某医院急诊科医护人员情绪注意偏向的特点及其与心境状况的关系

The attentional bias of emotion in medical workers of emergency department in one hospital and it＇s relationship with mood state

目的研究急诊科医护人员情绪注意偏向的特点及其与心境状况的关系，为急诊科医护人员心理健康状况的评估及干预提供参考。方法采用词语和图片2种形式的情绪Stroop范式与简明心境量表（POMS）对36名急诊科医护人员以及36名非急诊科医护人员进行了测试。结果医护人员对正性、负性词汇及图片的反应时明显大于对中性刺激的反应时，从而体现出明显的Stroop效应。急诊科医护人员对负性情绪刺激的Stroop效应量明显小于非急诊科医护人员，急诊科医护人员对正性情绪刺激的反应时延迟与非急诊科医护人员差异无统计学意义（P〉O．05）。相关分析的结果显示，正性图片的效应量与POMS问卷中的紧张及生气呈明显的负相关（r值分别为-0．314，-0．330），而负性图片效应量与疲劳维度呈明显的负相关（r=-0．303）。结论医护人员存在明显的情绪Stroop效应，尽管急诊科医护人员对情绪刺激的抗干扰能力优于非急诊科医护人员，但长期对负性情绪刺激的回避却对个体的心境状况有一定的消极影响。

Objective To study the characteristics of attentional bias to emotional stimulus in medical workers of emergency department and explore the relationship between the emotional Stroop effect and mood states, thus providing a reference to the assessment and intervention of emergency medical workers＇ mental health. Methods Two kinds of emotional Stroop tasks with words and pictures and the Profile of Mood States （POMS） were administered to thirty-six medical workers of emergency department and thirty-six medical workers of other departments. Results The reaction time to negative and positive words and pictures were all higher than the reaction time to neutral stimulus, thus showing the significant Stroop effect in medical workers. The Stroop effect to negative emotional stimulus in medical workers of emergency department was significantly smaller than that in medical workers of other departments, while the difference of Stroop effect to positive stimulus was not significant between the two groups. Correlation analyses revealed that the correlations between Stroop effect size to positive pictures and tension and angry of POMS were all negatively significant （r value was -0.314 and -0.330 respectively）, and the correlation between Stroop effect size to negative pictures and fatigue was negatively significant （r=-0.303）. Conclusions There is a significant emotional Stroop effect in medical workers. Although the ability of anti-interference to emotional stimulus in medical workers of emergency department was better than medical workers of the other departments, the long-term avoidance to negative emotional stimulus was still has a negative effect on the mood states of individuals.