scholarly journals Trauma Exposure and Depression among Frontline Health Professionals During COVID-19 Outbreak in China: The Role of Intrusive Rumination and Organizational Silence

Author(s):  
Chaofan Li ◽  
Qiaobing Wu ◽  
Debin Gu ◽  
Shiguang Ni

Abstract Background: Healthcare professionals are a population exposed to especially high riskand stress during the COVID-19 outbreak. Several studies have demonstrated that healthcare professionals exposed to COVID-19 reported various affective disorders such as depressive symptoms, anxiety, insomnia, and distress. However, the mechanism underlying the association between trauma exposure and depressive symptom among frontline hospital staff has yet to be investigated. This study aims to assess the prevalence of depressive symptoms among frontline healthcare professionals in Shenzhen, China, particularly examining its association with trauma exposure, intrusive rumination and organizational silence.Methods: Data of the study came from a time-lagged panel questionnaire survey with three waves of measurement from February, 2020 to May, 2020 at an infectious diseases hospital of Shenzhen which accommodated all the confirmed cases of COVID-19 patients. Using clustersampling design, a total of 134 frontline healthcare professionals directly involved inproviding diagnosis, treatment and nursing services for COVID-19 patients completed three wave web survey. A moderated mediation model was performed to examine the complex interplay among the major study variables.Results: Trauma exposure was significantly related with depression of frontline healthcare professionals. Intrusive rumination mediated the effect of trauma exposure on depressive symptom, and organization silence moderated the relationship between intrusive rumination and depressive symptoms. Intrusive rumination showed stronger effect on depressive while organization silences was at a lower level.Conclusions: This research demonstrates the pivotal role that intrusive rumination and organizational silence play in predicting the depressive symptoms among the frontline healthcare professionals coping with COVID-19.

Author(s):  
SHAKER BANI-MELHEM ◽  
RAWAN ABUKHAIT ◽  
FARIDAHWATI MOHD. SHAMSUDIN ◽  
MOHD AHMAD AL-HAWARI

Previous research is inconclusive about when and how job challenge affects innovative behaviour. To address this inconsistency, we primarily draw on the job characteristics theory (JCT) and job demands–resources model (JD–R model) to examine the effect of job challenge on intrinsic motivation and employee innovative behaviour as well as the moderating role of supervisor coaching behaviour. We employ a time-lagged research design to collect data from 318 public sector employees in the UAE. Our finding offers support for a moderated mediation model in which job challenge has a positive and significant effect on innovative behaviour. The study also shows that the association between job challenge and innovative behaviour via intrinsic motivation is stronger under high supervisor coaching behaviour. The findings provide prescriptive insights into the critical role that supervisor coaching behaviours play in clarifying when and how job challenge affects innovative behaviour and indicate relevant managerial implications aimed at encouraging innovative behaviour in the public sector.


2021 ◽  
pp. 000486742110257
Author(s):  
Kyung Hwa Lee ◽  
Ha Young Lee ◽  
Inkyung Park ◽  
Jeong Eun Jeon ◽  
Nambeom Kim ◽  
...  

Objectives: Evidence suggests that emotion regulation difficulty may play an important role in the association between life stress, sleep disturbance and depressive symptoms. We proposed two models depicting the possible moderating roles of prefrontal cortex activation during emotion regulation in the associations among these variables and tested them. We hypothesized that (1) the association between stress and sleep disturbance would differ across prefrontal cortex activation during emotion regulation (moderation model) and (2) the indirect effects of stress on depressive symptoms through sleep disturbance would depend on prefrontal cortex activation during emotion regulation (moderated mediation model). Methods: Forty-eight healthy adults without sleep disorders based on nocturnal polysomnography participated in this study. They received functional magnetic resonance imaging scans while performing an emotion regulation task. They also completed questionnaires assessing life stress, sleep disturbance and depressive symptoms. The proposed models were tested using the PROCESS macro for SPSS. Results: As hypothesized, there was a significant moderating effect of prefrontal cortex activation during emotion regulation on the association between life stress and sleep disturbance. Furthermore, right lateral prefrontal cortex activation had a moderating role in the indirect effect of life stress on depressive symptoms through sleep disturbance. Conclusion: These findings highlight the important role of prefrontal cortex function during emotion regulation in the associations between stress, sleep disturbance and depressive symptoms. Increasing lateral prefrontal cortex recruitment when regulating the emotional response to negative life events may be critical for the prevention and intervention of depression as well as sleep problems.


Author(s):  
María Teresa Chamizo-Nieto ◽  
Lourdes Rey

AbstractRecently, there has been an increase in the problem of cyberbullying all over the world, which implies important negative consequences for adolescent victims’ mental health, such as depression. There are few research studies that analyse the role of gratitude and cognitive coping strategies for the consequences of cybervictimisation. To date, there are few studies examining the influence of both these resources in a cyberbullying context. Therefore, the objectives of this research were to analyse the mediating role of maladaptive cognitive emotion regulation strategies (CERS) in the relationship between cybervictimisation and depressive symptoms, and to explore the potential moderating role of gratitude among the study variables. A sample of 1156 students between 12 and 18 years (54.33% females) filled out self-report questionnaires measuring cybervictimisation (ECIPQ), cognitive coping strategies (CERQ-SA), depressive symptoms (DASS-21) and gratitude (GQ-5). The outcomes showed that maladaptive CERS partially mediated the relation between cybervictimisation and depressive symptoms. Furthermore, gratitude buffered the relation between maladaptive CERS and depressive symptoms. These findings provide evidence for the buffering role of gratitude in a more frequent use of maladaptive CERS and depressive symptoms in cybervictimisation. The limitations and implications of the study are discussed.


2021 ◽  
Vol 11 ◽  
Author(s):  
Kelci Straka ◽  
Mai-Lan Tran ◽  
Summer Millwood ◽  
James Swanson ◽  
Kate Ryan Kuhlman

Inflammation has been implicated in the pathogenesis and maintenance of depressive symptoms. The role of inflammation in depressive symptomatology may be complex, varying within endophenotypes and across the lifespan. Aging is associated with myriad changes in the structure and function of the brain. Yet, little attention has been given to the role of inflammation in depressive symptoms within a lifespan developmental framework. In this study, we examined whether the association between inflammation and depressive symptom domains varied by age. Participants were a community sample of individuals (N = 2,077, Range = 30–84) who participated in the Biomarker projects of the MIDUS2, MIDUS Refresher, or the MIDJA study. Inflammation was indexed by two inflammatory markers consistently implicated in depressed individuals, interleukin 6 (IL-6) and C-reactive protein (CRP), measured in blood. Depressive symptom domains, including depressed affect, anhedonia, somatic complaints, and interpersonal problems, were reported via the Center for Epidemiologic Studies—Depression Scale (CES-D). Inflammatory markers were associated with more somatic complaints, more interpersonal problems, and less anhedonia. Age moderated the relationship between inflammatory markers and two depressive symptom subscales. Specifically, the positive association between inflammation and somatic complaints and the negative association between inflammation and anhedonia increased with age. These observations offer preliminary evidence from a large community sample that aging may be an important context for the role of inflammatory signaling in different aspects of psychological and behavioral well-being.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bashir Ahmad ◽  
Imran Shafique ◽  
Masood Nawaz Kalyar

Purpose This study aims to test the relationship between perceived coworker social undermining and knowledge hiding behavior among Pakistani doctors working in hospitals. This study further investigates the mediating role of employee cynicism (EC) and the moderating role of family social support between the association of family social support and knowledge hiding. Design/methodology/approach Time lagged approach was used to collect the data from 391 trainee doctors working in large hospitals in Pakistan. Findings The findings suggest that coworker social undermining is significantly related to EC and knowledge hiding behaviors. EC mediates the relationship between EC and knowledge hiding. Furthermore, family social support was found to play a buffer role such that the indirect effect of social undermining on knowledge hiding through cynicism was weak for those who received high family social support and vice versa. Originality/value Knowledge hiding is deleterious to effective organizational functioning. This study adds to knowledge about the relationship between coworker social undermining and knowledge hiding behavior. This research extends the existing research streams of social undermining and knowledge hiding research to one of the underrepresented South Asian context, Pakistan.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Janine Bosak ◽  
Steven Kilroy ◽  
Denis Chênevert ◽  
Patrick C Flood

PurposeThe present study contributes to our understanding of how to curb burnout among hospital staff over time. The authors extend existing research by examining the mediating role of mission valence in the link between transformational leadership and burnout.Design/methodology/approachSelf-administered questionnaire data from employees in a Canadian general hospital (N = 185) were analyzed using a time-lagged research design to examine whether transformational leaders can increase employees' attraction to the organization's mission (i.e. mission valence) and in turn alleviate long-term burnout.FindingsStructural equation modeling analysis demonstrated that transformational leadership (time 1) was negatively related to the burnout components of emotional exhaustion and depersonalization (time 2). Further, the results showed that mission valence mediated these relationships.Practical implicationsThe study findings are important for managers and professionals as they identify transformational leadership as a potent strategy to alleviate employee burnout and clarify the process through which this is achieved, namely, by increasing mission valence.Originality/valueTo date, surprisingly little research has explored how transformational leadership influences followers' burnout. To address this issue, the present study examined the role of transformational leadership on staff burnout through the mechanism of increasing mission valence. Understanding how to mitigate burnout is particularly critical in health care organizations given that burnout not only negatively impacts employee wellbeing but also the wellbeing and quality of care provided to patients.


2016 ◽  
Vol 32 (2) ◽  
pp. 441 ◽  
Author(s):  
Francisco J. Ruizq ◽  
Paula Odriozola-González

Beck’s cognitive model of depression proposes that depressogenic schemas have an effect on depressive symptoms by increasing the frequency of negative automatic thoughts in response to negative life events. We aimed to test a moderated, serial mediation model where psychological inflexibility, a core concept of the Acceptance and Commitment Therapy (ACT) model of psychopathology, both mediates and moderates the relationship between depressogenic schemas and the frequency of negative automatic thoughts. A cross-sectional design was used in which 210 undergraduates responded to questionnaires assessing the constructs of interest. Results supported the proposed moderated mediation model. Both psychological inflexibility and negative automatic thoughts were significant mediators of the relationship between depressogenic schemas and depressive symptoms, and psychological inflexibility also moderated the effect of depressogenic schemas on negative automatic thoughts. We conclude that the role of psychological inflexibility in the cognitive model of depression deserves more attention.


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