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A cross-sectional study on healthcare workers’sleep and psychological resilience
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作者 ZHANG Yuexin MO Hongfei +2 位作者 TANG Jingqiong FENG Zhiling YU Mengqiang 《中南大学学报(医学版)》 CSCD 北大核心 2024年第10期1556-1565,共10页
Objective:Healthcare workers,as a high-stress professional group,face long-term high intensity workloads and complex medical environments,resulting in increasingly prominent mental health issues.In particular,the wide... Objective:Healthcare workers,as a high-stress professional group,face long-term high intensity workloads and complex medical environments,resulting in increasingly prominent mental health issues.In particular,the widespread presence of anxiety symptoms and somatic pain has become a major factor affecting both the quality of care and the career development of healthcare workers.This study aims to investigate the mediating and moderating roles of psychological resilience and sleep in the relationship between somatic pain and anxiety among healthcare workers.Methods:A cross-sectional questionnaire survey was conducted among 1661 healthcare workers.The instruments used included the Generalized Anxiety Disorder-7(GAD-7),item 3 from the Patient Health Questionnaire-9(PHQ-9),the 10-item Connor-Davidson Resilience Scale(CD-RISC-10)for psychological resilience,and the Visual Analogue Scale(VAS)for assessing anxiety,sleep disturbance,psychological resilience,and somatic pain.Results:The detection rate of anxiety symptoms among healthcare workers was 38.95%.Psychological resilience was significantly negatively correlated with anxiety symptoms(r=−0.451,P<0.01),sleep disturbance(r=−0.313,P<0.01),and somatic pain(r=−0.214,P<0.01).Moreover,psychological resilience partially mediated the relationship between somatic pain and anxiety(β=−0.103,P<0.01),and sleep quality moderated the latter part of the mediation model(“somatic pain-psychological resilience-anxiety”).Conclusion:Under high-intensity workloads,healthcare workers generally experience severe anxiety symptoms.Psychological resilience plays an important protective mediating role in their mental health,and sleep quality serves as a moderator in this relationship.Enhancing healthcare workers’psychological resilience and improving their sleep may promote both their physical and mental well-being. 展开更多
关键词 ANXIETY healthcare workers mediation effect psychological resilience sleep disturbance somatic pain
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门诊抑郁障碍患者的性功能状况 被引量:9
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作者 王平 司天梅 +8 位作者 于欣 邓红 王刚 刘哲宁 李晓白 李惠春 陆峥 张志珺 潘集阳 《中国心理卫生杂志》 CSSCI CSCD 北大核心 2011年第7期481-486,共6页
目的:了解抑郁障碍、抗抑郁治疗对抑郁障碍患者性功能的影响以及精神科医生对抑郁障碍患者性功能状况的认识和处理。方法:本研究为多中心回顾性调查,选择9所大学附属医院精神专科或综合医院精神科门诊精神科医生200名和符合美国精神障... 目的:了解抑郁障碍、抗抑郁治疗对抑郁障碍患者性功能的影响以及精神科医生对抑郁障碍患者性功能状况的认识和处理。方法:本研究为多中心回顾性调查,选择9所大学附属医院精神专科或综合医院精神科门诊精神科医生200名和符合美国精神障碍诊断和统计手册第4版(DSM-IV)抑郁障碍诊断标准的患者171例,采用自编调查问卷分别调查精神科医生对抑郁障碍患者性功能状况的认识和处理,以及回顾性研究患者在正常状态、未治疗抑郁状态和抗抑郁药治疗后的性功能状况。结果:共有147例患者进入分析。患抑郁障碍后,患者性反应周期的各环节(除男性射精不适)均表现出功能明显下降,包括性渴望障碍(性欲低下、性厌恶),女性性唤醒障碍和男性的勃起功能障碍,高潮抑制、性交不适(女性)以及性关系满足感下降。经过抗抑郁治疗后,患者自评疾病严重度改善53.7%,但是性功能水平持续处于低功能状态,仅女性"性关系满足感"改善有统计学意义。男性患者抑郁障碍的发作次数≥2是正常状态下射精困难的危险因素(B=1.983,P=0.043),患病后思考能力下降是射精困难的保护性因素(B=-1.878,P=0.027);女性患者抑郁障碍的发作次数≥2是正常状态下阴道润滑障碍的危险因素(B=0.864,P=0.011),患病后入睡困难是性交满意度下降的危险因素(B=-0.965,P=0.007)。未发现不同治疗之间性功能的差异。79.5%的医生认为性功能方面的问题对抑郁障碍的治疗有重要的影响,分别有73.8%或77.5%的医生从不或偶尔询问患者的性功能状况或性功能方面的要求。结论:抑郁障碍患者的性功能问题常见,多数医生对这一问题的认识和处理远远不足,可能会影响到医生对患者的治疗选择以及患者对治疗依从性。 展开更多
关键词 抑郁障碍 性功能障碍 抗抑郁药 回顾性研究 问卷调查
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