"Each week feels like a mountain": The impact of COVID-19 on mental health providers' wellbeing and clinical work.
"Each week feels like a mountain": The impact of COVID-19 on mental health providers' wellbeing and clinical work.
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“每周都像一座大山”：COVID-19 对心理健康服务提供者的健康和临床工作的影响。
DOI：
10.1037/pro0000501
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Fish,Jessica
中科院分区：
文献类型：
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作者：
Mittal,Mona;Morgan,AmyA;Du,Jingshuai;Jiang,Jessica;Boekeloo,Bradley;Fish,Jessica
SARS-CoV-2（COVID-19）大流行给医疗保健提供者带来了巨大的压力。尽管关于COVID-19如何影响一线医护人员（即治疗COVID-19患者的提供者）的文献不断涌现，但很少有人关注二线工作者（即治疗受COVID-19影响的人的心理健康的提供者）。在这篇文章中，我们介绍了对开放文本回复（n= 136）进行主题分析的结果，研究了COVID-19如何影响二线工作者（特别是心理健康提供者）的福祉，以及他们在美国COVID-19大流行最初几个月的临床工作。结果表明，精神卫生服务提供者正经历着与COVID-19相关的严重倦怠，身心健康状况不佳。参与者描述了与COVID-19相关的倦怠和创伤对其临床护理质量的负面影响减少。许多人还表现出了韧性，从他们的二线工作经历中发现了消极（例如，疲惫）和积极（例如，以帮助他人为荣）意义的双重性。最后，我们提出了在COVID-19和随后的突发卫生事件时代预防和解决精神卫生专业人员倦怠的建议。
The SARS-CoV-2 (COVID-19) pandemic has placed a tremendous strain on health care providers. Although there is a burgeoning body of literature on how COVID-19 has impacted frontline health care workers (ie, providers treating COVID-19 patients), little attention has been dedicated to second-line workers (ie, providers treating the mental health of people impacted by COVID-19). In this article, we present findings from a thematic analysis of open-text responses (n= 136) examining how COVID-19 shaped both the well-being of second-line workers, specifically mental health providers, as well as their clinical work in the early months of the COVID-19 pandemic in the United States. Results indicated that mental health providers were experiencing significant COVID-19-related burnout and poor physical and mental health outcomes. Participants described diminished negative effects on the quality of their clinical care from the burnout and trauma associated with COVID-19. Many also demonstrated resilience, identifying the duality of both negative (eg, exhaustion) and positive (eg, pride in helping others) meaning derived from their second-line work experiences. We conclude with recommendations for preventing and addressing burnout among mental health professionals in the era of COVID-19 and subsequent health emergencies.