A focus on helping others is generally lauded, particularly in medicine, but in the context of a pandemic when health care professionals are facing increased risk, loss, and trauma, this focus can potentially be detrimental. In this study, we sought to (a) examine if health care workers intensely involved in the coronavirus 2019 (COVID-19) pandemic are experiencing negative psychological and emotional outcomes, and (b) investigate if helping related factors (prosocial motivation and perceived prosocial impact) exacerbate and mitigate relationships to negative outcomes in a crisis situation. Using data collected from doctors and nurses before and during the COVID-19 pandemic, we examine the relationship between intensity of involvement in the COVID-19 pandemic response and emotional exhaustion and depression, as well as the moderating effects of prosocial motivation and perceived prosocial impact. Data was collected at three time points (T1 and T2 prepandemic, and T3 during COVID-19), with prosocial motivation and controls collected at T1/T2 and predictors and outcomes collected during the pandemic. We find that intensity of involvement does associate with emotional exhaustion at work and that higher prosocial motivation exacerbates this relationship. Supplemental analyses suggest that the exposure to self-dimension of involvement is positively associated with emotional exhaustion and depression. Understanding the roles of prosocial motivation and prosocial impact in managing regulatory resources has important ramifications for health care workers on the frontlines of health crises responses, as these resources are necessary to manage the associated trauma. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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当帮助伤害时：COVID-19 危急事件的参与和卫生保健工作者的资源枯竭。

专注于帮助他人通常受到称赞，尤其是在医学领域，但在大流行的背景下，当医疗保健专业人员面临增加的风险、损失和创伤时，这种关注可能是有害的。在这项研究中，我们试图 (a) 检查与 2019 年冠状病毒 (COVID-19) 大流行密切相关的医护人员是否正在经历负面的心理和情绪结果，以及 (b) 调查是否有助于相关因素（亲社会动机和感知的亲社会影响）在危机情况下加剧和减轻与负面结果的关系。我们使用在 COVID-19 大流行之前和期间从医生和护士那里收集的数据，研究了参与 COVID-19 大流行反应的强度与情绪衰竭和抑郁之间的关系，以及亲社会动机和感知亲社会影响的调节作用。在三个时间点（大流行前的 T1 和 T2，以及 COVID-19 期间的 T3）收集数据，在 T1/T2 收集亲社会动机和控制，在大流行期间收集预测因子和结果。我们发现，参与的强度确实与工作中的情绪耗竭有关，而更高的亲社会动机会加剧这种关系。补充分析表明，参与的自我维度与情绪衰竭和抑郁呈正相关。了解亲社会动机和亲社会影响在管理监管资源中的作用对卫生危机应对第一线的卫生保健工作者具有重要影响，因为这些资源是管理相关创伤所必需的。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。