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新冠肺炎救治医务人员抑郁症状与急性应激反应及心理韧性的关系

Relationship between depression symptoms and acute stress response and resilience in medical personnel for treatment of novel coronavirus pneumonia

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【作者】 李光耀徐晓莉龚政唐敏李娜王霄高志勤

【Author】 LI Guang-yao;XU Xiao-li;GONG Zheng;TANG Min;LI Na;WANG Xiao;GAO Zhi-qin;No.904 Hospital of Joint Logistics Support Force;

【通讯作者】 高志勤;

【机构】 联勤保障部队第九零四医院东部战区总医院

【摘要】 目的:探讨新冠肺炎救治医务人员抑郁症状与急性应激反应、心理韧性的关系。方法:采用方便取样法选取参加武汉新冠肺炎救治45 d的167名医务人员进行9项患者健康问卷(PHQ-9)、斯坦福急性应激反应问卷(SASRQ)和Connor-Davidson心理韧性量表(CD-RISC)自评;以PHQ-9≥10分为抑郁症状阳性分界值,分析新冠肺炎救治医务人员抑郁症状与急性应激反应、心理韧性的关系。结果:131名医务人员(78.44%)为抑郁组,包括中度77人,中重度35人,重度19人。抑郁组PHQ-9总分与SASRQ各因子分呈正相关,与CD-RISC总分及各因子分呈负相关(P均<0.01)。抑郁组SASRQ的唤醒、再体验因子和CD-RISC的主体性、稳定性因子对PHQ-9总分有显著预测作用(P<0.05或P<0.01),分别可解释PHQ-9方差变异的62.9%、30.9%。心理韧性在抑郁组急性应激反应与抑郁之间起部分中介作用,中介效应占总效应的59.02%。结论:急性应激反应、心理韧性对新冠肺炎救治医务人员抑郁症状有显著预测作用;心理韧性在其急性应激反应与抑郁之间起部分中介作用。

【Abstract】 Objective: To explore the relationship between depression symptoms and acute stress response and resilience in the medical personnel of novel coronavirus pneumonia(COVID-19) treatment. Method:Patient Health Questionnaire(PHQ-9),Stanford Acute Stress Reaction Questionnaire(SASRQ),and Connor-Davidson resilience scale(CD-RISC) were utilized to assess 167 medical personnel participating in the treatment of COVID-19 for 45 days in Wuhan by convenient sampling method.PHQ-9≥10 was used as the positive cut-off value of depressive symptoms to analyze the relationship between depressive symptoms and acute stress response and resilience of medical personnel. Results:There were 131 medical personnels(78.44%) as depression group, including 77 with moderate depression, 35 with moderate-severe depression and 19 with severe depression.The total score of PHQ-9 in the depression group was positively correlated with the all factor scores of SASRQ and negatively correlated with all factor and total scores of CD-RISC(all P<0.01).Hyper-arousal and re-experiencing factors of SASRQ and subjectivity, stability factors of CD-RISC had significant predictive effects on total score of PHQ-9 in the depression group(P<0.05 or P<0.01),which could explain 62.9%,30.9% of the PHQ-9 variance respectively.Resilience played a partial mediating effects between the acute stress response and depression in the depression group.The mediating effect accounted for 59.02% of the total effect. Conclusion:Acute stress response and resilience are predictive factors of depressive symptoms in the medical personnel of COVID-19 treatment.Resilience is mediating variable between acute stress response and depression.

  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychiatry , 编辑部邮箱 ,2021年03期
  • 【分类号】R749.4
  • 【下载频次】191
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