Social cognitive mechanisms in healthcare worker resilience across time during the pandemic.

Autor: Smith AJ; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA. andrew.j.smith-2@dartmouth.edu.; Department of Psychiatry, Huntsman Mental Health Institute, University of Utah School of Medicine, 501 Chipeta Way, Salt Lake City, UT, 84018, USA. andrew.j.smith-2@dartmouth.edu.; Lyda Hill Institute for Human Resilience, Colorado Springs, USA. andrew.j.smith-2@dartmouth.edu., Shoji K; Lyda Hill Institute for Human Resilience, Colorado Springs, USA.; University of Human Environments, Okazaki, Japan., Griffin BJ; Lyda Hill Institute for Human Resilience, Colorado Springs, USA.; Mental Health Service, Central Arkansas VA Health Care System, Little Rock, USA.; Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, USA., Sippel LM; VA Northeast Program Evaluation Center, West Haven, CT, USA.; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.; National Center for PTSD, West Haven, CT, USA., Dworkin ER; Lyda Hill Institute for Human Resilience, Colorado Springs, USA.; University of Washington School of Medicine, Seattle, USA., Wright HM; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA., Morrow E; University of Utah, Resiliency Center, Salt Lake City, USA., Locke A; University of Utah, Resiliency Center, Salt Lake City, USA., Love TM; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA., Harris JI; Bedford VA Healthcare System, University of Minnesota, Minneapolis, USA., Kaniasty K; Department of Psychology, Indiana University of Pennsylvania, Indiana, USA.; Institute of Psychology, Polish Academy of Sciences (Poland), Warsaw, Poland., Langenecker SA; Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA., Benight CC; Lyda Hill Institute for Human Resilience, Colorado Springs, USA.; Department of Psychology, University of Colorado-Colorado Springs, Colorado Springs, USA.
Jazyk: angličtina
Zdroj: Social psychiatry and psychiatric epidemiology [Soc Psychiatry Psychiatr Epidemiol] 2022 Jul; Vol. 57 (7), pp. 1457-1468. Date of Electronic Publication: 2022 Feb 26.
DOI: 10.1007/s00127-022-02247-5
Abstrakt: Purpose: Healthcare workers are at increased risk for mental health problems during disasters such as the COVID-19 pandemic. Identifying resilience mechanisms can inform development of interventions for this population. The current study examined pathways that may support healthcare worker resilience, specifically testing enabling (social support enabled self-efficacy) and cultivation (self-efficacy cultivating support) models.
Methods: Healthcare workers (N = 828) in the Rocky Mountain West completed self-report measures at four time points (once per month from April to July of 2020). We estimated structural equation models to explore the potential mediating effects that received social support and coping self-efficacy had (at time 2 and time 3) between traumatic stress symptom severity (at time 1 and time 4). Models included covariates gender, age, minority status, and time lagged co-variations between the proposed mediators (social support and coping self-efficacy).
Results: The full model fit the data well, CFI = .993, SRMR = .027, RMSEA = .036 [90% CIs (0.013, 0.057)]. Tests of sequential mediation supported enabling model dynamics. Specifically, the effects of time 1 traumatic stress severity were mediated through received social support at time 2 and time 3 coping self-efficacy, in sequential order to reduce time 4 traumatic stress severity.
Conclusions: Findings show the importance of received social support and coping self-efficacy in mitigating psychopathology risk. Interventions can support mental health by focusing on social resource engagement that facilitates coping empowerment, which may decrease risk for mental health job-related problems among frontline healthcare workers exposed to highly stressful events.
(© 2022. The Author(s).)
Databáze: MEDLINE
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