RESILIENCE AS A MEDIATOR IN RELATIONSHIP BETWEEN ANXIETY AND PERSONALITY AMONG PHYSIOTHERAPISTS-A CROSS-SECTIONAL STUDY
Keywords:
Mental health, personality, depression, resilience, covid-19, anxiety, physiotherapistAbstract
Background and Aims: The COVID-19 outbreak is the biggest global crisis in generations having severe and far-reaching repercussions for the health system, creating high prevalence of severe posttraumatic stress symptoms for physical therapists, highlighting the need for psychological help. Therefore, this study aimed to investigate how resilience functions as a mediator in the relationship between anxiety and personality among Karachi based physiotherapists.
Methodology: A cross-sectional study was conducted among physiotherapists of Karachi using a convenience sampling technique from August to December 2021. The data was collected using a 10-Item Personality Inventory, Brief Resilience Scale, and Hamilton Anxiety Rating Scale questionnaire.
Results: Among 70 participants, the emotional stability trait (7.6±1.4) had higher mean values on the TIPI. On the HAM-A scale, 81.4% physiotherapists had moderate to severe anxiety followed by 15.7% mild to moderate anxiety whereas 92.9% were shown to have normal resilience. Despite all correlations being negligible, only the association between agreeableness and resilience was non-significantly higher (r=0.83).
Conclusion: It was concluded that there was no association between the anxiety state and resilience among physiotherapists, although there was a non-significantly higher relationship between agreeableness and openness to experiences personality traits. A high prevalence of moderate to severe anxiety was noted while using a standard resilience strategy.
References
Auriemma V, Iannaccone C. COVID-19 pandemic: socio-economic consequences of social distancing measures in Italy. Frontiers in Sociology. 2020 Oct 16;5:575791.
Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, Ballard C, Christensen H, Silver RC, Everall I, Ford T. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry
Charlson F, van Ommeren M, Flaxman A, Cornett J, Whiteford H, Saxena S. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. The Lancet. 2019 Jul 20;394(10194):240-8.
Śniadach J, Szymkowiak S, Osip P, Waszkiewicz N. Increased depression and anxiety disorders during the COVID-19 pandemic in children and adolescents: a literature review. Life. 2021 Nov 5;11(11):1188.
Lenzo V, Quattropani MC, Sardella A, Martino G, Bonanno GA. Depression, anxiety, and stress among healthcare workers during the COVID-19 outbreak and relationships with expressive flexibility and context sensitivity. Frontiers in Psychology. 2021 Feb 22;12:623033.
Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry research. 2020 Aug 1;290:113129.
Maldonato NM, Bottone M, Chiodi A, Continisio GI, De Falco R, Duval M, Muzii B, Siani G, Valerio P, Vitelli R, Scandurra C. A mental health first aid service in an italian university public hospital during the coronavirus disease 2019 outbreak. Sustainability. 2020 Jan;12(10):4244.
Ramaci T, Barattucci M, Ledda C, Rapisarda V. Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability. 2020 May 8;12(9):3834.
Gasparro R, Scandurra C, Maldonato NM, Dolce P, Bochicchio V, Valletta A, Sammartino G, Sammartino P, Mariniello M, Di Lauro AE, Marenzi G. Perceived job insecurity and depressive symptoms among Italian dentists: the moderating role of fear of COVID-19. International journal of environmental research and public health. 2020 Aug;17(15):5338.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open. 2020 Mar 2;3(3):e203976-.
Babur MN, Liaqat M. Prevalence and factors effecting depression, stress and anxiety among physiotherapists of Pakistan. Isra Med J. 2017;9(6):427-30.
Mental disorders [Internet]. Who.int. 2022 [cited 9 September 2022]. Available from:https://www.who.int/news-room/fact-sheets/detail/mental-disorder
Mental Health and COVID-19: Early evidence of the pandemic’s impact: Scientific brief, 2 March 2022 [Internet]. Who.int. 2022 [cited 9 September 2022]. Available from:https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci_Brief-Mental_health-2022.1
De la Fuente J, González-Torres MC, Artuch-Garde R, Vera-Martínez MM, Martínez-Vicente JM, Peralta-S'anchez FJ. Resilience as a buffering variable between the big five components and factors and symptoms of academic stress at university. Frontiers in Psychiatry. 2021 Jul 8;12:1093.
Ching SS, Cheung K. Factors affecting resilience of nursing, optometry, radiography and medical laboratory science students. International journal of environmental research and public health. 2021 Apr 7;18(8):3867.
Ferguson E. Personality is of central concern to understand health: towards a theoretical model for health psychology. Health Psychology Review. 2013 May 1;7(sup1):S32-70.
Hopwood CJ, Zimmermann J, Pincus AL, Krueger RF. Connecting personality structure and dynamics: Towards a more evidence-based and clinically useful diagnostic scheme. Journal of Personality Disorders. 2015 Aug 1;29(4):431.
Zinbarg RE, Mineka S, Bobova L, Craske MG, Vrshek-Schallhorn S, Griffith JW, Wolitzky-Taylor K, Waters AM, Sumner JA, Anand D. Testing a hierarchical model of neuroticism and its cognitive facets: Latent structure and prospective prediction of first onsets of anxiety and unipolar mood disorders during 3 years in late adolescence. Clinical Psychological Science. 2016 Sep;4(5):805-24.
Yona T, Weisman A, Gottlieb U, Masharawi Y. High levels of self-reported depressive symptoms among physical therapists and physical therapist students are associated with musculoskeletal pain: a cross-sectional study. Physical Therapy. 2022 Mar;102(3):pzab278
Azkhosh M, Sahaf R, Rostami M, Ahmadi A. Reliability and validity of the 10-item personality inventory among older Iranians. Psychology in Russia. 2019;12(3):28.
Kyriazos TA, Stalikas A, Prassa K, Galanakis M, Yotsidi V, Lakioti A. Psychometric evidence of the Brief Resilience Scale (BRS) and modeling distinctiveness of resilience from depression and stress. Psychology. 2018 Jul 4;9(7):1828-57.
Thompson E. Hamilton rating scale for anxiety (HAM-A). Occupational Medicine. 2015 Oct 1;65(7):601.
Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms. Social Science & Medicine. 2020 in response to COVID-19: A study of the general population in China at the peak of its epidemic Oct 1;262:113261.
Kocjan GZ, Kavčič T, Avsec A. Resilience matters: Explaining the association between personality and psychological functioning during the COVID-19 pandemic. International Journal of Clinical and Health Psychology. 2021 Jan 1;21(1):100198.
Agbaria Q, Mokh AA. Coping with stress during the coronavirus outbreak: The contribution of big five personality traits and social support. International Journal of Mental Health and Addiction. 2022 Jun;20(3):1854-72.
Agbaria Q. Coping with Stress Among Israeli–Palestinian High School Students: The Role of Self-Control, Religiosity, and Attachment Pattern. Journal of religion and health. 2021 Apr;60(2):692-708.
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