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The Mediating Effects of Burnout on the Relationship between Anxiety Symptoms and Occupational Stress among Community Healthcare Workers in China: A Cross-Sectional Study

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  • Yanwei Ding
  • Jianwei Qu
  • Xiaosong Yu
  • Shuang Wang

Abstract

Background: Several occupational stress studies of healthcare workers have predicted a high prevalence of anxiety symptoms, which can affect their quality of life and the care that they provide. However, few studies have been conducted among community healthcare workers in China. We attempted to explore whether burnout mediates the association between occupational stress and anxiety symptoms. Methods: A cross-sectional survey was completed in Liaoning Province, China from November to December 2012. A total of 1,752 healthcare workers from 52 Community Health Centers participated in this study, and all participants were given self-administered questionnaires. These questionnaires addressed the following aspects: the Zung Self-Rating Anxiety Scale, the Chinese version of the effort-reward imbalance scale and the Maslach Burnout Inventory–General Survey. Finally, the study included 1,243 effective respondents (effective response rate, 70.95%). Hierarchical linear regression analysis, performed with SPSS 17.0, was used to estimate the effect of burnout. Results: The prevalence of anxiety symptoms among the community healthcare workers was 38.0%. After adjusting for demographic characteristics, the effort–reward ratio and overcommitment positively predicted anxiety symptoms. Meanwhile, the effort–reward ratio and overcommitment were positively related to the emotional exhaustion and cynicism subscales of burnout. In addition, the emotional exhaustion and cynicism subscales were positively related to anxiety symptoms. Thus, there is a link between burnout, occupational stress and anxiety symptoms. Conclusions: Burnout mediates the effect of occupational stress on anxiety symptoms. To effectively reduce the impact of occupational stress on anxiety symptoms, burnout management should be considered.

Suggested Citation

  • Yanwei Ding & Jianwei Qu & Xiaosong Yu & Shuang Wang, 2014. "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, Public Library of Science, vol. 9(9), pages 1-7, September.
    • Handle: RePEc:plo:pone00:0107130
    DOI: 10.1371/journal.pone.0107130
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    3. Jiawei Zhou & Yanjie Yang & Xiaohui Qiu & Xiuxian Yang & Hui Pan & Bo Ban & Zhengxue Qiao & Lin Wang & Wenbo Wang, 2016. "Relationship between Anxiety and Burnout among Chinese Physicians: A Moderated Mediation Model," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
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    6. Jie Shen & Hairong Yu & Yuanyuan Zhang & Anli Jiang, 2015. "Professional quality of life: A cross‐sectional survey among Chinese clinical nurses," Nursing & Health Sciences, John Wiley & Sons, vol. 17(4), pages 507-515, December.
    7. Hua Wang & Xiaoyan Fan, 2023. "Academic Stress and Sleep Quality among Chinese Adolescents: Chain Mediating Effects of Anxiety and School Burnout," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    8. Siu-Ling Chan & Naomi Takemura & Pui-Hing Chau & Chia-Chin Lin & Man-Ping Wang, 2021. "Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    9. Alcides Moreno Fortes & Lili Tian & E. Scott Huebner, 2020. "Occupational Stress and Employees Complete Mental Health: A Cross-Cultural Empirical Study," IJERPH, MDPI, vol. 17(10), pages 1-18, May.
    10. Alejandra Misiolek-Marín & Ana Soto-Rubio & Hanna Misiolek & Pedro R. Gil-Monte, 2020. "Influence of Burnout and Feelings of Guilt on Depression and Health in Anesthesiologists," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    11. Marcelo Demarzo & Javier García-Campayo & David Martínez-Rubio & Adrián Pérez-Aranda & Joao Luiz Miraglia & Marcio Sussumu Hirayama & Vera Morais Antonio de Salvo & Karen Cicuto & Maria Lucia Favarato, 2020. "Frenetic, under-Challenged, and Worn-out Burnout Subtypes among Brazilian Primary Care Personnel: Validation of the Brazilian “Burnout Clinical Subtype Questionnaire” (BCSQ-36/BCSQ-12)," IJERPH, MDPI, vol. 17(3), pages 1-24, February.
    12. Panagiota Koutsimani & Anthony Montgomery & Elvira Masoura & Efharis Panagopoulou, 2021. "Burnout and Cognitive Performance," IJERPH, MDPI, vol. 18(4), pages 1-18, February.

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