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Published in: International Journal of Mental Health and Addiction 2/2022

01-04-2022 | Coronavirus | Original Article

Perceived Risk and Mental Health Problems among Healthcare Professionals during COVID-19 Pandemic: Exploring the Mediating Effects of Resilience and Coronavirus Fear

Authors: Murat Yıldırım, Gökmen Arslan, Ahmet Özaslan

Published in: International Journal of Mental Health and Addiction | Issue 2/2022

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Abstract

During coronavirus (COVID-19) pandemic, healthcare professionals were particularly at high-risk of developing symptoms of mental health problems due to being on the frontline in the battle against COVID-19. This study examined the mediating roles of resilience and coronavirus fear in the relationship between perceived risk and mental health problems among healthcare professionals including doctors and nurses who were actively treating patients confirmed with COVID-19. We recruited 204 healthcare professionals (50% females) with a mean age of 32.92 years (SD = 7.01). Results showed that perceived risk and coronavirus fear positively predicted depression, anxiety, and stress while resilience negatively predicted those mental health problems. Coronavirus fear mediated the relationship between perceived risk and resilience, depression, anxiety, and stress. Additionally, resilience mitigated the effect of coronavirus fear on depression, anxiety, and stress. This study is among the first indicating the importance of resilience and fear as a critical mechanism that explains the relationship between perceived risk and mental health problems among health professionals directly caring for COVID-19 patients.
Literature
go back to reference Bonanno, G. A. (2004). Loss, trauma, and human resilience. American Psychologist, 59, 20–28.CrossRef Bonanno, G. A. (2004). Loss, trauma, and human resilience. American Psychologist, 59, 20–28.CrossRef
go back to reference Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health, 11(1), 2.CrossRef Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health, 11(1), 2.CrossRef
go back to reference Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical science monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1–e924171-16. Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical science monitor: International Medical Journal of Experimental and Clinical Research, 26, e924171-1–e924171-16.
go back to reference Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., ... & Wang, J. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15-e16. Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., ... & Wang, J. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15-e16.
go back to reference Doğan, T. (2015). Adaptation of the Brief Resilience Scale into Turkish: a validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93–102. Doğan, T. (2015). Adaptation of the Brief Resilience Scale into Turkish: a validity and reliability study. The Journal of Happiness & Well-Being, 3(1), 93–102.
go back to reference Fertleman, C., & Carroll, W. (2013). Protecting students and promoting resilience. BMJ, 347, f5266.CrossRef Fertleman, C., & Carroll, W. (2013). Protecting students and promoting resilience. BMJ, 347, f5266.CrossRef
go back to reference Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press.
go back to reference Jackson, J. (2011). Revisiting risk sensitivity in the fear of crime. Journal of Research in Crime and Delinquency, 48(4), 513–537.CrossRef Jackson, J. (2011). Revisiting risk sensitivity in the fear of crime. Journal of Research in Crime and Delinquency, 48(4), 513–537.CrossRef
go back to reference Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11(1), 1–47.CrossRef Janz, N. K., & Becker, M. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11(1), 1–47.CrossRef
go back to reference Khosravi, M. (2020). Perceived risk of COVID-19 pandemic: the role of public worry and trust. Electronic Journal of General Medicine, 17(4), em203.CrossRef Khosravi, M. (2020). Perceived risk of COVID-19 pandemic: the role of public worry and trust. Electronic Journal of General Medicine, 17(4), em203.CrossRef
go back to reference Kwok, K. O., Li, K. K., Chan, H. H., Yi, Y. Y., Tang, A., Wei, W. I., & Wong, S. Y. (2020). Community responses during early phase of covid-19 epidemic, Hong Kong. Emerging Infectious Diseases, 26(7), 1–13.CrossRef Kwok, K. O., Li, K. K., Chan, H. H., Yi, Y. Y., Tang, A., Wei, W. I., & Wong, S. Y. (2020). Community responses during early phase of covid-19 epidemic, Hong Kong. Emerging Infectious Diseases, 26(7), 1–13.CrossRef
go back to reference Lancee, W. J., Maunder, R. G., & Goldbloom, D. S. (2008). Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak. Psychiatric Services, 59(1), 91–95.CrossRef Lancee, W. J., Maunder, R. G., & Goldbloom, D. S. (2008). Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak. Psychiatric Services, 59(1), 91–95.CrossRef
go back to reference Li, J. B., Yang, A., Dou, K., & Cheung, R. Y. (2020). Self-control moderates the association between perceived severity of the coronavirus disease 2019 (COVID-19) and mental health problems among the Chinese public. PsyArXiv Preprints. https://doi.org/10.31234/osf.io/2xadq. Li, J. B., Yang, A., Dou, K., & Cheung, R. Y. (2020). Self-control moderates the association between perceived severity of the coronavirus disease 2019 (COVID-19) and mental health problems among the Chinese public. PsyArXiv Preprints. https://​doi.​org/​10.​31234/​osf.​io/​2xadq.
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety inventoRies. Behaviour Research and Therapy, 33(3), 335–343.CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety inventoRies. Behaviour Research and Therapy, 33(3), 335–343.CrossRef
go back to reference O'Gara, J. L., Calzada, E. J., & Kim, S. Y. (2020). The father’s role in risk and resilience among Mexican-American adolescents. American Journal of Orthopsychiatry, 90(1), 70–77.CrossRef O'Gara, J. L., Calzada, E. J., & Kim, S. Y. (2020). The father’s role in risk and resilience among Mexican-American adolescents. American Journal of Orthopsychiatry, 90(1), 70–77.CrossRef
go back to reference Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological resilience, positive emotions, and successful adaptation to stress in later life. Journal of Personality and Social Psychology, 91(4), 730–749.CrossRef Ong, A. D., Bergeman, C. S., Bisconti, T. L., & Wallace, K. A. (2006). Psychological resilience, positive emotions, and successful adaptation to stress in later life. Journal of Personality and Social Psychology, 91(4), 730–749.CrossRef
go back to reference Peeri, N. C., Shrestha, N., Rahman, M. S., Zaki, R., Tan, Z., Bibi, S., ... & Haque, U. (2020). The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned? International Journal of Epidemiology, dyaa033, https://doi.org/10.1093/ije/dyaa033 Peeri, N. C., Shrestha, N., Rahman, M. S., Zaki, R., Tan, Z., Bibi, S., ... & Haque, U. (2020). The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned? International Journal of Epidemiology, dyaa033, https://​doi.​org/​10.​1093/​ije/​dyaa033
go back to reference Robertson, H. D., Elliott, A. M., Burton, C., Iversen, L., Murchie, P., Porteous, T., & Matheson, C. (2016). Resilience of primary healthcare professionals: a systematic review. British Journal of General Practice, 66(647), e423–e433.CrossRef Robertson, H. D., Elliott, A. M., Burton, C., Iversen, L., Murchie, P., Porteous, T., & Matheson, C. (2016). Resilience of primary healthcare professionals: a systematic review. British Journal of General Practice, 66(647), e423–e433.CrossRef
go back to reference Sariçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive Behavioral Psychotherapy and Research, 7, 19–30. Sariçam, H. (2018). The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive Behavioral Psychotherapy and Research, 7, 19–30.
go back to reference Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281–282.CrossRef Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry and Clinical Neurosciences, 74(4), 281–282.CrossRef
go back to reference Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200.CrossRef Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200.CrossRef
go back to reference Stevenson, A. D., Phillips, C. B., & Anderson, K. J. (2011). Resilience among doctors who work in challenging areas: a qualitative study. British Journal of General Practice, 61(588), e404–e410.CrossRef Stevenson, A. D., Phillips, C. B., & Anderson, K. J. (2011). Resilience among doctors who work in challenging areas: a qualitative study. British Journal of General Practice, 61(588), e404–e410.CrossRef
go back to reference Tan, B. Y., Chew, N. W., Lee, G. K., Jing, M., Goh, Y., Yeo, L. L., ... & Shanmugam, G. N. (2020). Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine. M20–1083. https://doi.org/10.7326/M20-1083. Tan, B. Y., Chew, N. W., Lee, G. K., Jing, M., Goh, Y., Yeo, L. L., ... & Shanmugam, G. N. (2020). Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine. M20–1083. https://​doi.​org/​10.​7326/​M20-1083.
go back to reference Tecson, K. M., Wilkinson, L. R., Smith, B., & Ko, J. M. (2019). Association between psychological resilience and subjective well-being in older adults living with chronic illness. In Baylor University Medical Center Proceedings (Vol. 32, no. 4, pp. 520-524). Taylor & Francis. Tecson, K. M., Wilkinson, L. R., Smith, B., & Ko, J. M. (2019). Association between psychological resilience and subjective well-being in older adults living with chronic illness. In Baylor University Medical Center Proceedings (Vol. 32, no. 4, pp. 520-524). Taylor & Francis.
go back to reference Warr, M. (2000). Fear of crime in the United States: Avenues for research and policy. Criminal Justice, 4(4), 451–489. Warr, M. (2000). Fear of crime in the United States: Avenues for research and policy. Criminal Justice, 4(4), 451–489.
go back to reference Weinstein, N. D. (1982). Unrealistic optimism about susceptibility to health problems. Journal of Behavioral Medicine, 5(4), 441–460.CrossRef Weinstein, N. D. (1982). Unrealistic optimism about susceptibility to health problems. Journal of Behavioral Medicine, 5(4), 441–460.CrossRef
go back to reference Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: the importance of mediation analysis. Journal of Mental Health, 25(2), 93–99.CrossRef Windgassen, S., Goldsmith, K., Moss-Morris, R., & Chalder, T. (2016). Establishing how psychological therapies work: the importance of mediation analysis. Journal of Mental Health, 25(2), 93–99.CrossRef
go back to reference Yıldırım, M. (2019). Mediating role of resilience in the relationships between fear of happiness and affect balance, satisfaction with life, and flourishing. Europe's Journal of Psychology, 15(2), 183–198.CrossRef Yıldırım, M. (2019). Mediating role of resilience in the relationships between fear of happiness and affect balance, satisfaction with life, and flourishing. Europe's Journal of Psychology, 15(2), 183–198.CrossRef
Metadata
Title
Perceived Risk and Mental Health Problems among Healthcare Professionals during COVID-19 Pandemic: Exploring the Mediating Effects of Resilience and Coronavirus Fear
Authors
Murat Yıldırım
Gökmen Arslan
Ahmet Özaslan
Publication date
01-04-2022
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 2/2022
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-020-00424-8

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