COVID-19 Infection Experience and Depressive Symptoms Among Chinese Medical Staff: The Mediating Role of Professional Burnout.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Disaster Medicine and Public Health Preparedness Pub Date : 2024-11-27 DOI:10.1017/dmp.2024.265

Bingqian Wang, Xiaohan Liu, Bing Han, Xiaoguang Li, Jiawei Zhang, Yaqun Fu, Zheng Zhu, Zhijie Nie, Yiyang Tan, Jing Guo, Li Yang, Rongmeng Jiang

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Abstract

Objectives: This study aimed to assess the relationship between COVID-19 infection-related conditions and depressive symptoms among medical staff after easing the zero-COVID policy in China, and to further examine the mediating role of professional burnout.

Methods: A total of 1716 medical staff from all levels of health care institutions in 16 administrative districts of Beijing, China, were recruited to participate at the end of 2022 in this cross-sectional study. Several multiple linear regressions and mediating effects tests were performed to analyze the data.

Results: At the beginning of the end of the zero-COVID policy in China, 91.84% of respondents reported infection with COVID-19. After adjusting for potential confounding variables, the severity of infection symptoms was significantly positively associated with high levels of depressive symptoms (β = 0.06, P < 0.001), and this association was partially mediated by professional burnout. Specifically, emotional exhaustion (95% CI, 0.131, 0.251) and depersonalization (95% CI, 0.009, 0.043) significantly mediated the association between the severity of infection symptoms and depressive symptoms.

Conclusions: The mental health of medical staff with more severe symptoms of COVID-19 infection should be closely monitored. Also, interventions aimed at reducing emotional exhaustion and depersonalization may effectively reduce their risk of developing depressive symptoms.

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COVID-19 中国医务人员的感染经历与抑郁症状：职业倦怠的中介作用

研究目的本研究旨在评估中国放宽零COVID政策后医务人员COVID-19感染相关情况与抑郁症状之间的关系，并进一步探讨职业倦怠的中介作用：方法：本横断面研究于 2022 年底招募了来自北京市 16 个行政区各级医疗机构的 1716 名医务人员。对数据进行了多次线性回归和中介效应检验：结果：在中国零COVID政策结束之初，91.84%的受访者报告感染了COVID-19。在对潜在的混杂变量进行调整后，感染症状的严重程度与抑郁症状的严重程度呈显著正相关（β = 0.06，P < 0.001），这种关联部分由职业倦怠介导。具体而言，情绪衰竭（95% CI，0.131，0.251）和人格解体（95% CI，0.009，0.043）在感染症状严重程度与抑郁症状之间存在明显的中介作用：结论：应密切关注 COVID-19 感染症状较为严重的医务人员的精神健康状况。结论：应密切关注 COVID-19 感染症状较严重的医务人员的心理健康状况，同时采取干预措施减少情绪衰竭和人格解体，可有效降低他们出现抑郁症状的风险。

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来源期刊

Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

7.40%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.