Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.
Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China.
Sci Rep. 2024 Oct 26;14(1):25461. doi: 10.1038/s41598-024-75550-7.
Burnout, depression, anxiety, and stress negatively impact the well-being and retention of healthcare professionals. The interplay of these symptoms is understudied. Utilizing network analysis, this study examined the interrelationships among these symptom clusters in clinical therapists in China. An anonymous survey was conducted among clinical therapists from 41 tertiary psychiatric hospitals in China. Burnout was assessed using the Maslach Burnout Inventory-Human Service Survey (MBI-HSS), while symptoms of depression, anxiety, and stress were assessed via the Depression, Anxiety, and Stress Scale-21 (DASS-21). Analyses were performed to identify central symptoms and bridge symptoms of this network. A total of 419 participants were included in this survey. The prevalence rate for burnout, depression, anxiety, and stress was 19.8%, 22.2%, 17.9%, and 8.6%, respectively. Network analysis indicated that stress symptoms had the highest expected influence values, closely followed by emotional exhaustion from MBI-HSS. Notably, emotional exhaustion emerged as the strongest bridge of expected influence. The stability of the expected influence and bridge expected influence was robust, with coefficients at 0.75. The study's findings underscore the importance of recognizing the central symptoms and bridge symptoms, which could lead to more effective early detection and intervention for burnout, depression, anxiety, and stress among clinical therapists.
burnout（倦怠）、depression（抑郁）、anxiety（焦虑）和 stress（压力）会对医疗保健专业人员的幸福感和留存率产生负面影响。这些症状的相互作用研究不足。本研究利用网络分析，研究了中国临床治疗师中这些症状群之间的相互关系。在中国 41 家三级精神病院的临床治疗师中进行了匿名调查。使用 Maslach 倦怠量表-人类服务调查（MBI-HSS）评估倦怠，使用抑郁、焦虑和压力量表-21（DASS-21）评估抑郁、焦虑和压力症状。进行了分析以确定该网络的中心症状和桥接症状。这项调查共纳入了 419 名参与者。倦怠、抑郁、焦虑和压力的患病率分别为 19.8%、22.2%、17.9%和 8.6%。网络分析表明，压力症状具有最高的预期影响值，紧随其后的是 MBI-HSS 中的情绪衰竭。值得注意的是，情绪衰竭成为最强的预期影响桥梁。预期影响和桥接预期影响的稳定性很强，系数为 0.75。研究结果强调了识别中心症状和桥接症状的重要性，这可能导致更有效地早期发现和干预临床治疗师中的倦怠、抑郁、焦虑和压力。
