The mediating effect of resilience between work fatigue and psychological distress among healthcare workers in Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia.
Journal: Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
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Affiliated Institutions:
Department of Psychiatry "Ibn Omrane," Razi Hospital, Tunisia; and Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Lebanon; and Applied Science Research Center, Applied Science Private University, Jordan; and Department of Psychology, College of Humanities, Effat University, Saudi Arabia.
Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Brazil.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon; and Department of Health Sciences, Faculty of Public Health, Lebanese University, Lebanon.
Eating Behavior Laboratory (EAT Lab.), Institute of Psychology, University of Wroclaw, Poland.
Department of Pharmacy, Federal Medical Center Makurdi, Nigeria.
Faculty of Pharmaceutical Sciences, University of Nigeria, Nigeria.
Department of Research & Development, Children's Hospital Karachi, Pakistan.
Department of Pharmacy, Faculty of Medicine, University of Novi Sad, Serbia.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon; and Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Lebanon; and Lebanese University, faculty of Pharmacy, Lebanon; and Department of primary care and population sciences, University of Nicosia, Medical School, Cyprus.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon; and Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Lebanon.
Department of Biomedical Sciences, School of Pharmacy, Lebanese International University, Lebanon; and INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon; and Department of Pharmaceutical Sciences, Faculty of Pharmacy, Lebanese International University, Lebanon.
Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie INSPECT-LB), Beirut, Lebanon; and Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; and Faculty of Public health, Lebanese University, Fanar, Lebanon.
Department of Medicinal Sciences, Faculty of Medicine, Lebanese University, Lebanon.
INSPECT-LB (Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban), Lebanon; and Department of Pharmaceutical Sciences, Faculty of Pharmacy, Lebanese International University, Lebanon; and Department of Health Sciences, Faculty of Public Health, Lebanese University, Lebanon.
Abstract summary
To test the hypothesis that resilience has a mediating effect on the association between work fatigue and psychological distress.A cross-sectional survey was conducted online in eight countries in 2021: Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia. A total of 1094 healthcare professionals specialized in medicine, pharmacy, and nurse practitioners that were exposed to/worked with COVID-19 patients were included (age: 33.89 ± 10.79 years; 59.6% females).After adjusting for potential confounders (i.e., country, gender, primary work in emergency department, primary work in infectious disease, primary work in intensive care unit, working in a COVID-19 ward, and working voluntary hours), the results of the mediation analysis showed that resilience fully mediated the association between physical work fatigue and psychological distress and partially mediated the associations between mental and emotional work fatigue and psychological distress. Higher work fatigue was significantly associated with less resilience; higher resilience was significantly associated with less psychological distress. Finally, higher mental and emotional, but not physical, work fatigue, were directly and significantly associated with more psychological distress.Identifying resilience as an important mediator in the path from fatigue to distress helps elucidate underlying mechanisms and pathways leading to the mental health-alteration process among healthcare workers during COVID-19. New strategies targeting resilience may be developed to further improve mental health outcomes among healthcare workers.
Authors & Co-authors:
Fekih-Romdhane Feten F
Hallit Souheil S
Mohammed Irfan I
El Khatib Sarah S
Brytek-Matera Anna A
Eze Shadrach Chinecherem SC
Egwu Kenneth K
Jabeen Rawshan R
Pavlović Nebojša N
Salameh Pascale P
Cherfane Michelle M
Younes Samar S
Akel Marwan M
Haddad Chadia C
Choueiry Randa R
Iskandar Katia K
Study Outcome
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