Mental healthcare providers face many difficult interactions with patients that can be emotionally demanding and have adverse effects on their well-being. Recent theoretical models suggest that the interpretation of stressful episodes may be more important for psychological adjustment than the nature of the episodes. This study examined whether care providers' interpretations of mechanical restraint episodes were related to their adjustment. We asked 80 mental healthcare providers to recall mechanical restraint episodes and to rate them on centrality to identity and positive and negative influence on self-understanding. They also completed scales measuring current symptoms of post-traumatic stress, depression, life satisfaction, and well-being. The results showed that care providers who interpreted mechanical restraint episodes as having a central negative influence on their identity experienced more symptoms of post-traumatic stress. Care providers who gave higher ratings of positive self-change following episodes reported more well-being. Our findings suggest, that considering care providers' subjective interpretations of episodes and not merely the objective facts surrounding them is critical if we wish to mitigate the negative emotional impact of episodes.

中文翻译：

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精神病患者受到约束后护理人员的心理调整

精神卫生保健提供者面临着与患者的许多困难互动，这些互动可能对情绪要求高，并对他们的健康产生不利影响。最近的理论模型表明，对于心理调整而言，对压力事件的解释可能比事件的性质更重要。这项研究检查了护理提供者对机械约束事件的解释是否与他们的调整有关。我们要求 80 名精神卫生保健提供者回忆机械约束事件，并根据身份的中心性以及对自我理解的正面和负面影响对他们进行评分。他们还完成了衡量当前创伤后压力、抑郁、生活满意度和幸福感症状的量表。结果表明，将机械约束事件解释为对其身份产生主要负面影响的护理提供者经历了更多的创伤后压力症状。在发作后给予较高积极自我改变评级的护理提供者报告了更多的幸福感。我们的研究结果表明，如果我们希望减轻事件的负面情绪影响，那么考虑护理提供者对事件的主观解释，而不仅仅是围绕事件的客观事实，这一点至关重要。