METHODS: An online survey distributed between July and December, 2022 received 522 responses. Variables were assessed using the 21-item Depression, Anxiety and Stress Scale, Insomnia Severity Index and a series of self-designed questions to assess social support, resource support, perceived stigma, self-stigma, emotional exhaustion, and suicidal ideation.
RESULTS: Structural equation modeling showed that perceived stigma was associated with self-stigma (standardized coefficient [β] = 0.428, p < 0.001), and self-stigma was associated with psychological distress (β = 0.197, p < 0.001), as well as being associated with emotional exhaustion, insomnia, and suicidal ideation (β = 0.349, 0.556 and 0.212, all p-values < 0.001). While social support and resource support were negatively associated with perceived stigma (β= - 0.175 and - 0.152, p < 0.01), additional associations were found between social support and emotional exhaustion (β= - 0.093, p < 0.001), as well as between resource support and insomnia (β= - 0.120, p < 0.001).
CONCLUSIONS: The results showed that COVID-19 related stigmatization was correlated to the detrimental consequences of emotional exhaustion, insomnia and suicidal ideation. Clear paths regarding the associations of social support and resource support with the three negative associations were found as the possible solutions. Strategies to reduce the stigmatization and these negative outcomes, or improve the psychological health will benefit AHTs and PGYDs in maintaining a healthy mental status.
方法:7月至12月之间发布的在线调查,2022年收到522份回复。使用21项抑郁症评估变量,焦虑和压力量表,失眠严重程度指数和一系列自行设计的问题来评估社会支持,资源支持,感知到的耻辱,自我污名,情绪疲惫,和自杀意念。
结果:结构方程模型表明,感知的污名与自我污名相关(标准化系数[β]=0.428,p<0.001),自我污名与心理困扰相关(β=0.197,p<0.001),以及与情绪疲惫有关,失眠,和自杀意念(β=0.349,0.556和0.212,所有p值<0.001)。虽然社会支持和资源支持与感知的污名(β=-0.175和-0.152,p<0.01),在社会支持和情绪衰竭之间发现了额外的关联(β=-0.093,p<0.001),以及资源支持和失眠之间(β=-0.120,p<0.001)。
结论:结果显示,与COVID-19相关的污名化与情绪衰竭的有害后果有关,失眠和自杀意念。关于社会支持和资源支持与三个负关联的关联的明确路径被发现是可能的解决方案。减少污名化和这些负面结果的策略,或改善心理健康将有利于AHTs和PGYDs保持健康的精神状态。