Robles Rebeca, Kogan Cary S, Medina-Mora María Elena, García-Pacheco José Ángel, Rebello Tahilia J, Khoury Brigitte, Kulygina Maya, Reed Geoffrey M
Center for Global Mental Health Research, Ramón de la Fuente Muñiz National Institute of Psychiatry/UNAM, Mexico City, Mexico.
School of Psychology, University of Ottawa, Ottawa, ON, Canada.
Front Psychiatry. 2025 Jan 20;15:1527182. doi: 10.3389/fpsyt.2024.1527182. eCollection 2024.
According to pre-COVID-19 pandemic studies, occupational violence (OV) toward mental healthcare professionals (MHCPs) is a common phenomenon with important consequences for their own mental health. This study sought to assess the prevalence of different types and sources of OV toward MHCPs during the COVID-19 pandemic, analyze the risk for OV conferred by relevant factors, and compare the emotional distress reported by MHCPs with and without OV.
The study is an international cross-sectional Internet-based study completed by 3,325 MHCPs having provided direct clinical services during the COVID-19 pandemic.
13.11% experienced OV. The most frequent type/source of OV was psychological violence inside the workplace (59.6% of those who reported OV). Risk factors for any type/source of OV being younger, working in emergency services, treating COVID-19 patients, and living in a lower to upper middle-income country. Emotional distress was higher in those who had experienced OV. Risk factors for emotional distress among those reporting OV included being younger and having experienced physical violence outside the workplace.
Approximately one in ten MHCP experienced OV during the COVID-19 pandemic. This figure is consistent with the range of OV against MHCPs reported prior to the pandemic and indicates that efforts are needed to prevent and manage OV and its negative emotional consequences among MHCP, particularly in aforementioned high-risk groups during health emergencies, and addressing both proximal and distal environmental factors related to OV toward MHCPs.
根据新冠疫情大流行之前的研究，针对精神卫生保健专业人员（MHCPs）的职业暴力（OV）是一种常见现象，对他们自身的心理健康会产生重要影响。本研究旨在评估新冠疫情大流行期间针对MHCPs的不同类型和来源的职业暴力的发生率，分析相关因素导致职业暴力的风险，并比较遭受和未遭受职业暴力的MHCPs报告的情绪困扰情况。
该研究是一项基于互联网的国际横断面研究，由3325名在新冠疫情大流行期间提供直接临床服务的MHCPs完成。
13.11%的人经历过职业暴力。职业暴力最常见的类型/来源是工作场所内的心理暴力（在报告职业暴力的人中占59.6%）。任何类型/来源的职业暴力的风险因素包括年轻、在急诊服务部门工作、治疗新冠患者以及生活在低收入至中高收入国家。经历过职业暴力的人情绪困扰更严重。在报告职业暴力的人中，情绪困扰的风险因素包括年轻以及在工作场所以外遭受过身体暴力。
在新冠疫情大流行期间，大约十分之一的MHCP经历过职业暴力。这一数字与疫情大流行之前报告的针对MHCPs的职业暴力发生率范围一致，表明需要努力预防和管理针对MHCPs的职业暴力及其负面情绪后果，特别是在卫生紧急情况期间上述高风险群体中，并解决与针对MHCPs的职业暴力相关的近端和远端环境因素。
