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生命意义在新冠疫情期间意大利急救志愿者心理困扰和创伤后成长中的作用

The Role of Life Meaning in Psychological Distress and Post-traumatic Growth Among Italian First-Aid Volunteers During the COVID-19 Outbreak.

作者信息

Pino Olimpia, Cunegatti Federica, D'Angelo Miriana

机构信息

Department of Medicine & Surgery, University of Parma, Via Volturno, 39, 43125 Parma, Italy.

出版信息

Trends Psychol. 2022 Apr 14:1-23. doi: 10.1007/s43076-022-00182-7.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has been a sudden and disruptive event that has produced lots of deaths, overload of the healthcare system, interruption of social habits, and change in life prospective. The study aimed to explore the relationships between meaning of life, psychological distress, and post-traumatic growth in volunteers from the first-aid associations operating in Italy belonging to the areas most affected by the pandemic (Bergamo, Brescia, and Parma). Our hypothesis anticipated that the meaning of life can mediate the relationship between psychological distress and post-traumatic growth. We, also, expected that this effect could vary with the role played in the rescue team, the increased shifts' amount, and the monetary incentive. Using a cross-sectional design, a convenience sample of 268 consenting participants completed Depression, Anxiety and Stress Scale (DASS-21), Post-Traumatic Growth Inventory (PTGI), and Personal Meaningful Profile-Brief (PMP-B). Findings yielded a positive relationship between psychological distress and post-traumatic growth ( = .284). Regarding the meaning of life, Spearman's correlation revealed that the two dimensions of "Self-Transcendence" and "Religion" are moderately involved in the post-traumatic change (specifically, "New Possibilities"  = .237, "Personal Strength"  = .252, and "Spiritual Change"  = .373). Logistic regression failed to show any effect concerning role, shifts' amount, and distress level. Finally, the monetary incentive appeared to not influence the altruism's propension. Even though our findings should be interpreted with caution, this study provides evidence for the relevance of meaning of life to understanding of resilience and promoting the well-being of workforce following traumatic experiences.

摘要

2019年冠状病毒病(COVID-19)大流行是一场突如其来且具有破坏性的事件,导致了大量死亡、医疗系统不堪重负、社会习惯被打乱以及生活前景的改变。本研究旨在探讨意大利受疫情影响最严重地区(贝加莫、布雷西亚和帕尔马)急救协会志愿者的生活意义、心理困扰与创伤后成长之间的关系。我们的假设预计,生活意义可以调节心理困扰与创伤后成长之间的关系。此外,我们还预期这种影响会因在救援队中所扮演的角色、轮班次数的增加以及金钱激励而有所不同。采用横断面设计,268名同意参与的便利样本参与者完成了抑郁、焦虑和压力量表(DASS-21)、创伤后成长量表(PTGI)以及个人意义概况简表(PMP-B)。研究结果显示心理困扰与创伤后成长之间存在正相关关系(r = 0.284)。关于生活意义,斯皮尔曼相关性分析表明,“自我超越”和“宗教”这两个维度在创伤后变化中适度参与(具体而言,“新可能性”r = 0.237,“个人力量”r = 0.252,“精神变化”r = 0.373)。逻辑回归未能显示出角色、轮班次数和困扰程度有任何影响。最后,金钱激励似乎并未影响利他倾向。尽管我们的研究结果应谨慎解读,但本研究为生活意义在理解复原力和促进创伤经历后劳动力福祉方面的相关性提供了证据。

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