Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

Tam, Cheuk Chi; Sun, Shufang; Yang, Xueying; Li, Xiaoming; Zhou, Yuejiao; Shen, Zhiyong

doi:10.1007/s10461-020-03068-w

Cited by 39 publications

(42 citation statements)

References 57 publications

(68 reference statements)

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“…Four studies reported a strong link between personal resilience and depression (Luceno-Moreno et al ., 2020; Lin et al ., 2020; Khalaf et al ., 2020; Yoruk & Guler, 2020), suggesting that interventions to enhance resilience among healthcare workers may help prevent or reduce the occurrence of depression in this population during the COVID-19 pandemic. In addition to depression and anxiety, a few more studies confirmed the protective role of psychological resilience against psychological stress (Tam et al ., 2020; Luceno-Moreno et al ., 2020; Khalaf et al ., 2020), emotional exhaustion (Di Monte et al ., 2020), and PTSD symptoms (Maiorano et al ., 2020; Lucero-Moreno et al ., 2020; Li et al ., 2020). In one study, resilience partially mediated the association between institutional support and coronavirus-related distress (Tam et al ., 2020).…”

Section: Methodsmentioning

confidence: 93%

“…A number of papers examined the effects of psychological resilience on the mental health of healthcare workers (12/31) (Di Monte et al ., 2020; Huang et al ., 2020a; Khalaf et al ., 2020; Labrague & De los Santos, 2020a; Labrague & De los Santos, 2020b; Li et al ., 2020; Lin et al ., 2020; Lucero-Moreno et al ., 2020; Maiorano et al ., 2020; Mohave et al ., 2020; Tam et al ., 2020; Yoruk & Guler, 2020). Of these, eight studies reported a protective role of psychological resilience against coronavirus-related anxiety.…”

Section: Methodsmentioning

confidence: 99%

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Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Labrague

2020

Preprint

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Background: A wide range of evidence has shown that healthcare workers, currently on the frontlines in the fight against COVID-19, are not spared from the psychological and mental health-related consequences of the pandemic. Studies synthesizing the role of coping behaviours, psychological resilience, and social support in safeguarding the mental health of HCWs during the pandemic is largely unknown. Aim (s): To appraise and synthesize studies examining psychological resilience, coping behaviours, and social support among healthcare workers (HWCs) during the coronavirus pandemic. Design: This is a systematic review with a narrative synthesis. Method: Using articles from PubMed, CINAHL, SCOPUS, MEDLINE and PsychINFO, a total of 31 articles were included in the review. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement guidelines. Results: Healthcare workers were found to have moderate to high levels of psychological resilience and utilized both problem-centred coping (e.g., use of social support, praying) and emotion-centred coping (e.g., use of diversionary activities) to manage the stress-associated with the coronavirus pandemic. Coping behaviours, psychological resilience, and social support were associated with positive mental and psychological health outcomes. Conclusion: Substantial evidence supports the effectiveness of coping behaviours, psychological resilience, and social support to preserve psychological and mental health among HCWs during the COVID-19 pandemic. Relevance to Practice: In order to safeguard the mental health and well-being of HCWs during the pandemic, hospital and nursing administrators should focus on building coping skills, psychological resilience, and social support in HWCs through innovative and theory-based interventions, supportive leadership, and fostering a resilient work environment.

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Section: Methodsmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Labrague

2020

Preprint

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“…Parental psychological distress was assessed using the Patient Health Questionnaire (PHQ-4), with four items asking mood disorder symptoms, including two items for depression and other two items for anxiety ( Löwe et al, 2010 ). The PHQ-4 has been applied in Chinese population previously, suggesting good validity and reliability ( Tam et al, 2021 ; Zhang et al, 2020 ). It assessed the frequency of the following symptoms that participants experienced in the past two weeks (e.g.…”

Section: Methodsmentioning

confidence: 99%

Parental psychological distress and attitudes towards COVID-19 vaccination: A cross-sectional survey in Shenzhen, China

Zhang

Zhou

et al. 2021

Journal of Affective Disorders

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Background Parental attitudes towards the vaccines play a key role in the success of the herd immunity for the COVID-19. Psychological health seemed to be a controversial determinant of vaccine hesitancy and remained to be investigated. This study attempted to measure parental psychological distress, attitudes towards the COVID-19 vaccine, and to explore the potential associations. Methods An online survey using convenience sampling method was conducted among parents within the school public health network of Shenzhen. Demographic information and attitudes towards COVID-19 vaccination were collected. The Patient Health Questionnaire (PHQ-4) was applied to measure psychological distress. Results Overall, 4,748 parents were included (average age: 40.28, standard deviation: 5.08). More than one fifth of them demonstrated psychological distress, in which only 3.3% were moderate to severe symptom. The proportions of COVID-19 vaccine hesitancy for themselves, their spouses, and their children were 25.2%, 26.1%, and 27.3%, respectively. Parents with psychological distress were more likely to suffer vaccine hesitancy for themselves (OR: 1.277, 95%CI: 1.091∼1.494), for their spouses (OR:1.276, 95%CI: 1.088∼1.496) and children (OR:1.274, 95%CI: 1.092∼1.486). These associations tended to be more significant among parents with mild or severe psychological distress. Limitation Non-random sampling limited the generalization of our findings to all parents. Conclusion Parents had a low level of psychological distress but relatively high willingness of COVID-19 vaccination when there was no local epidemic but persistent risk of imported cases. Targeted health education and intervention strategies should be provided to people with vaccine hesitancy, especially for those who were susceptible to psychological distress.

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“…The survey, about 15 min in response time, assessed participants' perceived challenges for delivering HIV care service and observed patient HIV care outcomes during the COVID-19 outbreak (January to March 2020). We employed SO JUMP system technology, a widely used Chinese online survey tool similar to Amazon Mechanical Turk in data collection (Tam et al, 2020). The eligibility criteria for participants included: (1) currently providing HIV-related care and services; (2) 18 years of age or older;…”

Section: Participants and Proceduresmentioning

confidence: 99%

Challenges to HIV service delivery and the impacts on patient care during COVID-19: perspective of HIV care providers in Guangxi, China

et al. 2020

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The COVID-19 pandemic has brought immense challenges on the health system including HIV care service. Based on online survey data of 1,029 HIV care providers in Guangxi, China, we assessed their perspectives on the challenges for HIV service delivery and perceived impacts of such challenges on patient care during the COVID-19 outbreak. Multivariate regression analysis was conducted to test the association between specific challenges and patient care outcomes controlling for socio-demographics of HIV care providers. The prominent impacts of COVID-19 on patient care outcomes included "not being able to make follow-up visits on time", "not being able to get ARV refills timely", and "compromised ART adherence". Patient care outcome was significantly associated with "not being able to go to work due to quarantine and traffic restriction", "no overall arrangement", "no guideline for HIV service", "conflicts between HIV care and response to COVID-19", and "clinics were overwhelmed by COVID-19 care". In response to dual epidemics of COVID-19 and HIV, policy makers may consider the potential impact of largescale preventive strategies (e.g., lockdowns) on HIV care, assist healthcare providers to navigate shifting tasks and resetting priorities effectively, and develop clear guidelines and clinic-level arrangements to best serve both COVID-19 and HIV patients.

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Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

Cited by 39 publications

References 57 publications

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Psychological resilience, coping behaviours, and social support among healthcare workers during the COVID-19 pandemic: A systematic review of quantitative studies

Parental psychological distress and attitudes towards COVID-19 vaccination: A cross-sectional survey in Shenzhen, China

Challenges to HIV service delivery and the impacts on patient care during COVID-19: perspective of HIV care providers in Guangxi, China

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