PMID- 33162916
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201112
IS  - 1664-1078 (Print)
IS  - 1664-1078 (Electronic)
IS  - 1664-1078 (Linking)
VI  - 11
DP  - 2020
TI  - Impact of the Family Environment on the Emotional State of Medical Staff During 
      the COVID-19 Outbreak: The Mediating Effect of Self-Efficacy.
PG  - 576515
LID - 10.3389/fpsyg.2020.576515 [doi]
LID - 576515
AB  - During the outbreak of the coronavirus disease 2019 (COVID-19), the medical staff 
      was facing severe work pressure, which led to a negative emotional state. The 
      purpose of this study was to explore the relationship between the family 
      environment and the emotional state of the medical staff members during the 
      COVID-19 outbreak. Due to the importance of self-efficacy in regulating mental 
      health, the mediating role of self-efficacy in the association between family 
      environment and emotional state was also explored. A cross-sectional survey was 
      performed, using an online questionnaire, on 645 medical staff who participated 
      in the epidemic prevention and control tasks during the COVID-19 outbreak in 
      Beijing. Family environment, self-efficacy, anxiety, and depressive symptoms were 
      measured by the Family Environment Scale-Chinese Version (FES-CV), the General 
      Self-Efficacy Scale (GSES), the Generalized Anxiety Disorder Scale-7 (GAD-7), and 
      the Patient Health Questionnaire-9 (PHQ-9), respectively. Correlation analysis 
      and mediating effect analysis were used to explore the relationships between 
      them. First, a higher prevalence of anxiety (39%) and depressive (33%) symptoms 
      were confirmed among the medical staff. Second, the symptoms of anxiety and 
      depression were negatively correlated with the dimensions of cohesion and 
      expressiveness and positively correlated with the dimensions of conflict in the 
      FES-CV scale. Third, self-efficacy significantly mediated the association between 
      the family environment and anxiety symptoms (P < 0.001) as well as the family 
      environment and depressive symptoms (P < 0.001). These findings show that a 
      negative family environment was the main predictor of symptoms of anxiety and 
      depression in the medical staff during the COVID-19 outbreak. Furthermore, we 
      found that self-efficacy played a critical mediating role between the family 
      environment and the symptoms of anxiety and depression. Our study also indicates 
      that improvements in the family environment benefit the mental health care of the 
      medical staff, and high self-efficacy enhances this effect.
CI  - Copyright (c) 2020 Hu, Li, He, Wang, Wei, Yin and Chen.
FAU - Hu, Na
AU  - Hu N
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
FAU - Li, Ying
AU  - Li Y
AD  - Beijing Children's Hospital, Capital Medical University, National Center for 
      Children's Health, Beijing, China.
FAU - He, Su-Shuang
AU  - He SS
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
FAU - Wang, Lei-Lei
AU  - Wang LL
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
FAU - Wei, Yan-Yan
AU  - Wei YY
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
FAU - Yin, Lu
AU  - Yin L
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
FAU - Chen, Jing-Xu
AU  - Chen JX
AD  - Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical 
      School, Beijing, China.
LA  - eng
PT  - Journal Article
DEP - 20201009
PL  - Switzerland
TA  - Front Psychol
JT  - Frontiers in psychology
JID - 101550902
PMC - PMC7581684
OTO - NOTNLM
OT  - COVID-19
OT  - anxiety symptoms
OT  - depression symptoms
OT  - family environment
OT  - medical staff
OT  - self-efficacy
EDAT- 2020/11/10 06:00
MHDA- 2020/11/10 06:01
PMCR- 2020/10/09
CRDT- 2020/11/09 05:30
PHST- 2020/06/26 00:00 [received]
PHST- 2020/09/18 00:00 [accepted]
PHST- 2020/11/09 05:30 [entrez]
PHST- 2020/11/10 06:00 [pubmed]
PHST- 2020/11/10 06:01 [medline]
PHST- 2020/10/09 00:00 [pmc-release]
AID - 10.3389/fpsyg.2020.576515 [doi]
PST - epublish
SO  - Front Psychol. 2020 Oct 9;11:576515. doi: 10.3389/fpsyg.2020.576515. eCollection 
      2020.