Huang Ruirui, Lei Beimei, Liu Yongrong, Liu Dan, Zhang Lijuan
School of Nursing, Hunan University of Medicine, Huaihua, Hunan, China.
Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, 410008, Hunan, China.
BMC Psychiatry. 2025 May 26;25(1):533. doi: 10.1186/s12888-025-07019-4.
To investigate the status and influencing factors of self-stigma in seeking professional psychological help among high-risk Chinese Health Care Workers (HCWs) for depression and anxiety.
This multicenter survey employed convenience sampling and was conducted from November 2022 to January 2023. A total of 1224 HCWs from 12 hospitals in Hunan Province were selected for an online questionnaire survey. The questionnaire included socio-demographic characteristics of participants, the Self-stigma of Seeking Help Scale, the Perceived Social Support Scale, the Patient Health Questionnaire-9 Scale, the Generalized Anxiety Disorder-7 Scale, and the General Self-Efficacy Scale-Schwarzer. A total score of ≥ 10 on the Patient Health Questionnaire-9 indicated high risk of depression, and a total score of ≥ 10 on the Generalized Anxiety Disorder-7 indicated high risk of anxiety. Data analysis was performed using SPSS 22.0 statistical software. Descriptive statistics, univariate analysis, Spearman correlation analysis, and generalized linear model analysis were used to investigate the status of self-stigma in seeking professional psychological help and to identify its influencing factors among high-risk HCWs.
Three hundred eighty four valid questionnaires from high-risk HCWs were included in the analysis. The total score of self-stigma of seeking professional psychological help among high-risk Chinese HCWs was 30.0 (26.0, 30.0). Results from the generalized linear model showed that average daily sleep duration, social support, depressive symptoms, and anxiety symptoms were significant influencing factors of self-stigma in seeking professional psychological help (all P < 0.05).
The level of self-stigma of seeking professional psychological help among high-risk HCWs was moderate level, and diverse factors contribute to the self-stigma of seeking professional psychological help. Our study could inform the development of appropriate interventions to reduce self-stigma in seeking professional psychological help and enhance mental health among high-risk HCWs.
调查中国高风险医护人员在寻求专业心理帮助时自我污名化的现状及影响因素，这些医护人员存在抑郁和焦虑问题。
本多中心调查采用便利抽样法，于2022年11月至2023年1月进行。选取湖南省12家医院的1224名医护人员进行在线问卷调查。问卷包括参与者的社会人口学特征、寻求帮助自我污名量表、领悟社会支持量表、患者健康问卷-9量表、广泛性焦虑障碍-7量表和施瓦泽一般自我效能量表。患者健康问卷-9总分≥10表明抑郁风险高，广泛性焦虑障碍-7总分≥10表明焦虑风险高。使用SPSS 22.0统计软件进行数据分析。采用描述性统计、单因素分析、Spearman相关性分析和广义线性模型分析来调查高风险医护人员在寻求专业心理帮助时自我污名化的现状，并确定其影响因素。
分析纳入了384份高风险医护人员的有效问卷。中国高风险医护人员在寻求专业心理帮助时自我污名化的总分是30.0（26.0，30.0）。广义线性模型结果显示，平均每日睡眠时间、社会支持、抑郁症状和焦虑症状是寻求专业心理帮助时自我污名化的显著影响因素（均P<0.05）。
高风险医护人员在寻求专业心理帮助时的自我污名化水平处于中等程度，多种因素导致了寻求专业心理帮助时的自我污名化。我们的研究可为制定适当干预措施提供参考，以减少寻求专业心理帮助时的自我污名化，并改善高风险医护人员的心理健康。
