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Relationship between Anxiety and Burnout among Chinese Physicians: A Moderated Mediation Model

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Listed:
  • Jiawei Zhou
  • Yanjie Yang
  • Xiaohui Qiu
  • Xiuxian Yang
  • Hui Pan
  • Bo Ban
  • Zhengxue Qiao
  • Lin Wang
  • Wenbo Wang

Abstract

Objective: The main goal of this research was to investigate the complex relationships among coping styles, personality, burnout, and anxiety using a moderated mediation analysis. Methods: A random cluster sampling procedure was used to select a total of 1274 physicians from two tertiary grade A hospitals in Heilongjiang Province, which is located in northeast China. The Zung Self-Rating Anxiety Scale (SAS), Chinese Maslach Burnout Inventory (CMBI), Chinese version of the EPQ-revised Short Scale, and the Trait Coping Style Questionnaire (TCSQ) were used to gather data. Moderated mediation analysis was used in this study; it was executed using the PROCESS macro so that the mediators and moderator could function together in the same model. Results: The prevalence of anxiety symptoms among the physicians was 31%, and there were no differences between the sexes. The results showed that positive and negative coping styles partially mediated the association between burnout and anxiety symptoms in physicians. The mediated effect of positive coping styles was moderated by Eysenck’s Psychoticism traits. Conclusions: Personality traits moderate the strength of the relationships between burnout and anxiety mediated by positive coping styles; however, personality traits do not moderate the strength of the relationships between burnout and anxiety mediated by negative coping styles.

Suggested Citation

  • Jiawei Zhou & Yanjie Yang & Xiaohui Qiu & Xiuxian Yang & Hui Pan & Bo Ban & Zhengxue Qiao & Lin Wang & Wenbo Wang, 2016. "Relationship between Anxiety and Burnout among Chinese Physicians: A Moderated Mediation Model," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0157013
    DOI: 10.1371/journal.pone.0157013
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    References listed on IDEAS

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    1. Li, Jian & Yang, Wenjie & Cho, Sung-il, 2006. "Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians," Social Science & Medicine, Elsevier, vol. 62(5), pages 1066-1077, March.
    2. Yanwei Ding & Jianwei Qu & Xiaosong Yu & Shuang Wang, 2014. "The Mediating Effects of Burnout on the Relationship between Anxiety Symptoms and Occupational Stress among Community Healthcare Workers in China: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-7, September.
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    Cited by:

    1. Shujuan Yang & Danping Liu & Hongbo Liu & Juying Zhang & Zhanqi Duan, 2017. "Relationship of work-family conflict, self-reported social support and job satisfaction to burnout syndrome among medical workers in southwest China: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-12, February.
    2. Wang, Lijing & Wang, Yanlong & Chen, Yingchun & Pan, Xing & Zhang, Wenjin, 2020. "Performance shaping factors dependence assessment through moderating and mediating effect analysis," Reliability Engineering and System Safety, Elsevier, vol. 202(C).
    3. Revathi Jyothindran & James P d’Etienne & Kevin Marcum & Aubre Tijerina & Clare Graca & Heidi Knowles & Bharti R Chaudhari & Nestor R Zenarosa & Hao Wang, 2020. "Fulfillment, burnout and resilience in emergency medicine—Correlations and effects on patient and provider outcomes," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-12, October.
    4. Ovidiu Popa-Velea & Liliana Veronica Diaconescu & Iuliana Raluca Gheorghe & Oana Olariu & Iolanda Panaitiu & Mariana Cerniţanu & Ludmila Goma & Irina Nicov & Larisa Spinei, 2019. "Factors Associated with Burnout in Medical Academia: An Exploratory Analysis of Romanian and Moldavian Physicians," IJERPH, MDPI, vol. 16(13), pages 1-13, July.
    5. Li, Ying & Chen, Hongyu & Xin, Xiaoyang & Ji, Ming, 2020. "The influence of mindfulness on mental state with regard to safety among civil pilots," Journal of Air Transport Management, Elsevier, vol. 84(C).
    6. M. Lelinneth B. Novilla & Victor B. A. Moxley & Carl L. Hanson & Alisha H. Redelfs & Jeffrey Glenn & Paola G. Donoso Naranjo & Jenna M. S. Smith & Lynneth Kirsten B. Novilla & Sarah Stone & Rachel Laf, 2023. "COVID-19 and Psychosocial Well-Being: Did COVID-19 Worsen U.S. Frontline Healthcare Workers’ Burnout, Anxiety, and Depression?," IJERPH, MDPI, vol. 20(5), pages 1-20, March.

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