Scientific Papers

The effect of social support and resource support on emotional exhaustion, insomnia, and suicidal ideation among allied health trainees and post-graduate year doctors in Taiwan | BMC Psychology


  • Gabutti G, d’Anchera E, Sandri F, Savio M, Stefanati A, Coronavirus. Update related to the current outbreak of COVID-19. Infect Dis Ther. 2020;9(2):241–53.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Bhanot D, Singh T, Verma SK, Sharad S. Stigma and discrimination during COVID-19 pandemic. Front Public Health. 2020;8:577018.

    Article 
    PubMed 

    Google Scholar
     

  • Huang PC, Lee CH, Griffiths MD, O’Brien KS, Lin YC, Gan WY, et al. Sequentially mediated effects of weight-related self-stigma and psychological distress in the association between perceived weight stigma and food addiction among Taiwanese university students: a cross-sectional study. J Eat Disord. 2022;10(1):177.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Williams J, Gonzalez-Medina D. Infectious diseases and social stigma. Appl Innov Technol. 2011;4(1):58–70.

    Article 

    Google Scholar
     

  • Morganstein JC, Fullerton CS, Ursano RJ, Donato D, Holloway HC. Pandemics: Health care emergencies. In: Ursano RJ, Fullerton CS, Weisaeth L, Raphael B, editors. Textbook of disaster psychiatry. UK: Cambridge University Press; 2017. pp. 270–84.

    Chapter 

    Google Scholar
     

  • Huang PC, Hung CH, Chen GW, Cashin C, Griffiths MD, Yang WC, et al. COVID-19-related self-stigma, post-traumatic stress disorder, insomnia, and smartphone addiction among frontline government workers with COVID-19 pandemic control duties. Psychol Res Behav Manag. 2022;15:3069–80.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Mostafa A, Sabry W, Mostafa NS. COVID-19-related stigmatization among a sample of Egyptian healthcare workers. PLoS ONE. 2020;15(12):e0244172.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Khan S, Akter S, Khan T, Shariar G, Awal Miah MA. Psychological distress among Bangladeshi physicians: roles of perceived stigma, fear of infection and resilience in the context of COVID-19 pandemic. J Soc Distress Homeless. 2022;31(1):105–14.

    Article 

    Google Scholar
     

  • Kwaghe AV, Ilesanmi OS, Amede PO, Okediran JO, Utulu R, Balogun MS. Stigmatization, psychological and emotional trauma among frontline health care workers treated for COVID-19 in Lagos State, Nigeria: a qualitative study. BMC Health Serv Res. 2021;21(1):855.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Menon GR, Yadav J, Aggarwal S, Singh R, Kaur S, Chakma T, et al. Psychological distress and burnout among healthcare worker during COVID-19 pandemic in India – A cross-sectional study. PLoS ONE. 2022;17(3):e0264956.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Diaz F, Cornelius T, Bramley S, Venner H, Shaw K, Dong M, et al. The association between sleep and psychological distress among New York City healthcare workers during the COVID-19 pandemic. J Affect Disord. 2022;298(Pt A):618–24.

    Article 
    PubMed 

    Google Scholar
     

  • Salman M, Mallhi TH, Khan YH, Mustafa ZU, Shehzadi N, Khan TM, et al. Suicidal ideation amid COVID-19 pandemic: a cross-sectional study among healthcare workers during the first wave of COVID-19 in Pakistan. Disaster Med Public Health Prep. 2022;16(6):2243–4.

    Article 

    Google Scholar
     

  • Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149(5):334–41.

    Article 
    PubMed 

    Google Scholar
     

  • Sexton JB, Adair KC, Proulx J, Profit J, Cui X, Bae J, et al. Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019–2021. JAMA Netw Open. 2022;5(9):e2232748.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Torppa MA, Kuikka L, Nevalainen M, Pitkala KH. Emotionally exhausting factors in general practitioners’ work. Scand J Prim Health Care. 2015;33(3):178–83.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Que JY, Shi L, Yan W, Chen SJ, Wu P, Sun SW, et al. Nightmares mediate the association between traumatic event exposure and suicidal ideation in frontline medical workers exposed to COVID-19. J Affect Disord. 2022;304:12–9.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Lo WL, Lin YG, Pan YJ, Wu YJ, Hsieh MC. Faculty development program for general medicine in Taiwan: past, present, and future. Tzu Chi Med J. 2014;26(2):64–7.

    Article 

    Google Scholar
     

  • Youmbi VN. A positive attitude to negate a false positive test result: an intern’s experience with COVID-19. Int J Med Stud. 2020;8(2):165–6.


    Google Scholar
     

  • Balay-Odao EM, Cruz JP, Alsolais AM, Bajet JB, Alquwez N, Almansour AM, et al. Saudi nurse interns’ experiences during the COVID-19 pandemic: a thematic approach. Healthcare. 2023;11(2):230.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Saeed F, Mihan R, Mousavi SZ, Reniers RL, Bateni FS, Alikhani R, et al. A narrative review of stigma related to infectious disease outbreaks: what can be learned in the face of the COVID-19 pandemic? Front Psychiatry. 2020;11:565919.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Giri LM, Paudel K, Bhusal S, Adhikari TB, Gulis G. Perceived stress, stigma, and social support among Nepali health care workers during COVID-19 pandemic: a cross-sectional web-based survey. PloS Glob Public Health. 2022;2(5):e0000458.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Zhou X. Managing psychological distress in children and adolescents following the COVID-19 epidemic: a cooperative approach. Psychol Trauma Theory Res Pract Policy. 2020;12(S1):S76.

    Article 

    Google Scholar
     

  • Margetic B, Peraica T, Stojanovic K, Ivanec D. Predictors of emotional distress during the COVID-19 pandemic; a Croatian study. Pers Individ Dif. 2021;175:110691.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985;98(2):310–57.

    Article 
    PubMed 

    Google Scholar
     

  • Pramukti I, Strong C, Sitthimongkol Y, Setiawan A, Pandin MGR, Yen CF, et al. Anxiety and suicidal thoughts during the COVID-19 pandemic: cross-country comparative study among Indonesian, Taiwanese, and Thai university students. J Med Internet Res. 2020;22(12):e24487.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Liu CH, Chen YJ, Chen JS, Fan CW, Hsieh MT, Lin CY, et al. Burdens on caregivers of patients with stroke during a pandemic: relationships with support satisfaction, psychological distress, and fear of COVID-19. BMC Geriatr. 2022;22(1):958.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Nadhiroh SR, Nurmala I, Pramukti I, Tivany ST, Tyas LW, Zari AP, et al. Weight stigma in Indonesian young adults: validating the Indonesian versions of the Weight Self-Stigma Questionnaire and Perceived Weight Stigma Scale. Asian J Soc Health Behav. 2022;5(4):169–79.

    Article 

    Google Scholar
     

  • Lu MY, Ahorsu DK, Kukreti S, Strong C, Lin YH, Kuo YJ, et al. The prevalence of post-traumatic stress disorder symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Front Psychiatry. 2021;12:705657.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Fan CW, Chang KC, Lee KY, Yang WC, Pakpour AH, Potenza MN, et al. Rasch modeling and differential item functioning of the Self-Stigma Scale-Short Version among people with three different psychiatric disorders. Int J Environ Res Public Health. 2022;19(14):8843.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335–43.

    Article 
    PubMed 

    Google Scholar
     

  • Jiang LC, Yan YJ, Jin ZS, Hu ML, Wang L, Song Y, et al. The Depression Anxiety Stress Scale-21 in Chinese hospital workers: reliability, latent structure, and measurement invariance across genders. Front Psychol. 2020;11:247.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Chen IH, Chen CY, Liao XL, Chen XM, Zheng X, Tsai YC, et al. Psychometric properties of the Depression, Anxiety, and Stress Scale (DASS-21) among different Chinese populations: a cross-sectional and longitudinal analysis. Acta Psychol. 2023;240:104042.

    Article 

    Google Scholar
     

  • Cao CH, Liao XL, Gamble JH, Li LL, Jiang XY, Li XD, et al. Evaluating the psychometric properties of the Chinese Depression Anxiety Stress Scale for Youth (DASS-Y) and DASS-21. Child Adolesc Psychiatry Ment Health. 2023;17(1):106.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Cao CH, Liao XL, Jiang XY, Li XD, Chen IH, Lin CY. Psychometric evaluation of the Depression, Anxiety, and Stress Scale-21 (DASS-21) among Chinese primary and middle school teachers. BMC Psychol. 2023;11(1):209.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Huang PC, Lin CY, Huang RY, Chen JS, Potenza MN, Strong C et al. Emotional exhaustion, insomnia and suicidal ideation resulting from academic stress among Taiwanese allied health trainee and post-graduation-year doctors during the COVID-19 pandemic. Med Sci Monit. (Under review).

  • Martinez-Libano J, Yeomans MM, Oyanedel JC. Psychometric properties of the Emotional Exhaustion Scale (ECE) in Chilean higher education students. Eur J Investig Health Psychol Educ. 2022;12(1):50–60.

    PubMed 
    PubMed Central 

    Google Scholar
     

  • Bai C, JI D, Chen L, LI L, Wang C. Reliability and validity of Insomnia Severity Index in clinical insomnia patients. Chin J Pract Nurs. 2018;36:2182–6.


    Google Scholar
     

  • Lin YH, Chen JS, Huang PC, Lu MY, Strong C, Lin CY, et al. Factors associated with insomnia and suicidal thoughts among outpatients, healthcare workers, and the general population in Taiwan during COVID-19 pandemic: a cross-sectional study. BMC Public Health. 2022;22(1):2135.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.

    Article 

    Google Scholar
     

  • Sovey S, Osman K, Mohd-Matore ME. Exploratory and confirmatory factor analysis for disposition levels of computational thinking instrument among secondary school students. Eur J Educ Res. 2022;11(2):639–52.

    Article 

    Google Scholar
     

  • Kline R. Principles and practice of structural equation modelling. 3rd ed. New York: The Guilford; 2011.


    Google Scholar
     

  • Solomon S, Greenberg J, Pyszczynski T. A terror management theory of social behavior: the psychological functions of self-esteem and cultural worldviews. In: Zanna MP, editor. Advances in experimental social psychology. San Diego, CA: Elsevier; 1991. pp. 93–159.


    Google Scholar
     

  • Becker HS. Outsiders. New York. U.S.: Simon and Schuster; 2008.


    Google Scholar
     

  • Nashwan AJ, Al-Fayyadh S, Al-Hadrawi H, Al-Jubouri MB, Jaafar SA, Hussein SM, et al. Development and initial validation of Stigma Towards Healthcare Providers Working with COVID-19 Patients Scale (S19-HCPs). J Multidiscip Healthc. 2021;14:3125–34.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Pasman J. The consequences of labeling mental illnesses on the self-concept: a review of the literature and future directions. 2011;2:122–7.

  • Fernández-Salinero S, Topa G, Fernandez Munoz JJ. Does engagement help to reduce insomnia when workers are emotionally exhausted? Sleep Biol Rhythms. 2023;21(1):13–21.

    Article 
    PubMed 

    Google Scholar
     

  • McCall WV, Blocker JN, D’Agostino R Jr., Kimball J, Boggs N, Lasater B, et al. Insomnia severity is an indicator of suicidal ideation during a depression clinical trial. Sleep Med. 2010;11(9):822–7.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • McFarland DC, Hlubocky F. Therapeutic strategies to tackle burnout and emotional exhaustion in frontline medical staff: narrative review. Psychol Res Behav. 2021;14:1429–36.

    Article 

    Google Scholar
     

  • Killgore WDS, Cloonan SA, Taylor EC, Fernandez F, Grandner MA, Dailey NS. Suicidal ideation during the COVID-19 pandemic: the role of insomnia. Psychiatry Res. 2020;290:113134.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Paudel V, Baral KP. Women living with HIV/AIDS (WLHA), battling stigma, discrimination and denial and the role of support groups as a coping strategy: a review of literature. Reprod Health. 2015;12:53.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Li DJ, Ko NY, Chen YL, Wang PW, Chang YP, Yen CF, et al. COVID-19-related factors associated with sleep disturbance and suicidal thoughts among the Taiwanese public: a facebook survey. Int J Environ Res Public Health. 2020;17(12):4479.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Birtel MD, Wood L, Kempa NJ. Stigma and social support in substance abuse: implications for mental health and well-being. Psychiatry Res. 2017;252:1–8.

    Article 
    PubMed 

    Google Scholar
     

  • Abrams MP, Salzman J, Espina Rey A, Daly K. Impact of providing peer support on medical students’ empathy, self-efficacy, and mental health stigma. Int J Environ Res Public Health. 2022;19(9):5135.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Yufika A, Pratama R, Anwar S, Winardi W, Librianty N, Prashanti NAP, et al. Stigma associated with COVID-19 among health care workers in Indonesia. Disaster Med Public Health Prep. 2022;16(5):1942–46.

    Article 
    PubMed 

    Google Scholar
     

  • Morin CM, Bjorvatn B, Chung F, Holzinger B, Partinen M, Penzel T, et al. Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study. Sleep Med. 2021;87:38–45.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar
     

  • Shrivastava SR, Shrivastava PS, Mendhe HG, Joshi A. Integrating social accountability into the medical curriculum: the need, implementation, and Impact measurement. Asian J Soc Health Behav. 2024;7(1):51–3.

    Article 

    Google Scholar
     

  • Gronholm PC, Nose M, van Brakel WH, Eaton J, Ebenso B, Fiekert K, et al. Reducing stigma and discrimination associated with COVID-19: early stage pandemic rapid review and practical recommendations. Epidemiol Psychiatr Sci. 2021;30:e15.

    Article 
    PubMed 

    Google Scholar
     



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