Moral Injury, Traumatic Stress, and Threats to Core Human Needs in Health-Care Workers: The COVID-19 Pandemic as a Dehumanizing Experience

被引:20
作者
Hagerty, Sarah L. [1 ,2 ]
Williams, Leanne M.
机构
[1] Stanford Univ, Sch Med, Vet Affairs Palo Alto Healthcare Syst, Mental Illness Res Educ & Clin Ctr MIRECC, Palo Alto, CA 94304 USA
[2] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA
关键词
COVID-19; pandemic; posttraumatic stress disorder; PTSD; moral injury; health-care workers; stress; suicide; loneliness; SUICIDAL-BEHAVIOR; MENTAL-HEALTH; DISORDER; INTERVENTION; RELIABILITY; SUPPORT; SCALE;
D O I
10.1177/21677026211057554
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The pandemic has threatened core human needs. The pandemic provides a context to study psychological injury as it relates to unmet basic human needs and traumatic stressors, including moral incongruence. We surveyed 1,122 health-care workers from across the United States between May 2020 and August 2020. Using a mixed-methods design, we examined moral injury and unmet basic human needs in relation to traumatic stress and suicidality. Nearly one third of respondents reported elevated symptoms of psychological trauma, and the prevalence of suicidal ideation among health-care workers in our sample was roughly 3 times higher than in the general population. Moral injury and loneliness predict greater symptoms of traumatic stress and suicidality. We conclude that dehumanization is a driving force behind the psychological injury resulting from moral incongruence in the context of the pandemic. The pandemic most frequently threatened basic human motivations at the foundational level of safety and security relative to other higher order needs.
引用
收藏
页码:1060 / 1082
页数:23
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