Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic.

Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic.
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在COVID-19大流行期间,澳大利亚初级和高级医生的应对策略和寻求帮助行为的差异。

DOI:
10.3390/ijerph182413275
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发表时间:
2021-12-16
影响因子:
--
通讯作者:
Smallwood N
Smallwood N
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Pascoe A;Paul E;Johnson D;Putland M;Willis K;Smallwood N

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背景:在整个COVID-19大流行期间,医院医务人员(HMS)面临着严重的个人、工作场所和财务中断。许多人承受着心理社会负担,已经超过了基线水平。这项研究探讨了澳大利亚初级和高级HMS在大流行的第一年使用的应对策略和求助行为的类型和预测因素。方法:2020年8月27日至10月23日期间,对澳大利亚一线医护人员进行了一项横断面在线调查。收集的数据包括人口统计学,个人和工作场所的中断,自我报告和验证的心理健康症状,应对策略和寻求帮助。结果:9518名被调查者包括1966名医院医务人员(62.1%为高级,37.9%为初级)。两组都经历了焦虑、抑郁、创伤后应激障碍和倦怠的沉重负担。应对策略因资历而异,保持锻炼是两组最常见的策略。不良心理健康与饮酒量增加有关。与专业人员的支持,虽然更频繁的初级工作人员,是罕见的两组。结论:初级和高级工作人员利用不同的应对和求助行为。尽管认识到了症状,但很少有HMS获得正式支持。确定的应对和寻求帮助的各种预测因素可以为有针对性的干预措施提供信息,以支持这些群体在当前和未来的危机中。
Background: Throughout the COVID-19 pandemic, hospital medical staff (HMS) have faced significant personal, workplace, and financial disruption. Many have experienced psychosocial burden, exceeding already concerning baseline levels. This study examines the types and predictors of coping strategies and help-seeking behaviours utilised by Australian junior and senior HMS during the first year of the pandemic. Methods: A cross-sectional online survey of Australian frontline healthcare workers was conducted between 27 August and 23 October 2020. Data collected included demographics, personal and workplace disruptions, self-reported and validated mental health symptoms, coping strategies, and help-seeking. Results: The 9518 participants included 1966 hospital medical staff (62.1% senior, 37.9% junior). Both groups experienced a high burden of anxiety, depression, post-traumatic stress disorder, and burnout. Coping strategies varied by seniority, with maintaining exercise the most common strategy for both groups. Adverse mental health was associated with increased alcohol consumption. Engagement with professional support, although more frequent among junior staff, was uncommon in both groups. Conclusions: Junior and senior staff utilised different coping and help-seeking behaviours. Despite recognition of symptoms, very few HMS engaged formal support. The varied predictors of coping and help-seeking identified may inform targeted interventions to support these cohorts in current and future crises.
DOI: 10.1016/j.genhosppsych.2020.06.007
发表时间: 2020-09-01
影响因子: 7
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