Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic.
Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic.
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DOI：
10.3390/ijerph18094457
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发表时间：
2021-04-22
影响因子：
--
通讯作者：
Sakkas N
中科院分区：
文献类型：
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作者：
Pappa S;Barnett J;Berges I;Sakkas N
COVID-19 大流行给卫生系统以及医护人员 (HCW) 的身心健康造成了巨大的负担。这项横断面研究旨在评估 COVID-19 对心理健康工作者心理健康的影响，这些心理健康工作者为在这场危机中受到特别影响的弱势患者群体提供护理。来自大型城市心理健康服务中心的总共 387 名医护人员完成了一份自填问卷，其中包括社会人口统计、生活方式和工作信息以及经过验证的心理测量量表。分别使用患者健康问卷（PHQ-9）和广泛性焦虑障碍量表（GAD-7）测量抑郁和焦虑；雅典失眠量表 (AIS) 的睡眠问题；使用 Maslach 倦怠量表 (MBI) 进行倦怠；以及弹性量表 14 (RS-14) 的弹性。进行多变量逻辑回归分析以确定潜在的中介因素。倦怠的发生率值得注意，其中 52% 的人患有中度/重度的情绪疲惫，19.5% 的人患有中度/重度的人格解体，55.5% 的人患有低/中度的个人成就感。超过一半的受访者 (52%) 有睡眠问题；抑郁症状的存在是失眠的重要预测因素。还观察到潜在有害的生活方式改变有所增加，例如吸烟、饮酒和暴饮暴食。然而，70% 的样本报告具有高复原力，这一点的重要性凸显出来。女性与抑郁和情绪疲惫程度增加有关，而有心理健康问题史的人最容易出现情感症状、失眠和倦怠。总体而言，我们的研究揭示了相当程度的心理困扰和适应不良的应对策略，但也显示出对所提供的组织支持的适应力和满意度。研究结果可以为针对性的干预措施提供信息，以减轻脆弱性并防止长期心理后遗症。
The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.