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Gil-Almagro F, García-Hedrera FJ, Carmona-Monge FJ, Peñacoba-Puente C. A study on optimism as a psychological strength in nurses through a prospective study from the outbreak of the COVID-19 pandemic to two years later. Brain Behav Immun Health 2024; 38:100782. [PMID: 38706572 PMCID: PMC11070230 DOI: 10.1016/j.bbih.2024.100782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 04/21/2024] [Accepted: 04/23/2024] [Indexed: 05/07/2024] Open
Abstract
Aims and objectives This study analyzes, in nurses, the influence of openness to experience and hardiness (assessed at baseline and one year after the COVID-19 pandemic respectively) on the development of optimism (assessed two years after the COVID-19 pandemic). Concerns about self-contagion were included as a moderating variable, given their relevance as a risk factor. Background Nurses have been among the healthcare professionals most affected by the COVID-19 pandemic. Most previous studies have focused on the variables contributing to psychological symptoms, whilst the attention given to the variables adding to the well-being of these professionals has been much scarcer. Design A prospective study was carried out. Methods This study was carried out using three data collection periods: Period 1 (From May to June 2020), Period 2 (From January 2021 to April 2021), and Period 3 (From April 2022 to July 2022), with the participation of 151 Spanish nurses, using online self-reporting questionnaires. The study followed the STROBE statement. Results The results showed that the proposed model was statistically significant. There was a positive effect of openness to experience (year 2020) on hardiness assessed one year later (year 2021). Similarly, hardiness had a positive effect on optimism assessed another year on (year 2022). Conclusions Concerns about self-contagion behaved as a moderator in the relationship between openness to experience and hardiness (the relationship between openness and hardiness was statistically significant when contagion concern was higher). Relevance to clinical practice: In-depth understanding of the psychological processes that trigger psychological strengths (i.e. optimism) as a result of adverse situations (i.e. COVID-19 pandemic) is essential in promoting the mental health of healthcare professionals. Interventions targeting resilient personality traits and cognitive flexibility are key to this goal. No Patient or Public Contribution: The participants contributed exclusively to the collection of the sample.
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Affiliation(s)
- Fernanda Gil-Almagro
- Unidad de Cuidados Críticos, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, 28922, Alcorcón, Madrid, Spain
- Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain
| | - Fernando J. García-Hedrera
- Unidad de Cuidados Críticos, Hospital Universitario Fundación Alcorcón, C. Budapest, 1, 28922, Alcorcón, Madrid, Spain
| | - F. Javier Carmona-Monge
- Servicio de Anestesiología, Hospital Universitario Santiago de Compostela, Rúa da Choupana, s/n, 15706, Santiago de Compostela, A Coruña, Spain
| | - Cecilia Peñacoba-Puente
- Departamento de Psicología, Universidad Rey Juan Carlos, Av. de Atenas, s/n, 28922, Alcorcón, Madrid, Spain
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Gil-Almagro F, Carmona-Monge FJ, García-Hedrera FJ, Peñacoba-Puente C. Headache and Associated Psychological Variables in Intensive Care Unit Nurses during the COVID-19 Pandemic: A Prospective Study. J Clin Med 2024; 13:3767. [PMID: 38999332 PMCID: PMC11242508 DOI: 10.3390/jcm13133767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Revised: 06/20/2024] [Accepted: 06/24/2024] [Indexed: 07/14/2024] Open
Abstract
(1) Background: Headaches in health professionals have been studied over the years. This has become even more relevant during the COVID-19 pandemic, due to their link with the use of masks, being female or working in highly complex units. However, their association with different personality traits has not been studied in healthcare workers (HCWs). The aim of this study was to assess the prevalence and evolution of headaches throughout the pandemic in Intensive Care Unit (ICU) nurses and to analyze their association with sociodemographic, occupational and personality variables as well as with other symptoms. (2) Methods: This was an observational, descriptive, longitudinal, prospective study with two periods of data collection (at the end of the containment phase and six months thereafter). A non-probabilistic convenience sampling was performed (n = 131). (3) Results: A high percentage of ICU nurses reported headaches during the first (71%) or second (79.4%) time point; more than half of the sample (58.8%) reported headaches over time (chronic headache). Although a higher prevalence of headaches was observed in women at both assessment points, no significant gender-related relationships were observed for headaches maintained across the two time points. Regarding the symptoms and personality variables, positive relationships were found between headaches and anxiety (p = 0.005), insomnia (p = 0.030) and emotional exhaustion (p = 0.022), and a negative relationship was found between headaches and hardiness (p = 0.031). (4) Conclusions: Our study highlights the importance of assessing occupational, psychological and emotional aspects in order to decrease the prevalence of headaches and thus improve the quality of the work life of nurses in such demanding environments as the ICU.
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Affiliation(s)
- Fernanda Gil-Almagro
- Faculty of Health Sciences, Department of Psychology, Universidad Rey Juan Carlos, Av. de Atenas, s/n, 28922 Alcorcón, Madrid, Spain;
- Nurse Intensive Care Unit, Hospital Universitario Fundación Alcorcón, Budapest, 1, 28922 Alcorcón, Madrid, Spain;
| | - Francisco Javier Carmona-Monge
- Anesthesia Department, Hospital Universitario Santiago de Compostela, Rúa da Choupana, s/n, 15706 Santiago de Compostela, A Coruña, Spain;
| | - Fernando José García-Hedrera
- Nurse Intensive Care Unit, Hospital Universitario Fundación Alcorcón, Budapest, 1, 28922 Alcorcón, Madrid, Spain;
| | - Cecilia Peñacoba-Puente
- Faculty of Health Sciences, Department of Psychology, Universidad Rey Juan Carlos, Av. de Atenas, s/n, 28922 Alcorcón, Madrid, Spain;
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Wang J, Luo Z, Liao X, Zeng Y, Zhou J, Liu M, Yao Y, Tian J, Luo W. The levels and related factors of posttraumatic growth among nurses: A systematic review and meta-analysis. J Psychiatr Ment Health Nurs 2024; 31:241-254. [PMID: 37724379 DOI: 10.1111/jpm.12975] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 08/23/2023] [Accepted: 08/27/2023] [Indexed: 09/20/2023]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: Nurses often encounter traumatic events in their clinical practice. Trauma can have both negative effects, such as post-traumatic stress disorder and positive effects, such as growth and positive emotions. Posttraumatic growth is beneficial for nurses, as it contributes to positive mental health outcomes and increases life satisfaction. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Our study confirms that nurses commonly experience posttraumatic growth after being exposed to traumatic events, and the level of growth is moderate. We have identified individual, work-related, and social and organizational factors that may influence the occurrence of posttraumatic growth among nurses. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Our findings provide valuable insights for interventions aimed at promoting posttraumatic growth among nurses. It is crucial to consider individual factors, work-related factors, and social and organizational factors when designing these interventions. By addressing these factors, healthcare professionals can support nurses in coping with trauma and facilitate their posttraumatic growth. ABSTRACT INTRODUCTION: While the negative effects of trauma on nurses have been well-documented, it is equally important to focus on ways to promote posttraumatic growth (PTG) among nurses. AIM This study aims to explore the levels and related factors of PTG among nurses. METHOD A comprehensive search was conducted across nine databases up to 26 December 2022. The pooled mean score for PTG was calculated and presented with a 95% confidence interval. Subgroup and meta-regression analyses were performed to identify potential moderators of PTG among nurses. RESULTS A total of 55 studies, involving 35,621 nurses from 11 countries and regions, were included in this review. The pooled scores of the PTG indicated that nurses experienced a moderate level of PTG (55.69, 95% CI: 50.67-60.72). DISCUSSION Nurses commonly experience PTG following exposure to traumatic events, with a moderate level of PTG. Our systematic review highlights the potential determinants of PTG among nurses, including individual, work-related, and social and organizational factors. IMPLICATIONS FOR PRACTICE Targeting these factors in interventions can provide nurses with the necessary resources and support to effectively cope with stress and trauma, and potentially facilitate PTG.
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Affiliation(s)
- Jinfeng Wang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Zhipeng Luo
- Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (West China Hospital Sichuan University Tibet Chengdu Branch Hospital), Chengdu, Sichuan, China
| | - Xinqi Liao
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yanli Zeng
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Jing Zhou
- College of Nursing, Dazhou Vocational and Technical College, Dazhou, Sichuan, China
| | - Minyan Liu
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yue Yao
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Jie Tian
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Wanting Luo
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
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Gil-Almagro F, García-Hedrera FJ, Carmona-Monge FJ, Peñacoba-Puente C. From Anxiety to Hardiness: The Role of Self-Efficacy in Spanish CCU Nurses in the COVID-19 Pandemic. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:215. [PMID: 38399503 PMCID: PMC10890432 DOI: 10.3390/medicina60020215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/21/2024] [Accepted: 01/23/2024] [Indexed: 02/25/2024]
Abstract
Background and Objectives: Evidence shows that throughout the COVID-19 pandemic, nurses suffered from emotional symptoms, yet in spite of this, few studies within "positive psychology" have analyzed the emergence/promotion of positive traits, such as hardiness. In this context, the present study aimed to test a model regarding the mediating role of self-efficacy between anxiety experienced at the beginning of the COVID-19 pandemic and hardiness assessed six months later among nurses in critical care units (CCU) in Spain. Materials and Methods: An observational, descriptive, prospective longitudinal study with two data collection periods: (1) from the 1 to the 21 June 2020 (final phase of the state of alarm declared in Spain on 14 March) in which socio-demographic and occupational variables, anxiety (Depression, Anxiety and Stress Scale, DASS-21), self-efficacy (General Self-Efficacy Scale, GSES) and basal resilience (Resilience Scale-14, RS-14) were assessed, and (2) a follow-up 6 months later (January-March 2021) in which hardiness (Occupational Hardiness Questionnaire, OHQ) was evaluated. To analyze the data, multivariate regressions were performed using the PROCESS macro (simple mediation, model 4). Results: A total of 131 Spanish nurses from CCUs, with a mean age of 40.54 years (88.5% women) participated in the study. Moderate and severe levels of anxiety were observed in 19.1% of the sample. Significant and positive correlations were observed between self-efficacy, hardiness and resilience (all p < 0.001). Significant negative correlations were observed between anxiety and self-efficacy (p < 0.001), hardiness (p = 0.027) and resilience (p = 0.005). The indirect effect of anxiety on hardiness through self-efficacy was significant (Effect (SE) = -0.275 (0.100); LLCI = -0.487, ULCI = -0.097), contributing to 28% of the variance, including resilience (p = 0.015), age (p = 0.784), gender (p = 0.294) and years of experience (p = 0.652) as covariates. A total mediation was observed (non-significant anxiety-hardiness direct effect; Effect (SE) = -0.053 (0.215), t = 0.248, p = 0.804, LLCI = -0.372, ULCI = 0.479). Conclusions: The results suggest that in Spanish CCU nurses, anxiety experienced at the beginning of the COVID-19 pandemic may contribute to the development of hardiness through positive resources such as self-efficacy.
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Affiliation(s)
- Fernanda Gil-Almagro
- Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
- Hospital Universitario Fundación Alcorcón, 28922 Alcorcón, Spain;
| | | | | | - Cecilia Peñacoba-Puente
- Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain;
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Liu J, Wei S, Qiu G, Li N, Wang D, Wu X, Gan X, Yi H. Relationship between rumination and post-traumatic growth in mobile cabin hospital nurses: The mediating role of psychological resilience. Prev Med Rep 2023; 34:102266. [PMID: 37288138 PMCID: PMC10241969 DOI: 10.1016/j.pmedr.2023.102266] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 05/25/2023] [Accepted: 05/26/2023] [Indexed: 06/09/2023] Open
Abstract
Psychological resilience helps individuals to actively respond to various emergencies, but its mediating role between the rumination and post-traumatic growth (PTG) of nurses remains unknown. Our study aimed to explore the extent to which psychological resilience mediates the association between rumination and PTG among nurses working in mobile cabin hospitals. This cross-sectional survey was conducted on 449 medical team members working in mobile cabin hospitals to support the prevention and control of coronavirus disease 2019 in Shanghai, China in 2022. Pearson correlation analysis was applied to assess the correlation between rumination, psychological resilience, and PTG. Structural equation models were used to examine the mediating role of psychological resilience between rumination and PTG. Our study results showed that deliberate rumination directly promoted psychological resilience and PTG and had positive effects on PTG through the mediating effect of psychological resilience. Invasive rumination had no direct effect on PTG. However, it had a negative effect on PTG through the mediating effect of psychological resilience. Together the results of this study indicate that the mediating effect of psychological resilience was significant in the association of rumination and PTG among mobile cabin hospital nurses, with a higher individual psychological resilience level helping nurses to achieve PTG. Therefore, targeted interventions should be implemented to improve nurses' psychological resilience and guide their rapid growth.
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Affiliation(s)
- Jing Liu
- Department of Gynecology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Sha Wei
- Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Guohong Qiu
- Emergency department, Tongnan District People’s Hospital of Chongqing, Chongqing, China
| | - Ni Li
- Department of Obstetrics, Wansheng District People’s Hospital of Chongqing, Chongqing, China
| | - Delin Wang
- Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xiaohou Wu
- Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xiangzhi Gan
- Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Hongmei Yi
- Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
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Leclère M, Hysenaj A, Meha R, Tahirbegolli B, Schwarz P, Steenblock C, Prekazi L, Isufi A, Shemsedini N. The Impact of Information About COVID-19 on the Endocrine Stress System and Cognitive Distortions. Horm Metab Res 2023; 55:89-95. [PMID: 36669522 PMCID: PMC9886441 DOI: 10.1055/a-1997-0550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic is one of the major health concerns worldwide affecting not only human physical health but also contributing to the development of many mental disorders including impairment of the cognitive function. It is highly conceivable that elevation of the stress hormones, i.e., glucocorticoids and catecholamines, due to the infection, as well as the presence of psychosocial stressors, such as COVID-19 information, play a critical role in the development of these disorders. In the present study, the potential impact of exposure to COVID-19 information on the cognitive distortion and stress levels was analyzed in a population of 32 first-year medical sciences students using the stress assessment questionnaire (SAQ) and the posttraumatic cognitions inventory (PTCI) surveys. Both surveys demonstrated no acute change in the stress and post-traumatic cognition levels between medical sciences students who were either exposed or not to information about COVID-19. Interestingly, analysis of the stress and cognition points across the first and second measurements of the SAQ categories revealed a significant change in the control group but not in the experimental group. In addition, there was no significant difference among groups when considering the time*group factor. To conclude, we found that exposure to information about COVID-19 did not contribute acutely to cognitive distortion and stress levels among participating students. The previous exposure to COVID-19-related information from media and living during the COVID-19 pandemic era might have enhanced the awareness of the students to the situation.
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Affiliation(s)
- Mariel Leclère
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
| | - Arben Hysenaj
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
| | - Rina Meha
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
| | | | - Peter Schwarz
- Department of Medicine III, Dresden, University Hospital Carl Gustav
Carus, Germany
| | - Charlotte Steenblock
- Department of Medicine III, Dresden, University Hospital Carl Gustav
Carus, Germany
| | - Lulejete Prekazi
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
| | - Albane Isufi
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
| | - Nevzat Shemsedini
- Psychology of Assessment and Intervention, College Heimerer, Pristina,
Kosovo
- Correspondence Mr. Nevzat
Shemsedini College
HeimererPsychology of Assessment and
InterventionCalabria Str. C and D
entry10000
PristinaAlbania0038345964677
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Factors Associated with Post-Traumatic Growth in Healthcare Professionals: A Systematic Review of the Literature. Healthcare (Basel) 2022; 10:healthcare10122524. [PMID: 36554048 PMCID: PMC9777806 DOI: 10.3390/healthcare10122524] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 12/09/2022] [Accepted: 12/13/2022] [Indexed: 12/15/2022] Open
Abstract
Post-traumatic growth (PTG) research is flourishing across various disciplines; however, it is only emerging in healthcare. Recently, a flurry of studies assessed PTG among healthcare professionals. However, to date, no systematic review has identified the factors that predict their experiences of PTG among healthcare professionals. The current paper aims to address this gap. Of 126 papers, 27 were selected for this systematic review. The analysis identified a range of demographic, individual (work-related and personal), interpersonal and environmental factors that contributed to healthcare professionals' experiences of PTG. Analysis of findings offers a novel perspective on individual factors by dividing them into personal and work-related factors. Results also highlight a variety of psychological interventions that can be used in healthcare to cultivate PTG. In addition, the gaps in current research, implications for further research, policy and practice that can facilitate the experience of PTG among healthcare professionals are discussed.
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Llistosella M, Castellvi P, Miranda-Mendizabal A, Recoder S, Calbo E, Casajuana-Closas M, Leiva D, Manolov R, Matilla-Santander N, Forero CG. Low Resilience Was a Risk Factor of Mental Health Problems during the COVID-19 Pandemic but Not in Individuals Exposed to COVID-19: A Cohort Study in Spanish Adult General Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15398. [PMID: 36430116 PMCID: PMC9690878 DOI: 10.3390/ijerph192215398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/17/2022] [Accepted: 11/18/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The aim is to analyze whether people with low resilience are at higher risk of mental health problems during the COVID-19 pandemic in Spanish adults. METHODS a longitudinal cohort study was carried out. Resilience was measured with the CD-RISC. Mental health problems that were assessed included: Major Depressive Episode (MDE), Generalized Anxiety Disorder (GAD), Suicidal Thoughts and Behaviors (STB), and Posttraumatic Stress Disorder (PTSD) symptoms. RESULTS we found statistically significant differences between groups and resilience scores in MDE [F (3; 48.40) = 19.55], GAD [F (3; 19.63) = 6.45] and STB [F (3; 111.74) = 31.94]. Multivariable analyses showed individuals with very low resilience were at a 5-fold risk of Incidence of MDE and a 4-fold risk of STB. Persistent group presented a 21-fold risk of MDE and 54-fold risk of STB. No evidence of higher risk was found for GAD. Individuals with low resilience and exposed to COVID-19 were not at higher risk. Individuals with low resilience were at higher risk of PTSD in general population [β(95% CI) = -3.25 (-3.969 to -2.54)], but not for individuals with COVID-19. CONCLUSIONS in the general population, having low or very low resilience increases the risk of suffering MDE, STB, and PTSD, but not GAD during the COVID-19 pandemic, and not in the population with COVID-19.
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Affiliation(s)
- Maria Llistosella
- Primary Health Care, Consorci Sanitari de Terrassa, 08227 Terrassa, Spain
- Department of Nursing, Universitat International de Catalunya (UIC), 08195 Sant Cugat del Vallès, Spain
| | - Pere Castellvi
- School of Medicine, International University of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
| | | | - Silvia Recoder
- Department of Basic Sciences, International University of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
| | - Ester Calbo
- Servei Català de la Salut, 08028 Barcelona, Spain
| | - Marc Casajuana-Closas
- Institut Universitari de Investigació en Atenció Primaria Jordi Gol (IDIAP Jordi Gol), 08007 Barcelona, Spain
| | - David Leiva
- Department of Social Psychology and Quantitative Psychology, University of Barcelona (UB), 08007 Barcelona, Spain
| | - Rumen Manolov
- Department of Social Psychology and Quantitative Psychology, University of Barcelona (UB), 08007 Barcelona, Spain
| | - Nuria Matilla-Santander
- Unit of Occupational Medicine, The Institute of Environmental Medicine (IMM), Karolinska Institutet, 171 65 Stockholm, Sweden
| | - Carlos G. Forero
- School of Medicine, International University of Catalonia (UIC), 08195 Sant Cugat del Vallès, Spain
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9
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Atay N, Sahin‐Bayindir G, Buzlu S, Koç K, Kuyuldar Y. The relationship between posttraumatic growth and psychological resilience of nurses working at the pandemic clinics. Int J Nurs Knowl 2022. [DOI: 10.1111/2047-3095.12397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 09/08/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Nuvit Atay
- Faculty of Health Sciences Department of Nursing Istanbul Medipol University Beykoz Istanbul Turkey
| | - Gizem Sahin‐Bayindir
- Department of Mental Health and Psychiatric Nursing Istanbul University – Cerrahpasa Florence Nightingale Faculty of Nursing Sisli Istanbul Turkey
| | - Sevim Buzlu
- Department of Mental Health and Psychiatric Nursing Istanbul University – Cerrahpasa Florence Nightingale Faculty of Nursing Sisli Istanbul Turkey
| | - Kadriye Koç
- Istanbul Medipol University Graduate School of Health Sciences Beykoz Istanbul Turkey
| | - Yusuf Kuyuldar
- Istanbul Medipol University Graduate School of Health Sciences Beykoz Istanbul Turkey
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10
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Stress and Resilient Coping among Nurses: Lessons Learned from the COVID-19 Pandemic. PSYCH 2022. [DOI: 10.3390/psych4030047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
(1) Background: the COVID-19 pandemic is still taking over the world, and with new virus strains, the burden on the health systems and healthcare teams is yet to end. The study explored stress and employed resilient coping measures among nurses working with COVID-19 patients. (2) Methods: the current study used a convergent triangulation design using a qualitative and quantitative approach, with a sample of 113 nurses working at Beni-Suef University Hospital between November 2021 and April 2022 using an online form. Data were collected using a sociodemographic characteristics questionnaire, the Nursing Stress Scale, Brief Resilient Coping Scale, and a qualitative interview. (3) Results: the studied nurses experienced severe stress, with moderate-to-low resilient coping in total. There was a strong negative highly statistically significant correlation between stress and coping. Qualitative data analysis showed that attention to the spiritual side, communicating with friends and family, accepting the current situation, and helping others in need were key themes that emerged to moderate studied nurses’ stress. (4) Conclusions: nurses who work with COVID-19 patients experience high levels of stress regardless of their characteristics; spiritual coping strategies, communication with family, and helping others were the dominant resilient coping approaches employed by nurses to moderate stress.
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11
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Adolescent and young adult survivors of cancer: relationship between resilience and post-traumatic growth. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03649-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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12
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Ramsenthaler C, Baumann K, Büssing A, Becker G. Cross-cultural validity of the Death Reflection Scale during the COVID-19 pandemic. Front Psychol 2022; 13:957177. [PMID: 35992449 PMCID: PMC9382129 DOI: 10.3389/fpsyg.2022.957177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 07/08/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe global COVID-19 pandemic confronts people with their fragility, vulnerability, and mortality. To date, scales to measure death awareness mainly focus on the anxiety-provoking aspect of mortality cues. This study aims to cross-culturally adapt and validate the Death Reflection Scale (DRS), a scale for measuring positive, growth-oriented cognitions of life reflection and prosocial behavior following confrontation with the finiteness of life.Materials and MethodsThe Death Reflection Scale was translated and adapted in a multi-step process to the German language. In this anonymous, cross-sectional, online survey at a large university in Germany, students, healthcare professionals (HCP) and other staff completed the DRS alongside comparison measures. Multi-group confirmatory factor analysis was used to assess configural, metric, and scalar measurement equivalence across four age and occupational groups. Convergent/divergent validity testing was done via Spearman correlations.Results1,703 participants provided data for a response rate of ∼5%. 24% of respondents were HCP, 22% students. Confirmatory factor analysis showed a higher-order structure of the DRS with a strong general factor and the originally proposed five subscales (CFI 0.945, SRMR 0.045, RMSEA 0.055). Multi-group CFA showed partial metric equivalence across age groups and partial scalar invariance across occupational groups. Non-invariant scales were the Motivation to live, Putting life into perspective, and Legacy subscales. In the convergent validity testing, two hypotheses were fully confirmed, two partially and four were not confirmed. Experiencing a propensity for increased contemplation and life reflection during the pandemic together with spirituality showed correlations of moderate to large size to the DRS and its subscales (Spearman’s rho ranging from 0.31 to 0.52).ConclusionFurther conceptual work for death awareness to explore the construct’s stability in different population groups needs to be undertaken. However, the DRS can be mostly used to assess positive and growth-oriented aspects of death awareness and death reflection which may be an important avenue when developing counseling and support interventions for groups experiencing a high burden during the pandemic.
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Affiliation(s)
- Christina Ramsenthaler
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur, Switzerland
- Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King’s College London, London, United Kingdom
- Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, United Kingdom
| | - Klaus Baumann
- Caritas Science and Christian Social Work, Faculty of Theology, University of Freiburg, Freiburg im Breisgau, Germany
- IUNCTUS – Competence Center for Christian Spirituality, Philosophical-Theological Academy, Münster, Germany
| | - Arndt Büssing
- IUNCTUS – Competence Center for Christian Spirituality, Philosophical-Theological Academy, Münster, Germany
- Chair of Quality of Life, Spirituality and Coping, Faculty of Health, Witten/Herdecke University, Herdecke, Germany
| | - Gerhild Becker
- Clinic for Palliative Medicine, University Medical Center Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany
- *Correspondence: Gerhild Becker,
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13
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Yan Z, Wenbin J, Bohan L, Qian W, Qianqian L, Ruting G, Silong G, Miao T, Huanting L, Lili W. Post-traumatic growth trajectories among frontline healthcare workers during the COVID-19 pandemic: A three-wave follow-up study in mainland China. Front Psychiatry 2022; 13:945993. [PMID: 36032252 PMCID: PMC9399491 DOI: 10.3389/fpsyt.2022.945993] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 07/25/2022] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES The COVID-19 pandemic has taken a significant toll on people worldwide for more than 2 years. Previous studies have highlighted the negative effects of COVID-19 on the mental health of healthcare workers (HCWs) more than the positive changes, such as post-traumatic growth (PTG). Furthermore, most previous studies were cross-sectional surveys without follow-ups. This study draws on PTG follow-up during the COVID-19 outbreak at 12-month intervals for 2 years since 2020. The trajectories and baseline predictors were described. METHODS A convenience sampling method was used to recruit frontline nurses or doctors at the COVID-19-designated hospital who were eligible for this study. A total of 565 HCWs completed the 2 years follow-up and were used for final data analysis. The latent growth mixture models (GMM) was used to identify subgroups of participants with different PTG trajectories. Multinomial logistic regression model was used to find predictors among sociodemographic characteristics and resilience at baseline. RESULTS Four trajectory PTG types among HCWs were identified: 'Persistent, "Steady increase", "High with drop", and "Fluctuated rise." Comparing the "Persistent low" type, the other three categories were all associated with older age, higher education. Furthermore, "Persistent low" was also negatively associated with resilience at baseline. CONCLUSION The PTG of HCWs with different characteristics showed different trends over time. It is necessary to increase the measure frequency to understand the PTG status in different times. Improving HCW's resilience could help improve staff PTG.
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Affiliation(s)
- Zhang Yan
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Jiang Wenbin
- Department of Nursing and Hospital Infection Management, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Lv Bohan
- School of Nursing, Qingdao University, Qingdao, China
| | - Wu Qian
- Department of Neonatology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Qianqian
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Gu Ruting
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Gao Silong
- Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Tuo Miao
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Huanting
- Office of Director, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Wei Lili
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
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14
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Gonda X, Tarazi FI. Well-being, resilience and post-traumatic growth in the era of Covid-19 pandemic. Eur Neuropsychopharmacol 2022; 54:65-66. [PMID: 34538545 PMCID: PMC8413303 DOI: 10.1016/j.euroneuro.2021.08.266] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/25/2021] [Accepted: 08/30/2021] [Indexed: 12/02/2022]
Affiliation(s)
- Xenia Gonda
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary; NAP-2-SE New Antidepressant Target Research Group, Semmelweis University, Budapest, Hungary.
| | - Frank I Tarazi
- Department of Psychiatry and Neuroscience Program, Harvard Medical School and McLean Hospital, Boston, MA, United States
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15
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Prekazi L, Hajrullahu V, Bahtiri S, Kryeziu B, Hyseni B, Taganoviq B, Gallopeni F. The Impact of Coping Skills in Post-traumatic Growth of Healthcare Providers: When Mental Health Is Deteriorating Due to COVID-19 Pandemic. Front Psychol 2021; 12:791568. [PMID: 34925193 PMCID: PMC8678123 DOI: 10.3389/fpsyg.2021.791568] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 11/02/2021] [Indexed: 12/28/2022] Open
Abstract
Background: Frontline healthcare providers are consistently exposed to potentially traumatic events while assisting patients with COVID-19. Post-traumatic growth (PTG) happens when a person can transform trauma and use adversity in one’s advantage. In response to limited studies on positive outcomes that may occur from the pandemic; this study aimed to elucidate the positive impact of coping with COVID-19 outbreak on mental health, such as PTG. Methodology: The study comprised a sample of 691 healthcare providers 59% female, including physicians (n = 138) and nurses (n = 550), working in public health facilities in Kosovo, with an average age of 41.6 years (SD = 10.79). They were asked to complete a questionnaire with four parts: Socio-demographic, GHQ-28, COPE and PTGI. A deterioration of mental health with somatic symptoms leading to the escalation due to COVID-19 outbreak was found. Results: Female healthcare providers reported more clinical symptoms as well as higher coping skills scores than men. The domains in which positive changes were most frequently observed were Relating to Others, New Possibilities and Personal Strength. There was no significant direct effect of mental health on PTG in the mediation model, though a significant indirect effect was observed for coping skills. Conclusion: The results suggest that levels of mental health exacerbation do not play a conclusive role in determining levels of PTG, as long coping mechanisms are in place. The development and implementation of interventions to minimize COVID-19-related mental health consequences, by fostering PTG among healthcare providers could be highly beneficial in pandemic response work.
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Affiliation(s)
| | | | | | - Blerta Kryeziu
- Heimerer College, Prishtine, Kosovo.,Faculty of Medicine, Department of Nursing and Midwifery, University of Prishtina, Pristina, Kosovo
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16
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Finstad GL, Giorgi G, Lulli LG, Pandolfi C, Foti G, León-Perez JM, Cantero-Sánchez FJ, Mucci N. Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9453. [PMID: 34574378 PMCID: PMC8468098 DOI: 10.3390/ijerph18189453] [Citation(s) in RCA: 99] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 09/01/2021] [Accepted: 09/04/2021] [Indexed: 12/14/2022]
Abstract
The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers' health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers' adaptive coping skills, resilience and PTG in order to promote wellbeing.
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Affiliation(s)
- Georgia Libera Finstad
- Department of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy;
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - Gabriele Giorgi
- Department of Human Sciences, European University of Rome, 00163 Rome, Italy;
| | | | - Caterina Pandolfi
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - Giulia Foti
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - José M. León-Perez
- Department of Social Psychology, Universidad de Sevilla, 41004 Sevilla, Spain; (J.M.L.-P.); (F.J.C.-S.)
| | | | - Nicola Mucci
- Department of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy;
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