Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Psychological distress among healthcare providers is concerning during COVID-19 pandemic due to extreme stress at healthcare facilities, including HIV clinics in China. The socioecological model suggests that psychological distress could be influenced by multi-level factors. However, limited COVID-19 research examined the mechanisms of psychological distress among HIV healthcare providers. This study examined organizational and intrapersonal factors contributing to psychological health during COVID-19 pandemic. Data were collected via online anonymous surveys from 1029 HIV healthcare providers in Guangxi, China during April–May 2020. Path analysis was utilized to test a mediation model among COVID-19 stressors, institutional support, resilience, and psychological distress (PHQ-4). Thirty-eight percent of the providers experienced psychological distress (PHQ-4 score > 3). Institutional support and resilience mediated the relationship between COVID-19 stressors and psychological distress. Psychological distress was common among Chinese HIV healthcare providers during COVID-19 pandemic. Psychological health intervention should attend to institutional support and resilience.

Related collections

Most cited references 46

Record: found
Abstract: not found
Article: not found

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

Li‐tze Hu, Peter M. Bentler (1999)

0 comments Cited 10381 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.

Reuben M. Baron, David A Kenny (1986)

In this article, we attempt to distinguish between the properties of moderator and mediator variables at a number of levels. First, we seek to make theorists and researchers aware of the importance of not using the terms moderator and mediator interchangeably by carefully elaborating, both conceptually and strategically, the many ways in which moderators and mediators differ. We then go beyond this largely pedagogical function and delineate the conceptual and strategic implications of making use of such distinctions with regard to a wide range of phenomena, including control and stress, attitudes, and personality traits. We also provide a specific compendium of analytic procedures appropriate for making the most effective use of the moderator and mediator distinction, both separately and in terms of a broader causal system that includes both moderators and mediators.

0 comments Cited 4189 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

Kathryn M Connor, Jonathan Davidson (2003)

Resilience may be viewed as a measure of stress coping ability and, as such, could be an important target of treatment in anxiety, depression, and stress reactions. We describe a new rating scale to assess resilience. The Connor-Davidson Resilience scale (CD-RISC) comprises of 25 items, each rated on a 5-point scale (0-4), with higher scores reflecting greater resilience. The scale was administered to subjects in the following groups: community sample, primary care outpatients, general psychiatric outpatients, clinical trial of generalized anxiety disorder, and two clinical trials of PTSD. The reliability, validity, and factor analytic structure of the scale were evaluated, and reference scores for study samples were calculated. Sensitivity to treatment effects was examined in subjects from the PTSD clinical trials. The scale demonstrated good psychometric properties and factor analysis yielded five factors. A repeated measures ANOVA showed that an increase in CD-RISC score was associated with greater improvement during treatment. Improvement in CD-RISC score was noted in proportion to overall clinical global improvement, with greatest increase noted in subjects with the highest global improvement and deterioration in CD-RISC score in those with minimal or no global improvement. The CD-RISC has sound psychometric properties and distinguishes between those with greater and lesser resilience. The scale demonstrates that resilience is modifiable and can improve with treatment, with greater improvement corresponding to higher levels of global improvement. Copyright 2003 Wiley-Liss, Inc.

0 comments Cited 2409 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Cheuk Chi Tam:

ORCID: http://orcid.org/0000-0003-2612-0564

ctam@mailbox.sc.edu

Journal

Journal ID (nlm-ta): AIDS Behav

Journal ID (iso-abbrev): AIDS Behav

Title: AIDS and Behavior

Publisher: Springer US (New York )

ISSN (Print): 1090-7165

ISSN (Electronic): 1573-3254

Publication date (Electronic): 21 October 2020

Pages: 1-9

Affiliations

[1 ]GRID grid.254567.7, ISNI 0000 0000 9075 106X, South Carolina SmartState Center for Healthcare Quality, Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, , University of South Carolina, ; Discovery I, Suite 408, 915 Greene Street, Columbia, SC 29208 USA

[2 ]GRID grid.40263.33, ISNI 0000 0004 1936 9094, Department of Behavioral and Social Science, , Brown University School of Public Health, ; Providence, RI USA

[3 ]GRID grid.40263.33, ISNI 0000 0004 1936 9094, Department of Psychiatry and Human Behavior, , Brown University Alpert Medical School, ; Providence, RI USA

[4 ]GRID grid.198530.6, ISNI 0000 0000 8803 2373, Guangxi Center for Disease Control and Prevention, ; Nanning, Guangxi Zhuang Autonomous Region, People’s Republic of China

Author information

Cheuk Chi Tam http://orcid.org/0000-0003-2612-0564

Article

Publisher ID: 3068

DOI: 10.1007/s10461-020-03068-w

PMC ID: 7577363

PubMed ID: 33089356

SO-VID: 2b24715e-768e-4776-a373-4d24814d7273

License:

This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

History

Date accepted : 14 October 2020

Funding

Funded by: FundRef http://dx.doi.org/10.13039/100000009, Foundation for the National Institutes of Health;

Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

Read this article at

Abstract

Related collections

Novel Coronavirus Disease COVID-19

Most cited references 46

Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.

Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC).

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Funding

Categories

Comments

Comment on this article

Similar content 80

Cited by 23

Most referenced authors 3,219