Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave.

Argyro Pachi, Evgenia Kavourgia, Dionisios Bratis, Konstantinos Fytsilis, Styliani Maria Papageorgiou, Dimitra Lekka, Christos Sikaras, Athanasios Tselebis
Author Information
  1. Argyro Pachi: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece. ORCID
  2. Evgenia Kavourgia: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  3. Dionisios Bratis: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  4. Konstantinos Fytsilis: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  5. Styliani Maria Papageorgiou: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  6. Dimitra Lekka: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  7. Christos Sikaras: Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece. ORCID
  8. Athanasios Tselebis: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece. ORCID

Abstract

Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of Anger and Aggression in relation to psychological resilience and Alcohol abuse among healthcare workers during the first wave of the COVID-19 pandemic. A total of 120 physicians and 123 nurses completed an online survey of the Dimensions of Anger Reactions-5 (DAR-5), the Brief Aggression Questionnaire (BAQ), the Brief Resilience Scale (BRS), and the Alcohol Screening questionnaire CAGE which is an acronym for the focus of the questions (Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers). Demographic and professional data were also recorded. A total of 53 men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale and one out of ten respondents presented with current problematic Alcohol use. Male participants demonstrated lower scores on the DAR-5 scale compared to females. Individuals with current problematic Alcohol use displayed higher scores on the BAQ compared to those without Alcohol use disorders. Regression analysis revealed that 16.4% of the variance in the BAQ scores can be attributed to scores on the DAR-5, 5.9% to the BRS scores, 2.1% to the CAGE scores, 1.7% to gender, and 1.2% to years of work experience. Mediation analysis highlighted the role of psychological resilience as a negative mediator in the DAR-5 and BAQ relationship. Professional experience and Alcohol abuse emerged as positive and negative risk factors contributing to Aggression and psychological resilience. The findings hold practical implications for implementing interventions to strengthen resilience in order to compensate for aggressive tendencies and discourage addictive issues.

Keywords

References

  1. J Police Crim Psychol. 2021;36(3):463-472 [PMID: 33558788]
  2. Drug Alcohol Depend. 2015 Oct 1;155:76-82 [PMID: 26342628]
  3. J Anxiety Disord. 2021 Oct;83:102462 [PMID: 34384991]
  4. Behav Res Methods. 2009 Nov;41(4):1149-60 [PMID: 19897823]
  5. Br J Psychol. 2006 May;97(Pt 2):139-53 [PMID: 16613646]
  6. Med Clin North Am. 2023 Jan;107(1):131-142 [PMID: 36402495]
  7. J Epidemiol Community Health. 2019 Jun;73(6):496-501 [PMID: 30718261]
  8. Can J Psychiatry. 2004 Jun;49(6):403-7 [PMID: 15283537]
  9. J Gen Intern Med. 2021 May;36(5):1319-1326 [PMID: 33694071]
  10. Front Psychiatry. 2020 Dec 18;11:581113 [PMID: 33391048]
  11. Psychol Trauma. 2020 Aug;12(S1):S105-S107 [PMID: 32551763]
  12. Exp Clin Psychopharmacol. 2000 Nov;8(4):576-97 [PMID: 11127429]
  13. Aggress Behav. 2008 May-Jun;34(3):282-93 [PMID: 17849395]
  14. Alcohol Alcohol. 1998 Jan-Feb;33(1):47-54 [PMID: 9539177]
  15. Prev Med. 2021 Apr;145:106422 [PMID: 33422577]
  16. Perspect Psychiatr Care. 2021 Oct;57(4):1829-1837 [PMID: 33634484]
  17. JAMA Netw Open. 2022 Dec 1;5(12):e2244679 [PMID: 36484992]
  18. Sci Rep. 2023 Apr 12;13(1):6003 [PMID: 37046069]
  19. J Stud Alcohol. 2002 Nov;63(6):696-708 [PMID: 12529070]
  20. Workplace Health Saf. 2015 May;63(5):200-10 [PMID: 26002854]
  21. Curr Opin Psychol. 2018 Feb;19:39-42 [PMID: 29279220]
  22. Front Psychol. 2021 Jul 29;12:700742 [PMID: 34393936]
  23. Alcohol Clin Exp Res. 2002 Sep;26(9):1350-8 [PMID: 12351929]
  24. Am J Drug Alcohol Abuse. 2022 Jan 2;48(1):100-109 [PMID: 34843425]
  25. Nat Rev Neurosci. 2011 Jun 02;12(7):400-13 [PMID: 21633380]
  26. JAMA. 1984 Oct 12;252(14):1905-7 [PMID: 6471323]
  27. PLoS One. 2021 Oct 14;16(10):e0257983 [PMID: 34648526]
  28. J Womens Health (Larchmt). 2017 Oct;26(10):1138 [PMID: 29028434]
  29. Enferm Clin (Engl Ed). 2021 Nov-Dec;31(6):390-395 [PMID: 34627729]
  30. Emerg Med Australas. 2020 Dec;32(6):1074-1076 [PMID: 32856423]
  31. Cogn Behav Ther. 2012;41(3):261-71 [PMID: 22429207]
  32. Int J Geriatr Psychiatry. 2012 Mar;27(3):262-70 [PMID: 21472780]
  33. Psychol Rep. 2021 Dec;124(6):2567-2586 [PMID: 33050800]
  34. Health Equity. 2021 Apr 19;5(1):181-184 [PMID: 33937603]
  35. J Nepal Health Res Counc. 2019 Jan 28;16(41):481-482 [PMID: 30739920]
  36. Int Nurs Rev. 2013 Dec;60(4):550-5 [PMID: 24117233]
  37. PLoS One. 2022 Jan 18;17(1):e0261502 [PMID: 35041679]
  38. J Clin Nurs. 2021 Jan;30(1-2):28-43 [PMID: 32936970]
  39. Lancet. 2020 Sep 5;396(10252):658 [PMID: 32891198]
  40. Int J Ment Health Addict. 2022;20(2):1035-1045 [PMID: 33223977]
  41. Nurse Educ Today. 2019 Jul;78:10-13 [PMID: 31029952]
  42. J Nurs Manag. 2014 Sep;22(6):720-34 [PMID: 25208943]
  43. Psychiatr Danub. 2021 Sep;33(Suppl 10):132-136 [PMID: 34672286]
  44. Dtsch Arztebl Int. 2013 Oct;110(42):711-5 [PMID: 24223671]
  45. Int J Nurs Sci. 2017 Dec 06;5(1):57-62 [PMID: 31406802]
  46. Ann Behav Med. 2010 Jun;39(3):258-66 [PMID: 20407855]
  47. BMJ Open. 2020 Nov 26;10(11):e044276 [PMID: 33243820]
  48. Int J Nurs Stud. 2019 May;93:129-140 [PMID: 30925279]
  49. Occup Environ Med. 2019 Dec;76(12):927-937 [PMID: 31611310]
  50. J Occup Environ Med. 2004 Nov;46(11):1158-65 [PMID: 15534503]
  51. J Affect Disord. 2020 Dec 1;277:810-813 [PMID: 33065821]
  52. J Public Health (Oxf). 2020 Aug 18;42(3):461-465 [PMID: 32643751]
  53. J Occup Health Psychol. 2009 Apr;14(2):122-36 [PMID: 19331475]
  54. Public Health Rep. 2022 Mar-Apr;137(2):326-335 [PMID: 35023422]
  55. BMC Health Serv Res. 2020 Mar 16;20(1):215 [PMID: 32178674]
  56. Front Public Health. 2023 Mar 22;11:1070171 [PMID: 37033051]
  57. Occup Environ Med. 2020 Oct;77(10):666-674 [PMID: 32522757]
  58. Healthcare (Basel). 2020 Oct 26;8(4): [PMID: 33114662]
  59. Nurse Educ Today. 2021 Oct;105:105024 [PMID: 34217030]
  60. Alcohol Res. 2012;34(4):506-15 [PMID: 23584116]
  61. Annu Rev Psychol. 2023 Jan 18;74:547-576 [PMID: 36103999]
  62. Arch Environ Occup Health. 2020;75(5):253-259 [PMID: 31172877]
  63. PLoS One. 2022 Dec 21;17(12):e0279247 [PMID: 36542619]
  64. Focus (Am Psychiatr Publ). 2021 Jun;19(2):184-189 [PMID: 34690581]
  65. J Clin Nurs. 2019 Jan;28(1-2):116-124 [PMID: 30300949]
  66. Lancet Public Health. 2020 May;5(5):e259 [PMID: 32277874]
  67. Clin Invest Med. 2007;30(1):33-41 [PMID: 17716538]
  68. J Korean Med Sci. 2021 Sep 13;36(36):e262 [PMID: 34519189]
  69. Occup Med (Lond). 2020 Jul 17;70(5):317-319 [PMID: 32239155]
  70. AIMS Public Health. 2023 Jun 15;10(3):524-537 [PMID: 37842274]
  71. Int J Environ Res Public Health. 2022 Oct 02;19(19): [PMID: 36231887]
  72. Indian J Psychol Med. 2014 Jan;36(1):48-53 [PMID: 24701010]
  73. Depress Anxiety. 2014 Feb;31(2):166-73 [PMID: 23801571]
  74. Adicciones. 2023 Jul 01;35(2):143-150 [PMID: 34882239]
  75. Int J Nurs Stud. 2009 Jul;46(7):968-76 [PMID: 17915223]
  76. Int J Behav Med. 2008;15(3):194-200 [PMID: 18696313]
  77. Int J Environ Res Public Health. 2021 Sep 16;18(18): [PMID: 34574684]
  78. J Am Coll Cardiol. 2009 Mar 17;53(11):936-46 [PMID: 19281923]
  79. Glob Qual Nurs Res. 2021 Mar 31;8:23333936211005475 [PMID: 33869667]
  80. Healthcare (Basel). 2022 Oct 14;10(10): [PMID: 36292472]
  81. Global Health. 2023 Jan 3;19(1):1 [PMID: 36597129]
  82. J Psychiatr Ment Health Nurs. 2016 Aug;23(6-7):455-67 [PMID: 27593204]
  83. Int J Occup Med Environ Health. 2021 May 27;34(2):289-300 [PMID: 34036952]
  84. Intensive Crit Care Nurs. 2021 Feb;62:102915 [PMID: 32828644]
  85. Environ Sci Pollut Res Int. 2021 Jun;28(23):30168-30175 [PMID: 33586099]
  86. Appl Psychol Health Well Being. 2022 Feb;14(1):3-25 [PMID: 34019330]
  87. JAMA Netw Open. 2020 Sep 1;3(9):e2022942 [PMID: 32990735]
  88. Alcohol Res Health. 2011;34(2):175-87 [PMID: 22330216]
  89. Int J Environ Res Public Health. 2021 Nov 16;18(22): [PMID: 34831767]
  90. J Nurs Manag. 2021 Nov;29(8):2329-2342 [PMID: 34182609]
  91. Occup Med (Lond). 2014 Sep;64(6):473-4 [PMID: 25146056]
  92. Front Psychol. 2022 Feb 09;12:810378 [PMID: 35222162]
  93. Neuropsychiatr Dis Treat. 2020 Dec 08;16:3011-3021 [PMID: 33324062]
  94. Am J Respir Crit Care Med. 2009 Nov 1;180(9):853-60 [PMID: 19644049]
  95. J Nurs Manag. 2021 Oct;29(7):1893-1905 [PMID: 33843087]
  96. J Health Psychol. 2022 Oct;27(12):2696-2713 [PMID: 34886691]
  97. Psychiatry Res. 2020 Nov;293:113441 [PMID: 32898840]
  98. J Clin Nurs. 2022 Jul 24;: [PMID: 35871283]
  99. Br J Psychiatry. 2018 Jun;212(6):339-346 [PMID: 29786495]
  100. Front Psychiatry. 2022 Feb 28;13:821610 [PMID: 35295779]
  101. Aggress Behav. 2010 Jan-Feb;36(1):28-44 [PMID: 19851983]
  102. Twin Res Hum Genet. 2008 Feb;11(1):12-27 [PMID: 18251671]
  103. Environ Sci Pollut Res Int. 2021 Nov;28(43):61441-61449 [PMID: 34173953]
  104. J Adv Nurs. 2007 Aug;59(4):427-38 [PMID: 17608683]
  105. BMJ Glob Health. 2020 Sep;5(9): [PMID: 32988928]
  106. Psychol Sci. 2010 Sep;21(9):1341-7 [PMID: 20696854]
  107. Int J Ment Health Nurs. 2020 Feb;29(1):56-68 [PMID: 31127973]
  108. Int J Occup Environ Health. 2011 Oct-Dec;17(4):328-35 [PMID: 22069931]
  109. Healthcare (Basel). 2022 Jun 10;10(6): [PMID: 35742130]
  110. J Clin Nurs. 2015 Sep;24(17-18):2458-67 [PMID: 25852041]
  111. Front Psychol. 2022 May 30;13:896156 [PMID: 35712196]
  112. Psychopharmacology (Berl). 2010 Feb;208(3):469-74 [PMID: 20020107]
  113. Aggress Behav. 2014 Mar-Apr;40(2):120-39 [PMID: 24115185]
  114. BMJ Open. 2015 Feb 04;5(2):e007685 [PMID: 25652806]
  115. BMC Womens Health. 2021 May 5;21(1):188 [PMID: 33952220]
  116. Pers Soc Psychol Bull. 2011 Jun;37(6):850-62 [PMID: 21421767]
  117. Front Public Health. 2021 May 07;9:679397 [PMID: 34026720]
  118. Am J Crit Care. 2017 May;26(3):184-192 [PMID: 28461539]
  119. Alcohol Alcohol. 2023 May 9;58(3):247-257 [PMID: 36864564]
  120. J Contin Educ Nurs. 2020 Mar 1;51(3):132-137 [PMID: 32119108]
  121. Pers Soc Psychol Rev. 2005;9(3):212-30 [PMID: 16083361]
  122. PLoS One. 2021 Mar 10;16(3):e0246454 [PMID: 33690641]
  123. J Clin Med. 2022 Apr 17;11(8): [PMID: 35456334]
  124. Int Braz J Urol. 2020 Nov-Dec;46(6):1042-1071 [PMID: 32539253]
  125. Front Behav Neurosci. 2018 May 02;12:81 [PMID: 29770113]
  126. Addict Behav. 2014 Oct;39(10):1459-63 [PMID: 24935796]
  127. Workplace Health Saf. 2016 Feb;64(2):51-6 [PMID: 26450899]
  128. Psychol Bull. 2017 Oct;143(10):1033-1081 [PMID: 28616997]
  129. Work. 2022;73(2):415-427 [PMID: 35431213]
  130. BMC Public Health. 2020 Aug 12;20(1):1230 [PMID: 32787815]
  131. BMC Psychol. 2023 Mar 16;11(1):74 [PMID: 36927713]
  132. Anaesthesia. 2020 Oct;75(10):1364-1371 [PMID: 32534465]
  133. AIMS Public Health. 2021 Nov 23;9(1):94-105 [PMID: 35071671]
  134. Clin Psychol Rev. 2020 Dec;82:101919 [PMID: 33045528]
  135. J Nurs Manag. 2019 Jan;27(1):172-178 [PMID: 30066352]
  136. Cochrane Database Syst Rev. 2020 Nov 5;11:CD013779 [PMID: 33150970]
  137. Int J Environ Res Public Health. 2021 May 15;18(10): [PMID: 34063421]
  138. Alcohol Clin Exp Res. 2001 Apr;25(4):487-95 [PMID: 11329486]
  139. J Exp Soc Psychol. 2012 Mar 1;48(2):591-595 [PMID: 22639468]
  140. Cureus. 2021 Nov 8;13(11):e19360 [PMID: 34909318]
  141. Alcohol Clin Exp Res. 2004 Jun;28(6):855-64 [PMID: 15201628]
  142. J R Soc Med. 2021 Feb;114(2):77-90 [PMID: 33115327]
  143. J Adolesc. 2016 Jul;50:91-102 [PMID: 27236209]
  144. Healthcare (Basel). 2022 Jan 10;10(1): [PMID: 35052297]
  145. Int J Environ Res Public Health. 2023 Jan 12;20(2): [PMID: 36674188]
  146. J Pers Assess. 2015;97(6):638-49 [PMID: 26055531]
  147. J Contextual Behav Sci. 2021 Jan;19:100-107 [PMID: 33643834]
  148. BMJ Open. 2019 Aug 27;9(8):e031781 [PMID: 31462490]
  149. Front Psychol. 2022 Jan 12;12:778695 [PMID: 35095661]
  150. Int J Environ Res Public Health. 2022 Oct 10;19(19): [PMID: 36232267]
  151. Curr Opin Anaesthesiol. 2021 Apr 1;34(2):131-136 [PMID: 33630771]
  152. Tohoku J Exp Med. 2021;255(4):283-289 [PMID: 34897160]
  153. Psychopharmacology (Berl). 2011 Nov;218(1):1-17 [PMID: 21373787]
  154. Oncol Nurs Forum. 2006 Jul 01;33(4):815-20 [PMID: 16858463]
  155. Behav Sci (Basel). 2020 Nov 29;10(12): [PMID: 33260390]
  156. Curr Probl Cardiol. 2022 Oct;47(10):101296 [PMID: 35779676]
  157. J Korean Med Sci. 2015 Nov;30(11):1667-74 [PMID: 26539013]

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