The mediating effects of burnout on the relationship between anxiety symptoms and occupational stress among community healthcare workers in China: A cross-sectional study

PLoS ONE

Volumn 9, Issue 9, 2014, Pages

  Ding, Yanwei ^a   Qu, Jianwei ^a   Yu, Xiaosong ^a   Wang, Shuang ^a  

^a CHINA MEDICAL UNIVERSITY   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY DISORDER; ARTICLE; BURNOUT; CHINA; COMMUNITY HEALTHCARE WORKER; CROSS-SECTIONAL STUDY; DISEASE SEVERITY; EMOTIONAL STRESS; EMPLOYMENT STATUS; HEALTH CARE PERSONNEL; HUMAN; JOB STRESS; MASLACH BURNOUT INVENTORY GENERAL SURVEY; PREVALENCE; PSYCHOLOGIC TEST; PSYCHOLOGICAL WELL BEING; QUALITY OF LIFE; QUESTIONNAIRE; RATING SCALE; SELF-RATING ANXIETY SCALE; SYMPTOMATOLOGY; WORKING TIME; ZUNG SELF RATING ANXIETY SCALE; ZUNG SELF RATING DEPRESSION SCALE; ANXIETY DISORDERS; HEALTH AUXILIARY; MENTAL HEALTH; MENTAL STRESS; PATHOLOGY; PHYSICIAN; PSYCHOLOGY; STANDARDS;

ANXIETY DISORDERS; CHINA; COMMUNITY HEALTH WORKERS; CROSS-SECTIONAL STUDIES; HUMANS; MENTAL HEALTH; PHYSICIANS; QUALITY OF LIFE; QUESTIONNAIRES; STRESS, PSYCHOLOGICAL;

EID: 84921738792     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0107130     Document Type: Article

References (52)

1. Chen Z (2009) Launch of the health-care reform plan in China. Lancet 373: 1322-1324.
2. Jiang HL, Chen W, Bi KN, Ying XH (2009) Are services delivered by community health centers more cost-effectve? Evidence from urban China. Health Econ 18: 107-117.
3. Fiabane E, Giorgi I, Sguazzin C, Argentero P (2013) Work engagement and occupational stress in nurses and other healthcare workers: the role of organizational and personal factors. J Clin Nurs 22: 2614-2624.
4. Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, et al. (2011) Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months. BJP 199: 459-466.
5. Ahmed I, Banu H, AL-Fageer R, AL-Suwaidi R (2009) Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care 24: 1-7.
6. Begat I, Ellefsen B, Severinsson E (2005) Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experience of well-being - a Norwegian study. J Nurs Manag 13: 221-230.
7. Sun W, Fu JL, Chang Y, Wang L (2012) Epidemiological study on risk factors for anxiety disorder among Chinese doctors. J Occup Health 54: 1-8.
8. Bargellini A, Barbieri A, Rovesti S, Vivoli R, Roncaglia R, et al. (2000) Relation between immune variables and burnout in a sample of physicians. Occup Environ Med 57: 453-457.
9. Ruitenburg MM, Frings-Dresen MH, Sluiter JK (2012) The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Serv Res 12: 292-298.
10. Dudek D, Jaeschke R, Styczeń K, Pilecki M (2013) Depression and anxiety in the practice of cardiology. Kardiol Pol 71: 781-786.
11. DiGiacomo M, Adamson B (2001) Coping with stress in the workplace: implications for new health professionals. J Allied Health 30: 106-111.
12. Mark G, Smith AP (2012) Occupational stress, job characteristics, coping, and the mental health of nurses. Br J Health Psychol 17: 505-521.
13. Peplińska A, Jeẓewska M, Leszczyńska I, Połomski P (2013) Stress and the level of perceived anxiety among mariners: the mediating role of marital satisfaction. Int Marit Health 64: 221-225.
14. Shirazi A, Rasekhnia M, Ajdary H (2011) An empirical examination of the relationship between occupational stress and mental health. IJCRB 3: 101-109.
15. Nakao M (2010) Work-related stress and psychosomatic medicine. Biopsyosoc Med 4: 4-11.
16. Tsai YC, Liu CH (2012) Factors and symptoms associated with work stress and health- promoting lifestyles among hospital staff: a pilot study in Taiwan. BMC Health Serv Res 12: 199-206.
17. Nordang K, Hall-Lord ML, Farup PG (2010) Burnout in health-care professionals during reorganizations and downsizing. A cohort study in nurses. BMC Nurs 9: 8-14.
18. Peterson U, Demerouti E, Bergström G, Samuelsson M, Asberg M, et al. (2008) Burnout and physical and mental health among Swedish healthcare workers. J Adv Nurs 62: 84-95.
19. Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52: 397-422.
20. Turnipseed DL (1998) Anxiety and burnout in the health care work environment. Psychol Rep 82: 627-642.
21. Maslach C, Leiter MP (2008) Early predictors of job burnout and engagement. J Appl Psychol 93: 498-512.
22. Piko BF (2006) Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Stud 43: 311-318.
23. Pavlakis A, Raftopoulos V, Theodorou M (2010) Burnout syndrome in Cypriot physiotherapists: a national survey. BMC Health Serv Res 10: 63-70.
24. Dai JM, Collins S, Yu HZ, Fu H (2008) Combining job stress models in predicting burnout by hierarchical multiple regressions: a cross-sectional investigation in Shanghai. J Occu Environ Med 50: 785-790.
25. Lin QH, Jiang CQ, Lam TH (2013) The relationship between occupational stress, burnout, and turnover intention among managerial staff from a Sino-Japanese joint venture in Guangzhou, Chian. J Occup Health 55: 458-467.
26. Xie Z, Wang A, Chen B (2011) Nurse burnout and its association with occupational stress in a cross-sectional study in Shanghai. J Adv Nurs 67: 1537-1546.
27. Gilbert S, Laschinger HK, Lerter M (2010) The mediating effect of burnout on the relationship between structural empowerment and organizational citizenship behaviours. J Nurs Manag 18: 339-348.
28. Zung WW (1971) A rating instrument for anxiety disorders. Psychosomatics 12: 371-379.
29. Wang ZY (1984) Chinese version of Zung's self-rating anxiety scale. J Shanghai Psychiatry 2: 73-74. [Article in Chinese].
30. Liu XC, Oda S, Peng X, Asai K (1997) Life events and anxiety in Chinese medical students. Soc Psychiatry Psychiatr Epidemiol 32: 63-67.
31. Wang XQ, Lambert CE, Lambert AV (2007) Anxiety, depression and coping strategies in post-hysterectomy Chinese women prior to discharge. Tnt Nurs Rev 54: 271-279.
32. Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1: 27-41.
33. Maina G, Bovenzi M, Palmas A, Larese Filon F (2009) Associations between two job stress models and measures of salivary cortisol. Int Arch Occup Environ Health 82: 1141-1150.
34. Tsutsumi A, Kawanami S, Horie S (2012) Effort-reward imbalance and depression among private practice physicians. Int Arch Occup Environ Health 85: 153-161.
35. Li J, Yang W, Cheng Y, Siegrist J, Cho SI (2005) Effort-reward inbalance at work and jof dissatisfaction in Chinese healthcare workers: a validation study. Int Arch Occup Enviren Health 78: 198-204.
36. Siegrist J, Starke D, Chandola T, Godin I, Marmot M, et al. (2004) The measurement of effort-reward imbalance at work: European comparisons. Soc Sci Med 58: 1483-1499.
37. Chor D, Werneck GL, Faerstein E, Alves MG, Rotenberg L (2008) The Brazilian version of the effort-reward imbalance questionnaire to assess job stress. Cad Saude Publica 24: 219-224.
38. Maslach C, Jackson SE (1981) The measurement of experiences burnout. J Occup Behav 2: 99-103.
39. Wang Y, Liu L, Wang J, Wang L (2012) Work-family conflict and burnout among Chinese doctors: the mediating role of psychological capital. J Occup Health 54: 232-240.
40. Wu S, Li H, Zhu W, Lin S, Chai W, et al. (2012) Effect of work stressors, personal strain, and coping resources on burnout in Chinese medical professionals: a structural equation model. Ind Health 50: 279-287.
41. Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51: 1173-1182.
42. MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V (2002) A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 7: 83-104.
43. McEvoy PM, Grove R, Slade T (2011) Epidemiology of anxiety disorders in the Auatralian general population: fingdings of the 2007 Australian national survey of mental health and wellbeing. Aust N Z J Psychiatry 45: 957-967.
44. Schwarz R, Gunzelmann T, Hinz A (2001) Anxiety and depression in the normal population aged above 60 years. Deut Med Wochenschr 126: 611-615.
45. Haynes C (2000) Stress in health professionals. Psychologist 13: 128-129.
46. Fiabane E, Giorgi I, Sguazzin C, Argentero P (2013) Work engagement and occupational stress in nurses and other healthcare workers: the role of organizational and peisonal factors. J Clin Nurs 22: 2614-2624.
47. Boudrias JS, Morin AJ, Brodeur MM (2012) Role of psychological empowerment in the reduction of burnout in Canadian healthcare workers. Nurs Health Sci 14: 8-17.
48. Wu SY, Li HY, Tian J, Zhu W, Li J, et al. (2011) Health-related quality of life and its main related factors among nurses in China. Ind Health 49: 158-165.
49. Dib HH, Sun P, Minmin Z, Wei S, Li L (2010) Evaluating community health centers in the city of Dalian, China: how satisfied are patents with the medical services provided and their health professionals? Health Place 16: 477-488.
50. Zhang X, Smith DR, Zheng Y, Wang RS (2011) Occupational stress and psychosomatic complaints among health professionals in Beijing, China. Work 40: 239-245.
51. Gao YQ, Pan BC, Sun W, Wu H, Wang L, et al. (2012) Anxiety symptoms among Chinese nurses and the associated factors: a cross sectional study. BMC Psychiatry 12: 141-149.
52. Gómez-Gascón T, Martín-Fernández J, Gálvez-Herrer M, Tapias-Merino E, Beamud-Lagos M, et al. (2013) Effectiveness of an intervention for prevention and treatment of burnout in primary health care professionals. BMC Fam Pract 14: 173-179.