Acute stress, worry, and impairment in health care and non-health care essential workers during the COVID-19 pandemic.
Acute stress, worry, and impairment in health care and non-health care essential workers during the COVID-19 pandemic.
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DOI：
10.1037/tra0001224
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发表时间：
2022-11
影响因子：
6.3
通讯作者：
Holman, E. Alison
中科院分区：
文献类型：
--
作者：
Garfin, Dana Rose;Djokovic, Lindita;Silver, Roxane Cohen;Holman, E. Alison
在COVID-19期间从事面对面互动的卫生保健和非卫生保健基本工作者可能容易受到心理社会困扰。对covid -19相关社会心理结果的有限实证研究使用了基于概率的样本，包括卫生保健和非卫生保健必要工作者。我们对1821名美国自我认定的重要工作者进行了抽样调查，这些人是用基于概率的方法收集的，他们在COVID-19爆发的早期阶段（20年3月18日至20年4月18日）在三个连续10天的队列中进行面对面互动。我们评估了急性压力、健康相关担忧和功能损害。人口统计、二次压力源（缺乏托儿或医疗保健、工资损失）以及covid -19前的身心健康状况被作为心理结果的预测因素进行了研究。急性应激（β=.08, p=.001）、健康相关担忧（β=.09, p=.001）和功能损害（β=.05, p=.034）在疫情爆发的前几周随着时间的推移而增加。医疗保健基本工作者报告的功能损害较低（β=−）。6, p=.009)和急性应激(β = -。05, p=.015)。在整个样本中，先前的精神和身体健康疾病、无法获得医疗保险、失去工资、年轻、女性性别和西班牙裔种族与急性压力相关（βs= -）。14 . to…15, ps≤.001)，与健康相关的担忧(βs= - .09 -。14, ps≤0.001)，功能障碍(βs=−。08到。16、ps≤.006)。缺乏托儿服务（β= 0.09, p< 0.001）与急性应激呈正相关。非卫生保健基本工作者可能容易受到负面心理社会后果的影响。有针对性的培训和支持可能有助于应对当前COVID-19大流行期间亲自工作的影响。研究结果可能有助于为干预工作提供信息，这一点至关重要，因为COVID-19已成为流行病，社会必须学会适应其不断演变的变种。
Healthcare and non-healthcare essential workers working in face-to-face interactions during COVID-19 may be vulnerable to psychosocial distress. Limited empirical research on COVID-19-related psychosocial outcomes has utilized probability-based samples including both healthcare and non-healthcare essential workers. We surveyed a sample of 1,821 United States self-identified essential workers, collected using probability-based methods, working in face-to-face interactions during the early phase of the COVID-19 outbreak (3/18/20–4/18/20), in three consecutive 10-day cohorts. We assessed acute stress, health-related worries, and functional impairment. Demographics, secondary stressors (lack of childcare or healthcare, lost wages), and pre-COVID-19 mental and physical health were examined as predictors of psychological outcomes. Acute stress (β=.08, p=.001), health-related worries (β=.09, p=.001), and functional impairment (β=.05, p=.034) increased over time in the early weeks of the outbreak. Healthcare-essential workers reported lower functional impairment (β= −.06, p=.009) and acute stress (β =−.05, p=.015) compared to non-healthcare essential workers. Across the sample, prior mental and physical health ailments, inability to obtain health insurance, lost wages, younger age, female gender, and Hispanic ethnicity were associated with acute stress (βs=−.14 to .15, ps≤.001), health-related worries (βs=−.09–.14, ps≤.001), and functional impairment (βs=−.08 to .16, ps≤.006). Lack of childcare (β=.09, p<.001) was positively associated with acute stress. Non-healthcare essential workers may be vulnerable to negative psychosocial outcomes. Targeted training and support may help facilitate coping with the effects of working in-person during the ongoing COVID-19 pandemic. Findings may help inform intervention efforts, critical as COVID-19 becomes endemic and society must learn to live with its evolving variants.
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