The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping
Abstract Background Evidence suggests that PTSD symptoms following public health emergencies are influenced by many factors. The aim of this study was to investigate the relationship between perceived social support and Post-traumatic stress disorder symptoms and to explore the chain-mediated role o...
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2024-11-01
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| Online Access: | https://doi.org/10.1186/s12889-024-19645-w |
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| author | Junjie Cao Yifang Liu Shijiao Yan Zijun Xiong Jing Wen Zongju Chen Pu Zhang Jiaxin Tao Jun Zhang Ying Wang Li Zou Wenning Fu |
| author_facet | Junjie Cao Yifang Liu Shijiao Yan Zijun Xiong Jing Wen Zongju Chen Pu Zhang Jiaxin Tao Jun Zhang Ying Wang Li Zou Wenning Fu |
| author_sort | Junjie Cao |
| collection | DOAJ |
| description | Abstract Background Evidence suggests that PTSD symptoms following public health emergencies are influenced by many factors. The aim of this study was to investigate the relationship between perceived social support and Post-traumatic stress disorder symptoms and to explore the chain-mediated role of resilience and positive coping style, among medical staff in Hubei Province, China, during a public health emergency. Methods Convenience sampling was used to select medical staff from two general hospitals in Hubei Province in July 2022 for this study. A total of 2,751 medical staff were included in the study. Multidimensional Scale of Perceived Social Support, 10- itemConnor- Davidson resilience scale, Simplified Coping Style Questionnaire and The Post-traumatic stress disorder Checklist for DSM-5 were used to assess the levels of perceived social support, resilience, coping style and Post-traumatic stress disorder symptoms of medical staff two years after the public health emergency. Statistical descriptions were conducted using SPSS, and a structural equation model was established using AMOS to analyze the chain-mediated roles of resilience and positive coping style between perceived social support and Post-traumatic stress disorder symptoms. Results Structural equation modeling results showed a standardized total effect of perceived social support on Post-traumatic stress disorder symptoms of -0.416 (95%CI [-0.456, -0.374], P < 0.001). Resilience mediated the effect of perceived social support and Post-traumatic stress disorder, with an indirect effect of -0.016 ( 95%CI [0.031, 0.001], P = 0.038). Positive coping mediated the effect of perceived social support and Post-traumatic stress disorder, with an indirect effect of -0.024 (95%CI [-0.035, -0.014], P < 0.001). Resilience and positive coping style chain-mediated between perceived social support and Post-traumatic stress disorder symptoms, mediating 17.1% of the total effect. Conclusion Perceived social support has significant direct and indirect effects on Post-traumatic stress disorder symptoms and resilience. In addition, positive coping style act as chain mediators between perceived social support and Post-traumatic stress disorder symptoms. We suggest that strengthening perceived social support for medical staff can enhance their resilience, encouraging them to adopt positive coping, which in turn reduces the level of post-traumatic stress symptoms among medical staff following public health emergencies. |
| format | Article |
| id | doaj-art-4b7c5f375ad5435c9efc91b25490a4d5 |
| institution | DOAJ |
| issn | 1471-2458 |
| language | English |
| publishDate | 2024-11-01 |
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| spelling | doaj-art-4b7c5f375ad5435c9efc91b25490a4d52025-08-20T02:50:08ZengBMCBMC Public Health1471-24582024-11-0124111010.1186/s12889-024-19645-wThe association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive copingJunjie Cao0Yifang Liu1Shijiao Yan2Zijun Xiong3Jing Wen4Zongju Chen5Pu Zhang6Jiaxin Tao7Jun Zhang8Ying Wang9Li Zou10Wenning Fu11School of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and TechnologySchool of Public Health, Hainan Medical UniversityHealth Care Big Data Center, School of Public Health, Hubei University of MedicineSchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Cardiology, Taihe Hospital, Hubei University of MedicineSchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Endocrinology, Taihe Hospital, Hubei University of MedicineNursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Neurology, Zhongnan Hospital of Wuhan UniversitySchool of Nursing, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Evidence suggests that PTSD symptoms following public health emergencies are influenced by many factors. The aim of this study was to investigate the relationship between perceived social support and Post-traumatic stress disorder symptoms and to explore the chain-mediated role of resilience and positive coping style, among medical staff in Hubei Province, China, during a public health emergency. Methods Convenience sampling was used to select medical staff from two general hospitals in Hubei Province in July 2022 for this study. A total of 2,751 medical staff were included in the study. Multidimensional Scale of Perceived Social Support, 10- itemConnor- Davidson resilience scale, Simplified Coping Style Questionnaire and The Post-traumatic stress disorder Checklist for DSM-5 were used to assess the levels of perceived social support, resilience, coping style and Post-traumatic stress disorder symptoms of medical staff two years after the public health emergency. Statistical descriptions were conducted using SPSS, and a structural equation model was established using AMOS to analyze the chain-mediated roles of resilience and positive coping style between perceived social support and Post-traumatic stress disorder symptoms. Results Structural equation modeling results showed a standardized total effect of perceived social support on Post-traumatic stress disorder symptoms of -0.416 (95%CI [-0.456, -0.374], P < 0.001). Resilience mediated the effect of perceived social support and Post-traumatic stress disorder, with an indirect effect of -0.016 ( 95%CI [0.031, 0.001], P = 0.038). Positive coping mediated the effect of perceived social support and Post-traumatic stress disorder, with an indirect effect of -0.024 (95%CI [-0.035, -0.014], P < 0.001). Resilience and positive coping style chain-mediated between perceived social support and Post-traumatic stress disorder symptoms, mediating 17.1% of the total effect. Conclusion Perceived social support has significant direct and indirect effects on Post-traumatic stress disorder symptoms and resilience. In addition, positive coping style act as chain mediators between perceived social support and Post-traumatic stress disorder symptoms. We suggest that strengthening perceived social support for medical staff can enhance their resilience, encouraging them to adopt positive coping, which in turn reduces the level of post-traumatic stress symptoms among medical staff following public health emergencies.https://doi.org/10.1186/s12889-024-19645-wPublic health emergencyPost-traumatic stress disorderPerceived social supportResiliencePositive coping style |
| spellingShingle | Junjie Cao Yifang Liu Shijiao Yan Zijun Xiong Jing Wen Zongju Chen Pu Zhang Jiaxin Tao Jun Zhang Ying Wang Li Zou Wenning Fu The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping BMC Public Health Public health emergency Post-traumatic stress disorder Perceived social support Resilience Positive coping style |
| title | The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping |
| title_full | The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping |
| title_fullStr | The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping |
| title_full_unstemmed | The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping |
| title_short | The association between perceive social support and post-traumatic stress disorder symptoms among medical staff in Hubei, China: a chain mediating effect of resilience and positive coping |
| title_sort | association between perceive social support and post traumatic stress disorder symptoms among medical staff in hubei china a chain mediating effect of resilience and positive coping |
| topic | Public health emergency Post-traumatic stress disorder Perceived social support Resilience Positive coping style |
| url | https://doi.org/10.1186/s12889-024-19645-w |
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