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Zhang Y, Wu C, Ma J, Liu F, Shen C, Sun J, Ma Z, Hu W, Lang H. Relationship between depression and burnout among nurses in Intensive Care units at the late stage of COVID-19: a network analysis. BMC Nurs 2024; 23:224. [PMID: 38561758 PMCID: PMC10983623 DOI: 10.1186/s12912-024-01867-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 03/13/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Mental health problems are critical and common in medical staff working in Intensive Care Units (ICU) even at the late stage of COVID-19, particularly for nurses. There is little research to explore the inner relationships between common syndromes, such as depression and burnout. Network analysis (NA) was a novel approach to quantified the correlations between mental variables from the perspective of mathematics. This study was to investigate the interactions between burnout and depression symptoms through NA among ICU nurses. METHOD A cross-sectional study with a total of 616 Chinese nurses in ICU were carried out by convenience sampling from December 19, 2022 to January19, 2023 via online survey. Burnout symptoms were measured by Maslach Burnout Inventory-General Survey (MBI-GS) (Chinese version), and depressive symptoms were assessed by the 9-item Patient Health Questionnaire (PHQ-9). NA was applied to build interactions between burnout and depression symptoms. We identified central and bridge symptoms by R package qgraph in the network model. R package bootnet was used to examined the stability of network structure. RESULTS The prevalence of burnout and depressive symptoms were 48.2% and 64.1%, respectively. Within depression-burnout network, PHQ4(Fatigue)-MBI2(Used up) and PHQ4(Fatigue)-MBI5(Breakdown) showed stronger associations. MBI2(Used up) had the strongest expected influence central symptoms, followed by MBI4(Stressed) and MBI7 (Less enthusiastic). For bridge symptoms. PHQ4(Fatigue), MBI5(Breakdown) and MBI2(Used up) weighed highest. Both correlation stability coefficients of central and bridge symptoms in the network structure were 0.68, showing a high excellent level of stability. CONCLUSION The symptom of PHQ4(Fatigue) was the bridge to connect the emotion exhaustion and depression. Targeting this symptom will be effective to detect mental disorders and relieve mental syndromes of ICU nurses at the late stage of COVID-19 pandemic.
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Affiliation(s)
- Yinjuan Zhang
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
- Department of Nursing, Shaanxi University of Chinese Medicine, Shiji Avenue, 712046, Xianyang, Shaanxi, China
| | - Chao Wu
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Jin Ma
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Fang Liu
- Department of Nursing, Shaanxi University of Chinese Medicine, Shiji Avenue, 712046, Xianyang, Shaanxi, China
| | - Chao Shen
- Department of Computer Science and Engineering, Xi'an Technological University, No. 4 Jinhua North Road, 710021, Xi'an, Shaanxi, China
| | - Jicheng Sun
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Zhujing Ma
- Department of Military Medical Psychology, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China
| | - Wendong Hu
- Department of Aerospace Medicine, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China.
| | - Hongjuan Lang
- Department of Nursing, Air Force Medical University, No. 169 Changle West Road, 710032, Xi'an, Shaanxi, China.
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Wang Y, Wu L, Liu C, Li K, Wang M, Feng T, Wang Q, Chao W, Ren L, Liu X. A network analysis bridging the gap between the big five personality traits and burnout among medical staff. BMC Nurs 2024; 23:92. [PMID: 38311767 PMCID: PMC10838458 DOI: 10.1186/s12912-024-01751-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 01/21/2024] [Indexed: 02/06/2024] Open
Abstract
BACKGROUND Burnout is a common issue among medical professionals, and one of the well-studied predisposing factors is the Big Five personality traits. However, no studies have explored the relationships between these traits and burnout from a trait-to-component perspective. To understand the specific connections between each Big Five trait and burnout components, as well as the bridging effects of each trait on burnout, we employed network analysis. METHODS A cluster sampling method was used to select a total of 420 Chinese medical personnel. The 15-item Chinese Big Five Personality Inventory-15 (CBF-PI-15) assessed the Big Five personality traits, while the 15-item Maslach Burnout Inventory-General Survey (MBI-GS) assessed burnout components. Network analysis was used to estimate network structure of Big Five personality traits and burnout components and calculate the bridge expected influence. RESULTS The study revealed distinct and clear relationships between the Big Five personality traits and burnout components. For instance, Neuroticism was positively related to Doubt significance and Worthwhile, while Conscientiousness was negatively related to Accomplish all tasks. Among the Big Five traits, Neuroticism displayed the highest positive bridge expected influence, while Conscientiousness displayed the highest negative bridge expected influence. CONCLUSIONS The network model provides a means to investigate the connections between the Big Five personality traits and burnout components among medical professionals. This study offers new avenues for thought and potential targets for burnout prevention and treatment in medical personnel, which can be further explored and tested in clinical settings.
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Affiliation(s)
- Yifei Wang
- Department of Military Medical Psychology, Air Force Medical University, 169 Street, 710032, Xi'an, China
| | - Lin Wu
- Department of Military Medical Psychology, Air Force Medical University, 169 Street, 710032, Xi'an, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, 3168, Clayton, Australia
| | - Kuiliang Li
- Department of Psychology, Army Medical University, 400038, Chongqing, China
| | - Mei Wang
- Department of infectious diseases, Juxian Hospital of Traditional Chinese Medicine, Shandong Traditional Chinese Medicine University, 23 Street, 276500, Rizhao, China
| | - Tingwei Feng
- Department of Military Medical Psychology, Air Force Medical University, 169 Street, 710032, Xi'an, China
| | - Qingyi Wang
- Department of Foreign Language Teaching and Research of Basic Ministry, Air Force Medical University, 169 Street, 710032, Xi'an, China
| | - Wu Chao
- School of Nursing, Air Force Medical University, 169 Street, 710032, Xi'an, China
| | - Lei Ren
- Military Psychology Section, Logistics University of PAP, 300309, Tianjin, China.
- Military Mental Health Services & Research Center, 300309, Tianjin, China.
| | - Xufeng Liu
- Department of Military Medical Psychology, Air Force Medical University, 169 Street, 710032, Xi'an, China.
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Xue D, Sun B, Li W, Zhou H, Ding F, Xiao W. The Symptom Network Structure of Teachers' Burnout and Its Connection to Psychological Capital. Psychol Res Behav Manag 2023; 16:3503-3518. [PMID: 37671266 PMCID: PMC10476865 DOI: 10.2147/prbm.s421932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 08/23/2023] [Indexed: 09/07/2023] Open
Abstract
Background Teacher burnout is characterized by emotional and physical exhaustion resulting from excessive work-related stress. Previous research based on traditional latent variable theory has revealed a significant negative relationship between TB and psychological capital (PsyCap). This study explored the complex symptoms of TB and the contact points of PsyCap in reducing TB using psychometric network analysis. Methods A total of 3991 teachers completed the burnout subscale of the Professional Quality of Life and Psychological Capital Scale. Results The results showed that: (a) In the TB network, the core symptoms displayed by teachers due to burnout are difficulty feeling "I am a very caring person", "I am happy", and "I am the person I always wanted to be"; (b) The TB-PsyCap network was closely connected, and the symptoms affected each other. PsyCap affected the TB network through "I feel optimistic and happy almost every day" and "I often feel that there is a future as a teacher"; (c) PsyCap's bridge symptoms had a negative impact on TB, and PsyCap may reduce TB primarily through optimistic, hopeful dimensions. Conclusion and Implications Psychometric network analysis helps us understand the complex symptoms of TB and the contact points of PsyCap in reducing TB. This study offers valuable insights into the prevention of, and intervention in, burnout within the teaching community.
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Affiliation(s)
- Danni Xue
- School of Psychology, Zhejiang Normal University, Jinhua, 321004, People’s Republic of China
| | - Binghai Sun
- School of Psychology, Zhejiang Normal University, Jinhua, 321004, People’s Republic of China
| | - Weijian Li
- School of Psychology, Zhejiang Normal University, Jinhua, 321004, People’s Republic of China
| | - Hui Zhou
- Jinhua Advanced Research Institute, Jinhua, Zhejiang, 321004, People’s Republic of China
| | - Fujun Ding
- School of Psychology, Zhejiang Normal University, Jinhua, 321004, People’s Republic of China
| | - Weilong Xiao
- School of Psychology, Zhejiang Normal University, Jinhua, 321004, People’s Republic of China
- Research Unit Occupational & Organizational Psychology and Professional Learning, KU Leuven, Leuven, 3000, Belgium
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Leng M, Han S, Sun Y, Zhu Z, Zhao Y, Zhang Y, Yang X, Wang Z. Identifying care problem clusters and core care problems of older adults with dementia for caregivers: a network analysis. Front Public Health 2023; 11:1195637. [PMID: 37637827 PMCID: PMC10449331 DOI: 10.3389/fpubh.2023.1195637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 07/20/2023] [Indexed: 08/29/2023] Open
Abstract
Background A shift in research interest from separate care problem to care problem clusters among caregivers of people living with dementia may contribute to a better understanding of dementia care. However, the care problems network among caregivers of people living with dementia are still unknown. This study aimed to identify care problem clusters and core care problems, and explore demographic variables associated with these care problem clusters among caregivers of people living with dementia. Methods Participants were recruited through memory clinics and WeChat groups. The principal component analysis was applied to identify care problem clusters. The network analysis was conducted to describe the relationships among care problems and clusters. Multiple linear models were used to explore the associated factors for the occurrence of the overall care problems and top three central care problem clusters. Results A total of 1,012 carer-patient pairs were included in the analysis. Nine care problem clusters were identified. In the entire care problem network, "deterioration in activities of daily living" was the most core care problem cluster across the three centrality indices, followed by "verbal and nonverbal aggression" and "loss of activities of daily living." Variables including marital status, years of dementia diagnosis, number of dementia medication type, and caregiver's educational attainment were associated with the prevalence of these three care problem clusters. Conclusion Our study suggests that there is a need to evaluate care problem clusters for the improvement of care problem management among people living with dementia. It is particularly important to include assessment and treatment of core care problem as an essential component of the dementia care.
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Affiliation(s)
- Minmin Leng
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
- School of Nursing, Peking University, Beijing, China
| | - Shuyu Han
- School of Nursing, Peking University, Beijing, China
| | - Yue Sun
- School of Nursing, Peking University, Beijing, China
| | - Zheng Zhu
- School of Nursing, Fudan University, Shanghai, China
| | - Yajie Zhao
- Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
| | - Yizhu Zhang
- School of Nursing, Peking University, Beijing, China
| | - Xianxia Yang
- School of Public Health, Wuhan University, Wuhan, China
| | - Zhiwen Wang
- School of Nursing, Peking University, Beijing, China
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He M, Li K, Tan X, Zhang L, Su C, Luo K, Luo X, Liu C, Zhao M, Zhan X, Wang Q, Cen J, Lv J, Weng B, Feng Z, Ren L, Yang G, Wang F. Association of burnout with depression in pharmacists: A network analysis. Front Psychiatry 2023; 14:1145606. [PMID: 37032929 PMCID: PMC10076651 DOI: 10.3389/fpsyt.2023.1145606] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 03/06/2023] [Indexed: 04/11/2023] Open
Abstract
Background Burnout and depression have overlapping symptoms, but the extent of overlap remains unclear, and the complex relationship between burnout and depression in pharmacists is rarely explored. Methods We investigated burnout and depression in 1,322 frontline pharmacists, and explored the complex relationship between burnout and depression in those pharmacists using network analysis. Results Network analysis showed that there were 5 communities. A partial overlap was found between burnout and depressive symptoms in pharmacists. The nodes MBI-6 (I have become more callous toward work since I took this job), D18 (My life is meaningless), and D10 (I get tired for no reason) had the highest expected influence value. D1 (I feel down-hearted and blue) and D14 (I have no hope for the future) were bridge symptoms connected with emotional exhaustion and reduced professional efficacy, respectively. Conclusion A partial overlap exists between burnout and depressive symptoms in pharmacists, mainly in the connection between the emotional exhaustion and reduced professional efficacy and the depressive symptoms. Potential core targets identified in this study may inform future prevention and intervention.
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Affiliation(s)
- Mu He
- Chongqing Medical and Pharmaceutical College, Chongqing, China
| | - Kuiliang Li
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Xuejiao Tan
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Lei Zhang
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Chang Su
- School of Educational Science, Chongqing Normal University, Chongqing, China
| | - Keyong Luo
- Department of Psychiatry, The 980th Hospital of PLA Joint Logistics Support Force, Shijiazhuang, China
| | - Xi Luo
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia
| | - Mengxue Zhao
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Xiaoqing Zhan
- Department of Medical Psychology, Army Medical University, Chongqing, China
| | - Qian Wang
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Jing Cen
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Jun Lv
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Bangbi Weng
- Department of Pharmacy, The Southwest Hospital of Army Medical University, Chongqing, China
| | - Zhengzhi Feng
- Department of Medical English, College of Basic Medical Sciences, Army Medical University, Chongqing, China
| | - Lei Ren
- Department of Psychology, Fourth Military Medical University, Xi’an, China
| | - Guoyu Yang
- Department of Medical Psychology, Army Medical University, Chongqing, China
- Department of Developmental Psychology for Armyman, Army Medical University, Chongqing, China
| | - Feifei Wang
- Department of Medical Psychology, Army Medical University, Chongqing, China
- Department of Developmental Psychology for Armyman, Army Medical University, Chongqing, China
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Li K, Luo K, Zhan X, Liu C, Li L, Luo X, Ren L, Wang L, Feng Z. Adjusting intervention strategies for mental health of COVID-19 patients: A network analysis based on a survey in Omicron-infected patients. Front Public Health 2022; 10:1038296. [PMID: 36466516 PMCID: PMC9714331 DOI: 10.3389/fpubh.2022.1038296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 10/26/2022] [Indexed: 11/18/2022] Open
Abstract
Background The COVID-19 pandemic had a major impact on people's mental health. As the SAS-Cov-2 evolves to become less virulent, the number of asymptomatic patients increases. It remains unclear if the mild symptoms are associated with mild perceived stress and mental illness, and the interventions to improve the mental health of the patients are rarely reported. Methods This cross-sectional study investigated the level of depression, anxiety and perceived stress of 1,305 COVID-19 patients who received treatment in the Fangcang shelter hospitals in Shanghai, China. Network analysis was used to explore the relationship among depression, anxiety and perceived stress. Results The prevalence of depression, anxiety and perceived stress in the patients with Omicron infection were 9.03, 4.60, and 17.03%, respectively, lower than the prevalence reported during the initial outbreak of COVID-19. "Restlessness (A5)," "Uncontrollable worry (A2)," "Trouble relaxing (A4)" and "Fatigue (D4)" had the highest expected influence values. "Irritability (A6)" and "Uncontrollable (S1)" were bridge symptoms in the network. Comparative analysis of the network identified differences in the network structures between symptomatic and asymptomatic patients. Conclusion This study investigated the prevalence of depression, anxiety and perceived stress and the correlation among them in Omicron-infected patients in Fangcang shelter hospital, in Shanghai, China. The core symptoms identified in the study provide insight into targeted clinical prevention and intervention of mental health in non-severe Omicron-infected patients.
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Affiliation(s)
- Kuiliang Li
- School of Psychology, Army Medical University, Chongqing, China
| | - Keyong Luo
- Department of Psychiatry, The 980th Hospital of PLA Joint Logistics Support Force, Shijiazhuang, China
| | - Xiaoqing Zhan
- Department of Medical English, College of Basic Medicine, Army Medical University, Chongqing, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia
| | - Ling Li
- College of General Education, Chong Qing Water Resources and Electric Engineering College, Chongqing, China
| | - Xi Luo
- Department of Medical English, College of Basic Medicine, Army Medical University, Chongqing, China
| | - Lei Ren
- Department of Psychology, Fourth Military Medical University, Xi'an, China,*Correspondence: Lei Ren
| | - Lingzhi Wang
- Sichuan Shun Dao Law Firm, Chengdu, China,Lingzhi Wang
| | - Zhengzhi Feng
- School of Psychology, Army Medical University, Chongqing, China,Zhengzhi Feng
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Feng T, Ren L, Liu C, Li K, Wu L, Wei X, Yuan S, Cui LB, Yang X, Li D, Yang W, Li Y, Wang B, Wang H, Liu X. The relations between different components of intolerance of uncertainty and symptoms of depression during the COVID-19 pandemic: A network analysis. Front Psychiatry 2022; 13:993814. [PMID: 36311506 PMCID: PMC9613443 DOI: 10.3389/fpsyt.2022.993814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 09/09/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The relations between depression and intolerance of uncertainty (IU) have been extensively investigated during the COVID-19 pandemic. However, there is a lack of understanding on how each component of IU may differentially affect depression symptoms and vice versa. The current study used a network approach to reveal the component-to-symptom interplay between IU and depression and identify intervention targets for depression during the COVID-19 pandemic. METHODS A total of 624 college students participated in the current study. An IU-Depression network was estimated using items from the 12-item Intolerance of Uncertainty Scale and the Patient Health Questionnaire-9. We examined the network structure, node centrality, and node bridge centrality to identify component-to-symptom pathways, central nodes, and bridge nodes within the IU-Depression network. RESULTS Several distinct pathways (e.g., "Frustration when facing uncertainty" and "Feelings of worthlessness") emerged between IU and Depression. "Fatigue" and "Frustration when facing uncertainty" were identified as the central nodes in the estimated network. "Frustration when facing uncertainty," "Psychomotor agitation/retardation," and "Depressed or sad mood" were identified as bridging nodes between the IU and Depression communities. CONCLUSION By delineating specific pathways between IU and depression and highlighting the influential role of "Frustration when facing uncertainty" in maintaining the IU-Depression co-occurrence, current findings may inform targeted prevention and interventions for depression during the COVID-19 pandemic.
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Affiliation(s)
- Tingwei Feng
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Lei Ren
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Chang Liu
- BrainPark, Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, VIC, Australia
| | - Kuiliang Li
- School of Psychology, Army Medical University, Chongqing, China
| | - Lin Wu
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xinyi Wei
- Department of Psychology, Renmin University of China, Beijing, China
| | - Shangqing Yuan
- School of Psychology, Capital Normal University, Beijing, China
| | - Long-Biao Cui
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xi Yang
- Department of Health Economy Management, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Danyang Li
- College of Education Science, Changji University, Changji, China
| | - Wei Yang
- Psychological Counseling Center, Xijing University, Xi'an, China
| | - Ye Li
- Psychological Counseling Center, Xijing University, Xi'an, China
| | - Buyao Wang
- Clinical and Psychological Counseling, DongFang College, Beijing University of Chinese Medicine, Langfang, China
| | - Hui Wang
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xufeng Liu
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
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