of social support on PTSD : Chain mediating effects of insomnia and anxiety.
作者信息
Mao Xiaofei, Hou Tianya, Zhang Yulin, Zhang Jianguo, Zhang Fan, Liu Weizhi
机构信息
Lab for Post-traumatic Stress Disorder, Faculty of Psychology, Naval Medical University, Shanghai, China.
Faculty of Psychology, Navy Medical University, Shanghai, China.
出版信息
Glob Ment Health (Camb). 2024 Oct 24;11:e100. doi: 10.1017/gmh.2024.91. eCollection 2024.
OBJECTIVE
To reveal the chain mediating roles of insomnia and anxiety between social support and PTSD in nursing staff under the stage of COVID-19 regular pandemic prevention and control in China.
METHODS
A total of 784 nurses were recruited using the convenience sampling method in Jiangsu Province, China. Demographic questionnaire, Perceived Social Support Scale, Impact of Event Scale-Revised, Generalized Anxiety Disorder-7 and Insomnia Severity Index were applied to collect data.
RESULTS
Social support, PTSD, insomnia and anxiety were significantly correlated with each other. Insomnia and anxiety acted as chain mediators between social support and PTSD.
CONCLUSION
Insufficient social support may trigger PTSD through the chain mediating effects of insomnia and anxiety in nursing staff under the stage of COVID-19 regular pandemic prevention and control. Measures focusing on social support, insomnia and anxiety should be taken to reduce or even prevent PTSD in nursing staff in Chinese hospitals in similar crises in the future.
目的
揭示在我国新冠肺炎常态化疫情防控阶段，护理人员中社会支持与创伤后应激障碍（PTSD）之间失眠和焦虑的链式中介作用。
方法
采用便利抽样法，在中国江苏省招募了784名护士。应用人口学问卷、领悟社会支持量表、事件影响量表修订版、广泛性焦虑障碍7项量表和失眠严重程度指数收集数据。
结果
社会支持、创伤后应激障碍、失眠和焦虑之间存在显著相关性。失眠和焦虑在社会支持与创伤后应激障碍之间起链式中介作用。
结论
在新冠肺炎常态化疫情防控阶段，社会支持不足可能通过失眠和焦虑的链式中介作用引发护理人员的创伤后应激障碍。未来在类似危机中，我国医院应采取关注社会支持、失眠和焦虑的措施，以减少甚至预防护理人员的创伤后应激障碍。
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