Park C Hyung Keun, Chung Seockhoon, Kim Seong Yoon
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Life Care Center for Cancer Patient, Asan Medical Center Cancer Institute, Asan Medical Center, Seoul, Republic of Korea.
Psychiatry Investig. 2024 Nov;21(11):1221-1227. doi: 10.30773/pi.2024.0087. Epub 2024 Nov 18.
This study aims to explore the association between work-related stress of healthcare workers in response to the coronavirus disease-2019 (COVID-19) pandemic and their depressive symptoms. Additionally, it focuses on the impact of insomnia symptoms, interpersonal factors, and resilience on depressive symptoms.
The results of an anonymous survey of 329 healthcare workers were analyzed, including the Stress and Anxiety to Viral Epidemics-3 items, Insomnia Severity Index, Interpersonal Needs Questionnaire, Connor-Davidson Resilience Scale-2 items, and Patient Health Questionnaire-9 items. Mediation analysis assessed whether insomnia symptoms, resilience, and interpersonal factors mediate the association between work-related stress and depressive symptoms.
Work-related stress directly influenced depressive symptoms (standardized estimator=0.11, p=0.010, 95% confidence interval [CI] 0.03-0.19). The association between the former and latter was positively mediated by insomnia symptoms (standardized estimator=0.10, p<0.001, 95% CI 0.05-0.14), thwarted belongingness (standardized estimator=0.04, p=0.006, 95% CI 0.01-0.07), and perceived burdensomeness (standardized estimator=0.05, p=0.002, 95% CI 0.02-0.08) and was negatively mediated by resilience (standardized estimator=0.02, p=0.041, 95% CI 0.0001-0.04).
This study highlights the connection between heightened work-related stress experienced by healthcare workers amid the COVID-19 pandemic and the subsequent development of depressive symptoms mediated by insomnia, interpersonal factors, and resilience. Interventions that focus on building resilience could be pivotal in mitigating the detrimental mental health consequences of workplace stress among healthcare workers in a viral epidemic.
本研究旨在探讨2019冠状病毒病（COVID-19）大流行期间医护人员的工作相关压力与其抑郁症状之间的关联。此外，研究重点关注失眠症状、人际因素和心理韧性对抑郁症状的影响。
对329名医护人员的匿名调查结果进行了分析，包括病毒流行应激与焦虑量表（3项）、失眠严重程度指数、人际需求问卷、康纳-戴维森心理韧性量表（2项）和患者健康问卷（9项）。中介分析评估失眠症状、心理韧性和人际因素是否介导工作相关压力与抑郁症状之间的关联。
工作相关压力直接影响抑郁症状（标准化估计值=0.11，p=0.010，95%置信区间[CI]0.03-0.19）。前者与后者之间的关联通过失眠症状（标准化估计值=0.10，p<0.001，95%CI 0.05-0.14）、归属感受挫（标准化估计值=0.04，p=0.006，95%CI 0.01-0.07）和感知负担感（标准化估计值=0.05，p=0.002，95%CI 0.02-0.08）正向介导，并通过心理韧性负向介导（标准化估计值=0.02，p=0.041，95%CI 0.0001-0.04）。
本研究强调了COVID-19大流行期间医护人员经历的工作相关压力增加与随后由失眠、人际因素和心理韧性介导的抑郁症状发展之间的联系。专注于培养心理韧性的干预措施对于减轻病毒流行期间医护人员工作场所压力对心理健康的有害影响可能至关重要。
