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The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic

by 1, 2,*, 1 and 1
1
Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
2
Department of Psychology, West University of Timisoara, 325100 Timisoara, Romania
*
Author to whom correspondence should be addressed.
Behav. Sci. 2020, 10(11), 164; https://doi.org/10.3390/bs10110164
Received: 28 August 2020 / Revised: 18 October 2020 / Accepted: 22 October 2020 / Published: 26 October 2020
(This article belongs to the Special Issue Burnout and Risk Factors in Nurses)
The outbreak of coronavirus disease (COVID-19) brought significant psychological implications for healthcare professionals. We aimed to investigate the serial mediation effect of insomnia and exhaustion in the relationship between secondary traumatic stress (STS) and mental health complaints among the frontline healthcare professionals during the COVID-19 pandemic. In this cross-sectional study, 126 frontline healthcare workers from Romania completed validated surveys between March and April 2020. PROCESS macros were used to test the proposed hypotheses of the three-path mediation model. We computed the models for insomnia as the first mediator (M1) and exhaustion (M2) as our second mediator. STS was significantly related to insomnia. Insomnia was significantly related to exhaustion, and STS was positively related to exhaustion. In the third model, exhaustion was strongly and positively related to mental health complaints. The total indirect effect was positive, and the sequential indirect impact of STS on mental health complaints via both mediators in series (insomnia and exhaustion) was significant. Secondary traumatic stress had a positive direct effect on mental health complaints. In our limited sample, the results show that frontline medical staff during the COVID-19 outbreak have high STS, which are related to mental health complaints through insomnia and exhaustion. View Full-Text
Keywords: insomnia; frontline clinicians; exhaustion; stress; mental health; SARS COV-2 insomnia; frontline clinicians; exhaustion; stress; mental health; SARS COV-2
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MDPI and ACS Style

Secosan, I.; Virga, D.; Crainiceanu, Z.P.; Bratu, T. The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic. Behav. Sci. 2020, 10, 164. https://doi.org/10.3390/bs10110164

AMA Style

Secosan I, Virga D, Crainiceanu ZP, Bratu T. The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic. Behavioral Sciences. 2020; 10(11):164. https://doi.org/10.3390/bs10110164

Chicago/Turabian Style

Secosan, Ica, Delia Virga, Zorin P. Crainiceanu, and Tiberiu Bratu. 2020. "The Mediating Role of Insomnia and Exhaustion in the Relationship between Secondary Traumatic Stress and Mental Health Complaints among Frontline Medical Staff during the COVID-19 Pandemic" Behavioral Sciences 10, no. 11: 164. https://doi.org/10.3390/bs10110164

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