Psychological distress among healthcare providers in oncology during the COVID-19 pandemic in Japan: The mediating role of moral distress and resilience

Frontiers in Psychology

Psychology

Narikazu Boku¹  Tatsuya Suzuki²  Rika Nakahara³  Tomohiro Matsuda⁴  Masako Okamura⁵  Keiko Ohisa⁵  Yosuke Uchitomi⁵  Maiko Fujimori⁵  Shinichi Goto⁵ 

[1] Department of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan;Department of Hematology, National Cancer Center Hospital, Tokyo, Japan;Strategic Planning Bureau, National Cancer Center, Tokyo, Japan;Department of Psycho-Oncology, National Cancer Center Hospital, Tokyo, Japan;Division of International Health Policy Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan;Division of Supportive Care, Survivorship and Translational Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan;

关键词: COVID-19;    health personnel (MeSH);    moral distress;    psychological distress;    resilience;    cancer care;   

DOI  :  10.3389/fpsyg.2023.1105800

 received in 2022-11-23, accepted in 2023-01-04,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveEven though vaccines have become widespread, there is an explosion of infection due to the emergence of new mutant strains, and support for healthcare providers’ mental health is necessary. The aims of this study were to explore factors associated with the psychological distress, and to determine the degree of association between moral distress, resilience and psychological distress in order to consider intervention models for psychological distress of healthcare providers involved with cancer patients during the COVID-19 pandemic.MethodWe conducted a cross-sectional survey among healthcare providers at the National Cancer Center, Japan. Psychological distress was assessed by the Hospital Anxiety and Depression Scale. We also assessed moral distress using the Moral Distress Thermometer and resilience using the Connor-Davidson Resilience Scale 10 in April and May 2020 which was the first surge of the epidemic period.ResultsFive hundred sixty-six of 3,900 healthcare providers (14.5%) responded. Sixty-eight percent (385/566) responders were above the Hospital Anxiety and Depression Scale cutoff. Hierarchical regression analyses indicated that nurses, allied health professionals and office workers/engineers (odds ratio = 4.63; 95% confidence interval 1.90–11.29; p < 0.001, odds ratio = 3.88; 95% confidence interval 1.88–8.00; p < 0.001, odds ratio = 2.10; 95% confidence interval 1.06–4.18; p < 0.05) as well as healthcare providers with low resilience (odds ratio = 0.88; 95% confidence interval 0.85–0.91; p < 0.001) were at risk of psychological distress. Moral distress was not significantly associated with prevalence of psychological distress.ConclusionDuring the first surge of the pandemic, a high prevalence of psychological distress was demonstrated among cancer center healthcare providers. The study suggests that mental health care should be available to cancer care providers. Since the COVID-19 pandemic is still going on, in addition to the efforts by our facilities, we should consider interventions that promote resilience and a feasibility study of these interventions.

【 授权许可】

Unknown   
Copyright © 2023 Okamura, Fujimori, Goto, Ohisa, Boku, Nakahara, Uchitomi, Suzuki and Matsuda.