RESUMO
OBJECTIVE: This study aimed to examine relationships among worked hours, stress, sleep hours, burnout, posttraumatic stress disorder (PTSD), anxiety, and depression reported by academic medical center employees. METHODS: Employees completed an anonymous electronic mental health survey with automated feedback that included self-help and professional local resources. Data were analyzed using structural equation modeling. RESULTS: Eighty percent of participants reported ( n = 693) medium/high stress, 58% reported burnout, 37%/26% screened positive for anxiety/depression, and 14% reported PTSD. Structural equation modeling attained highly significant coefficients ( P < 0.05) and excellent goodness of fit, with strong stress and PTSD positive direct associations with anxiety, burnout, and depression. The model explained 58% of variation in depression scores. A clinician only model demonstrated stronger PTSD effects, but no work hours effects. CONCLUSION: Workplace self-screening tools can guide employee mental health self-assessment, self-help programs, and professional resources, while also informing targets for employer programs.
