背景:有记录表明,在COVID-19大流行期间,卫生专业人员的职业压力水平增加。尽管对服务的需求增加,但很少有研究检查大流行对精神卫生专业人员的影响。
方法:多语言,纵向,世卫组织全球临床实践网络(GCPN)成员在大流行期间的三个时间点进行了全球调查。来自86个国家的786名GCPN成员对评估职业困扰的调查做出了回应,健康和创伤后压力症状。
结果:平均而言,受访者的幸福感随着时间的推移而恶化,而他们的创伤后应激症状显示出适度的改善。线性生长模型表明,作为女性,更年轻,为COVID-19患者提供面对面的医疗服务,生活在低收入或中等收入国家或COVID-19死亡率较高的国家,随着时间的推移,幸福感差和压力症状水平较高的风险更大。增长混合模型确定了职业幸福感和压力症状的轨迹。大多数心理健康职业对幸福感没有影响,保持适度,非临床水平的压力症状,或在最初的困难时期后表现出改善。然而,一些参与者组表现出健康状况恶化,接近临床阈值(25.8%),并且随着时间的推移,创伤后应激症状持续较高水平和具有临床意义的水平(19.6%).
结论:这项研究表明,尽管大多数心理健康专业人员在大流行期间表现出稳定的积极幸福感和低压力症状,在大流行期间,已经负担沉重的全球精神卫生工作人员中,有相当一部分人的心理状况持续恶化或恶化。
Increased levels of occupational stress among health professionals during the COVID-19 pandemic have been documented. Few studies have examined the effects of the pandemic on mental health professionals despite the heightened demand for their services.
A multilingual, longitudinal, global survey was conducted at 3 time points during the pandemic among members of the World Health Organization\'s Global Clinical Practice Network. A total of 786 Global Clinical Practice Network members from 86 countries responded to surveys assessing occupational distress, well-being, and posttraumatic stress symptoms.
On average, respondents\' well-being deteriorated across time while their posttraumatic stress symptoms showed a modest improvement. Linear growth models indicated that being female, being younger, providing face-to-face health services to patients with COVID-19, having been a target of COVID-related violence, and living in a low- or middle-income country or a country with a higher COVID-19 death rate conveyed greater risk for poor well-being and higher level of stress symptoms over time. Growth mixed modeling identified trajectories of occupational well-being and stress symptoms. Most mental health professions demonstrated no impact to well-being; maintained moderate, nonclinical levels of stress symptoms; or showed improvements after an initial period of difficulty. However, some participant groups exhibited deteriorating well-being approaching the clinical threshold (25.8%) and persistently high and clinically significant levels of posttraumatic stress symptoms (19.6%) over time.
This
study indicates that although most mental health professionals exhibited stable, positive well-being and low stress symptoms during the pandemic, a substantial minority of an already burdened global mental health workforce experienced persistently poor or deteriorating psychological status over the course of the pandemic.