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首页> 外文期刊>BMC Psychiatry >Resilience, coping, and distress among healthcare service personnel during the COVID-19 pandemic
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Resilience, coping, and distress among healthcare service personnel during the COVID-19 pandemic

机译：在Covid-19大流行期间，保健服务人员的恢复能力，应对和遇险

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The COVID-19 pandemic has a detrimental effect on the health and well-being of health care workers (HCWs). The extent to which HCWs may differ in their experience of depression and anxiety is unclear, and longitudinal studies are lacking. The present study examined theorized differences in distress between resilient and non-resilient HCWs over time, as reported in a national online survey. We also examined possible differences in distress as a function of sex and doctoral-level status. A national sample responded to an online survey data that included the study measures. Of the HCWs who responded, 666 had useable data at the two time points. A longitudinal structural equation model tested an a priori model that specified the relationship of a resilient personality prototype to self-reported resilience, coping, depression and anxiety at both measurement occasions. Additional invariance models examined possible differences by sex and doctoral-level status. The final model explained 46.4% of the variance in psychological distress at Time 1 and 69.1% at Time 2. A non-resilient personality prototype predicted greater depression and anxiety. A resilient personality prototype was predictive of and operated through self-reported resilience and less disengaged coping to effect lower distress. No effects were found for active coping, however. The final model was generally?invariant by sex and HCWs status. Additional analyses revealed that non-doctoral level HCWs had significantly higher depression and anxiety than doctoral-level HCWs on both occasions. HCWs differ in their susceptibility to distress imposed by COVID-19. Those who are particularly vulnerable may have characteristics that contribute to a lower sense of confidence and efficacy in stressful situations, and more likely to rely on ineffective, disengaged coping behaviors that can exacerbate stress levels. Individual interventions and institutional policies may be implemented to support HCWs at risk.
机译：Covid-19大流行对医疗工作者（HCWS）的健康和福祉产生了不利影响。 HCW在抑郁和焦虑的经验中可能不同的程度尚不清楚，缺乏纵向研究。正如国家在线调查中所报告，本研究在随着时间的推移中检查了弹性和非弹性HCW之间的理论化差异。我们还将可能的痛苦差异视为性别和博士级地位的函数。国家样本响应了包括研究措施的在线调查数据。在回复的HCW中，666年的两个时间点有可用的数据。纵向结构方程模型测试了一个先验模型，以在两个测量场合对自我报告的韧性，应对，抑郁和焦虑的叠加性人格原型的关系。额外的不变性模型通过性和博士级别的状态进行了可能的差异。最终模型在时间1和69.1％的时间解释了46.4％的心理困扰方差。一个非弹性人格原型预测了更大的抑郁和焦虑。有弹性的个性原型是通过自我报告的恢复力的预测性和操作的，并且脱离应对较低的痛苦。然而，没有发现有效应对的效果。最终模型一般是？不变性的性别和HCWS状态。另外的分析显示，两次博士级HCW的抑郁症和焦虑症具有明显更高的抑郁和焦虑。 HCW对Covid-19施加的危险性有所不同。特别脆弱的人可能具有有助于较低的紧张情况和效果的特征，并且更有可能依赖无效，脱离的应对性能加剧压力水平。个人干预措施和机构政策可能会实施，以支持风险的HCW。

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