COVID-19大流行期间卫生专业人员的道德伤害、精神障碍和自杀行为:网络分析

IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Religion & Health Pub Date : 2025-06-01 Epub Date: 2025-05-17 DOI:10.1007/s10943-025-02340-4
Qiuhui Lei, Zhehao He, Yutong Ye, Xiuquan Shi, Jun Liu, Harold G Koenig, Zhizhong Wang
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引用次数: 0

摘要

在COVID-19大流行等极端条件下,卫生专业人员容易出现心理健康问题。采用网络分析方法,对14993名医护人员进行道德伤害与抑郁症状、焦虑症状、创伤后应激障碍症状和自杀行为的关系进行了探讨。抑郁症状是道德伤害导致自杀行为的主要途径,而背叛是道德伤害与PTSD、焦虑和抑郁症状之间最显著的桥梁症状。与常见心理结果相关的心梗症状包括背叛、自我谴责和感觉受到上帝的惩罚。卫生专业人员最主要的精神症状是易怒、紧张和感到害怕。实施有针对性的措施,解决道德伤害的桥梁症状和焦虑的核心症状,对预防和治疗卫生专业人员的心理健康后果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moral Injury, Mental Disorders, and Suicidal Behavior Among Health Professionals During the COVID-19 Pandemic: A Network Analysis.

During extreme conditions such as the COVID-19 pandemic, health professionals were susceptible to mental health issues. A series of network analyses were performed to explore the relationship between moral injury and depressive symptoms, anxiety symptom, PTSD symptom, and suicidal behaviors in 14,993 health professionals. Depressive symptoms were identified as the main pathway through which moral injury led to suicidal behavior, and betrayal was the most significant bridge symptom for moral injury with PTSD, anxiety, and depressive symptoms. The symptom profiles of MI associated with the common mental outcomes included betrayal, self-condemnation, and feeling punished by God. The most central mental symptoms of health professionals were irritability, nervousness, and feeling afraid. It is crucial to implement targeted measures addressing the bridge symptoms of moral injury and the core symptoms of anxiety to prevent and treat mental health consequences among health professionals.

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来源期刊
CiteScore
5.40
自引率
21.40%
发文量
220
期刊介绍: Journal of Religion and Health is an international publication concerned with the creative partnership of psychology and religion/sprituality and the relationship between religion/spirituality and both mental and physical health. This multidisciplinary and interdisciplinary journal publishes peer-reviewed original contributions from scholars and professionals of all religious faiths. Articles may be clinical, statistical, theoretical, impressionistic, or anecdotal. Founded in 1961 by the Blanton-Peale Institute, which joins the perspectives of psychology and religion, Journal of Religion and Health explores the most contemporary modes of religious thought with particular emphasis on their relevance to current medical and psychological research.
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