Professional quality of life as potential mediators of the association between anxiety and depression among Chinese health-care clinicians
Journal Publication ResearchOnline@JCUAbstract
Objective: Building upon the tripartite model of anxiety and depression, the current study aims to examine mechanisms of comorbidity between anxiety and depression using the ProQOL (including the constructs of burnout, secondary traumatic stress and compassion satisfaction) in a sample of Chinese healthcare clinicians. Method: A randomised cross-sectional survey was distributed to 1620 participants who were recruited from eight state-owned hospitals in a city in southern China between January and May 2017. A total of 1562 questionnaires were returned (a response rate of 96.4%). After the cases with more than 10% missing variables and multivariate outliers being removed, 1,423 valid cases remained. Multiple mediator models were used for mediation analysis that was conducted using the PROCESS v3.1 macro for SPSS. Results: The indirect effects of anxiety upon depression through burnout (a1=.601 [95%CI: .552, .650], p < .001; b1 = .137 [95%CI: .101, .174], p < .001) and compassion satisfaction (a3= -.297 [95%CI: -.352, -.241], p < .001; b3 = -.069 [95%CI: -.100, -.039], p < .001) were significant, while there was no evidence that anxiety influenced depression by changing secondary traumatic stress. The indirect effects of depression upon anxiety through secondary traumatic stress (a2=.535 [95%CI: .483, .588], p < .001); b2 = .154 [95%CI: .120, .188], p < .001) was both positive and significant, while there was no evidence that depression influenced anxiety by changing burnout and compassion satisfaction. Conclusions: In the current sample, burnout and compassion satisfaction mediated the effect of anxiety upon depression and secondary traumatic stress mediated the effect of depression upon anxiety. The findings of the current study offer support to the tripartite model.
Journal
The International Journal of Psychiatry in Medicine
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Volume
56
ISBN/ISSN
1541-3527
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Issue
2
Pages Count
14
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Publisher
Sage
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EISSN
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DOI
10.1177/0091217420913395