Perceived Stress, Stigma, Traumatic Stress Levels and Coping Responses amongst Residents in Training across Multiple Specialties during COVID-19 Pandemic-A Longitudinal Study.
Perceived Stress, Stigma, Traumatic Stress Levels and Coping Responses amongst Residents in Training across Multiple Specialties during COVID-19 Pandemic-A Longitudinal Study.
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DOI：
10.3390/ijerph17186572
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发表时间：
2020-09-09
影响因子：
--
通讯作者：
Sim K
中科院分区：
文献类型：
--
作者：
Chew QH;Chia FL;Ng WK;Lee WCI;Tan PLL;Wong CS;Puah SH;Shelat VG;Seah ED;Huey CWT;Phua EJ;Sim K
本研究旨在探讨居民心理反应（感知压力、创伤压力、污名、应对）随时间的变化及其预测因素。分别使用感知压力量表、事件修正影响量表、医护人员污名量表和对所经历问题的简短应对倾向（COPE）量表评估感知压力、创伤压力、污名和应对反应水平。我们收集了来自新加坡国家医疗保健集团（NHG）住院医师计划的274名基线居民和221名随访3个月（时间点2）的居民的反馈。与基线相比，所有居民都报告了较低的感知压力和较低的感知耻辱。在两个时间点上，回避应对的使用与所有三种心理反应（感知压力、创伤压力和耻辱感）有关。与基线相比，与时间点2感知压力和创伤性压力相关的具体因素是独居、较少解决问题和寻求社会支持。住院医师计划应鼓励住院医师采取积极的应对策略（例如，寻求社会支持、积极思考、解决问题），并主动识别因环境导致孤立而可能有较高心理后遗症风险的住院医师。
This study aimed to explore changes in psychological responses (perceived stress, traumatic stress, stigma, coping) over time in residents, as well as their predictors. The level of perceived stress, traumatic stress, stigma, and coping responses were assessed using the Perceived Stress Scale, Impact of Event-Revised, Healthcare Workers Stigma Scale, and Brief Coping Orientation to Problems Experienced (COPE) Inventory, respectively. We collected responses from 274 residents at baseline and 221 residents at 3 months follow-up (timepoint 2) from the National Healthcare Group (NHG) residency programs in Singapore. All residents reported lower perceived stress and lower perceived stigma compared to baseline. Use of avoidance coping was associated with all three psychological responses (perceived stress, traumatic stress, and stigma) across the two timepoints. Compared to baseline, specific factors associated with perceived stress and traumatic stress at timepoint 2 were living alone, less problem solving, and seeking social support. Residency programs should encourage active coping strategies (e.g., seeking social support, positive thinking, problem solving) among residents, and proactively identify residents who may be at higher risk of psychological sequelae due to circumstances that contribute to isolation.
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影响因子：
5
作者：
FOLKMAN, S;LAZARUS, RS
通讯作者：
LAZARUS, RS
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
1.7
作者：
Gabriel, Shira;Read, Jennifer P.;Troisi, Jordan D.
通讯作者：
Troisi, Jordan D.
影响因子：
2.9
作者：
Cohen, Andrew C.;Dromi, Shai M.
通讯作者：
Dromi, Shai M.
DOI：
10.1037/tra0000500
发表时间：
2020-02-01
影响因子：
6.3
作者：
Jenzer, Tiffany;Meisel, Samuel N.;Read, Jennifer P.
通讯作者：
Read, Jennifer P.