IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0157013.html
   My bibliography  Save this article

Relationship between Anxiety and Burnout among Chinese Physicians: A Moderated Mediation Model

Author

Listed:
  • Jiawei Zhou
  • Yanjie Yang
  • Xiaohui Qiu
  • Xiuxian Yang
  • Hui Pan
  • Bo Ban
  • Zhengxue Qiao
  • Lin Wang
  • Wenbo Wang

Abstract

Objective: The main goal of this research was to investigate the complex relationships among coping styles, personality, burnout, and anxiety using a moderated mediation analysis. Methods: A random cluster sampling procedure was used to select a total of 1274 physicians from two tertiary grade A hospitals in Heilongjiang Province, which is located in northeast China. The Zung Self-Rating Anxiety Scale (SAS), Chinese Maslach Burnout Inventory (CMBI), Chinese version of the EPQ-revised Short Scale, and the Trait Coping Style Questionnaire (TCSQ) were used to gather data. Moderated mediation analysis was used in this study; it was executed using the PROCESS macro so that the mediators and moderator could function together in the same model. Results: The prevalence of anxiety symptoms among the physicians was 31%, and there were no differences between the sexes. The results showed that positive and negative coping styles partially mediated the association between burnout and anxiety symptoms in physicians. The mediated effect of positive coping styles was moderated by Eysenck’s Psychoticism traits. Conclusions: Personality traits moderate the strength of the relationships between burnout and anxiety mediated by positive coping styles; however, personality traits do not moderate the strength of the relationships between burnout and anxiety mediated by negative coping styles.

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0157013
    DOI: 10.1371/journal.pone.0157013
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0157013
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0157013&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0157013?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. Li, Jian & Yang, Wenjie & Cho, Sung-il, 2006. "Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians," Social Science & Medicine, Elsevier, vol. 62(5), pages 1066-1077, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Li, Ying & Chen, Hongyu & Xin, Xiaoyang & Ji, Ming, 2020. "The influence of mindfulness on mental state with regard to safety among civil pilots," Journal of Air Transport Management, Elsevier, vol. 84(C).
    2. Shujuan Yang & Danping Liu & Hongbo Liu & Juying Zhang & Zhanqi Duan, 2017. "Relationship of work-family conflict, self-reported social support and job satisfaction to burnout syndrome among medical workers in southwest China: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-12, February.
    3. Wang, Lijing & Wang, Yanlong & Chen, Yingchun & Pan, Xing & Zhang, Wenjin, 2020. "Performance shaping factors dependence assessment through moderating and mediating effect analysis," Reliability Engineering and System Safety, Elsevier, vol. 202(C).
    4. Revathi Jyothindran & James P d’Etienne & Kevin Marcum & Aubre Tijerina & Clare Graca & Heidi Knowles & Bharti R Chaudhari & Nestor R Zenarosa & Hao Wang, 2020. "Fulfillment, burnout and resilience in emergency medicine—Correlations and effects on patient and provider outcomes," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-12, October.
    5. Ovidiu Popa-Velea & Liliana Veronica Diaconescu & Iuliana Raluca Gheorghe & Oana Olariu & Iolanda Panaitiu & Mariana Cerniţanu & Ludmila Goma & Irina Nicov & Larisa Spinei, 2019. "Factors Associated with Burnout in Medical Academia: An Exploratory Analysis of Romanian and Moldavian Physicians," IJERPH, MDPI, vol. 16(13), pages 1-13, July.
    6. M. Lelinneth B. Novilla & Victor B. A. Moxley & Carl L. Hanson & Alisha H. Redelfs & Jeffrey Glenn & Paola G. Donoso Naranjo & Jenna M. S. Smith & Lynneth Kirsten B. Novilla & Sarah Stone & Rachel Laf, 2023. "COVID-19 and Psychosocial Well-Being: Did COVID-19 Worsen U.S. Frontline Healthcare Workers’ Burnout, Anxiety, and Depression?," IJERPH, MDPI, vol. 20(5), pages 1-20, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dan Kan & Xiaosong Yu, 2016. "Occupational Stress, Work-Family Conflict and Depressive Symptoms among Chinese Bank Employees: The Role of Psychological Capital," IJERPH, MDPI, vol. 13(1), pages 1-11, January.
    2. Wallace, Jean Elizabeth & Lemaire, Jane, 2007. "On physician well being--You'll get by with a little help from your friends," Social Science & Medicine, Elsevier, vol. 64(12), pages 2565-2577, June.
    3. Shimazu, Akihito & de Jonge, Jan, 2009. "Reciprocal relations between effort-reward imbalance at work and adverse health: A three-wave panel survey," Social Science & Medicine, Elsevier, vol. 68(1), pages 60-68, January.
    4. Orawan Kaewboonchoo & Grace Sembajwe & Jian Li, 2018. "Associations between Job Strain and Arterial Stiffness: A Large Survey among Enterprise Employees from Thailand," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
    5. Nomura, Kyoko & Gohchi, Kengo, 2012. "Impact of gender-based career obstacles on the working status of women physicians in Japan," Social Science & Medicine, Elsevier, vol. 75(9), pages 1612-1616.
    6. 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.
    7. 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.
    8. 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.
    9. Panagiota Koutsimani & Anthony Montgomery & Elvira Masoura & Efharis Panagopoulou, 2021. "Burnout and Cognitive Performance," IJERPH, MDPI, vol. 18(4), pages 1-18, February.
    10. Luqiao Wang & Yunke Shi & Zhao Hu & Yanyan Li & Yan Ang & Pan Jing & Bangying Zhang & Xingyu Cao & Adrian Loerbroks & Jian Li & Min Zhang, 2022. "Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    11. O'Neill, Olivia Amanda & Barsade, Sigal G. & Sguera, Francesco, 2023. "The psychological and financial impacts of an emotional culture of anxiety and its antidote, an emotional culture of companionate love," Social Science & Medicine, Elsevier, vol. 317(C).
    12. Migheli, Matteo, 2010. "Gender at work: Productivity and incentives," POLIS Working Papers 142, Institute of Public Policy and Public Choice - POLIS.
    13. Siegrist, Johannes & Shackelton, Rebecca & Link, Carol & Marceau, Lisa & von dem Knesebeck, Olaf & McKinlay, John, 2010. "Work stress of primary care physicians in the US, UK and German health care systems," Social Science & Medicine, Elsevier, vol. 71(2), pages 298-304, July.
    14. Liza Jachens & Jonathan Houdmont, 2019. "Effort-Reward Imbalance and Job Strain: A Composite Indicator Approach," IJERPH, MDPI, vol. 16(21), pages 1-9, October.
    15. Xinrui Wu & Qian Liu & Qi Li & Zhengwen Tian & Hongzhuan Tan, 2019. "Health-Related Quality of Life and Its Determinants among Criminal Police Officers," IJERPH, MDPI, vol. 16(8), pages 1-12, April.
    16. Wei-Quan Lin & Jiang Wu & Le-Xin Yuan & Sheng-Chao Zhang & Meng-Juan Jing & Hui-Shan Zhang & Jia-Li Luo & Yi-Xiong Lei & Pei-Xi Wang, 2015. "Workplace Violence and Job Performance among Community Healthcare Workers in China: The Mediator Role of Quality of Life," IJERPH, MDPI, vol. 12(11), pages 1-15, November.
    17. 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.
    18. Li, Ying & Chen, Hongyu & Xin, Xiaoyang & Ji, Ming, 2020. "The influence of mindfulness on mental state with regard to safety among civil pilots," Journal of Air Transport Management, Elsevier, vol. 84(C).
    19. Tinna Laufey Ásgeirsdóttir & Arnar Buason & Ásthildur Margrét Jóhannsdóttir, 2023. "Valuing the Wellbeing Associated with Psychosocial Factors at Work," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(4), pages 1737-1759, August.
    20. Silke Tophoven & Jean-Baptist du Prel & Richard Peter & Veronika Kretschmer, 2015. "Working in gender-dominated occupations and depressive symptoms: findings from the two age cohorts of the lidA study [Geschlechterdominierte Berufe und Depressivität: Ergebnisse zu den zwei Altersk," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 48(3), pages 247-262, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0157013. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.