BackgroundThe literature shows the negative psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on frontline healthcare workers. However, few are known about the mental health of physicians and nurses working in general hospitals during the outbreak, caring for patients with COVID-19 or not.ObjectivesThis survey assessed differences in mental health in physicians and nurses working in COVID-19 or non-COVID-19 medical care units.DesignA cross-sectional mixed-mode survey was used to assess burnout, insomnia, depression, anxiety, and stress.SettingA total of 1,244 physicians and nurses from five general hospitals in Belgium, working in COVID-19 care units (CCU), non-COVID-19 care units (NCCU), or both (CCU + NCCU) were informed of the study.ParticipantsSix hundred forty-seven healthcare workers participated in the survey (response rate = 52%).MeasurementsValidated instruments were used to assess the outcomes: the PFI (burnout/professional fulfillment), the ISI (insomnia), and the DASS-21 (depression, anxiety, and stress).ResultsResults showed high prevalence of burnout, insomnia, depression, and anxiety among participants. After adjusting for confounders, multivariate analysis of variance showed no differences between CCU, NCCU, and CCU + NCCU workers. Univariate general linear models showed higher level of burnout, insomnia, and anxiety among nurses in comparison to physicians. Being a nurse, young, isolated, with an increased workload were risk factors for worse mental health outcomes.LimitationsThe mental health of the tested sample, before the outbreak, is unknown. Moreover, this cross-sectional design provides no information on the evolution of the mental health outcomes over time.ConclusionDirectly caring for patients with COVID-19 is not associated with worse mental health outcomes among healthcare workers in general hospitals. High prevalence of burnout, insomnia, depression, and anxiety among physicians and nurses requires special attention, and specific interventions need to be implemented.Protocol RegistrationClinicalTrials.gov, identifier NCT04344145.
BackgroundThe relationships between anhedonia and suicidal ideation or suicide attempts were explored in a large sample of physicians using the interpersonal psychological theory of suicide. We tested two hypotheses: firstly, that there is a significant relationship between anhedonia and suicidality and, secondly, that anhedonia could mediate the relationships between suicidal ideation or suicide attempts and thwarted belongingness or perceived burdensomeness.MethodsIn a cross-sectional study, 557 physicians filled out several questionnaires measuring suicide risk, depression, using the abridged version of the Beck Depression Inventory (BDI-13), and demographic and job-related information. Ratings of anhedonia, perceived burdensomeness and thwarted belongingness were then extracted from the BDI-13 and the other questionnaires.ResultsSignificant relationships were found between anhedonia and suicidal ideation or suicide attempts, even when significant variables or covariates were taken into account and, in particular, depressive symptoms. Mediation analyses showed significant partial or complete mediations, where anhedonia mediated the relationships between suicidal ideation (lifetime or recent) and perceived burdensomeness or thwarted belongingness. For suicide attempts, complete mediation was found only between anhedonia and thwarted belongingness. When the different components of anhedonia were taken into account, dissatisfaction—not the loss of interest or work inhibition—had significant relationships with suicidal ideation, whereas work inhibition had significant relationships with suicide attempts.ConclusionsAnhedonia and its component of dissatisfaction could be a risk factor for suicidal ideation and could mediate the relationship between suicidal ideation and perceived burdensomeness or thwarted belongingness in physicians. Dissatisfaction, in particular in the workplace, may be explored as a strong predictor of suicidal ideation in physicians.
Background The relationships between hedonic deficits, type D personality and suicidal ideation were explored in a group of medical students. Methods In a cross-sectional study, 382 medical students filled out several questionnaires measuring suicide risk, depression (using the Beck Depression Inventory, i.e. BDI), type D personality (using the type D personality scale-14, i.e. DS-14) and anhedonia (using the anhedonia subscale of the BDI, the Snaith Hamilton Pleasure Scale, the Anticipatory and Consummatory subscales of the Physical Anhedonia Scale). Results State anhedonia and, in particular, recent change of state anhedonia and not trait anhedonia was significantly associated with suicidal ideation, specifically when depression was controlled for. Negative affectivity component of type D personality and anhedonia were independent predictors of suicidal ideation even when depression was controlled for. Loss of pleasure and not loss of interest was a significant predictor of suicidal ideation. Conclusions Change of state anhedonia and its component of loss of pleasure measuring dissatisfaction in life could be a risk factor of suicidal ideation in medical students. Dissatisfaction, particularly in the medical course, could be a strong predictor of suicidal ideation in medical students.
In this study, the factor structure and psychometric properties of a French adaptation of the well-established Loneliness and Aloneness Scale for Children and Adolescents (LACA) was investigated in a French-speaking sample of Belgian adolescents (N = 641; Mage = 14.35, SD = 2.03; 53.4% girls). In addition, measurement invariance analyses across the two main language groups in Belgium (i.e., Dutch-speaking and French-speaking) and across age and gender were conducted on a combined sample of French-speaking and Dutch-speaking Belgian adolescents (N = 1282; Mage = 14.36 years, SD = 2.03; 53.6% female). Subsequently, group mean differences across language, age, and gender groups were investigated. Convincing support was found for the expected four-factor structure of the French adaptation of the LACA and the measure showed good reliability. Results further indicated that Belgian adolescents from the two principal language groups and from different age and gender groups interpreted the items of the LACA similarly. Therefore, analyses of group mean differences could be compared. Given the small effect sizes that accompanied the obtained effects, replication research is needed to further investigate these group mean differences. Keywords Loneliness . Attitudes toward aloneness . Measurement invariance . Regional differences . Belgium Loneliness is Bthe unpleasant experience that occurs when a person's network of social relations is deficient in some important way, either quantitatively or qualitatively^ (Perlman and Peplau 1981, p. 31). Loneliness is a universal phenomenon that occurs throughout the lifespan, but is particularly salient during adolescence (Qualter et al. 2015). More specifically, loneliness in the relationships with peers and with parents tends to peak during adolescence (Marcoen and Goossens 1993). Adolescents are typically confronted with numerous changes in their social world, such as a more pronounced preoccupation with their social status and higher expectations about social relationships in the peer realm, and greater autonomy in their relationship with their parents (Heinrich and Gullone 2006;Laursen and Hartl 2013). These changes make adolescents highly vulnerable to experiencing feelings of loneliness, which in turn is associated with several negative mental and physical health problems (Heinrich and Gullone 2006).Aloneness is the objective experience of being without company (Long and Averill 2003) and is not the same as loneliness. One can feel lonely when alone but also when surrounded by people. From early adolescence onwards, young people spend a greater amount of time alone and their experience of being alone changes substantially (Larson 1997;Larson and Richards 1991). Aloneness emerges as a constructive domain of experience in adolescents' life, represented by a positive association between time spent alone and adolescents' well-being (Larson 1997). In addition, adolescents may have more or less positive or negative attitudes toward aloneness. These attitudes toward aloneness may funct...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.