Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists
BackgroundThe COVID-19 pandemic significantly increased the levels of burnout and symptoms of depression, anxiety, and stress among healthcare professionals. However, research on the interrelations between burnout and psychological symptoms is scarce, particularly among psychiatrists. This study add...
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Frontiers Media S.A.
2025-01-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493424/full |
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author | Song Wang Song Wang Mengyue Gu Mengyue Gu Shujing Zhang Jingyang Gu Jingyang Gu Yudong Shi Yudong Shi Yating Yang Yating Yang Ling Zhang Ling Zhang Mengdie Li Mengdie Li Lei Xia Lei Xia Feng Jiang Feng Jiang Feng Jiang Feng Jiang Huanzhong Liu Huanzhong Liu Huanzhong Liu Yi-lang Tang Yi-lang Tang |
author_facet | Song Wang Song Wang Mengyue Gu Mengyue Gu Shujing Zhang Jingyang Gu Jingyang Gu Yudong Shi Yudong Shi Yating Yang Yating Yang Ling Zhang Ling Zhang Mengdie Li Mengdie Li Lei Xia Lei Xia Feng Jiang Feng Jiang Feng Jiang Feng Jiang Huanzhong Liu Huanzhong Liu Huanzhong Liu Yi-lang Tang Yi-lang Tang |
author_sort | Song Wang |
collection | DOAJ |
description | BackgroundThe COVID-19 pandemic significantly increased the levels of burnout and symptoms of depression, anxiety, and stress among healthcare professionals. However, research on the interrelations between burnout and psychological symptoms is scarce, particularly among psychiatrists. This study addresses this gap in a national sample.MethodData was collected via an online survey conducted in Mainland China from January to March 2021 with a sample size of 3,783 participants. Psychological symptoms were assessed using the Depression, Anxiety, and Stress Scale-21 (DASS-21), and physician burnout was assessed using the Maslach Burnout Inventory-Human Service Survey (MBIHSS). Network analysis was used to examine the interconnection between physician burnout and psychological symptoms, with further analysis conducted on multiple levels, including individual symptoms in central positions or acting as bridges between clusters, and identifying core symptom combinations with significant correlations.ResultsStress emerged as the highest Expected Influence (EI) index, with emotional exhaustion in the burnout cluster being the singular bridge symptom. Furthermore, depressive symptoms such as hopelessness and anhedonia showed a strong and the most straightforward association with emotional exhaustion, while stress-related overreaction was closely associated with depersonalization.ConclusionNetwork analysis between burnout and psychological symptoms identified critical symptoms like stress and emotional exhaustion in Chinese psychiatrists. Close monitoring of these symptoms may be crucial for mitigating the risk of common psychological disturbances and preventing their exacerbation in this population. |
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institution | Kabale University |
issn | 2296-2565 |
language | English |
publishDate | 2025-01-01 |
publisher | Frontiers Media S.A. |
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spelling | doaj-art-83698eeb1e124e6ab7da42e6e206030b2025-01-07T05:23:51ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14934241493424Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatristsSong Wang0Song Wang1Mengyue Gu2Mengyue Gu3Shujing Zhang4Jingyang Gu5Jingyang Gu6Yudong Shi7Yudong Shi8Yating Yang9Yating Yang10Ling Zhang11Ling Zhang12Mengdie Li13Mengdie Li14Lei Xia15Lei Xia16Feng Jiang17Feng Jiang18Feng Jiang19Feng Jiang20Huanzhong Liu21Huanzhong Liu22Huanzhong Liu23Yi-lang Tang24Yi-lang Tang25Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United StatesDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaAnhui Psychiatric Center, Hefei, ChinaSchool of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, ChinaInstitute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, ChinaInstitute of Health Policy, Shanghai Jiao Tong University, Shanghai, ChinaInstitute of Grand Health, Wenzhou Medical University, Wenzhou, ChinaAffiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, ChinaDepartment of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, ChinaDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States0Atlanta VA Medical Center, Decatur, GA, United StatesBackgroundThe COVID-19 pandemic significantly increased the levels of burnout and symptoms of depression, anxiety, and stress among healthcare professionals. However, research on the interrelations between burnout and psychological symptoms is scarce, particularly among psychiatrists. This study addresses this gap in a national sample.MethodData was collected via an online survey conducted in Mainland China from January to March 2021 with a sample size of 3,783 participants. Psychological symptoms were assessed using the Depression, Anxiety, and Stress Scale-21 (DASS-21), and physician burnout was assessed using the Maslach Burnout Inventory-Human Service Survey (MBIHSS). Network analysis was used to examine the interconnection between physician burnout and psychological symptoms, with further analysis conducted on multiple levels, including individual symptoms in central positions or acting as bridges between clusters, and identifying core symptom combinations with significant correlations.ResultsStress emerged as the highest Expected Influence (EI) index, with emotional exhaustion in the burnout cluster being the singular bridge symptom. Furthermore, depressive symptoms such as hopelessness and anhedonia showed a strong and the most straightforward association with emotional exhaustion, while stress-related overreaction was closely associated with depersonalization.ConclusionNetwork analysis between burnout and psychological symptoms identified critical symptoms like stress and emotional exhaustion in Chinese psychiatrists. Close monitoring of these symptoms may be crucial for mitigating the risk of common psychological disturbances and preventing their exacerbation in this population.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493424/fullphysician burnoutstressdepressionanxietypsychiatristsnetwork analysis |
spellingShingle | Song Wang Song Wang Mengyue Gu Mengyue Gu Shujing Zhang Jingyang Gu Jingyang Gu Yudong Shi Yudong Shi Yating Yang Yating Yang Ling Zhang Ling Zhang Mengdie Li Mengdie Li Lei Xia Lei Xia Feng Jiang Feng Jiang Feng Jiang Feng Jiang Huanzhong Liu Huanzhong Liu Huanzhong Liu Yi-lang Tang Yi-lang Tang Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists Frontiers in Public Health physician burnout stress depression anxiety psychiatrists network analysis |
title | Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists |
title_full | Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists |
title_fullStr | Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists |
title_full_unstemmed | Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists |
title_short | Unraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists |
title_sort | unraveling the interconnectedness between physician burnout and symptoms of depression anxiety and stress a network analysis among chinese psychiatrists |
topic | physician burnout stress depression anxiety psychiatrists network analysis |
url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1493424/full |
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