{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T16:05:21Z","timestamp":1775059521948,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Healthcare workers are vulnerable to posttraumatic stress symptoms (PTSS) due to stressful work during the COVID-19 pandemic. This study aimed to investigate whether the associations between COVID-19 work-related stressors and PTSS would be mediated by maladaptive and adaptive coping strategies and moderated by perceived family support based on stress-coping theory. An anonymous online survey was conducted among 1449 doctors and nurses in five hospitals in China between October and November 2020 during the \u201cpost-outbreak\u201d period. The prevalence of PTSS assessed by the Posttraumatic Symptom Scale Self-Report was 42%. Logistic regression analysis revealed that worries about being infected with COVID-19, perceived difficulties in family caregiving, coping strategies of rumination, catastrophizing, acceptance, and perceived family support were independently associated with PTSS. Furthermore, maladaptive and adaptive coping partially mediated the association between COVID-19 work-related stressors and PTSS.The results of multi-group analyses showed that perceived family support tended to intensify the associations between COVID-19 work-related stressors and adaptive coping and between adaptive coping and PTSS, whereas perceived family support attenuated the positive association between COVID-19 work-related stressors and PTSS. The findings suggest tailor-made health interventions with respect to alleviation of work-related stressors and coping skill training to reduce the risk of PTSS among healthcare workers, especially for those with lower perceived family support.<\/jats:p>","DOI":"10.3390\/ijerph19106201","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T12:25:57Z","timestamp":1652963157000},"page":"6201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Associations between COVID-19 Work-Related Stressors and Posttraumatic Stress Symptoms among Chinese Doctors and Nurses: Application of Stress-Coping Theory"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8948-2792","authenticated-orcid":false,"given":"Rui","family":"She","sequence":"first","affiliation":[{"name":"Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territory, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijuan","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Health, Dali University, Dali 671000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Yang","sequence":"additional","affiliation":[{"name":"Center for Health Policy Studies, Department of Endocrinology, School of Public Health, Children\u2019s Hospital, National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou 310003, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianyan","family":"Lin","sequence":"additional","affiliation":[{"name":"The Fourth People\u2019s Hospital of Nanning, Nanning 530023, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoli","family":"Ye","sequence":"additional","affiliation":[{"name":"The Children\u2019s Hospital Zhejiang University School of Medicine, Hangzhou 310003, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suliu","family":"Wu","sequence":"additional","affiliation":[{"name":"Wuyi First People\u2019s Hospital, Jinhua 321200, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenggui","family":"Yang","sequence":"additional","affiliation":[{"name":"No. 4 Hospital of Ningxia Hui Autonomous Region, Yinchuan 750021, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzhen","family":"Guan","sequence":"additional","affiliation":[{"name":"Key Laboratory of Environmental Factors and Chronic Disease Control, School of Public Health and Management, Ningxia Medical University, Yinchuan 750004, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianxin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Huaxi School of Public Health, Sichuan University, Chengdu 610041, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel Hau Yin","family":"Ling","sequence":"additional","affiliation":[{"name":"Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territory, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2344-7107","authenticated-orcid":false,"given":"Joseph Tak Fai","family":"Lau","sequence":"additional","affiliation":[{"name":"Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, New Territory, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2816","DOI":"10.3389\/fpsyg.2020.569935","article-title":"Traumatic Stress in Healthcare Workers during COVID-19 Pandemic: A Review of the Immediate Impact","volume":"11","author":"Benfante","year":"2020","journal-title":"Front. 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