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Global Public Health
An International Journal for Research, Policy and Practice
Volume 15, 2020 - Issue 2
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Articles

Depression and hopelessness in Turkish healthcare workers: The moderating and mediating roles of meaning in life

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Pages 236-246 | Received 07 Jan 2019, Accepted 02 Aug 2019, Published online: 20 Aug 2019

References

  • Adler, A. (1931). What life should mean to you. Oxford: Little Brown.
  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
  • Akbarzada, S., & Mackey, T. K. (2018). The Syrian public health and humanitarian crisis: A ‘displacement’ in global governance? Global Public Health, 13(7), 914–930. doi: 10.1080/17441692.2017.1285338
  • Akyüz, İ. (2015). Hemşirelerin tükenmişlik ve depresyon düzeylerinin çalışma koşulları ve demografik özellikler açısından incelenmesi [Investigation of level of nurses’ burnout and depression in terms of working conditions and demographic characteristics]. İşletme ve İktisat Çalışmaları Dergisi, 3(1), 21–34.
  • Alford, B. A., Lester, J. M., Patel, R. J., Buchanan, J. P., & Giunta, L. C. (1995). Hopelessness predicts future depressive symptoms: A prospective analysis of cognitive vulnerability and cognitive content specificity. Journal of Clinical Psychology, 51(3), 331–339. doi:10.1002/1097-4679(199505)51:3<331::aid-jclp2270510303>3.0.co;2-t
  • Al Saadi, T., Addeen, S. Z., Turk, T., Abbas, F., & Alkhatib, M. (2017). Psychological distress among medical students in conflicts: A cross-sectional study from Syria. BMC Medical Education, 17(1), 173–181. doi: 10.1186/s12909-017-1012-2
  • Artuk, C. (2017). Savaş/terör yaralanmalarında enfeksiyonlar ve akılcı antibiyotik kullanımı [Infections in combat/terrorist injuries and rational antibiotic use]. Okmeydanı Tıp Dergisi, 33, 108–113. doi: 10.5222/otd2017.108
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. doi: 10.1001/archpsyc.1961.01710120031004
  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42(6), 861–865. doi: 10.1037/h0037562
  • Berkland, B. E., Werneburg, B. L., Jenkins, S. M., Friend, J. L., Clark, M. M., Rosedahl, J. K., … Sood, A. (2017). A worksite wellness intervention: Improving happiness, life satisfaction, and gratitude in health care workers. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 1(3), 203–210. doi: 10.1016/j.mayocpiqo.2017.09.002
  • Chang, E. C. (2017). Hope and hopelessness as predictors of suicide ideation in Hungarian college students. Death Studies, 41(7), 455–460. doi: 10.1080/07481187.2017.1299255
  • Chen, J., & Zhou, L. (2017). Savoring as a moderator between positive life events and hopelessness depression. Social Behavior and Personality, 45(8), 1337–1344. doi: 10.2224/sbp.6235
  • Cheng, W. J., & Cheng, Y. (2017). Minor mental disorders in Taiwanese healthcare workers and the associations with psychosocial work conditions. Journal of the Formosan Medical Association, 116(4), 300–305. doi: 10.1016/j.jfma.2016.05.004
  • Cho, S. (2008). Effects of logo-autobiography program on meaning in life and mental health in the wives of alcoholics. Asian Nursing Research, 2(2), 129–139. doi: 10.1016/S1976-1317(08)60036-5
  • Demiral, Y., Akvardar, Y., Ergör, A., & Ergör, G. (2006). Üniversite hastanesinde çalışan hekimlerde iş doyumunun anksiyete ve depresyon düzeylerine etkisi [The impact of job satisfaction on anxiety and depression levels among university physicians]. DEÜ Tıp Fakültesi Dergisi, 20(3), 157–164.
  • Demirbaş Çelik, N. (2016). Üniversite öğrencilerinin yaşamda anlam ve yaşam amaçları arasındaki ilişki [The relationship between meaning in life and the purpose of life for university students]. Mediterranean Journal of Humanities, 6(1), 133–141. doi: 10.13114/MJH.2016119294
  • Dezutter, J., Waterman, A. S., Schwartz, S. J., Luyckx, K., Beyers, W., Meca, A., … Hardy, S. A. (2014). Meaning in life in emerging adulthood: A person-oriented approach. Journal of Personality, 82(1), 57–68. doi: 10.1111/jopy.12033
  • Dilbaz, N., & Seber, G. (1993). Umutsuzluk kavramı: Depresyon ve intiharda önemi [Hopelessness: The importance for depression and suicide]. Kriz Dergisi, 1(3), 134–138. doi: 10.1501/Kriz_0000000044
  • Doocy, S., Lyles, E., Delbiso, T. D., & Robinson, C. W. (2015). Internal displacement and the Syrian crisis: An analysis of trends from 2011 to 2014. Conflict and Health, 9(1), 1–11. doi: 10.1186/s13031-015-0060-7
  • Elamein, M., Bower, H., Valderrama, C., Zedan, D., Rihawi, H., Almilaji, K., … AbouZeid, A. (2017). Attacks against health care in Syria, 2015–16: Results from a real-time reporting tool. The Lancet, 390(10109), 2278–2286. doi: 10.1016/S0140-6736(17)31328-4
  • Ergün, R., Ergün, D., & Ergan, B. (2016). Yoğun Bakım Ünitesi Çalışanlarında Anksiyete ve Depresyon [Anxiety and depression in intensive care unit staff]. Turkish Journal of Medical & Surgical Intensive Care Medicine/Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi, 7(3), 93–98. doi: 10.5152/dcbybd.2017.1328
  • Fouad, F. M., Sparrow, A., Tarakji, A., Alameddine, M., El-Jardali, F., Coutts, A. P., … Abbara, A. (2017). Health workers and the weaponisation of health care in Syria: A preliminary inquiry for The Lancet–American University of Beirut Commission on Syria. The Lancet, 390(10111), 2516–2526. doi: 10.1016/S0140-6736(17)30741-9
  • Frankl, V. (1992). Man’s search for meaning: An introduction to logotherapy. Boston, MA: Beacon Press. (Originally published, 1946).
  • Galek, K., Flannelly, K. J., Ellison, C. G., Silton, N. R., & Jankowski, K. R. (2015). Religion, meaning and purpose, and mental health. Psychology of Religion and Spirituality, 7(1), 1–12. doi: 10.1037/a0037887
  • Gall, M. D., Gall, J. P., & Borg, W. R. (2007). Educational research: An introduction (8th ed.). Boston, MA: Allyn & Bacon.
  • Glaw, X., Kable, A., Hazelton, M., & Inder, K. (2017). Meaning in life and meaning of life in mental health care: An integrative literature review. Issues in Mental Health Nursing, 38(3), 243–252. doi: 10.1080/01612840.2016.1253804
  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York, NY: Guilford Press.
  • Henry, K. L., Lovegrove, P. J., Steger, M. F., Chen, P. Y., Cigularov, K. P., & Tomazic, R. G. (2014). The potential role of meaning in life in the relationship between bullying victimization and suicidal ideation. Journal of Youth and Adolescence, 43(2), 221–232. doi: 10.1007/s10964-013-9960-2
  • Hisli, N. (1989). Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi. [A reliability and validity study of beck depression inventory in a university student sample]. Journal of Psychology, 7(3), 3–13.
  • Koinis, A., Giannou, V., Drantaki, V., Angelaina, S., Stratou, E., & Saridi, M. (2015). The impact of healthcare workers job environment on their mental-emotional health. Coping strategies: The case of a local general hospital. Health Psychology Research, 3(1), 12–17. doi: 10.4081/hpr.2015.1984
  • Korkmaz, AÇ. (2014). Sığınmacıların sağlık ve hemşirelik hizmetlerine yarattığı sorunlar [The problems caused to the health and nursing services by the asylum seeker]. Sağlık ve Hemşirelik Yönetimi Dergisi, 1(1), 37–42. doi: 10.5222/SHYD.2014.037
  • Krok, D. (2015). The role of meaning in life within the relations of religious coping and psychological well-being. Journal of Religion and Health, 54(6), 2292–2308. doi: 10.1007/s10943-014-9983-3
  • Lerner, D., Adler, D. A., Rogers, W. H., Lapitsky, L., McLaughlin, T., & Reed, J. (2010). Work performance of employees with depression: The impact of work stressors. American Journal of Health Promotion, 24(3), 205–213. doi: 10.4278/ajhp.090313-QUAN-103
  • Lindwall, M., Gerber, M., Jonsdottir, I. H., Börjesson, M., & Ahlborg, G. J. (2014). The relationships of change in physical activity with change in depression, anxiety, and burnout: A longitudinal study of Swedish healthcare workers. Health Psychology, 33(11), 1309–1318. doi: 10.1037/a0034402
  • Marco, J. H., Pérez, S., & García-Alandete, J. (2016). Meaning in life buffers the association between risk factors for suicide and hopelessness in participants with mental disorders. Journal of Clinical Psychology, 72(7), 689–700. doi: 10.1002/jclp.22285
  • Marsiglia, F. F., Kulis, S., Perez, H. G., & Bermudez-Parsai, M. (2011). Hopelessness, family stress, and depression among Mexican-heritage mothers in the southwest. Health & Social Work, 36(1), 7–18. doi: 10.1093/hsw/36.1.7
  • May, R. (1977). The meaning of anxiety (rev. ed.). New York, NY: Norton.
  • Moll, S. E. (2014). The web of silence: A qualitative case study of early intervention and support for healthcare workers with mental ill-health. BMC Public Health, 14(1), 1–13. doi: 10.1186/1471-2458-14-138
  • Mystakidou, K., Tsilika, E., Parpa, E., Athanasouli, P., Galanos, A., Anna, P., & Vlahos, L. (2009). Illness-related hopelessness in advanced cancer: Influence of anxiety, depression, and preparatory grief. Archives of Psychiatric Nursing, 23(2), 138–147. doi: 10.1016/j.apnu.2008.04.008
  • Owens, G. P., Steger, M. F., Whitesell, A. A., & Herrera, C. J. (2009). Posttraumatic stress disorder, guilt, depression, and meaning in life among military veterans. Journal of Traumatic Stress, 22(6), 654–657. doi: 10.1002/jts.20460
  • Pezirkianidis, C., Stalikas, A., Efstathiou, E., & Karakasidou, E. (2016). The relationship between meaning in life, emotions and psychological illness: The moderating role of the effects of the economic crisis. The European Journal of Counselling Psychology, 4(1), 77–100. doi. 10.5964/ejcop.v4i1.75
  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. doi: 10.3758/BF03206553
  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. doi. 10.3758/BRM.40.3.879
  • Reçber, K., & Ayhan, V. (2013). Türkiye ile Suriye arasındaki krizin Hatay bölgesi üzerindeki etkileri [Effects of crisis between Turkey and Syria on Hatay region]. Alternative Politics/Alternatif Politika, 5(3), 324–340.
  • Rodríguez, S. P., Salvador, J. H. M., & García-Alandete, J. (2017). The role of hopelessness and meaning in life in a clinical sample with non-suicidal self-injury and suicide attempts. Psicothema, 29(3), 323–328. doi: 10.7334/psicothema2016.284
  • Saygılı, M., Avcı, K., Uğurluoğlu, Ö, & Özer, Ö. (2016). Sağlık çalışanlarının örgütsel depresyon düzeylerinin belirlenmesi [The determination of organizational depression levels of health care workers]. Uluslararası İşletme ve Yönetim Dergisi, 4(3), 260–272.
  • Scogin, F., Morthland, M., DiNapoli, E. A., LaRocca, M., & Chaplin, W. (2016). Pleasant events, hopelessness, and quality of life in rural older adults. The Journal of Rural Health, 32(1), 102–109. doi: 10.1111/jrh.12130
  • Seber, G., Dilbaz, N., Kaptanoğlu, C., & Tekin, D. (1993). Umutsuzluk ölçeği: Geçerlilik ve güvenirliği [Hopelessness scale: Validity and reliability]. Kriz Dergisi, 1(3), 139–142.
  • Sevinç, S., & Özdemir, S. (2017). Hemşirelik öğrencilerinin kaygı ve umutsuzluk ilişkisi: Kilis örneği [Relationship between nursing students’ anxiety and hopelessness: Kilis example]. Hemşirelikte Araştırma Geliştirme Dergisi, 19(2), 14–24.
  • Shekarabi-Ahari, G., Younesi, J., Borjali, A., & Ansari-Damavandi, S. (2012). The effectiveness of group hope therapy on hope and depression of mothers with children suffering from cancer in Tehran. Iranian Journal of Cancer Prevention, 5(4), 183.
  • Shiah, Y. J., Chang, F., Chiang, S. K., Lin, I. M., & Tam, W. C. C. (2015). Religion and health: Anxiety, religiosity, meaning of life and mental health. Journal of Religion and Health, 54(1), 35–45. doi: 10.1007/s10943-013-9781-3
  • Sousa, C., & Hagopian, A. (2011). Conflict, health care and professional perseverance: A qualitative study in the West Bank. Global Public Health, 6(5), 520–533. doi: 10.1080/17441692.2011.574146
  • Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. doi: 10.1037/0022-0167.53.1.80
  • Szymanski, D. M., & Mikorski, R. (2016). External and internalized heterosexism, meaning in life, and psychological distress. Psychology of Sexual Orientation and Gender Diversity, 3(3), 265–274. doi: 10.1037/sgd0000182
  • Taliaferro, L. A., Rienzo, B. A., Pigg, R. M., Miller, M. D., & Dodd, V. J. (2009). Associations between physical activity and reduced rates of hopelessness, depression, and suicidal behavior among college students. Journal of American College Health, 57(4), 427–436. doi: 10.3200/JACH.57.4.427-436
  • Talib, M. A., & Abdollahi, A. (2017). Spirituality moderates hopelessness, depression, and suicidal behavior among Malaysian adolescents. Journal of Religion and Health, 56(3), 784–795. doi: 10.1007/s10943-015-0133-3
  • Tan, L., Chen, J., Xia, T., & Hu, J. (2018). Predictors of suicidal ideation among children and adolescents: Roles of mental health status and meaning in life. Youth Care Forum, 47(2), 219–231. doi:10.1007/s10566-017-9427-9.
  • Taş, İ, & İskender, M. (2017). An examination of meaning in life, satisfaction with life, self-concept and locus of control among teachers. Journal of Education and Training Studies, 6(1), 21–31. doi: 10.11114/jets.v6i1.2773
  • Taycan, O., Kutlu, L., Çimen, S., & Aydın, N. (2006). Bir üniversite hastanesinde çalışan hemşirelerde depresyon ve tükenmişlik düzeyinin sosyo-demografik özelliklerle ilişkisi [Relation between sociodemographic characteristics depression and burnout levels of nurse working in university hospital]. Anadolu Psikiyatri Dergisi/Anatolian Journal of Psychiatry, 7(2), 100–108.
  • Terzi, Ş, Ergüner Tekinalp, B., & Leuwerke, W. (2011). Yaşamda Anlam Ölçeğinin çeşitli yaş gruplarına göre psikometrik özelliklerinin değerlendirilmesi [Evaluating the psychometric properties of the meaning in life questionnaire according to different age groups]. In XI. Ulusal Psikolojik Danışma ve Rehberlik Kongresi (pp. 425–426). İzmir: Ege Üniversitesi.
  • Tinghög, P., Malm, A., Arwidson, C., Sigvardsdotter, E., Lundin, A., & Saboonchi, F. (2017). Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: A population-based survey. BMJ Open, 7(12), 1–11. doi: 10.1136/bmjopen-2017-018899
  • Van Berlaer, G., Elsafti, A. M., Al Safadi, M., Saeed, S. S., Buyl, R., Debacker, M., … Hubloue, I. (2017). Diagnoses, infections and injuries in Northern Syrian children during the civil war: A cross-sectional study. PLOS One, 12(9), 1–18. doi: 10.1371/journal.pone.0182770
  • Xin-qiang, W., Xiao-xin, H., Fan, Y., & Da-jun, Z. (2016). Structure and levels of meaning in life and its relationship with mental health in Chinese students aged 10 to 25. Journal of Pacific Rim Psychology, 10, 1–12. doi: 10.1017/prp.2016.7
  • Yıldırım, A., & Hacıhasanoğlu, R. (2011). Sağlık çalışanlarında yaşam kalitesi ve etkileyen değişkenler [Quality of life and effective variables among health care professionals]. Psikiyatri Hemşireliği Dergisi/Journal of Psychiatric Nursing, 2(2), 61–68.
  • Zika, S., & Chamberlain, K. (1992). On the relation between meaning in life and psychological well-being. British Journal of Psychology, 83(1), 133–145. doi: 10.1111/j.2044-8295.1992.tb02429.x

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