COVID-19 Salgını'nda Görev Alan Sağlık Çalışanlarında Travma Sonrası Stres Belirtileri, Depresif Belirtiler ve Tükenmişlik Belirtilerinin Yordayıcısı Olarak Belirsizliğe Tahammülsüzlük, Algılanan Tehdit Boyutu ve Duygusal Emek Değişkenlerinin Rolünün İncelenmesi

Abstract

In this thesis, the predictive role of demographic, outbreak-related and psychological variables on the post-traumatic stress, depressive, and burnout symptoms of healthcare workers involved in the COVID-19 Outbreak was examined. For the research, data were collected from 346 participants, 202 women (58.4%) and 144 men (41.6%), aged between 19-66 (M = 34.6, SD = 9.0). The questionnaire set consisted of Demographic Information Form, Event Effect Scale-R, Beck Depression Inventory, Maslach Burnout Scale, Emotional Labor Scale, Intolerance of Uncertainty Scale, and some survey questions for perceived threat dimension. Descriptive analyzes were conducted to determine the symptom level of dependent variables. Afterwards, the relationship between demographic, outbreak-related, and psychological independent variables and post-traumatic stress, depressive, and burnout symptom levels was examined by Pearson Product-Moment Correlation Coefficient Analysis. A series of Hierarchical Multiple Linear Regression Analyzes was conducted to examine the variables that significantly predicted post-traumatic stress, depressive and burnout symptom levels. It was found that 58% of the participants in the study had high post-traumatic stress, 45% high depressive symptoms, 26% high emotional exhaustion, 26% high depersonalization and 65% low personal achievement symptom levels. In addition, being young, being male, being in the front line, having a chronic illness, decreased trust in the health system, delay/termination of regular treatment, problematic relations with households, increased daily follow-up time for COVID-19 news, and discrimination due to occupation predicted post-traumatic stress, depressive or burnout symptom levels. Among the psychological variables, Prospective Anxiety subdimension of intolerance of uncertainty predicted Avoidance, Intrusion, Emotional Exhaustion and Depersonalization; Inhibitory Anxiety predicted Intrusion and Hyperarousal; False Feelings subdimension of Emotional Labor predicted all outcome variables (except for the Personal Achievement sub- dimension); Hidden Emotions predicted Avoidance and low Personal Achievement; Deep Surface Acting predicted high Personal Achievement, and finally, COVID-19 Threat Perception total score predicted all dependent variables (low Personal Achievement).