IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i23p15477-d980752.html
   My bibliography  Save this article

The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals

Author

Listed:
  • Yushi Lu

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China
    These authors contributed equally to this work.)

  • Zhi Li

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China
    These authors contributed equally to this work.)

  • Yuting Fan

    (School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China)

  • Jin Wang

    (National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

  • Tian Zhong

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China)

  • Ling Wang

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China)

  • Ying Xiao

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China
    Guangdong-Hong Kong-Macau Joint Laboratory for Contaminants Exposure and Health, Guangzhou 510006, China)

  • Dongmei Zhang

    (School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China)

  • Qingsong Chen

    (School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China)

  • Xi Yu

    (Faculty of Medicine, Macau University of Science and Technology, Avenida Wai Long Taipa, Macau 999078, China
    Guangdong-Hong Kong-Macau Joint Laboratory for Contaminants Exposure and Health, Guangzhou 510006, China)

Abstract

Occupational stress and depressive symptoms are common among professionals in the primary healthcare system, and the former can lead to a more severe level of the latter. However, there are few studies on the mediating effect of occupational stress on depressive symptoms using cumulative fatigue as a mediating variable. The Core Occupational Stress Scale, the Self Diagnosis Scale of Workers’ Cumulative Fatigue, and the Patient Health Questionnaire were used in the proposed study. To analyze and test the mediating effect, the hierarchical regression analysis method and the Bootstrap method were applied. Our results showed that occupational stress was positively correlated with the level of cumulative fatigue ( p < 0.01) and depressive symptoms ( p < 0.01). Cumulative fatigue played a partial, mediating role between the four dimensions of occupational stress and depressive symptoms, and the effect size of occupational stress and each dimension was 0.116 (95% CI: 0.096–0.135, p < 0.001), −0.204 (95% CI: −0.245–−0.166, p < 0.001), 0.179 (95% CI: 0.143–0.218, p < 0.001), 0.333 (95% CI: 0.283–0.385, p < 0.001), and −0.210 (95% CI: −0.292–−0.132, p < 0.001), respectively, while the percentages of the mediating effects were 43.56%, 44.46%, 48.58%, 71.26%, and 45.80%, respectively. Occupational stress can directly or indirectly affect depressive symptoms through the mediating effect of cumulative fatigue. Therefore, primary healthcare professionals can reduce occupational stress, which in turn relieves depressive symptoms, and thus reduce cumulative fatigue levels.

Suggested Citation

  • Yushi Lu & Zhi Li & Yuting Fan & Jin Wang & Tian Zhong & Ling Wang & Ying Xiao & Dongmei Zhang & Qingsong Chen & Xi Yu, 2022. "The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15477-:d:980752
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/23/15477/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/23/15477/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Tzu‐Ching Lin & Huey‐Shyan Lin & Su‐Fen Cheng & Li‐Min Wu & Mei‐Chen Ou‐Yang, 2016. "Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 1120-1130, April.
    2. Hsiu-Fen Hsieh & Yi Liu & Hsin-Tien Hsu & Shu-Ching Ma & Hsiu-Hung Wang & Chih-Hung Ko, 2021. "Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    3. Carmen Trumello & Sonia Monique Bramanti & Giulia Ballarotto & Carla Candelori & Luca Cerniglia & Silvia Cimino & Monia Crudele & Lucia Lombardi & Silvia Pignataro & Maria Luisa Viceconti & Alessandra, 2020. "Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontli," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    4. Ebru Morgul & Abdulbari Bener & Muhammed Atak & Salih Akyel & Selman AktaÅŸ & Dinesh Bhugra & Antonio Ventriglio & Timothy R Jordan, 2021. "COVID-19 pandemic and psychological fatigue in Turkey," International Journal of Social Psychiatry, , vol. 67(2), pages 128-135, March.
    5. Raphael M. Herr & Amira Barrech & Natalie Riedel & Harald Gündel & Peter Angerer & Jian Li, 2018. "Long-Term Effectiveness of Stress Management at Work: Effects of the Changes in Perceived Stress Reactivity on Mental Health and Sleep Problems Seven Years Later," IJERPH, MDPI, vol. 15(2), pages 1-12, February.
    6. Shamona Maharaj & Ty Lees & Sara Lal, 2018. "Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses," IJERPH, MDPI, vol. 16(1), pages 1-10, December.
    7. Yilmaz Bayar & Marius Dan Gavriletea & Mirela Oana Pintea & Ioana Cristina Sechel, 2021. "Impact of Environment, Life Expectancy and Real GDP per Capita on Health Expenditures: Evidence from the EU Member States," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    8. Elpidoforos S. Soteriades & Paris Vogazianos & Federica Tozzi & Athos Antoniades & Eleftheria C. Economidou & Lilia Psalta & George Spanoudis, 2022. "Exercise and Occupational Stress among Firefighters," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    9. Andreas Chatzittofis & Maria Karanikola & Kyriaki Michailidou & Anastasia Constantinidou, 2021. "Impact of the COVID-19 Pandemic on the Mental Health of Healthcare Workers," IJERPH, MDPI, vol. 18(4), pages 1-8, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gloria Guidetti & Michela Cortini & Stefania Fantinelli & Teresa Di Fiore & Teresa Galanti, 2022. "Safety Management and Wellbeing during COVID-19: A Pilot Study in the Manufactory Sector," IJERPH, MDPI, vol. 19(7), pages 1-11, March.
    2. Maria Karanikola & Meropi Mpouzika & Elizabeth Papathanassoglou & Katerina Kaikoushi & Anna Hatzioannou & Ioannis Leontiou & Chris Livadiotis & Nicos Christophorou & Andreas Chatzittofis, 2022. "Work-Related Traumatic Stress Response in Nurses Employed in COVID-19 Settings," IJERPH, MDPI, vol. 19(17), pages 1-15, September.
    3. Andrea Aguglia & Andrea Amerio & Alessandra Costanza & Nicolò Parodi & Francesco Copello & Gianluca Serafini & Mario Amore, 2021. "Hopelessness and Post-Traumatic Stress Symptoms among Healthcare Workers during the COVID-19 Pandemic: Any Role for Mediating Variables?," IJERPH, MDPI, vol. 18(12), pages 1-10, June.
    4. Artem Kashtanov & Ekaterina Molotok & Andrey Yavorovskiy & Alexander Boyarkov & Yuriy Vasil’ev & Ali Alsaegh & Sergey Dydykin & Olesya Kytko & Renata Meylanova & Yulianna Enina & Vasiliy Troitskiy & M, 2022. "A Comparative Cross-Sectional Study Assessing the Psycho-Emotional State of Intensive Care Units’ Physicians and Nurses of COVID-19 Hospitals of a Russian Metropolis," IJERPH, MDPI, vol. 19(3), pages 1-22, February.
    5. Ana Magro & Aida Gutiérrez-García & Marta González-Álvarez & Mario Del Líbano, 2022. "Psychosocial Impact of the COVID-19 Pandemic on Healthcare Professionals in Spain," Sustainability, MDPI, vol. 14(22), pages 1-14, November.
    6. Fatime Arenliu Qosaj & Stevan Merrill Weine & Pleurat Sejdiu & Fekrije Hasani & Shukrije Statovci & Vigan Behluli & Aliriza Arenliu, 2022. "Prevalence of Perceived Stress, Anxiety, and Depression in HCW in Kosovo during the COVID-19 Pandemic: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    7. Grażyna Puto & Maria Jurzec & Anna Leja-Szpak & Joanna Bonior & Marta Muszalik & Agnieszka Gniadek, 2021. "Stress and Coping Strategies of Nurses Working with Patients Infected with and Not Infected with SARS-CoV-2 Virus," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    8. Mehran Shayganfard & Fateme Mahdavi & Mohammad Haghighi & Dena Sadeghi-Bahmani & Serge Brand, 2021. "Sources of Health Anxiety for Hospital Staff Working during the Covid-19 Pandemic," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    9. Alessandra Gorini & Mattia Giuliani & Elena Fiabane & Alice Bonomi & Paola Gabanelli & Antonia Pierobon & Pasquale Moretta & Giovanna Pagliarulo & Simona Spaccavento & Gaetano Vaudo & Matteo Pirro & M, 2022. "Prevalence of Psychopathological Symptoms and Their Determinants in Four Healthcare Workers’ Categories during the Second Year of COVID-19 Pandemic," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
    10. Paola Manfredi, 2022. "Is This All COVID-19′s Fault? A Study on Trainees in One of the Most Affected Italian Cities," IJERPH, MDPI, vol. 19(20), pages 1-18, October.
    11. Sebastiano Italia & Chiara Costa & Giusi Briguglio & Carmela Mento & Maria Rosaria Anna Muscatello & Angela Alibrandi & Francesca Larese Filon & Giovanna Spatari & Michele Teodoro & Concettina Fenga, 2021. "Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study," IJERPH, MDPI, vol. 18(23), pages 1-16, November.
    12. Daniela Reisz & Iulia Crișan & Andrea Reisz & Raluca Tudor & Doina Georgescu, 2021. "Stress and Bio-Ethical Issues Perceived by Romanian Healthcare Practitioners in the COVID-19 Era," IJERPH, MDPI, vol. 18(23), pages 1-15, December.
    13. Marcella Paterlini & Erica Neri & Alessia Nicoli & Federica Genova & Maria Teresa Villani & Sara Santi & Francesca Agostini, 2022. "Emotions, Stress and Coping among Healthcare Workers in a Reproductive Medicine Unit during the First and Second COVID-19 Lockdowns," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    14. Patricia Concheiro-Moscoso & Betania Groba & Francisco José Martínez-Martínez & María del Carmen Miranda-Duro & Laura Nieto-Riveiro & Thais Pousada & Cristina Queirós & Javier Pereira, 2021. "Study for the Design of a Protocol to Assess the Impact of Stress in the Quality of Life of Workers," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    15. Teodora Safiye & Branimir Vukčević & Medo Gutić & Ardea Milidrag & Draško Dubljanin & Jakša Dubljanin & Branimir Radmanović, 2022. "Resilience, Mentalizing and Burnout Syndrome among Healthcare Workers during the COVID-19 Pandemic in Serbia," IJERPH, MDPI, vol. 19(11), pages 1-13, May.
    16. Ieva Norkiene & Lina Jovarauskaite & Monika Kvedaraite & Encarl Uppal & Mandeep Kaur Phull & Heidi Chander & Kathryn Halford & Evaldas Kazlauskas, 2021. "‘Should I Stay, or Should I Go?’ Psychological Distress Predicts Career Change Ideation among Intensive Care Staff in Lithuania and the UK Amid COVID-19 Pandemic," IJERPH, MDPI, vol. 18(5), pages 1-9, March.
    17. Lucia Jerg-Bretzke & Maximilian Kempf & Marc Nicolas Jarczok & Katja Weimer & Christian Hirning & Harald Gündel & Yesim Erim & Eva Morawa & Franziska Geiser & Nina Hiebel & Kerstin Weidner & Christian, 2021. "Psychosocial Impact of the COVID-19 Pandemic on Healthcare Workers and Initial Areas of Action for Intervention and Prevention—The egePan/VOICE Study," IJERPH, MDPI, vol. 18(19), pages 1-16, October.
    18. Ying Lian & Yueting Zhou & Xueying Lian & Xuefan Dong, 2022. "Cyber violence caused by the disclosure of route information during the COVID-19 pandemic," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-18, December.
    19. Barbara Ślusarska & Grzegorz Józef Nowicki & Barbara Niedorys-Karczmarczyk & Agnieszka Chrzan-Rodak, 2022. "Prevalence of Depression and Anxiety in Nurses during the First Eleven Months of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(3), pages 1-20, January.
    20. Beatrice Thielmann & Julia Schnell & Irina Böckelmann & Heiko Schumann, 2022. "Analysis of Work Related Factors, Behavior, Well-Being Outcome, and Job Satisfaction of Workers of Emergency Medical Service: A Systematic Review," IJERPH, MDPI, vol. 19(11), pages 1-15, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15477-:d:980752. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.