Exploring the relationship between peritraumatic dissociative experiences, post-traumatic stress disorder, stigma, and fear: A three-wave study during the COVID-19 pandemic.

Journal: Archives of psychiatric nursing

Volume: 51

Issue: 

Year of Publication: 2024

Affiliated Institutions:  OB and HRM Area, Indian Institute of Management Bodh Gaya, Bihar, India. Imam Ali Hospital at Amol City, Mazandaran University of Medical Sciences, Sari, Iran. Electronic address: zhosseinimarznaki@gmail.com. Department of Psychiatry and Behavioral Sciences, McMaster University, Ontario, Canada; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda. Infectious Diseases & Tropical Medicine Research Center (IDTMRC), School of Aerospace and Subaquatic Medicine, AJA University of Medical Sciences, Tehran, Iran. Imam Reza Hospital at Amol City, Mazandaran University of Medical Sciences, Sari, Iran. Department of Psychology, Agri Ibrahim Cecen University, Ağrı, Turkey; Department of Social and Educational Sciences, Lebanese American University, Beirut, Lebanon. Electronic address: muratyildirim@agri.edu.tr.

Abstract summary 

COVID-19 has emerged as a pervasive global challenge, giving rise to both significant public health concerns and a range of psychological experiences, such as fear, stigma, and post-traumatic stress disorder. Importantly, healthcare professionals have been subjected to immense mental health problems as they battle against this disease. This study aimed to investigate the mediating roles of perceived stigma, self-stigma related to COVID-19, and fear of COVID-19 in the associations between peritraumatic dissociative experiences and post-traumatic stress disorder during a three-wave COVID-19 pandemic (4th [T1], no wave [T2], and 5th [T3]) in Iran. Data were collected from healthcare professionals using the Peritraumatic Dissociative Experiences Questionnaire, Impact of Event Scale-6, Perceived Stigma Scale, Fear of COVID-19 Scale, and Self-Stigma Scale-Short. The results of structural equation modelling demonstrated positive associations between peritraumatic dissociative experiences, perceived stigma, self-stigma related to COVID-19, fear of COVID-19, and post-traumatic stress disorder across all survey waves. Moreover, the study revealed that perceived stigma, self-stigma related to COVID-19, and fear of COVID-19 acted as mediators in the association between peritraumatic dissociative experiences and post-traumatic stress disorder. The implications of these findings highlight the urgent need to address the mental health of healthcare professionals in the aftermath of a pandemic. Policy efforts should be directed towards providing adequate mental health resources and support to mitigate the psychological impact of pandemics on healthcare professionals.

Authors & Co-authors:  Lathabhavan Remya R Hosseini Marznaki Zohreh Z Kaggwa Mark Mohan MM Darvishi Mohammad M Haghighi Abdullah A Yıldırım Murat M

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1016/j.apnu.2024.06.025
SSN : 1532-8228
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Fear of COVID-19;Perceived stigma;Peritraumatic dissociative experiences;Post-traumatic stress disorder;Self-stigma related to COVID-19
Study Design
Study Approach
Country of Study
Publication Country
United States