Osobinske odrednice uznemirenosti i sigurnosnih ponašanja liječnika:

master's thesis

• Title: Osobinske odrednice uznemirenosti i sigurnosnih ponašanja liječnika: : medijacijska uloga zabrinutosti vezane za pandemiju bolesti covid-19
• Title (english): Personal determinants of psychological distress and safety behaviors: : mediation role of concerns about the covid-19 disease
• Author: Sandro Krašić
• Mentor: Nataša Jokić-Begić (mentor)
• Committee member: Darja Maslić Seršić (predsjednik povjerenstva)
• Committee member: Tanja Jurin (član povjerenstva)
• Granter: University of Zagreb; Faculty of Humanities and Social Sciences; (Department of Psychology); Zagreb
• Defense date and country: 2021-01-14, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Psychology; Clinical and Health Psychology

Abstract

Pandemija je prema definiciji Svjetske zdravstvene organizacije epidemija širokog razmjera koja pogađa veliki dio naseljenog svijeta. Bolest COVID-19 javila se krajem 2019. godine u Kini i vrlo brzo poprimila pandemijske razmjere. Primarni cilj ovog istraživanja odnosio se na provjeravanje medijacijske uloge zabrinutosti oko bolesti COVID-19 u povezanosti između nekih osobnih odrednica sa psihološkom uznemirenosti i sigurnosnih ponašanja vezanih za COVID-19. Jedan od problema se ticao medijacijskog učinka zabrinutosti oko COVID-19 na povezanost između psihološke nefleksibilnosti i psihološke uznemirenosti kao i na povezanost između psihološke nefleksibilnosti i sigurnosnih ponašanja vezanih za COVID-19. Drugi problem se ticao medijacijskog učinka zabrinutosti oko COVID-19 na povezanost između psihološke neotpornosti i psihološke uznemirenosti, odnosno sigurnosnih ponašanja vezanih za COVID-19. Nadalje, cilj istraživanja bio je provjeriti postojanje rodnih razlika u navedenim varijablama. U istraživanju je sudjelovalo 656 liječnika (71.3% žena). Za mjerenja briga oko COVID-19 iskorišten je upitnik Brige vezane za COVID-19 dok je kao mjera sigurnosnih ponašanja korišten Upitnik ponašanja vezanih za COVID-19. Kao mjera psihološke nefleksibilnosti korišten je Upitnik prihvaćanja i akcije (AAQ-II), a psihološke neotpornosti Kratka skala otpornosti (BRS). Kratka verzija Upitnika za ispitivanje općih psihopatoloških teškoća (CORE-YP) korištena je kao mjera psihološke uznemirenosti. Rezultati su pokazali postojanje rodnih razlika za sve navedene varijable u smjeru da žene postižu više rezultate od muškaraca. Medijacijskom analizom pokazana je potpuna medijacija zabrinutosti oko COVID-19 na povezanost između psihološke neotpornosti i psihološke nefleksibilnosti sa sigurnosnim ponašanjima. Također, pokazana je djelomična medijacija zabrinutosti oko COVID-19 na povezanost između psihološke neotpornosti i psihološke nefleksibilnosti sa psihološkom uznemirenosti gdje je direktni efekt psihološke nefleksibilnosti na psihološku uznemirenost bio statistički značajno veći od direktnog efekta psihološke neotpornosti. Implikacija ovih rezultata govori u prilog poticanja psihološke fleksibilnosti i psihološke otpornosti kod liječnika kao zaštitnih faktora od negativnih utjecaja pandemije na psihičko zdravlje.

Abstract (english)

World Health Organization defines a pandemic as a large-scale epidemic that affects much of the inhabited world. COVID-19 disease appeared at the end of 2019 in China and very quickly took on pandemic proportions. The primary aim of this study was to examine the mediating effect of COVID-19 concerns on the association between some personal determinants with psychological distress and COVID-19-related safety behaviors. One of the problems concerned the mediating effect of concerns about COVID-19 on the association between psychological inflexibility and psychological distress as well as on the association between psychological inflexibility and safety behaviors related to COVID-19. Another problem concerned the mediating effect of concerns about COVID-19 on the association between psychological vulnerability and psychological distress, or safety behaviors related to COVID-19. Furthermore, the aim of the study was to inspect gender differences in the mentioned variables. 656 physicians (71.3% female) participated in the study. The COVID-19 Anxiety Scale was used to measure COVID-19 concerns, while The COVID-19 Safety Behavior Checklist was used as a measure of safety behaviors. Acceptance and Action Questionnaire (AAQ-II) was used as a measure of psychological inflexibility, and the Brief Resilience Scale (BRS) for resilience. A short version of the Clinical Outcome in Routine Evaluation-YP (CORE-YP) was used as a measure of psychological distress. The results showed the existence of gender differences for all variables where women achieve higher results than men. The results showed the existence of gender differences for all the above variables in the direction that women achieve higher results than men. Mediation analysis showed complete mediation of concerns about COVID-19 to the association between psychological vulnerability and psychological inflexibility with safety behaviors. Also, partial mediation of concerns about COVID-19 to the association between psychological vulnerability and psychological inflexibility with psychological distress was demonstrated. The direct effect of psychological inflexibility was greater than the direct effect of psychological vulnerability. The implication of these results speaks in favor of encouraging psychological flexibility and psychological resilience in physicians as protective factors against the negative impacts of a pandemic on mental health.

• Keywords: COVID-19; liječnici; psihološka fleksibilnost; psihološka otpornost; rodne razlike; sigurnosna ponašanja
• Keywords (english): COVID-19; gender differences; physicians; psychological inflexibility; resilience; safety behaviours
• Language: croatian
• URN:NBN: urn:nbn:hr:131:840905
• Study programme: Title: Psychology; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra psihologije (magistar/magistra psihologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-01-19 10:34:33