Psychological Stress and Coping Strategy Profiles Among Frontline Medical Workers During the COVID-19 Pandemic.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2023-12-01 Epub Date: 2023-10-17 DOI:10.1097/NMD.0000000000001723

Lihua Yan, Jiahuan Li, Pingzhen Lin, Jiwei Sun

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Abstract

Abstract: This study aimed to explore coping strategy profiles used by frontline medical workers and the psychological stress reactions associated with each category, in the COVID-19 pandemic context. Participants were 651 frontline medical workers recruited between February and March 2020. Psychological stress reactions (e.g., anxiety, depression) and coping strategies were assessed and analyzed using latent profile analysis and linear regression. Participants had three coping strategy profiles: coping inadequately (28.9%), coping appropriately (64.4%), and coping excessively (6.7%). Compared with coping appropriately, those who coped inadequately and excessively had higher psychological stress reactions levels. Levels of anxiety, depression, and posttraumatic stress disorder in excessive-coping individuals were higher than those who coped inadequately. Our findings elucidate the effectiveness of different coping strategy profiles and provide insights for developing targeted interventions to mitigate stress among medical workers. In light of these results, we recommend implementing stress management programs tailored to specific coping strategy profiles.

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新冠肺炎疫情期间一线医务人员心理压力及应对策略分析

摘要:本研究旨在探讨新冠肺炎大流行背景下一线医务工作者的应对策略概况及其与各类别相关的心理应激反应。参与者为2020年2月至3月招募的651名一线医护人员。心理应激反应(如焦虑、抑郁)和应对策略采用潜在剖面分析和线性回归进行评估和分析。参与者的应对策略表现为应对不足(28.9%)、应对适当(64.4%)和过度应对(6.7%)。与适当应对相比，应对不足和过度应对者的心理应激反应水平更高。过度应对个体的焦虑、抑郁和创伤后应激障碍水平高于应对不足的个体。我们的研究结果阐明了不同应对策略的有效性，并为制定有针对性的干预措施以减轻医务工作者的压力提供了见解。根据这些结果，我们建议实施针对特定应对策略的压力管理方案。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.