Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study
Abstract Background The emergency of Omicron variants, spreading in China and worldwide, has sparked a new wave of the coronavirus disease 2019 (COVID-19) pandemic. The high infectivity and persistence of the pandemic may trigger some degrees of post-traumatic stress disorder (PTSD) for nursing stud...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-023-01319-4 |
| _version_ | 1797822968352473088 |
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| author | Dongmei Zhang Li Qin Anle Huang Congzhi Wang Ting Yuan Xiaoping Li Liu Yang Jing Li Yunxiao Lei Lu Sun Mingming Liu Huan Liu Lin Zhang |
| author_facet | Dongmei Zhang Li Qin Anle Huang Congzhi Wang Ting Yuan Xiaoping Li Liu Yang Jing Li Yunxiao Lei Lu Sun Mingming Liu Huan Liu Lin Zhang |
| author_sort | Dongmei Zhang |
| collection | DOAJ |
| description | Abstract Background The emergency of Omicron variants, spreading in China and worldwide, has sparked a new wave of the coronavirus disease 2019 (COVID-19) pandemic. The high infectivity and persistence of the pandemic may trigger some degrees of post-traumatic stress disorder (PTSD) for nursing students experiencing indirect trauma exposure to the epidemic, which hinders the role transition from students to qualified nurses and exacerbates the health workforce shortage. Thus, it’s well worth an exploration to understand PTSD and its underlying mechanism. Specifically, PTSD, social support, resilience, and fear of COVID-19 were selected after widely literature review. This study aimed to investigate the relationship between social support and PTSD among nursing students during COVID-19, to address the mediating role of resilience and fear of COVID-19 between social support and PTSD, and to provide practical guidance for nursing students’ psychological intervention. Methods From April 26 to April 30, 2022, 966 nursing students from Wannan Medical College were selected by the multistage sampling method to fill the Primary Care PTSD Screen for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Brief Resilience Scale, Fear of COVID-19 Scale, and Oslo 3 Items Social Support Scale. Data were analyzed by descriptive statistics, spearman’s correlation analysis, regression analysis, and path analysis. Results 15.42% of nursing students had PTSD. There were significant correlations between social support, resilience, fear of COVID-19, and PTSD (r =-0.291 ~ 0.353, P <0.001). Social support had a direct negative effect on PTSD (β =-0.216; 95% confidence interval, CI: -0.309~-0.117), accounting for 72.48% of the total effect. Analysis of mediating effects revealed that social support influenced PTSD through three indirect pathways: the mediated effect of resilience was statistically significant (β =-0.053; 95% CI: -0.077~-0.031), accounting for 17.79% of the total effect; the mediated effect of fear of COVID-19 was statistically significant (β =-0.016; 95% CI: -0.031~-0.003), accounting for 5.37% of the total effect; the chain mediating effect of resilience and fear of COVID-19 was statistically significant (β =-0.013; 95% CI: -0.022~-0.006), accounting for 4.36% of the total effect. Conclusion The social support of nursing students not only directly affects PTSD, but also indirectly affects PTSD through the separate and chain mediating effect of resilience and fear of COVID-19. The compound strategies targeted at boosting perceived social support, fostering resilience, and controlling fear of COVID-19 are warranted for reducing PTSD. |
| first_indexed | 2024-03-13T10:17:05Z |
| format | Article |
| id | doaj.art-c2ed13f53a8847f298dba58458274382 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-03-13T10:17:05Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-c2ed13f53a8847f298dba584582743822023-05-21T11:12:25ZengBMCBMC Nursing1472-69552023-05-012211910.1186/s12912-023-01319-4Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional studyDongmei Zhang0Li Qin1Anle Huang2Congzhi Wang3Ting Yuan4Xiaoping Li5Liu Yang6Jing Li7Yunxiao Lei8Lu Sun9Mingming Liu10Huan Liu11Lin Zhang12School of Nursing, Wannan Medical CollegeThe Dean’s Office, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeDepartment of Hemodialysis, The First Affiliated Hospital of Wannan Medical CollegeSchool of Nursing, Wannan Medical CollegeAbstract Background The emergency of Omicron variants, spreading in China and worldwide, has sparked a new wave of the coronavirus disease 2019 (COVID-19) pandemic. The high infectivity and persistence of the pandemic may trigger some degrees of post-traumatic stress disorder (PTSD) for nursing students experiencing indirect trauma exposure to the epidemic, which hinders the role transition from students to qualified nurses and exacerbates the health workforce shortage. Thus, it’s well worth an exploration to understand PTSD and its underlying mechanism. Specifically, PTSD, social support, resilience, and fear of COVID-19 were selected after widely literature review. This study aimed to investigate the relationship between social support and PTSD among nursing students during COVID-19, to address the mediating role of resilience and fear of COVID-19 between social support and PTSD, and to provide practical guidance for nursing students’ psychological intervention. Methods From April 26 to April 30, 2022, 966 nursing students from Wannan Medical College were selected by the multistage sampling method to fill the Primary Care PTSD Screen for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), Brief Resilience Scale, Fear of COVID-19 Scale, and Oslo 3 Items Social Support Scale. Data were analyzed by descriptive statistics, spearman’s correlation analysis, regression analysis, and path analysis. Results 15.42% of nursing students had PTSD. There were significant correlations between social support, resilience, fear of COVID-19, and PTSD (r =-0.291 ~ 0.353, P <0.001). Social support had a direct negative effect on PTSD (β =-0.216; 95% confidence interval, CI: -0.309~-0.117), accounting for 72.48% of the total effect. Analysis of mediating effects revealed that social support influenced PTSD through three indirect pathways: the mediated effect of resilience was statistically significant (β =-0.053; 95% CI: -0.077~-0.031), accounting for 17.79% of the total effect; the mediated effect of fear of COVID-19 was statistically significant (β =-0.016; 95% CI: -0.031~-0.003), accounting for 5.37% of the total effect; the chain mediating effect of resilience and fear of COVID-19 was statistically significant (β =-0.013; 95% CI: -0.022~-0.006), accounting for 4.36% of the total effect. Conclusion The social support of nursing students not only directly affects PTSD, but also indirectly affects PTSD through the separate and chain mediating effect of resilience and fear of COVID-19. The compound strategies targeted at boosting perceived social support, fostering resilience, and controlling fear of COVID-19 are warranted for reducing PTSD.https://doi.org/10.1186/s12912-023-01319-4COVID-19PTSDResilienceFearSocial supportMediating role |
| spellingShingle | Dongmei Zhang Li Qin Anle Huang Congzhi Wang Ting Yuan Xiaoping Li Liu Yang Jing Li Yunxiao Lei Lu Sun Mingming Liu Huan Liu Lin Zhang Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study BMC Nursing COVID-19 PTSD Resilience Fear Social support Mediating role |
| title | Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study |
| title_full | Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study |
| title_fullStr | Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study |
| title_full_unstemmed | Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study |
| title_short | Mediating effect of resilience and fear of COVID-19 on the relationship between social support and post-traumatic stress disorder among campus-quarantined nursing students: a cross-sectional study |
| title_sort | mediating effect of resilience and fear of covid 19 on the relationship between social support and post traumatic stress disorder among campus quarantined nursing students a cross sectional study |
| topic | COVID-19 PTSD Resilience Fear Social support Mediating role |
| url | https://doi.org/10.1186/s12912-023-01319-4 |
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