Статья

Stress and stigmatization in health-care workers during the COVID-19 pandemic

M. Sorokin, E. Kasyanov, G. Rukavishnikov, O. Makarevich, N. Neznanov, P. Morozov, N. Lutova, G. Mazo,
2021

Background: The health-care workers showed the highest risks of the adverse psychological reactions from the COVID-19 pandemic. Aim: This study aimed to evaluate the structure and severity of psychological distress and stigmatization in different categories of health-care workers during the COVID-19 pandemic. Materials and Methods: This study included two phases of online survey in 1800 Russian-speaking health-care workers (March 30-April 5 and May 4-May 10, 2020). The Psychological Stress Scale (PSM-25) and modified Perceived Devaluation-Discrimination scale (Cronbach's a = 0.74) were used. Dispersion analysis was performed with P = 0.05, Cohen's d, and Cramer's V calculated (effect size [ES]). Results: The psychological stress levels decreased in the second phase (ES = 0.13), while the stigma levels (ES = 0.33) increased. Physicians experienced more stress compared with nurses and paramedical personnel (ES = 0.34; 0.64), but were less likely to stigmatize SARS-CoV-2-infected individuals (ES = 0.43; 0.41). The increasing probability of contact with infected individuals was associated with higher levels of psychological stress (probable contact ES = 0.48; definite contact ES=0.97). The highest rates of contacts with COVID-19 patients were reported by physicians (?2 = 123.0; P = 0.00, Cramer's V = 0.2), the youngest (ES = 0.5), and less experienced medical workers (ES = 0.33). Conclusion: Direct contact with coronavirus infection is associated with a significant increase in stress among medical personnel. The pandemic compromises the psychological well-being of the youngest and highly qualified specialists. However, the stigmatizing reactions are not directly associated with the risks of infection and are most prevalent among nurses and paramedical personnel. © 2020 Indian Journal of Psychiatry Published by Wolters Kluwer-Medknow.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • M. Sorokin
    V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Saint-Petersburg, Russian Federation
  • E. Kasyanov
    Department of Psychiatry and Addictions, I.P. Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russian Federation
  • G. Rukavishnikov
    Department of Psychiatry, Faculty for Advanced Medical Studies, N.I. Pirogov National Medical Research University, Moscow, Russian Federation
  • O. Makarevich
  • N. Neznanov
  • P. Morozov
  • N. Lutova
  • G. Mazo
Название журнала
  • Indian Journal of Psychiatry
Том
  • 62
Выпуск
  • 9
Страницы
  • S445-S453
Ключевые слова
  • adult; anesthesiologist; Article; cohort analysis; common cold; coronavirus disease 2019; coughing; disease severity; dispersion analysis; distress syndrome; employment; female; health care personnel; health care survey; human; intensive care unit; Likert scale; major clinical study; maladjustment; male; middle aged; modified Perceived Devaluation Discrimination scale; paramedical personnel; Psychological Stress Scale; questionnaire; risk factor; scoring system; Severe acute respiratory syndrome coronavirus 2; sex difference; sneezing; social distancing; social isolation; social stigma; somatic disease; stigmatization; stress; threshold limit value; work experience
Издатель
  • Wolters Kluwer Medknow Publications
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus