Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience
BackgroundHealthcare professionals have shown more psychological disorders such as anxiety and depression due to the nature of work, which can cause job burnout, decrease the quality of medical services, and even endanger medical safety. The aim of the study is to explore the serial multiple mediati...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1320411/full |
| _version_ | 1797390924764938240 |
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| author | Yuanling Tao Zhen Cheng Chenxi Wang Ting Liu Mi Yan Xiaohong Huang Shasha Jian Li Sun Zongtao Chen |
| author_facet | Yuanling Tao Zhen Cheng Chenxi Wang Ting Liu Mi Yan Xiaohong Huang Shasha Jian Li Sun Zongtao Chen |
| author_sort | Yuanling Tao |
| collection | DOAJ |
| description | BackgroundHealthcare professionals have shown more psychological disorders such as anxiety and depression due to the nature of work, which can cause job burnout, decrease the quality of medical services, and even endanger medical safety. The aim of the study is to explore the serial multiple mediating role of effort- reward imbalance and resilience between perceived stress and psychological disorders among healthcare professionals.MethodsA cross-sectional study was conducted in China from February to April 2023. A total of 2098 healthcare professionals at a tertiary general hospital was investigated by the following self-reported questionnaires: Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), The Effort-Reward Imbalance (ERI), Healthcare professionals Resilience Scale (MSRS).ResultsAnxiety and depression are interrelated (r = 0.362, p < 0.01), and they were positively related to perceived stress (r = 0.640/0.607, p < 0.01) and ERI (r = 0.422/0.383, p < 0.01), and negatively related to resilience (r = −0.343/−0.320, p < 0.01). After controlling demographic factors, the variance in anxiety and depression was explained by perceived stress was 37.7 and 35.0%. Bootstrap analyses examining the pathway of perceived stress-ERI-resilience-anxiety revealed significant direct effects [B = 0.560, 95%CI (0.528, 0.591)], as well as indirect effects mediated independently by ERI [B = 0.045, 95%CI (0.029, 0.060)], resilience [B = 0.031, 95%CI (0.017, 0.047)], or a combination of both [B = 0.004, 95%CI (0.002, 0.007)]. Similarly, in the path of perceived stress-ERI-resilience-anxiety-depression, significant direct effects were found [B = -0.310, 95%CI(0.265, 0.351)], along with indirect effects mediated individually by ERI [B = 0.033, 95%CI(0.013, 0.052)], resilience [B = 0.014, 95%CI (0.001, 0.028)], and anxiety [B = 0.218, 95%CI (0.190, 0.246)], or by both or three together (B = 0.032).ConclusionThis study proved the hypothesis that ERI and resilience played a mediating role in perceived stress and psychological disorders, revealed the potential mechanism of anxiety in stress and depression, and proposed a solution for perceived stress to psychological distress, which can provide a basis for the intervention of healthcare professionals in the face of mental health crisis. |
| first_indexed | 2024-03-08T23:24:25Z |
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| id | doaj.art-0b3396c53d54492885f261cf9d59a0cb |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-08T23:24:25Z |
| publishDate | 2023-12-01 |
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| spelling | doaj.art-0b3396c53d54492885f261cf9d59a0cb2023-12-14T17:52:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.13204111320411Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilienceYuanling Tao0Zhen Cheng1Chenxi Wang2Ting Liu3Mi Yan4Xiaohong Huang5Shasha Jian6Li Sun7Zongtao Chen8Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaSchool of Nursing, Southern Medical University, Guangzhou, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaHealth Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, ChinaBackgroundHealthcare professionals have shown more psychological disorders such as anxiety and depression due to the nature of work, which can cause job burnout, decrease the quality of medical services, and even endanger medical safety. The aim of the study is to explore the serial multiple mediating role of effort- reward imbalance and resilience between perceived stress and psychological disorders among healthcare professionals.MethodsA cross-sectional study was conducted in China from February to April 2023. A total of 2098 healthcare professionals at a tertiary general hospital was investigated by the following self-reported questionnaires: Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), The Effort-Reward Imbalance (ERI), Healthcare professionals Resilience Scale (MSRS).ResultsAnxiety and depression are interrelated (r = 0.362, p < 0.01), and they were positively related to perceived stress (r = 0.640/0.607, p < 0.01) and ERI (r = 0.422/0.383, p < 0.01), and negatively related to resilience (r = −0.343/−0.320, p < 0.01). After controlling demographic factors, the variance in anxiety and depression was explained by perceived stress was 37.7 and 35.0%. Bootstrap analyses examining the pathway of perceived stress-ERI-resilience-anxiety revealed significant direct effects [B = 0.560, 95%CI (0.528, 0.591)], as well as indirect effects mediated independently by ERI [B = 0.045, 95%CI (0.029, 0.060)], resilience [B = 0.031, 95%CI (0.017, 0.047)], or a combination of both [B = 0.004, 95%CI (0.002, 0.007)]. Similarly, in the path of perceived stress-ERI-resilience-anxiety-depression, significant direct effects were found [B = -0.310, 95%CI(0.265, 0.351)], along with indirect effects mediated individually by ERI [B = 0.033, 95%CI(0.013, 0.052)], resilience [B = 0.014, 95%CI (0.001, 0.028)], and anxiety [B = 0.218, 95%CI (0.190, 0.246)], or by both or three together (B = 0.032).ConclusionThis study proved the hypothesis that ERI and resilience played a mediating role in perceived stress and psychological disorders, revealed the potential mechanism of anxiety in stress and depression, and proposed a solution for perceived stress to psychological distress, which can provide a basis for the intervention of healthcare professionals in the face of mental health crisis.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1320411/fullperceived stressanxietydepressioneffort-reward imbalanceresilienceserial multiple mediation |
| spellingShingle | Yuanling Tao Zhen Cheng Chenxi Wang Ting Liu Mi Yan Xiaohong Huang Shasha Jian Li Sun Zongtao Chen Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience Frontiers in Public Health perceived stress anxiety depression effort-reward imbalance resilience serial multiple mediation |
| title | Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience |
| title_full | Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience |
| title_fullStr | Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience |
| title_full_unstemmed | Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience |
| title_short | Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience |
| title_sort | perceived stress and psychological disorders in healthcare professionals a multiple chain mediating model of effort reward imbalance and resilience |
| topic | perceived stress anxiety depression effort-reward imbalance resilience serial multiple mediation |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1320411/full |
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