INTRODUCTION The COVID-19 pandemic resulted in severe detrimental effects on the mental well-being of health care workers (HCW). Consequently, there has been a need to identify health-promoting resources in order to mitigate the psychological impact of the pandemic on HCW. OBJECTIVE Our objective was to investigate the association of sense of coherence (SOC), social support and religiosity with self-reported mental symptoms and increase of subjective burden during the COVID-19 pandemic in HCW. METHODS Our sample comprised 4324 HCW of four professions (physicians, nurses, medical technical assistants (MTA) and pastoral workers) who completed an online survey from 20 April to 5 July 2020. Health-promoting resources were assessed using the Sense of Coherence Scale Short Form (SOC-3), the ENRICHD Social Support Inventory (ESSI) and one item on religiosity derived from the Scale of Transpersonal Trust (TPV). Anxiety and depression symptoms were measured with the PHQ-2 and GAD-2. The increase of subjective burden due to the pandemic was assessed as the retrospective difference between burden during the pandemic and before the pandemic. RESULTS In multiple regressions, higher SOC was strongly associated with fewer anxiety and depression symptoms. Higher social support was also related to less severe mental symptoms, but with a smaller effect size, while religiosity showed minimal to no correlation with anxiety or depression. In professional group analysis, SOC was negatively associated with mental symptoms in all groups, while social support only correlated significantly with mental health outcomes in physicians and MTA. In the total sample and among subgroups, an increase of subjective burden was meaningfully associated only with a weaker SOC. CONCLUSION Perceived social support and especially higher SOC appeared to be beneficial for mental health of HCW during the COVID-19 pandemic. However, the different importance of the resources in the respective occupations requires further research to identify possible reasons.

中文翻译：

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在 COVID-19 大流行期间作为医务人员资源的连贯性、社会支持和宗教信仰：对德国网络大学医学部 4324 名医护人员的网络调查。

简介 COVID-19 大流行对卫生保健工作者 (HCW) 的心理健康造成了严重的不利影响。因此，需要确定促进健康的资源，以减轻大流行对医护人员的心理影响。目标我们的目标是调查在 HCW 的 COVID-19 大流行期间，一致性感 (SOC)、社会支持和宗教信仰与自我报告的精神症状和主观负担增加之间的关联。方法 我们的样本包括 4324 名 4324 名 HCW，他们在 2020 年 4 月 20 日至 7 月 5 日期间完成了一项在线调查（医生、护士、医疗技术助理 (MTA) 和牧师）。使用连贯感量表对促进健康的资源进行了评估表格（SOC-3），ENRICHD 社会支持量表 (ESSI) 和一项来自超个人信任量表 (TPV) 的宗教信仰项目。使用 PHQ-2 和 GAD-2 测量焦虑和抑郁症状。大流行导致的主观负担增加被评估为大流行期间和大流行前负担的追溯差异。结果 在多元回归中，较高的 SOC 与较少的焦虑和抑郁症状密切相关。较高的社会支持也与较不严重的精神症状有关，但影响较小，而宗教信仰与焦虑或抑郁的相关性极小或没有相关性。在专业组分析中，SOC 与所有组的精神症状呈负相关，而社会支持仅与医生和 MTA 的心理健康结果显着相关。在总样本和亚组中，主观负担的增加仅与较弱的 SOC 有意义地相关。结论 在 COVID-19 大流行期间，感知到的社会支持，尤其是更高的 SOC 似乎有利于 HCW 的心理健康。然而，资源在各自职业中的不同重要性需要进一步研究以确定可能的原因。