Sexual and Mental Health in Healthcare Workers during the COVID-19 Outbreak: Exploring the Role of Meaning-Centered Coping

Abstract

Introduction: The acute phase of the COVID-19 pandemic impacted the sexual function and mental health of healthcare workers worldwide. However, the extent to which sexual health, including its relational dimension, was affected among different healthcare services and the protective coping strategies employed at that time is currently unclear. The present study aimed to investigate these two issues, exploring for the first time the role of meaning-centered coping on sexual health. Method: The sample consisted of 109 healthcare workers divided into two groups: a high-exposure group (Intensive Care Unit service, 63 participants) and a low-exposure group (gynecology, obstetrics, and pediatrics services, 46 participants). One year after the onset of the COVID-19 pandemic, participants completed an online survey comprised of sociodemographic and COVID-19 exposure variables, the Depression Anxiety and Stress Scale, the New Sexual Satisfaction Scale-Short Form, and the Meaning-Centered Coping Scale. Results: (1) High-exposure participants reported more anxiety and depressive symptoms, (2) anxiety, depression and stress were associated with decreased sexual health after the pandemic, (3) High-exposure participants reported a higher decrease in their sexual health, (4) High-exposure workers reported higher levels of meaning-centered coping, and (5) higher levels of meaning-centered coping predicted higher sexual health in both groups. Policy Implications: Various healthcare services pose distinct risks regarding the detrimental effects of collective health crises on mental and sexual health, and therefore they should be differently treated. The promotion of meaning-centered coping is a sensible policy to improve preparedness in healthcare contexts, especially in vulnerable services and subpopulations.