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The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic
The outbreak of coronavirus disease (COVID-19) brought significant psychological implications for healthcare professionals. We aimed to investigate the serial mediation effect of insomnia and exhaustion in the relationship between secondary traumatic stress (STS) and mental health complaints among t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692994/ https://www.ncbi.nlm.nih.gov/pubmed/33114678 http://dx.doi.org/10.3390/bs10110164 |
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author | Secosan, Ica Virga, Delia Crainiceanu, Zorin Petrisor Bratu, Tiberiu |
author_facet | Secosan, Ica Virga, Delia Crainiceanu, Zorin Petrisor Bratu, Tiberiu |
author_sort | Secosan, Ica |
collection | PubMed |
description | The outbreak of coronavirus disease (COVID-19) brought significant psychological implications for healthcare professionals. We aimed to investigate the serial mediation effect of insomnia and exhaustion in the relationship between secondary traumatic stress (STS) and mental health complaints among the frontline healthcare professionals during the COVID-19 pandemic. In this cross-sectional study, 126 frontline healthcare workers from Romania completed validated surveys between March and April 2020. PROCESS macros were used to test the proposed hypotheses of the three-path mediation model. We computed the models for insomnia as the first mediator (M1) and exhaustion (M2) as our second mediator. STS was significantly related to insomnia. Insomnia was significantly related to exhaustion, and STS was positively related to exhaustion. In the third model, exhaustion was strongly and positively related to mental health complaints. The total indirect effect was positive, and the sequential indirect impact of STS on mental health complaints via both mediators in series (insomnia and exhaustion) was significant. Secondary traumatic stress had a positive direct effect on mental health complaints. In our limited sample, the results show that frontline medical staff during the COVID-19 outbreak have high STS, which are related to mental health complaints through insomnia and exhaustion. |
format | Online Article Text |
id | pubmed-7692994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-76929942020-11-28 The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic Secosan, Ica Virga, Delia Crainiceanu, Zorin Petrisor Bratu, Tiberiu Behav Sci (Basel) Article The outbreak of coronavirus disease (COVID-19) brought significant psychological implications for healthcare professionals. We aimed to investigate the serial mediation effect of insomnia and exhaustion in the relationship between secondary traumatic stress (STS) and mental health complaints among the frontline healthcare professionals during the COVID-19 pandemic. In this cross-sectional study, 126 frontline healthcare workers from Romania completed validated surveys between March and April 2020. PROCESS macros were used to test the proposed hypotheses of the three-path mediation model. We computed the models for insomnia as the first mediator (M1) and exhaustion (M2) as our second mediator. STS was significantly related to insomnia. Insomnia was significantly related to exhaustion, and STS was positively related to exhaustion. In the third model, exhaustion was strongly and positively related to mental health complaints. The total indirect effect was positive, and the sequential indirect impact of STS on mental health complaints via both mediators in series (insomnia and exhaustion) was significant. Secondary traumatic stress had a positive direct effect on mental health complaints. In our limited sample, the results show that frontline medical staff during the COVID-19 outbreak have high STS, which are related to mental health complaints through insomnia and exhaustion. MDPI 2020-10-26 /pmc/articles/PMC7692994/ /pubmed/33114678 http://dx.doi.org/10.3390/bs10110164 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Secosan, Ica Virga, Delia Crainiceanu, Zorin Petrisor Bratu, Tiberiu The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title | The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title_full | The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title_fullStr | The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title_full_unstemmed | The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title_short | The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic |
title_sort | mediating role of insomnia and exhaustion in the relationship between secondary traumatic stress and mental health complaints among frontline medical staff during the covid-19 pandemic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7692994/ https://www.ncbi.nlm.nih.gov/pubmed/33114678 http://dx.doi.org/10.3390/bs10110164 |
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