[Polish version of the questionnaire for measuring post-traumatic stress disorders PTSD-8 in studies of four groups of medical professions]

BACKGROUND

There are several techniques to diagnose post-traumatic stress disorder (PTSD) symptoms that correspond to the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification of mental disorders. This study aimed at testing the reliability and construct validity of the Polish version of the PTSD-8. The results obtained in four professional groups of healthcare workers (physicians, nurses, paramedics, other occupations) were compared.

MATERIAL AND METHODS

The PTSD-8 questionnaire includes questions on stress reactions manifested by intrusion (4 items), avoidance (2 items), or hypervigilance (2 items). Respondents were asked about their reactions to the traumatic work-related experiences occurring during the COVID-19 pandemic. The nationwide survey conducted in 2022 included 2303 employees, among whom 746 had such an experience and completed the PTSD-8 questionnaire.

RESULTS

Based on confirmatory factor analysis (CFA) results, it was shown that a single-factor model is acceptable, but under the condition of modification by correlation of random errors at selected observable variables. The reliability of this scale is very good (McDonald's Ω = 0.890), and the goodness-of-fit of the overall CFA model is confirmed by: CMIN/DF = 3.969, NFI = 0.982, RFI = 0.964, IFI = 0.986, TLI = 0.983, RMSEA = 0.063. The model estimated for female nurses has the best psychometric properties. In the study group of 2303 respondents, 16.76% met the criteria for PTSD, accounting for 52.74% of those who were traumatized by a work-related event. The PTSD-8 index is M±SD 20.01±5.55 pts (range: 8-32 pts). The PTSD-8 index is significantly higher in women than in men, and higher in nurses compared to other professions. However, the differences between professional groups are significant only for women, and the largest when comparing female physicians and nurses.

CONCLUSIONS

The analyses confirmed the rationale of further implementation of the PTSD-8 questionnaire in Poland, both as a tool for identifying PTSD and for studying the severity of the syndrome, its determinants and health effects. Med Pr Work Health Saf. 2024;75(1):45-56.

COVID-19 Pandemic and Healthcare Communication: A Patient-Centric Evaluation of Treatment and Diagnostic Procedures in Poland

BACKGROUND The COVID-19 pandemic necessitated swift and often abrupt changes in healthcare practices, significantly influencing treatment and diagnostic procedures. This study aimed to gauge patient perceptions regarding these changes and their overall impact on the treatment and diagnosis process (ITDP). MATERIAL AND METHODS In March 2022, we conducted a cross-sectional online survey among 1860 Polish residents (mean age: 48.82±16.57 years), who had accessed medical services within the preceding 24 months. We employed a binary logistic regression model to pinpoint independent factors contributing to a wholly negative perception of the pandemic's influence on the ITDP. RESULTS Around 64.3% of respondents perceived the ITDP during the pandemic negatively, with 20.8% reporting mixed impacts. Of 22 factors considered, 16 were significantly associated with ITDP perceptions in univariate analyses, and 8 qualified for the final multivariate model. The most potent predictors of negative ITDP perceptions included impeded communication with medical personnel due to the emphasis on COVID-19 (OR=2.82; 95% CI: 2.04-3.90) and worsening family financial circumstances during the pandemic (OR=2.03; 95% CI: 1.26-3.27). Other significant predictors comprised viewing remote services as a hindrance to medical communication, higher education, and use of self-funded private healthcare. CONCLUSIONS Our findings confirm that negative perceptions of the ITDP during the COVID-19 pandemic are associated with the remote delivery of medical services and communication challenges. These insights underscore the need to improve these domains for better healthcare delivery amid ongoing or future health crises.

Pandemic-Related Stress and Other Emotional Difficulties in a Sample of Men and Women Living in Romantic Relationships during the COVID-19 Pandemic

This study examined the extent to which relationship quality affects variability in perceived stress and other emotional difficulties associated with the pandemic. The study was conducted 2-17 March 2022 using a self-administered online survey. The sample size consisted of 1405 individuals who were in a romantic relationship. The scales used in the study included the PSS-4, ECR-RS, SLS-12 and the standardized Pandemic-ED scale (RMSEA = 0.032). Increased stress levels (U = -5.741), pandemic-related emotional difficulties (U = -8.720), worse romantic relationship quality (U = -2.564) and more frequent anxiety-related attachment (U = -3.371) were characteristic of women. A hierarchical regression model for stress showed that age (b = -0.143), financial situation (b = 0.024), the ECR-RS scores (b = 0.219) and pandemic-related emotional difficulties (b = 0.358) proved to be statistically significant predictors of stress. The hierarchical regression model for pandemic-related emotional difficulties indicated five predictors: gender (b = 0.166), education (b = 0.071), financial situation (b = 0.203), scores on the ECR-RS scale (b = 0.048) and stress (b = 0.367). The SEM model used has satisfactory fit indices (RMSEA = 0.051), romantic relationship quality scores and attachment styles interact with the variability of perceived pandemic-related stress and burdens. The determined model offers conclusions relevant to clinicians working with individuals and couples during periods of intense stress.

Occupational Burnout in Healthcare Workers, Stress and Other Symptoms of Work Overload during the COVID-19 Pandemic in Poland

This study explored the level and selected determinants of burnout among five groups of healthcare workers (physicians, nurses, paramedics, other medical and nonmedical staff) working during the COVID-19 pandemic in Poland. This cross-sectional study was conducted from February to April 2022, with the use of a self-administered mostly online survey. The BAT-12 scale was used to measure burnout, and the PSS-4 scale was used to measure stress. The sample was limited to 2196 individuals who worked with patients during the COVID-19 pandemic. A series of multivariate logistic regression models with three to nine predictors was estimated. The prevalence of burnout ranged from 27.7% in other nonmedical staff to 36.5% in nurses. Adjusting for age and gender, both physicians (p = 0.011) and nurses (p < 0.001) were at higher risk of burnout. In the final model, elevated stress most likely increased the risk of burnout (OR = 3.88; 95%CI <3.13-3.81>; p < 0,001). Other significant predictors of burnout included traumatic work-related experience (OR =1.91, p < 0.001), mobbing (OR = 1.83, p < 0.001) and higher workload than before the pandemic (OR = 1.41, p = 0.002). Only 7% of the respondents decided to use various forms of psychological support during the pandemic. The presented research can contribute to the effective planning and implementation of measures in the face of crisis when the workload continues to increase.

The Measurement of Love: Psychometric Properties and Preliminary Findings of the Short Love Scale (SLS-12) in a Polish Sample

There has been a perceived need for the development of instruments to assess relationship quality and love. The aim of this study was to describe the psychometric properties of the Short Love Scale (SLS-12) and to compare different measurement models. Data were collected using the CAWI (Computer-Assisted Web Interview) in Poland in early 2022 (18-60 years old; n = 941) among individuals living in formal or informal monogamous relationships. Both exploratory (EFA) and confirmatory factor (CFA) analyses were performed on two different subsamples obtained through random splitting of the full datafile. There were 12 items considered, which form three dimensions in accordance with the theoretical basis. CFA analysis confirmed good psychometric properties of the three-factor SLS-12 model based on EFA solution: χ²(47) = 146.802 (p ˂ 0.001); χ²/df = 3.123; CFI = 0.981, TLI = 0.973, RMSEA = 0.067 (90% CI 0.055-0.080), GFI = 0.952, AGFI = 0.921. SLS-12 subindices varied according to gender and relationship status. Based on ROC curve method, it may be assumed that scores on the SLS-12 ranging from 12 to 44 indicate a poor relationship, scores ranging from 45 to 52 a moderately good relationship, and scores of 53 to 60 a very good relationship. Improving and increasing the range of measures of love available to researchers remains an important task in supporting the progress of this area of research. Further research should be conducted among people of all ages living in both formal and informal relationships using the Short Love Scale-12 outlined in this paper.

Small mammal populations and community under conditions of extremely high thallium contamination in the environment

Studies were carried out in the vicinity of a zinc smelter in southern Poland, 50 km northwest of Krakow, where the previous measurements with another bioindication method revealed huge thallium levels in the environment. The mammals (106 individuals in total) were captured in four wooded areas situated 1.5 to 2.5 km in various directions from the plant and in two reference sites, located far from industrial emission sources. Very high Tl levels were found in livers and kidneys of all mammals examined from the two areas nearest the smelter. Bank voles were the most loaded (maximum Tl in kidneys, 34.27 microgram/g dry mass; in livers, 14.53 microgram/g; values from unpolluted areas were below the detection limit, 0.07 microgram/g). A distinct decrease in the amount of hair-a characteristic of thallium poisoning-was observed in several individuals. The extreme case was a wood mouse with the rear half of its body almost entirely hairless (!). Densities of single populations and the whole community were very low, up to 4.8 individuals/ha, including insectivores. Numerical proportions between species were changed in comparison to unpolluted areas. The age structure was deformed, with a disproportionate small participation by young generations. Among the males studied, only sexually inactive individuals were found. The condition of populations and the community of small mammals living here was much worse compared with data from the surroundings of other zinc smelters.