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The COVID-19 outbreak centrality and trauma symptoms in nurses: The mediating role of psychological inflexibility

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Summary:Abstract: Background: The COVID-19 pandemic has been associated with negative psychological consequences, particularly amongst frontline workers, such as nurses; however, little is known about modifiable mechanisms underlying the development of such outcomes. Objectives: This study aimed to examine the mediating role of psychological inflexibility in the relationship between the centrality of the emergence of the COVID-19 pandemic and post-traumatic stress symptoms in nurses. Methods: The sample consisted of 672 Portuguese nurses, whose data was collected online, through self-report questionnaires. Correlation analyses were conducted to explore associations between variables, and the PROCESS macro was used to perform regression-based mediation analyses. Results: The observed results confirmed psychological inflexibility as a putative mediator between the centrality of the COVID-19 outbreak and trauma symptoms in nurses. Implications: These findings suggest that interventions directed at reducing psychological inflexibility are likely to attenuate the deleterious effects of the centrality of the emergence of the COVID-19 pandemic on nurses’ post-traumatic distress.
Main Authors:Barreira,Joana
Other Authors:Vitorino,Catarina; Canavarro,Maria Cristina; Carona,Carlos
Subject:COVID-19 pandemic Event centrality Trauma symptoms Psychological inflexibility
Year:2025
Country:Portugal
Document type:article
Access type:open access
Associated institution:Fundação para a Ciência e Tecnologia
Language:English
Origin:SciELO Portugal
Description
Summary:Abstract: Background: The COVID-19 pandemic has been associated with negative psychological consequences, particularly amongst frontline workers, such as nurses; however, little is known about modifiable mechanisms underlying the development of such outcomes. Objectives: This study aimed to examine the mediating role of psychological inflexibility in the relationship between the centrality of the emergence of the COVID-19 pandemic and post-traumatic stress symptoms in nurses. Methods: The sample consisted of 672 Portuguese nurses, whose data was collected online, through self-report questionnaires. Correlation analyses were conducted to explore associations between variables, and the PROCESS macro was used to perform regression-based mediation analyses. Results: The observed results confirmed psychological inflexibility as a putative mediator between the centrality of the COVID-19 outbreak and trauma symptoms in nurses. Implications: These findings suggest that interventions directed at reducing psychological inflexibility are likely to attenuate the deleterious effects of the centrality of the emergence of the COVID-19 pandemic on nurses’ post-traumatic distress.