» Articles » PMID: 38824566

The Effect of Social Support and Resource Support on Emotional Exhaustion, Insomnia, and Suicidal Ideation Among Allied Health Trainees and Post-graduate Year Doctors in Taiwan

Overview
Journal BMC Psychol
Publisher Biomed Central
Specialty Psychology
Date 2024 Jun 2
PMID 38824566
Authors
Affiliations
Soon will be listed here.
Abstract

Background: COVID-19-related stigmatization refers to COVID-19-related judgements by others that devalue the individual. Such stigmatization towards healthcare workers may cause psychological burden and negative consequences. Such stigmatization may have particularly overwhelmed allied health trainees (AHTs) and post-graduate year doctors (PGYDs) because they just started their medical career. Social support and resource support have been reported to benefit psychological health and reduce stigmatization. Therefore, the present study used a cross-sectional study design to investigate the association between perceived stigma, self-stigma, psychological distress, and negative outcomes (including emotional exhaustion, insomnia and suicidal ideation) among AHTs and PGYDs in Taiwan.

Methods: An online survey distributed between July and December, 2022 received 522 responses. Variables were assessed using the 21-item Depression, Anxiety and Stress Scale, Insomnia Severity Index and a series of self-designed questions to assess social support, resource support, perceived stigma, self-stigma, emotional exhaustion, and suicidal ideation.

Results: Structural equation modeling showed that perceived stigma was associated with self-stigma (standardized coefficient [β] = 0.428, p < 0.001), and self-stigma was associated with psychological distress (β = 0.197, p < 0.001), as well as being associated with emotional exhaustion, insomnia, and suicidal ideation (β = 0.349, 0.556 and 0.212, all p-values < 0.001). While social support and resource support were negatively associated with perceived stigma (β= - 0.175 and - 0.152, p < 0.01), additional associations were found between social support and emotional exhaustion (β= - 0.093, p < 0.001), as well as between resource support and insomnia (β= - 0.120, p < 0.001).

Conclusions: The results showed that COVID-19 related stigmatization was correlated to the detrimental consequences of emotional exhaustion, insomnia and suicidal ideation. Clear paths regarding the associations of social support and resource support with the three negative associations were found as the possible solutions. Strategies to reduce the stigmatization and these negative outcomes, or improve the psychological health will benefit AHTs and PGYDs in maintaining a healthy mental status.

Citing Articles

Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors.

Huang P, Lin C, Huang R, Chen J, Potenza M, Strong C Med Sci Monit. 2024; 30:e944932.

PMID: 38910318 PMC: 11305106. DOI: 10.12659/MSM.944932.

References
1.
Saeed F, Mihan R, Mousavi S, Reniers R, Bateni F, Alikhani R . A Narrative Review of Stigma Related to Infectious Disease Outbreaks: What Can Be Learned in the Face of the Covid-19 Pandemic?. Front Psychiatry. 2020; 11:565919. PMC: 7738431. DOI: 10.3389/fpsyt.2020.565919. View

2.
Balay-Odao E, Cruz J, Alsolais A, Bajet J, Alquwez N, Almansour A . Saudi Nurse Interns' Experiences during the COVID-19 Pandemic: A Thematic Approach. Healthcare (Basel). 2023; 11(2). PMC: 9859136. DOI: 10.3390/healthcare11020230. View

3.
Chen I, Chen C, Liao X, Chen X, Zheng X, Tsai Y . Psychometric properties of the Depression, Anxiety, and Stress Scale (DASS-21) among different Chinese populations: A cross-sectional and longitudinal analysis. Acta Psychol (Amst). 2023; 240:104042. DOI: 10.1016/j.actpsy.2023.104042. View

4.
Que J, Shi L, Yan W, Chen S, Wu P, Sun S . Nightmares mediate the association between traumatic event exposure and suicidal ideation in frontline medical workers exposed to COVID-19. J Affect Disord. 2022; 304:12-19. PMC: 8843324. DOI: 10.1016/j.jad.2022.02.033. View

5.
Lovibond P, LOVIBOND S . The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43. DOI: 10.1016/0005-7967(94)00075-u. View