Department of Medical Psychology, School of Medical Humanities, Peking University, Beijing, PR China.
J Affect Disord. 2023 Mar 15;325:633-639. doi: 10.1016/j.jad.2022.12.153. Epub 2023 Jan 11.
Although the relationship between burnout and depression is well-known and frequently studied, the specific mechanisms by which burnout develops into depression have not been fully established. Based on theoretical and empirical research on resilience and self-esteem, this study constructs a chain mediating model to test whether they play a mediating role in burnout and depression among medical staff.
A cross-sectional study with a sample consisting of 602 medical staff was carried out by convenient sampling method. They all completed a self-report questionnaire with demographic information, burnout, resilience, self-esteem and depression. SPSS26 and Mplus8.3 were used to analyze the data.
Burnout was found to positively predict depression of medical staff and negatively predict resilience and self-esteem. Resilience was a mediator between burnout and depression. Self-esteem was also a mediator between them. Meanwhile, resilience and self-esteem had a chain mediating effect on burnout and depression.
The cross-sectional study does not permit causal inferences. And the data used is self-reported.
Burnout takes a toll on resilience and self-esteem, which can eventually lead to depression. These findings contribute to the understanding of the predictive effects of burnout on mental health and provide practical implications for the prevention and intervention of mental health among medical staff.
尽管 burnout（职业倦怠）与 depression（抑郁）之间的关系广为人知且经常被研究，但 burnout 发展为 depression 的具体机制尚未完全确立。基于对韧性和自尊的理论和实证研究，本研究构建了一个链式中介模型，以检验它们是否在医务人员的 burnout 和 depression 之间发挥中介作用。
采用方便抽样法对 602 名医务人员进行横断面研究。他们均完成了一份包含人口统计学信息、职业倦怠、韧性、自尊和抑郁的自我报告问卷。使用 SPSS26 和 Mplus8.3 对数据进行分析。
职业倦怠正向预测医务人员的抑郁，负向预测韧性和自尊。韧性在职业倦怠和抑郁之间起中介作用。自尊也在其中起中介作用。同时，韧性和自尊对职业倦怠和抑郁有链式中介作用。
横断面研究不允许进行因果推断，且使用的数据是自我报告的。
职业倦怠会对韧性和自尊造成负面影响，进而导致抑郁。这些发现有助于理解 burnout 对心理健康的预测作用，并为医务人员心理健康的预防和干预提供了实践意义。
