Li Jinjin, Ma Xinxin, Pan Wenhao, Ke Huihui, Xiao Zhenghua
School of Psychology, Guizhou Normal University, Guiyang, 550025, China.
School of Public Administration, South China University of Technology, Guangzhou, 510641, China.
BMC Psychol. 2025 Mar 17;13(1):256. doi: 10.1186/s40359-025-02588-1.
Heavy work requirements can lead to significant increases in depression anxiety and stress among hospital staff. However, there is limited research considering the role of work recovery (WR) and rumination in this relationship, particularly how poor WR can create a vicious cycle of negative psychological outcomes for medical staff.
In this cross-sectional observational study, the aim is to explore high-risk WR classes among hospital staff. By constructing chain mediation models according to the WR classes, the study seeks to identify which class of medical staff is most affected by work requirements in terms of mental distress, and to examine the chain mediation effects of rumination and WR classes.
The cross-sectional observational study utilized Latent Profile Analysis (LPA) and Structural Equation Modeling (SEM) to investigate the relationships among various constructs. It employed the Work Requirements Scale (WRS), the Recovery - Stress Questionnaire (RESTQ), the Depression Anxiety Stress Scales (DASS), and the Revised Emotion Control Questionnaire (RECQ) to survey a sample of 889 hospital staff at a tertiary hospital.
The findings revealed three distinct WR classes among hospital staff. Significant associations were found between work requirements and mental distress among medical staff in the low and moderate WR classes. Additionally, in these two classes, there were significant relationships in which rumination and WR classes had a chain-mediated nature about work requirements and mental distress. This suggests that future intervention studies should focus on these two classes and develop psychological health interventions for hospital staff according to different WR classes.
繁重的工作要求会导致医院工作人员的抑郁、焦虑和压力显著增加。然而，考虑工作恢复（WR）和反刍思维在这种关系中的作用的研究有限，特别是不良的工作恢复如何为医务人员造成负面心理结果的恶性循环。
在这项横断面观察性研究中，旨在探索医院工作人员中的高风险工作恢复类别。通过根据工作恢复类别构建链式中介模型，该研究试图确定哪类医务人员在精神困扰方面受工作要求的影响最大，并检验反刍思维和工作恢复类别的链式中介效应。
横断面观察性研究利用潜在剖面分析（LPA）和结构方程模型（SEM）来研究各种构念之间的关系。它采用工作要求量表（WRS）、恢复-压力问卷（RESTQ）、抑郁焦虑压力量表（DASS）和修订后的情绪控制问卷（RECQ）对一家三级医院的889名医院工作人员进行了调查。
研究结果揭示了医院工作人员中三种不同的工作恢复类别。在低工作恢复和中等工作恢复类别的医务人员中，发现工作要求与精神困扰之间存在显著关联。此外，在这两个类别中，反刍思维和工作恢复类别在工作要求与精神困扰之间存在链式中介性质的显著关系。这表明未来的干预研究应关注这两个类别，并根据不同的工作恢复类别为医院工作人员制定心理健康干预措施。
