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Cerela-Boltunova O, Millere I, Trups-Kalne I. Adaptation of the Copenhagen Burnout Inventory in Latvia: Psychometric Data and Factor Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2025; 22:761. [PMID: 40427876 PMCID: PMC12111597 DOI: 10.3390/ijerph22050761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2025] [Revised: 05/06/2025] [Accepted: 05/10/2025] [Indexed: 05/29/2025]
Abstract
Burnout is a widespread occupational phenomenon with adverse effects on the well-being and performance of healthcare professionals. In Latvia, the lack of a psychometrically validated instrument for measuring burnout has hindered effective assessment and intervention. This study aimed to adapt the Copenhagen Burnout Inventory (CBI) for use in the Latvian context and to evaluate its psychometric properties among healthcare workers. A cross-sectional study was conducted in Latvia with a total of 288 participants from various healthcare institutions. The adaptation process included forward translation, expert panel review, and face validity testing. The initial item pool comprised 19 items reflecting three subscales: personal burnout (PB), work-related burnout (WB), and client-related burnout (CB). Reliability was assessed using Cronbach's alpha, composite reliability (CR), and average variance extracted (AVE). The final model showed strong internal consistency (α > 0.80), acceptable construct validity (CR > 0.80; AVE > 0.50), and a good model fit (χ2/df = 2.6; RMSEA = 0.06; CFI = 0.95; TLI =0.94). The findings demonstrate that the Latvian version of the CBI is a valid and reliable tool for assessing burnout among healthcare professionals. This study represents the first full adaptation and validation of the CBI in Latvia and provides a foundation for future research and practical applications in occupational health monitoring and burnout prevention.
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Affiliation(s)
| | - Inga Millere
- Department of Nursing and Midwifery, Riga Stradiņš University, LV-1067 Riga, Latvia
| | - Ingrida Trups-Kalne
- Psychology Laboratory, Institute of Public Health, Riga Stradiņš University, LV-1067 Riga, Latvia
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2
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Kchaou A, Abdelhedi R, Dhouib F, Kotti N, Sellami I, Ben Hammouda C, Jmal Hammami K, Masmoudi ML, Hajjaji M. An example of a potential predictive model for psychological distress among nursing staff members. Work 2025:10519815251335781. [PMID: 40296773 DOI: 10.1177/10519815251335781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2025] Open
Abstract
BackgroundNursing is considered a hard job and the stressors associated with this work can have negative effects on life satisfaction, quality of life and mental health.ObjectivesThe study aimed to develop a potential predictive model to identify the main factors influencing nurses' mental health, focusing on personal characteristics, working conditions, quality of life, and life satisfaction.MethodsThis cross-sectional study was focused on a sample of nurses at university hospital center in Sfax-Tunisia. Validated self-reporting instruments were used: Satisfaction With Life Scale (SWLS), World Health Organization Quality Of Life - BREF (WHOQOL-BREF) and General Health Questionnaire (GHQ 28). Statistical software R was used to perform the statistical analyses.ResultsThe survey included 199 nurses. The average GHQ-28 score was 27.3 ± 12.4. The predictive model identified the following significant predictors of psychological distress: female gender (β = 0.54, p < 0.001), presence of a chronic disease (β = 0.56, p < 0.001), bad financial status (β = 0.54, p < 0.001), and life satisfaction score (β = -0.6, p < 0.001), collectively explaining 40% of the variance in the total GHQ 28 score.ConclusionThese findings indicate that interventions promoting the mental health of nurses could be implemented by improving modifiable predictors such as physical health and life satisfaction.
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Affiliation(s)
- Amel Kchaou
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Rania Abdelhedi
- Center of Biotechnology of Sfax, University of Sfax, Sfax, Tunisia
| | - Feriel Dhouib
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Nada Kotti
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Imen Sellami
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Cyrine Ben Hammouda
- Department of Family Medicine, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Kaouthar Jmal Hammami
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Mohamed Larbi Masmoudi
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
| | - Mounira Hajjaji
- Department of Occupational Medicine, Hedi Chaker University Hospital, Faculty of Medicine, University of Sfax, Sfax, Tunisia
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Xia Q, Pang C, Zeng W, Li Q, Wu S, Xiao X. Burnout among VET pathway university students: The role of academic stress and school-life satisfaction. BMC Public Health 2025; 25:1467. [PMID: 40259307 PMCID: PMC12010583 DOI: 10.1186/s12889-025-22769-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Accepted: 04/11/2025] [Indexed: 04/23/2025] Open
Abstract
Student burnout has been widely discussed in scholarly and empirical communities. However, little attention has been given to the population of vocational education and training (VET) pathway university students. This cross-sectional study employed partial least squares structural equation modeling (PLS-SEM) to assess the burnout symptoms of Chinese VET pathway university students and their associations with academic stress and school-life satisfaction via the most up-to-date burnout assessment tool (BAT). 357 VET route university students were included in the present study, and the data were analyzed via SPSS 26, PROCESS 4.0, SmartPLS 3, and AMOS 26. The findings revealed that academic stress was positively correlated with student burnout symptoms and significantly negatively correlated with school-life satisfaction. School-life satisfaction partially mediated the association between academic stress and burnout. Institutions and teachers are encouraged to alleviate burnout by relieving vocational education students' academic stress and increasing their satisfaction with life on campus.
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Affiliation(s)
- Qing Xia
- Online Vocational Education Research Center, South China Normal University, Shanwei, China
| | - Chunmin Pang
- Educational Assessment Office, Guangdong Academy of Education, Guangzhou, China
| | - Wenyu Zeng
- Online Vocational Education Research Center, South China Normal University, Shanwei, China
| | - Qiujing Li
- Online Vocational Education Research Center, South China Normal University, Shanwei, China
| | - Shiyong Wu
- Online Vocational Education Research Center, South China Normal University, Shanwei, China.
- Faculty of Education, Guangdong Polytechnic Normal University, Guangzhou, China.
| | - Xiaoma Xiao
- College of Teacher Education, Zhaoqing University, Zhaoqing, China.
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Türk N, Arslan G, Kaya A, Yildirim O. Uncertainty and Well-Being in Turkish Adults: Exploring the Role of Religiosity and Psychological Symptoms. JOURNAL OF RELIGION AND HEALTH 2025:10.1007/s10943-025-02279-6. [PMID: 40016613 DOI: 10.1007/s10943-025-02279-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/07/2025] [Indexed: 03/01/2025]
Abstract
Religiosity offers individuals a sense of purpose and connection, which can lead to greater life satisfaction and improved psychological well-being and happiness. On the other hand, psychological challenges such as depression, anxiety, stress, and difficulty dealing with uncertainty can negatively affect life satisfaction. This study examined these dynamics using a hypothetical model, incorporating mediation and moderation analyses to explore the connections between intolerance of uncertainty, life satisfaction, religiosity, and psychological symptoms in a group of 565 participants (286 of whom were female). The findings revealed notable positive and negative relationships among these variables. Specifically, the study found that (i) religiosity and psychological symptoms both play a mediating role in the link between intolerance of uncertainty and life satisfaction, and (ii) religiosity serves as a moderator in this relationship. The moderation analysis showed that when religiosity levels are low, the negative effect of intolerance of uncertainty on life satisfaction is significantly stronger. In contrast, high levels of religiosity significantly weaken this negative relationship, indicating that religiosity acts as a buffer against the adverse impact of uncertainty on life satisfaction. These results underscore the potential value of religiosity in helping individuals cope with the harmful effects of uncertainty on their sense of life satisfaction. Additionally, lower levels of psychological symptoms and reduced intolerance of uncertainty were associated with higher life satisfaction, suggesting that religiosity may play a protective role in promoting overall well-being.
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Affiliation(s)
- Nuri Türk
- Department of Guidance and Psychological Counselling, Siirt University, Siirt, Turkey.
| | - Gökmen Arslan
- Department of Guidance and Psychological Counseling, Mehmet Akif Ersoy University, Burdur, Turkey
| | - Alican Kaya
- Department of Guidance and Psychological Counselling, Ağrı İbrahim Çeçen University, Ağrı, Turkey
| | - Oğuzhan Yildirim
- Department of Guidance and Psychological Counselling, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
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Han Z, Chen S, Zhou Y, Liu Y, Guo C. The Longitudinal Relationship Between Self-Esteem, Life Satisfaction, and Depressive and Anxiety Symptoms Among Chinese Adolescents: Within- and Between-Person Effects. Behav Sci (Basel) 2025; 15:182. [PMID: 40001813 PMCID: PMC11851692 DOI: 10.3390/bs15020182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2024] [Revised: 02/04/2025] [Accepted: 02/06/2025] [Indexed: 02/27/2025] Open
Abstract
Adolescents are especially vulnerable to experiencing depression and anxiety. This longitudinal study, from within- and between-person perspectives, explores how self-esteem relates to depressive and anxiety symptoms in Chinese adolescents and identifies the mediating factors impacting this relationship. Data were collected from 1025 junior and high school students in Southwestern China at three points over an 18-month period. This study utilized both traditional and random-intercept cross-lagged panel models to understand the dynamic developmental relationships. The general occurrence of depressive and anxiety symptoms increased longitudinally, with a more pronounced upward trend among female students. Between-person level analyses indicated bidirectional associations among self-esteem, life satisfaction, and depressive and anxiety symptoms. Moreover, life satisfaction emerged as a significant mediator. At the within-person level, self-esteem uniquely predicted both life satisfaction and subsequent depressive and anxiety symptoms. This study clarifies the longitudinal interplay between these constructs. Self-esteem, which denotes internal self-assessments, and life satisfaction, which denotes external evaluations of life, both significantly buffer the emergence of depressive and anxiety symptoms.
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Affiliation(s)
- Zongqiao Han
- Research Center of Mental Health Education, Faculty of Psychology, Southwest University, Chongqing 400715, China; (Z.H.); (Y.Z.); (Y.L.)
| | - Shuai Chen
- Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou 510631, China;
| | - Yan Zhou
- Research Center of Mental Health Education, Faculty of Psychology, Southwest University, Chongqing 400715, China; (Z.H.); (Y.Z.); (Y.L.)
| | - Yanling Liu
- Research Center of Mental Health Education, Faculty of Psychology, Southwest University, Chongqing 400715, China; (Z.H.); (Y.Z.); (Y.L.)
| | - Cheng Guo
- Research Center of Mental Health Education, Faculty of Psychology, Southwest University, Chongqing 400715, China; (Z.H.); (Y.Z.); (Y.L.)
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Chang H, Zeng R, Gao Q, Zhang Y. Non-linear effects of self-compassion and negative psychological states on nurses' work engagement. Sci Rep 2025; 15:4055. [PMID: 39900710 PMCID: PMC11791100 DOI: 10.1038/s41598-025-88352-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Accepted: 01/28/2025] [Indexed: 02/05/2025] Open
Abstract
The state has formulated relevant policies to improve nurses' work engagement, but the research on work engagement among clinical nurses and related factors is limited and mostly linear. This study used an online questionnaire to investigate responses from 3352 nurses from East, West, South, North, and Central China. Threshold and saturation effects analysis were used to explore the possible non-linear relationship between self-compassion, negative psychological states, and work engagement. When the self-compassion score was ≤ 92, the work engagement level increased by 0.223 points for every 1-point increase of the self-compassion score, and the difference was statistically significant (β = 0.223, P < 0.001). When the negative psychological states scores were ≤ 41 and ≥ 72, for every 1-point decrease in the negative states score, the level of work engagement decreased by 0.430 and 3.660 points, respectively, and the difference between them was statistically significant (β = - 0.430, - 3.660, P < 0.001). In particular, the threshold effect was the most significant after 72 points. This study reveals the non-linear relationships between self-compassion, negative psychological states, and work engagement among clinical nurses, and it suggests nursing managers should target interventions based on cut-off points to maximize the contribution of self-compassion and negative psychological states to work engagement.
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Affiliation(s)
- Hongjuan Chang
- School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, China
| | - Rui Zeng
- School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, China
| | - Qianqian Gao
- The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China
| | - Yu Zhang
- Henan Provincial Chest Hospital, Zhengzhou, Henan, China.
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Santin LJ, Martins BG, Campos JADB, Vazquez ACS, Marziale MHP, Mendes IAC, Freire NP, Schaufeli WB, De Witte H, Rocha FLR. Psychometric properties of the Burnout Assessment Tool - General version in nursing workers. Rev Lat Am Enfermagem 2025; 33:e4425. [PMID: 39907387 PMCID: PMC11789741 DOI: 10.1590/1518-8345.7367.4425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 08/05/2024] [Indexed: 02/06/2025] Open
Abstract
OBJECTIVE to analyze the validity evidence of the BAT - General version in a sample of Brazilian nursing workers. METHOD a cross-sectional study design with non-probability sampling method was used among 3594 Brazilian nursing workers. The validity evidence was assessed by means of analysis based on the internal structure, on the relations to external variables, and on response process of the items. RESULTS the factor models of the BAT - General version showed goodness-of-fit to the data. However, the complete factor model enabled a better understanding of burnout syndrome in the sample. It was attested the BAT - General version dimensions were positively correlated with depression, anxiety and stress symptoms and negatively correlated with job satisfaction and satisfaction with life. The validity evidence analysis based on response process of the items revealed that BAT - General version works properly both in the group of nursing workers who reported having emotional or psychological health problems and in the group who denied these problems. CONCLUSION the results provided robust validity evidence of the BAT - General version in Brazilian nursing workers. BACKGROUND (1) BAT - General version was shown to be a robust and consistent instrument. (2) BAT - General version can become an important management tool for nursing leaders. (3) It is a tool that can be used in the individual assessment of burnout symptoms. (4) BAT - General version should not be used for clinic diagnosis of burnout.
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Affiliation(s)
- Lacir José Santin
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | | | | | | | - Maria Helena Palucci Marziale
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Isabel Amelia Costa Mendes
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | | | - Wilmar B. Schaufeli
- Katholieke Universiteit Leuven, Faculty of Psychology and Educational Sciences, Leuven, Belgium
| | - Hans De Witte
- Katholieke Universiteit Leuven, Faculty of Psychology and Educational Sciences, Leuven, Belgium
| | - Fernanda Ludmilla Rossi Rocha
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
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Zhang L, Huang S, Liu S, Huang Y, Chen S, Hu J, Xu M. Effectiveness of an Internet-Based Acceptance and Commitment Therapy Intervention for Reducing Psychological Distress in Health Care Professionals: Randomized Controlled Trial. J Med Internet Res 2024; 26:e59093. [PMID: 39693127 DOI: 10.2196/59093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Revised: 10/05/2024] [Accepted: 11/11/2024] [Indexed: 12/19/2024] Open
Abstract
BACKGROUND Psychological distress is prevalent among health care professionals and can lead to poor-quality patient care. Internet-based acceptance and commitment therapy (iACT) is a promising intervention for improving mental health due to its low cost and easy access. However, there is limited evidence of its effectiveness in reducing health care professionals' psychological distress. OBJECTIVE This study aims to examine the effects of iACT on psychological distress (stress, anxiety, and depression) among health care professionals in China. METHODS From October 2022 to February 2023, a total of 108 health care professionals were recruited via WeChat and randomized into a 6-week iACT intervention program with therapist support (n=54) or waitlist control group (n=54). The intervention included 21 self-guided sessions combining teaching videos, mindfulness practices, and journal writing, followed by 7 live conferences to share experiences and discuss questions, all conducted via WeChat. Primary outcomes (stress, anxiety, and depression) and secondary outcomes (burnout and psychological flexibility) were collected using the Sojump platform, the most popular web-based survey platform in China. Generalized estimating equations were used to compare the outcomes between groups and assess the effects of group, time, and group-by-time interaction. Subgroup and sensitive analyses were performed to test the robustness of our findings across various groups. RESULTS Among the 108 health care professionals, 68 (63%) completed the follow-up assessment at week 10, including 35 (64.8%) in the iACT group and 33 (61.1%) in the waitlist control group. Of the 54 participants in the iACT group, all attended at least 2 sessions, and 25 attended all 28 sessions. On average, participants attended 20 (71%) sessions. The iACT group showed significant improvement in the Depression Anxiety and Stress Scales-21 total score (d=0.82, 95% CI 0.39-1.26), and the effects were sustained for 4 weeks after the intervention (d=1.08, 95% CI 0.57-1.59). Compared to the control group, the iACT group showed significantly lower scores in burnout at week 6 (d=1.42, 95% CI 0.95-1.89) and week 10 (d=1.52, 95% CI 0.98-2.06). The iACT group showed significantly higher psychological flexibility at week 6 (d=1.23, 95% CI 0.77-1.69) and week 10 (d=1.15, 95% CI 0.64-1.66). CONCLUSIONS The iACT effectively decreased health care professionals' psychological distress and burnout and improved their psychological flexibility. Our findings provide implications and guidance for the development and broad implementation of iACT in health care settings to improve the mental health of health care professionals. TRIAL REGISTRATION Chinese Clinical Trial Register ChiCTR2400093584; https://tinyurl.com/38werwsk.
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Affiliation(s)
- Lin Zhang
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Shuang Huang
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Sha Liu
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Yuanxiu Huang
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Shan Chen
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Jinsong Hu
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
| | - Mingzhong Xu
- Changsha Municipal Center for Disease Control and Prevention, Changsha, China
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Shen Y, Zhao M, Wei N, Zhao W, Han M, Dai S, Wang X, Li L, Zhang X. Associations Among Social Jet Lag, Sleep-Related Characteristics, and Burnout of Nurses in Tertiary Hospitals. Holist Nurs Pract 2024; 38:385-393. [PMID: 38451845 DOI: 10.1097/hnp.0000000000000637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
To investigate the status of social jet lag (SJL) through sociodemographic factors among clinical nurses and examine the correlation with burnout. There has been relatively little research on the possible factors resulting in SJL among nurses in China and its role in burnout. A multicenter cross-sectional study recruited 596 nurses from 7 Chinese hospitals. Online questionnaires were delivered to assess sociodemographics, shift work, SJL, chronotypes, and the burnout of nurses. Nurses had severe levels of SJL. The number of children, forms of employment, specialty area, length of professional service, and chronotypes were the main predictors of SJL. Moreover, SJL affected burnout (emotional exhaustion and deindividuation), and reducing the nurses' SJL could relieve their burnout. Additional evidence-based interventions indicate that reducing the SJL is essential as the nurses are suffering severe job burnout.
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Affiliation(s)
- Yingjie Shen
- Author Affiliations: School of Nursing, Chongqing Three Gorges Medical College, Chongqing, China(Ms Shen); School of Nursing and Health, Zhengzhou University, Zhengzhou, China (Ms W. Zhao, Dai, and Wang); Nursing Department, The Fifth People's Hospital of Shanghai, Affiliated Fudan University, Shanghai, China (Dr M. Zhao); Premature Baby Ward, Children's Hospital of Henan Province, Affiliated Children's Hospital of Zhengzhou University, Zhengzhou, China (Ms Wei); School of Nursing and Health, Henan University, Kaifeng, China (Ms Han); Department of Nursing, Shanghai Mental Health Center, Shanghai, China (Dr Li); and Department of Nursing, Shihezi University, Shihezi, China (Dr Zhang)
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Hao S, Zhang X. Job burnout and anxiety among medical staff: A latent profile and moderated mediation analysis. Soc Sci Med 2024; 356:117141. [PMID: 39033699 DOI: 10.1016/j.socscimed.2024.117141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Revised: 05/06/2024] [Accepted: 07/12/2024] [Indexed: 07/23/2024]
Abstract
BACKGROUND Due to work pressure, work intensity, and the impact of emergencies such as the epidemic, job burnout and mental health problems among medical staff have become increasingly prominent. OBJECTIVES Our study aims to characterize the patterns of burnout in Chinese medical staff, explore the profile differences on anxiety and self-esteem, examine whether the differences in these profiles on anxiety were mediated by self-esteem, and investigate whether this mediating process was moderated by positive coping styles among medical staff. METHODS Data were collected from 602 medical staff in China by a convenient sampling method. A latent profile and moderated mediation analysis were performed. RESULTS Latent profile analysis on three burnout dimensions [emotional exhaustion, cynicism, and professional efficacy] indicated two burnout profiles: low burnout (82.47% of the sample) and high burnout (17.53%). Medical staff with a low burnout profile had lower levels of emotional exhaustion and cynicism than those with a high burnout profile. It was also determined that self-esteem mediates burnout and anxiety in both high- and low-burnout medical staff. The moderating role of positive coping styles was also identified (β = 0.30, 95%CI: 0.058-0.550). CONCLUSIONS The identification of two distinct burnout patterns (low burnout and high burnout) provides clinical administrators with clear goals for individualizing support and interventions for medical staff with different levels of burnout. Furthermore, attention should be given to self-esteem and positive coping styles, as they act as potential mediators and moderators of medical staff's mental health problems.
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Affiliation(s)
- Shuwei Hao
- Department of Medical Psychology, School of Health Humanities, Peking University, Beijing, 100191, PR China.
| | - Xueting Zhang
- Department of Medical Psychology, School of Health Humanities, Peking University, Beijing, 100191, PR China.
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11
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Mantzalas J, Richdale AL, Li X, Dissanayake C. Measuring and validating autistic burnout. Autism Res 2024; 17:1417-1449. [PMID: 38660943 DOI: 10.1002/aur.3129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 03/21/2024] [Indexed: 04/26/2024]
Abstract
Researchers have begun to explore the characteristics and risk factors for autistic burnout, but assessment tools are lacking. Our study comprehensively examined and compared the psychometric properties of the unpublished 27-item AASPIRE Autistic Burnout Measure (ABM), and personal and work scales of the Copenhagen Burnout Inventory (CBI) to evaluate their efficacy as screening measures for autistic burnout, with a group of 238 autistic adults. Exploratory factor analyses (EFA) revealed a 4-factor structure for the ABM and a 2-factor structure for the CBI personal scale (CBI-P). Factorial validity and dimensionality were examined with four exploratory models which indicated a unidimensional structure for the ABM with an overarching 'Autistic Burnout' construct, and multidimensional CBI-P structure comprising two subscales and overarching 'Personal Burnout' construct. Other reliability and validity indicators included Spearman correlations, analysis of variance, receiver operating characteristics, sensitivity, specificity, and intra-class correlations (ICC). The ABM and CBI-P were strongly correlated with depression, anxiety, stress, and fatigue. Unexpectedly, correlations between the burnout measures and camouflaging, and wellbeing measures were moderate. Potential overlap between burnout and depression and fatigue was examined through EFA, which supported convergent validity of the ABM and depression measure, while correlations and ICC analyses revealed mixed results. We concluded that the ABM and the CBI-P Emotional Exhaustion subscale were valid preliminary screening tools for autistic burnout. Testing with larger and more diverse autistic samples is required to further examine the psychometric properties of the ABM, and to understand the relationships between autistic burnout and depression, and masking.
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Affiliation(s)
- Jane Mantzalas
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia
| | - Amanda L Richdale
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia
| | - Xia Li
- La Trobe University, Melbourne, Australia
| | - Cheryl Dissanayake
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia
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Zhou X, Zhu J, Yao Y, Yang X, Shen Z, Wang Y. Diminished representational momentum for physical states in patients with depressive disorder. J Psychiatr Res 2024; 175:103-107. [PMID: 38718440 DOI: 10.1016/j.jpsychires.2024.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 04/30/2024] [Accepted: 05/02/2024] [Indexed: 09/06/2024]
Abstract
The representational momentum for physical state changes refers to the fact that we remember objects as more changed in physical state than they actually were. It has been well documented that depressive disorder is associated with impairment of time perception. Thus, the present work was conducted with the aim to investigate the representational momentum for physical state changes in patients with depressive disorder, firstly. Forty patients with depressive disorder and forty-two healthy controls were administrated with the task of representational momentum for physical state changes and task of time perception. The stimulus comprises 10 videos showing object state changes (e.g., ice melting). During playing, the video would stop and immediately be obscured by mosaics at a specific point. Participants select from three detection images (the exact frame of the video just be masked, the frame after that, and the frame before that) to test representational momentum and estimate the duration of the video in seconds to test time perception. The depressive group showed diminished representational momentum (i.e., lower scores on the task of representational momentum) than normal controls (U = 215.00, Z = -5.83, p < 0.001). In addition, the scores on the task of representational momentum were significantly positively related with the scores on the task of time perception among depressive group (r = 0.446, p = 0.004). The findings indicate that patients with depressive disorder may exhibit diminished representational momentum for physical states, which may be correlated with their impairment of time perception.
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Affiliation(s)
- Xiangyi Zhou
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People's Republic of China
| | - Jiamin Zhu
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People's Republic of China
| | - Yuke Yao
- College of Information Engineer, China Jiliang University, Hangzhou, Zhejiang Province, People's Republic of China
| | - Xiaohuanghao Yang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People's Republic of China
| | - Zhihua Shen
- Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China; Zhejiang Provincial Institute of Drug Abuse Research, Hangzhou, Zhejiang Province, China
| | - Yongguang Wang
- School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People's Republic of China; Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China; Zhejiang Provincial Institute of Drug Abuse Research, Hangzhou, Zhejiang Province, China.
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Batmaz H, Çelik E. Examining the Mediating Role of Resilience and Life Satisfaction in the Relationship Between Anxiety Sensitivity and Perceived Stress. Psychol Rep 2024:332941241263572. [PMID: 38907633 DOI: 10.1177/00332941241263572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2024]
Abstract
This study examines the mediation role of life satisfaction and resilience variables in the relationships between anxiety sensitivity and perceived stress. The data was collected with the Anxiety Sensitivity Index-3, Life Satisfaction Scale, Perceived Stress Scale, and Brief Psychological Resilience Scale from 347 university students (Mage = 23.15, SD = 5.15; 70% girls, 30% boys). The analyses were examined by structural equation modeling using AMOS 24. The findings suggest that students with high anxiety sensitivity and perceived stress have low resilience and life satisfaction levels. More importantly, resilience and life satisfaction were found to have partial mediation. As a result, it is seen that anxiety sensitivity has a significant effect on reducing perceived stress by increasing students' resilience and life satisfaction. Therefore, this situation facilitates decreased anxiety levels, greater satisfaction with life, and more robust mental health.
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Affiliation(s)
- Hasan Batmaz
- Psychosocial Counseling Coordinatorship, Karabuk University, Karabük, Turkey
| | - Eyüp Çelik
- Faculty of Education, Sakarya University, Sakarya, Turkey
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Kılınç E, Çiçek B. COVID again? Health workers' burnout and turnover intentions: possible impacts of coronavirus-induced anxiety and first-level servant leaders. Leadersh Health Serv (Bradf Engl) 2024; ahead-of-print. [PMID: 38860850 DOI: 10.1108/lhs-10-2023-0078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2024]
Abstract
PURPOSE Building on social exchange and leader-member exchange theories, this paper aims to propose a model of the impact of coronavirus-induced anxiety on health-care professionals' burnout and turnover intention through the mediation role of servant leadership. DESIGN/METHODOLOGY/APPROACH This model was examined by adopting partial least square-based structural equation modeling using data collected from 271 health professionals (doctors, nurses, midwives and analysts) from Turkey. FINDINGS The findings of the research illustrate that coronavirus-induced anxiety is positively associated with burnout and turnover intention. Furthermore, servant leadership mediates the relationship between coronavirus-induced anxiety, burnout and turnover intention. Yet, according to factor loadings, the mediating role of servant leadership is not strong (β : 0.035 and 0.053, respectively). RESEARCH LIMITATIONS/IMPLICATIONS First, this study targeted the health-care professionals from Turkey. Therefore, this population may not be able to provide general information on the topic. Thus, this study suggests that the subject be addressed in other populations as well. Second, the data were self-reported by the participants. Although common method bias and social desirability bias were not an issue in this study, it should be known that the results are based on the subjective judgments of the participants. Third, this study was limited to investigating the mediating role of servant leadership only. PRACTICAL IMPLICATIONS This study gives much beneficial information to both administrators and organizations by mirroring highly stressed workers' inside throughout statistically results. Hence, it is assumed that the findings will help leaders to cope with several difficult situations, especially in crisis moments. As the chaotic circumstances occurred, achieving organizational goals became more and more difficult. To do this, some leaders play critical roles for members like servant leaders by contributing uniquely spiritual dimensions. SOCIAL IMPLICATIONS Struggling with the COVID-19 pandemic has aggravated the health-care professionals' existing mental health and has loaded more agitation on them. According to Mozes (2021), suicide cases among nurses have doubled the number of women in the general population. Thus, leaders should do something to lower those ratios. This study points out that servant leaders could break down those unwanted issues by decreasing burnout and turnover intention rates of health workers. Barbuto and Wheeler (2006) highlighted this situation by creating a dimension called "The Natural Desire to Serve Others." ORIGINALITY/VALUE To the best of the authors' knowledge, to date, this study is the first to examine the mediating role of servant leadership in the effect of coronavirus-induced anxiety on burnout and turnover intention. Furthermore, this research reveals that servant leadership may play a role in avoiding burnout and turnover intention in the health sector.
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Affiliation(s)
- Erman Kılınç
- Department of Rail Systems Management, Ulukışla Vocational School, Niğde Ömer Halisdemir University, Niğde, Turkey
| | - Berat Çiçek
- Department of Aviation Management, Malatya Turgut Özal University, Malatya, Turkey
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15
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Huang CP, Zou JM, Ma H, Zhong Y. Role stress, occupational burnout and depression among emergency nurses: A cross-sectional study. Int Emerg Nurs 2024; 72:101387. [PMID: 37984024 DOI: 10.1016/j.ienj.2023.101387] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 10/26/2023] [Accepted: 11/04/2023] [Indexed: 11/22/2023]
Abstract
BACKGROUND Emergency nurses are a professional group at a high risk of burnout and depression. This may influence their mental state and physical health. AIMS The aim of the study was to explore the relationship between role stress, occupational burnout and depression among emergency nurses. METHODS A cross-sectional study was carried out among 295 emergency nurses from eight tertiary hospitals in western China. The Role Stress Scale, the Maslach Burnout Inventory-Human Services Survey and the Center for Epidemiologic Studies Depression Scale were employed. Descriptive statistics, independent sample t-tests, one-way analysis of variance, Pearson's correlation analysis and regression analysis were performed. RESULTS Of the study participants, 54.6% were found to have depressive symptoms and 48.1% had severe occupational burnout. Positive correlations were observed between the scores of role stress and burnout and depression. Approximately 37.1% of the variation in depression was explained by the components of occupational burnout. CONCLUSIONS Emergency nurses experience high levels of role stress, occupational burnout and depression. Preventive approaches to role stress, burnout and depression are needed to improve their psychological condition and quality of work life.
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Affiliation(s)
- Chang-Ping Huang
- School of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China
| | - Jin-Mei Zou
- School of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China.
| | - Huan Ma
- School of Nursing, Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, China
| | - Ying Zhong
- Nuring Department, Zigong First people's Hospital, Zigong, Sichuan, China
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16
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Sun H, Zhang T, Wang X, Wang C, Zhang M, Song H. The occupational burnout among medical staff with high workloads after the COVID-19 and its association with anxiety and depression. Front Public Health 2023; 11:1270634. [PMID: 37954047 PMCID: PMC10639132 DOI: 10.3389/fpubh.2023.1270634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/12/2023] [Indexed: 11/14/2023] Open
Abstract
Objective After the end of COVID-19, medical staff were immediately faced with a high workload, leading to widespread occupational burnout. This study aims to explore the level and influencing factors of burnout among medical staff during this period, as well as its relationship with anxiety and depression. Methods The participants' levels of burnout were assessed using Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the reliability and validity of the questionnaire were evaluated through Cronbach's α and Confirmatory Factor Analysis (CFA). Independent sample t-test, chi-square test, and Pearson analysis were employed to determine the correlation between two sets of variables. Univariate and multivariate logistic regression analyses were conducted to identify significant factors influencing burnout. Finally, nomograms were used to predict the probability of burnout occurrence. Results This study collected a total of 1,550 questionnaires, and after excluding 45 questionnaires that were duplicates or incomplete, a sample of 1,505 (97.1%) participants were included in the final statistical analysis. Both Cronbach's α and the fit indices of CFA demonstrated excellent adaptability of the Chinese version of MBI-HSS in this study. The overall prevalence rates for emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (PA) were 52.4, 55.3, and 30.6%, respectively. Obtaining psychological support, health condition, relationship with family members, and insufficient sleep were identified as common contributing factors to burnout among medical staff. Additionally, age and promotion pressure were also associated with burnout among doctors, and exceeding legal working hours was an important factor for nurse burnout. The C-index for the nomograms predicting burnout among doctors and nurses was 0.832 and 0.843, respectively. Furthermore, burnout exhibited a significant linear correlation with anxiety and depression. Conclusion After the end of COVID-19, medical staff in high workload environments were facing severe burnout, which might lead to anxiety and depression. The occupational burnout of medical staff needed to be taken seriously and actively intervened.
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Affiliation(s)
- Hao Sun
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Tengfei Zhang
- Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Xinyu Wang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Caixia Wang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Mengqiao Zhang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Hongjiang Song
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
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17
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Liu F, Zhao Y, Chen Y, Tu Z. The mediation effect analysis of nurse's mental health status and burnout under COVID-19 epidemic. Front Public Health 2023; 11:1221501. [PMID: 37915821 PMCID: PMC10616456 DOI: 10.3389/fpubh.2023.1221501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 09/26/2023] [Indexed: 11/03/2023] Open
Abstract
Aim The objective of this study is to investigate the mental health status of nurses during the outbreak of novel coronavirus pneumonia. Additionally, we aim to analyze the relationship between anxiety, depression, and burnout among nurses. The findings will provide a scientific basis for promoting the psychological health of nurses. Methods Using a cross-sectional study, nurses in Quanzhou in May 2020 completed a general information questionnaire, the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and the Maslach Burnout Inventory (MBI). Data analysis was conducted using structural equation model. Results 372 questionnaires were returned, with a response rate of 92.5%. The prevalence of anxiety and depression among the participants were 45.2 and 41.4%, respectively. The prevalence of severe burnout among nurses was found to be 7.3%. There was a correlation between nurses' anxiety, depression, and job burnout. The correlation coefficients between anxiety and job burnout, depression and job burnout, and anxiety and depression were found to be statistically significant (p < 0.001). Depression plays a mediating role between anxiety and jod burnout (0.584/1.413, 41.3%). Conclusion The COVID-19 epidemic has resulted in moderate to high levels of job burnout among nurses. In this context, depression has been found to play a mediating role in the relationship between anxiety and job burnout. It is imperative for hospital administrators to prioritize the mental health of nurses and the provide necessary support to ensure their well-being.
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Affiliation(s)
- Fuzhi Liu
- Department of Preventive Medicine, School of Health, Quanzhou Medical College, Quanzhou, China
| | - Yanyan Zhao
- Department of Nursing, Quanzhou First Hospital, Quanzhou, China
| | - Yangjia Chen
- Department of Preventive Medicine, School of Health, Quanzhou Medical College, Quanzhou, China
| | - Zhuote Tu
- Department of Preventive Medicine, School of Health, Quanzhou Medical College, Quanzhou, China
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18
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Padmanabhanunni A, Pretorius TB, Isaacs SA. Satisfied with Life? The Protective Function of Life Satisfaction in the Relationship between Perceived Stress and Negative Mental Health Outcomes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6777. [PMID: 37754636 PMCID: PMC10530804 DOI: 10.3390/ijerph20186777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 09/14/2023] [Accepted: 09/15/2023] [Indexed: 09/28/2023]
Abstract
Life satisfaction is a key index of well-being, yet few studies have examined its role as a protective factor in the context of the COVID-19 pandemic. The current study expands the research in this area through an examination of the role of life satisfaction in the relationship between perceived stress and negative indices of mental health. Participants were university students (N = 322) who completed the Perceived Stress Scale, the Satisfaction with Life Scale, and short forms of the trait scale of the Spielberger State-Trait Anxiety Inventory, the Center for Epidemiological Depression Scale, and the Beck Hopelessness Scale. The results indicate that life satisfaction had a health-sustaining effect on indices of well-being. It also moderated the relationship between perceived stress, on the one hand, and anxiety and hopelessness, on the other hand. Further, life satisfaction played a partial mediating role in the relationship between perceived stress and indices of mental health. The findings suggest that life satisfaction could be a protective factor in the context of stressful life events. Cultivating life satisfaction through mindfulness training and the enhancement of gratitude could potentially sustain mental health.
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Affiliation(s)
| | - Tyrone B. Pretorius
- Department of Psychology, University of the Western Cape, Bellville 7530, South Africa; (A.P.); (S.A.I.)
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Li JN, Chen XQ, Li QQ, Zheng QX, Pan YQ, Huang L, Zhu Y, Liu RL, Jiang XM. Effect of depressive symptoms on quality of work life in female nurses: a cross-sectional study using propensity score matching. Front Psychiatry 2023; 14:1213025. [PMID: 37779621 PMCID: PMC10534041 DOI: 10.3389/fpsyt.2023.1213025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 08/29/2023] [Indexed: 10/03/2023] Open
Abstract
Background Female nurses have been considered as a vulnerable population in the context of mental health, due to the nature of their work, which can be stressful and emotionally taxing. Understanding the relationship between depressive symptoms and quality of work life (QWL) can contribute to improving mental health and job performance. However, limited studies have focused on the effect of depressive symptoms on QWL in female nurses. Objectives The present study aimed to assess the effect of depressive symptoms on female nurses' QWL using propensity score matching (PSM). Methods A cross-sectional, online study using convenience sampling was conducted among 1,401 female nurses in China. PSM was used to minimize the impact of potential confounders between no depressive symptoms and depressive symptoms. Stepwise multiple linear regression analyses were performed on the PSM samples to explore the effects of depressive symptoms on the QWL. Results The results revealed there were 33.5% of the female nurses reported depressive symptoms before PSM. And female nurses in this study had a moderate level of QWL before PSM (122.11 ± 18.15), which remained steady after PSM (118.33 ± 18.04). After PSM, the final sample contained 864 female nurses. Stepwise multiple linear regression results indicated that depressive symptoms were the most strongly associated with QWL (β = -0.454, p < 0.001). Conclusion This study highlights the importance of developing mental health plans and psychological interventions for female nurses to maintain mental health and QWL, which is critical to the nursing workforce's sustainability.
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Affiliation(s)
- Jia-Ning Li
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
| | - Xiao-Qian Chen
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
- Fujian Obstetrics and Gynecology Hospital, Fuzhou, Fujian, China
| | - Qing-Qing Li
- School of Public Health, Fujian Medical University, Fuzhou, Fujian, China
| | - Qing-Xiang Zheng
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
- Fujian Obstetrics and Gynecology Hospital, Fuzhou, Fujian, China
| | - Yu-Qing Pan
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
- Fujian Obstetrics and Gynecology Hospital, Fuzhou, Fujian, China
| | - Ling Huang
- School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China
| | - Yu Zhu
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Ru-Lin Liu
- School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Xiu-Min Jiang
- Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
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Rahmat I, Pawestri F, Saputro RA, Widianingrum S, Hanifah T. Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic. Nurs Res Pract 2023; 2023:3689759. [PMID: 37441199 PMCID: PMC10335755 DOI: 10.1155/2023/3689759] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 06/17/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
COVID-19 has a negative effect on the psychological well-being of psychiatric nurses. Thus, examining the psychosocial response of nurses is important for preventing more serious mental health problems and disruption of the quality of nursing care. This study aimed to evaluate the psychosocial problems of nurses who provided nursing care to patients with mental health disorders during the COVID-19 pandemic. A quantitative study with a cross-sectional design was conducted. The 101 nurses at Central Mental Health Hospital who provide nursing care to patients with mental health disorders were recruited through consecutive sampling. The instruments used were the demographic questionnaire, the Expanded Nursing Stress Scale, Zung Self-Rating Anxiety Scale, and The Connor-Davidson Resilience Scale 25. Univariate and bivariate analyses were used to process the data. The mean score of 45.1 (±24.3) was obtained for the ENSS; around 97% of nurses have a work stress score below the average, 4.95% have mild-moderate anxiety, and 28.7% have a low level of resilience. Work stress and contact frequency, work stress and gender, anxiety and contact frequency, as well as resilience and contact frequency all correlated significantly (p value <0.05). The Pearson test showed a significant positive correlation between work stress and anxiety (p: 0.002, r: 0.299). However, there was no significant correlation between anxiety and resilience (p: 0.643, r: 0.47), nor between work stress and resilience (p: 0.643; r: 0.47). Psychosocial disorders that psychiatric nurses face include occupational stress, mild-moderate anxiety, and low resilience. The government can create specific infection control guidelines for the mental health setting, and hospital management or ward leaders can also provide support to psychiatric nurses to increase resilience in reducing psychosocial problems.
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Affiliation(s)
- Ibrahim Rahmat
- Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Fajar Pawestri
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ragil Aji Saputro
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Setiyati Widianingrum
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Triana Hanifah
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Durand-Sanchez E, Ruiz-Alvarado C, Contreras-Valderrama R, Morales-García WC, Mamani-Benito O, Huancahuire-Vega S, Saintila J, Morales-García M, Ruiz Mamani PG. Sociodemographic Aspects and Healthy Behaviors Associated With Perceived Life Satisfaction in Health Professionals. J Prim Care Community Health 2023; 14:21501319221148332. [PMID: 36760092 PMCID: PMC9943957 DOI: 10.1177/21501319221148332] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 11/25/2022] [Accepted: 12/12/2022] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND Life satisfaction is a determining factor for the improvement of mental and physical health. Health care workers are a vulnerable population to suffer alterations in the factors that affect life satisfaction. Determining the influence of these factors on quality of life is important for their proper management. OBJECTIVE To examine sociodemographic factors and healthy behaviors influencing life satisfaction in Peruvian professionals. METHODS A cross-sectional study was conducted with 506 health care workers, who had a mean age of 40.34 years (SD = 10.39). A sociodemographic questionnaire, sleep quality, physical activity, eating habits, and life satisfaction were used. A regression model was fitted with the life satisfaction variable as the dependent variable. RESULTS In multivariable analysis, age (β = -.938, P < .01) and perception of poor health status (β = -4.743, P < .001) were found to be associated with lower life satisfaction. On the other hand, higher university education level (β = 1.667, P < .001), absence of smoking (β = 3.202, P < .01), absence of depressive symptoms (β = 3.390, P < .001), interest in daily activities (β = 3.503, P < .05), good sleep quality (β = 1.027, P < .01), a high frequency of physical activity (β = 1.056, P < .01), and healthy eating are variables associated with higher life satisfaction. CONCLUSION Sociodemographic aspects such as age and the perception of poor health are associated with lower life satisfaction. On the other hand, healthy behaviors such as absence of smoking, absence of depressive symptoms, interest in daily activities, good quality of sleep, high frequency of physical activity, and a healthy diet were associated with higher life satisfaction.
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