Psychological distress mediates the association between COVID-19-related discrimination and subsequent PTSD symptom severity in healthcare workers: a two-year follow-up study

被引：0

作者：

Narita, Zui ^{[1
]}

Okubo, Ryo ^{[2
]}

Sasaki, Yohei ^{[2
]}

Takeda, Kazuyoshi ^{[2
]}

Takao, Masaki ^{[3
]}

Komaki, Hirofumi ^{[2
]}

Oi, Hideki ^{[2
]}

Miyama, Takeshi ^{[2
]}

Kim, Yoshiharu ^{[1
]}

机构：

[1] Natl Inst Mental Hlth, Natl Ctr Neurol & Psychiat, Dept Behav Med, 4-1-1 Ogawahigashicho, Kodaira, Tokyo 1878553, Japan

[2] Natl Ctr Neurol & Psychiat Hosp, Clin Res & Educ Promot Div, 4-2-2 Ogawahigashicho, Kodaira, Tokyo 1878551, Japan

[3] Natl Ctr Neurol & Psychiat Hosp, 4-1-1 Ogawahigashicho, Kodaira, Tokyo 1878551, Japan

来源：

BMC PUBLIC HEALTH | 2024年 / 24卷 / 01期

关键词：

Post-Traumatic stress disorder; SARS-CoV-2; Social isolation; Social stigma; Psychological trauma; MENTAL-HEALTH; EXPERIENCES; CAMPAIGN; DISORDER; STIGMA; IMPACT;

D O I：

10.1186/s12889-024-19359-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundPast research has suggested a cross-sectional association between COVID-19-related discrimination and PTSD symptom severity. However, no cohort study has examined the longitudinal association that better supports causal interpretation. Also, even if such an association genuinely exists, the specific pathway remains unclear.MethodsWe conducted a two-year follow-up study, obtaining data from healthcare workers in a hospital setting. We first evaluated how COVID-19-related discrimination in 2021 was associated with subsequent PTSD symptom severity in 2023. Thereafter, we conducted causal mediation analysis to examine how this association was mediated by psychological distress in 2022, accounting for exposure-mediator interaction. Missing data were handled using random forest imputation.ResultsA total of 660 hospital staff were included. The fully adjusted model showed greater PTSD symptom severity in individuals who experienced any COVID-19-related discrimination compared with those without such experiences (beta, 0.44; 95% CI, 0.04-0.90). Regarding each type of discrimination, perceived discrimination was associated with greater PTSD symptom severity (beta, 0.52; 95% CI, 0.08-0.96), whereas verbal discrimination did not reach statistical significance. Psychological distress mediated 28.1%-38.8% of the observed associations.ConclusionsCOVID-19-related discrimination is associated with subsequent PTSD symptom severity in healthcare workers. Psychological distress may serve as an important mediator, underscoring the potential need for interventions targeting this factor.

引用

页数：7