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International Journal of Mental Health and Addiction

Erschienen in:

16.11.2020 | COVID-19 | Original Article Zur Zeit gratis

Perceived Risk and Mental Health Problems among Healthcare Professionals during COVID-19 Pandemic: Exploring the Mediating Effects of Resilience and Coronavirus Fear

verfasst von: Murat Yıldırım, Gökmen Arslan, Ahmet Özaslan

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 2/2022

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Abstract

During coronavirus (COVID-19) pandemic, healthcare professionals were particularly at high-risk of developing symptoms of mental health problems due to being on the frontline in the battle against COVID-19. This study examined the mediating roles of resilience and coronavirus fear in the relationship between perceived risk and mental health problems among healthcare professionals including doctors and nurses who were actively treating patients confirmed with COVID-19. We recruited 204 healthcare professionals (50% females) with a mean age of 32.92 years (SD = 7.01). Results showed that perceived risk and coronavirus fear positively predicted depression, anxiety, and stress while resilience negatively predicted those mental health problems. Coronavirus fear mediated the relationship between perceived risk and resilience, depression, anxiety, and stress. Additionally, resilience mitigated the effect of coronavirus fear on depression, anxiety, and stress. This study is among the first indicating the importance of resilience and fear as a critical mechanism that explains the relationship between perceived risk and mental health problems among health professionals directly caring for COVID-19 patients.

Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 scale: development and initial validation. International Journal of Mental Health and Addiction, 1-9. https://doi.org/10.1007/s11469-020-00270-8.

Arslan, G., Yıldırım, M., & Wong, P. T. P. (2020). Meaningful living, resilience, affective balance, and psychological health problems during COVID-19. PsyArXiv. Preprint https://doi.org/10.31234/osf.io/wsr3e.

Ashtari, S., Vahedian-Azimi, A., Moayed, M. S., Rahimibashar, F., Shojaei, S., & Pourhoseingholi, M. A. (2020). Compare the severity of psychological distress among four groups of Iranian society in COVID-19 pandemic, 1-17. https://doi.org/10.21203/rs.3.rs-23828/v1.

Bonanno, G. A. (2004). Loss, trauma, and human resilience. American Psychologist, 59, 20–28.CrossRef

Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health, 11(1), 2.CrossRef

Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical science monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1–e924171-16.

Center for Systems Science and Engineering. (2020). Coronavirus COVID-19 global cases at Johns Hopkins University. Retrieved from https://coronavirus.jhu.edu/map.html.

Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., ... & Wang, J. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15-e16.

Cheng, S. K. W., Chong, G. H. C., Chang, S. S. Y., Wong, C. W., Wong, C. S. Y., Wong, M. T. P., & Wong, K. C. (2006). Adjustment to severe acute respiratory syndrome (SARS): Roles of appraisal and post-traumatic growth. Psychology & Health, 21(3), 301–317. https://doi.org/10.1080/14768320500286450.CrossRef

D’Agostino, R. B., Belanger, A., & D’Agostino, R. B. (1990). A suggestion for using powerful and informative tests of normality. The American Statistician, 44(4), 316. https://doi.org/10.2307/2684359.CrossRef

Doğan, T. (2015). Adaptation of the Brief Resilience Scale into Turkish: a validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93–102.

Fertleman, C., & Carroll, W. (2013). Protecting students and promoting resilience. BMJ, 347, f5266.CrossRef

Garfin, D. R., Silver, R. C., & Holman, E. A. (2020). The novel coronavirus (COVID-2019) outbreak: amplification of public health consequences by media exposure. Health Psychology, 39, 355–357. https://doi.org/10.1037/hea0000875.CrossRefPubMedPubMedCentral

Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2020). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction, 1-14. https://doi.org/10.1007/s11469-020-00281-5.

Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press.

Huang, Y., & Zhao, N. (2020). Mental health burden for the public affected by the COVID-19 outbreak in China: who will be the high-risk group? Psychology, Health & Medicine, 1–12. https://doi.org/10.1080/13548506.2020.1754438.

Jackson, J. (2011). Revisiting risk sensitivity in the fear of crime. Journal of Research in Crime and Delinquency, 48(4), 513–537.CrossRef

Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11(1), 1–47.CrossRef

Khosravi, M. (2020). Perceived risk of COVID-19 pandemic: the role of public worry and trust. Electronic Journal of General Medicine, 17(4), em203.CrossRef

Kwok, K. O., Li, K. K., Chan, H. H., Yi, Y. Y., Tang, A., Wei, W. I., & Wong, S. Y. (2020). Community responses during early phase of covid-19 epidemic, Hong Kong. Emerging Infectious Diseases, 26(7), 1–13.CrossRef

Lancee, W. J., Maunder, R. G., & Goldbloom, D. S. (2008). Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak. Psychiatric Services, 59(1), 91–95.CrossRef

Li, J. B., Yang, A., Dou, K., & Cheung, R. Y. (2020). Self-control moderates the association between perceived severity of the coronavirus disease 2019 (COVID-19) and mental health problems among the Chinese public. PsyArXiv Preprints. https://doi.org/10.31234/osf.io/2xadq.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety inventoRies. Behaviour Research and Therapy, 33(3), 335–343.CrossRef

Masten, A. S. (2001). Ordinary magic. Resilience processes in development. The American Psychologist, 56(3), 227–238. https://doi.org/10.1037/0003-066x.56.3.227.CrossRefPubMed

Mertens, G., Gerritsen, L., Salemink, E., & Engelhard, I. (2020). Fear of the coronavirus (COVID-19): predictors in an online study conducted in March 2020. https://doi.org/10.31234/osf.io/2p57j.

O'Gara, J. L., Calzada, E. J., & Kim, S. Y. (2020). The father’s role in risk and resilience among Mexican-American adolescents. American Journal of Orthopsychiatry, 90(1), 70–77.CrossRef

Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological resilience, positive emotions, and successful adaptation to stress in later life. Journal of Personality and Social Psychology, 91(4), 730–749.CrossRef

Peeri, N. C., Shrestha, N., Rahman, M. S., Zaki, R., Tan, Z., Bibi, S., ... & Haque, U. (2020). The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned? International Journal of Epidemiology, dyaa033, https://doi.org/10.1093/ije/dyaa033

Perin, C., Beghi, M., Cerri, C. G., Peroni, F., Viganò, B., & Cornaggia, C. M. (2015). Experience of group conversations in rehabilitative medicine: methodological approach and pilot study. Journal of Medicine and the Person, 13, 96–104. https://doi.org/10.1007/s12682-015-0208-7.CrossRefPubMedPubMedCentral

Robertson, H. D., Elliott, A. M., Burton, C., Iversen, L., Murchie, P., Porteous, T., & Matheson, C. (2016). Resilience of primary healthcare professionals: a systematic review. British Journal of General Practice, 66(647), e423–e433.CrossRef

Sariçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive Behavioral Psychotherapy and Research, 7, 19–30.

Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281–282.CrossRef

Sloan, M. M., Haner, M., Graham, A., Cullen, F. T., Pickett, J., & Jonson, C. L. (2020). Pandemic emotions: the extent, correlates, and mental health consequences of personal and altruistic fear of COVID-19[Preprint]. SocArXiv. https://doi.org/10.31235/osf.io/txqb6.

Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200.CrossRef

Stevenson, A. D., Phillips, C. B., & Anderson, K. J. (2011). Resilience among doctors who work in challenging areas: a qualitative study. British Journal of General Practice, 61(588), e404–e410.CrossRef

Tan, B. Y., Chew, N. W., Lee, G. K., Jing, M., Goh, Y., Yeo, L. L., ... & Shanmugam, G. N. (2020). Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine. M20–1083. https://doi.org/10.7326/M20-1083.

Tecson, K. M., Wilkinson, L. R., Smith, B., & Ko, J. M. (2019). Association between psychological resilience and subjective well-being in older adults living with chronic illness. In Baylor University Medical Center Proceedings (Vol. 32, no. 4, pp. 520-524). Taylor & Francis.

Warr, M. (2000). Fear of crime in the United States: Avenues for research and policy. Criminal Justice, 4(4), 451–489.

Weinstein, N. D. (1982). Unrealistic optimism about susceptibility to health problems. Journal of Behavioral Medicine, 5(4), 441–460.CrossRef

Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: the importance of mediation analysis. Journal of Mental Health, 25(2), 93–99.CrossRef

Wise, T., Zbozinek, T., Michelini, G., Hagan, C. C., & Mobbs, D. (2020). Changes in risk perception and protective behavior during the first week of the COVID-19 pandemic in the United States. PsyArXiv Preprints. https://doi.org/10.31234/osf.io/dz428.

Yang, J. Z., & Chu, H. R. (2018). Who is afraid of the Ebola outbreak? The influence of discrete emotions on risk perception. Journal of Risk Research, 21(7), 834–853. https://doi.org/10.1080/13669877.2016.1247378.CrossRef

Yıldırım, M. (2019). Mediating role of resilience in the relationships between fear of happiness and affect balance, satisfaction with life, and flourishing. Europe's Journal of Psychology, 15(2), 183–198.CrossRef

Yıldırım, M., & Arslan, G. (2020). Exploring the associations between resilience, dispositional Hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. PsyArXiv. Preprint https://doi.org/10.31234/osf.io/vpu5q10.31234/osf.io/vpu5q.

Titel: Perceived Risk and Mental Health Problems among Healthcare Professionals during COVID-19 Pandemic: Exploring the Mediating Effects of Resilience and Coronavirus Fear
verfasst von: Murat Yıldırım
Gökmen Arslan
Ahmet Özaslan
Publikationsdatum: 16.11.2020
Verlag: Springer US
Schlagwort: COVID-19
Erschienen in: International Journal of Mental Health and Addiction / Ausgabe 2/2022
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-020-00424-8

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