Social support and mental health among health care workers during Coronavirus Disease 2019 outbreak: A moderated mediation model
Social support and mental health among health care workers during Coronavirus Disease 2019 outbreak: A moderated mediation model
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DOI：
10.1371/journal.pone.0233831
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发表时间：
2020-05-29
期刊：
影响因子：
3.7
通讯作者：
Ni, Chunyan
中科院分区：
文献类型：
--
作者：
Hou, Tianya;Zhang, Taiquan;Ni, Chunyan
目的2019冠状病毒病（COVID-19）在全球爆发期间，医护人员的心理健康状况对于确保救援行动的效率至关重要。本研究探讨了疫情期间社会支持对医护人员心理健康的影响及其在心理弹性和年龄调节作用中的中介作用及其潜在机制。方法对中国江苏省1472名医护人员在COVID-19疫情高峰期进行了社会支持评定量表（SSRS）、康纳-戴维森心理弹性量表（CD -RISC）和症状检查表90（SCL-90）。采用结构方程模型（SEM）检验心理弹性在社会支持与心理健康关系中的中介作用，并利用Hayes PROCESS宏进行有调节的中介分析。结果发现，心理弹性可以部分中介社会支持对医护人员心理健康的影响。年龄组通过复原力调节社会支持与心理健康之间的间接关系。具体来说，与年轻的医护人员相比，中年工作者的心理弹性和心理健康之间的关联会减弱。结论研究结果通过揭示社会支持和心理健康之间的潜在机制，为之前的文献增加了知识。本研究对 COVID-19 高峰期医护人员的心理健康服务具有深远的影响。
PurposesDuring the outbreak of Coronavirus Disease 2019 (COVID-19) all over the world, the mental health conditions of health care workers are of great importance to ensure the efficiency of rescue operations. The current study examined the effect of social support on mental health of health care workers and its underlying mechanisms regarding the mediating role of resilience and moderating role of age during the epidemic.MethodsSocial Support Rating Scale (SSRS), Connor-Davidson Resilience scale (CD -RISC) and Symptom Checklist 90 (SCL-90) were administrated among 1472 health care workers from Jiangsu Province, China during the peak period of COVID-19 outbreak. Structural equation modeling (SEM) was used to examine the mediation effect of resilience on the relation between social support and mental health, whereas moderated mediation analysis was performed by Hayes PROCESS macro.ResultsThe findings showed that resilience could partially mediate the effect of social support on mental health among health care workers. Age group moderated the indirect relationship between social support and mental health via resilience. Specifically, compared with younger health care workers, the association between resilience and mental health would be attenuated in the middle-aged workers.ConclusionsThe results add knowledge to previous literature by uncovering the underlying mechanisms between social support and mental health. The present study has profound implications for mental health services for health care workers during the peak period of COVID-19.