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Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators.
Liu, Yifang; Zou, Li; Yan, Shijiao; Zhang, Pu; Zhang, Jun; Wen, Jing; Mao, Jing; Li, Longti; Wang, Ying; Fu, Wenning.
  • Liu Y; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Zou L; Department of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
  • Yan S; Department of Emergency Medicine, Hunan Provincial People's Hospital/The First Affiliated Hospital, Hunan Normal University, Changsha, Hunan, China; School of Public Health, Hainan Medical University, Haikou, China.
  • Zhang P; Department of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
  • Zhang J; Department of Endocrinology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
  • Wen J; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Mao J; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Li L; Department of Nursing, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
  • Wang Y; Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Fu W; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: wenningfu@hust.edu.cn.
J Affect Disord ; 321: 126-133, 2023 01 15.
Article in English | MEDLINE | ID: covidwho-2082562
ABSTRACT

BACKGROUND:

Evidence on the relationship between burnout and post-traumatic stress disorder (PTSD) is limited. We aimed to evaluate the association between burnout and PTSD symptoms among medical staff two years after the coronavirus disease 2019 (COVID-19) pandemic in Wuhan, China, and explore the mediating roles of social support and psychological resilience.

METHODS:

A multicenter survey was conducted online from January to March 2022 among healthcare professionals from six general hospitals. Hierarchical linear regression was used to detect the predictors of PTSD symptoms. Structural equation modeling (SEM) was used to analyze the pathways from burnout to PTSD symptoms.

RESULTS:

Hierarchical linear regression showed that burnout, social support, and psychological resilience were significant predictors of PTSD symptoms among medical staff. In the SEM, the standardized total effect of burnout on PTSD symptoms was 0.336(bias-corrected 95 % confidence interval [0.303, 0.367], P < 0.001). Social support and psychological resilience partially mediated the relationship between burnout and PTSD symptoms (indirect effects accounted for 22.3 % of the total effect).

LIMITATIONS:

Owing to the cross-sectional design, only clues to causal explanations can be provided.

CONCLUSIONS:

Burnout has significant direct and indirect effects on PTSD symptoms. Furthermore, social support and psychological resilience might be effective ways to reduce the impact of burnout on PTSD symptoms in medical staff after a major public health outbreak.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / Burnout, Professional / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2023 Document Type: Article Affiliation country: J.jad.2022.10.027

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stress Disorders, Post-Traumatic / Burnout, Professional / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2023 Document Type: Article Affiliation country: J.jad.2022.10.027