ArticlePloS one2014
The mediating effects of burnout on the relationship between anxiety symptoms and occupational stress among community healthcare workers in China: a cross-sectional study.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.
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Who cites it
52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 122 citations in OpenAlex.
- [Impact of SARS-CoV-2 (Covid-19) on the mental health of healthcare professionals: a systematic review.]Revista espanola de salud publica · 2020Pooled it
- The Relationship Between Burnout, Depression, and Anxiety: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2019Pooled it
- Prevalence and factors associated with burnout among frontline primary health care providers in low- and middle-income countries: A systematic review.Gates open research · 2018Pooled it
- Computer-based versus in-person interventions for preventing and reducing stress in workers.The Cochrane database of systematic reviews · 2017Pooled it
- Occupational Stress and Anxiety Among Korean Employees: Moderated Mediation Model of Burnout and Grit.Psychiatry investigation · 2026Article
- Health and Social Care Professionals' Experience of Psychological Safety Within Their Occupational Setting: A Thematic Synthesis Review.Nursing reports (Pavia, Italy) · 2025Review
- Evaluation of the prevalence and risk factors of burnout syndrome among healthcare workers: A cross-sectional study.World journal of psychiatry · 2025Article
- Work-related stress and sleep problems among small-scale miners in Ghana: The role of psychological factors.PloS one · 2025Article
- Effects of effort-reward imbalance on emergency nurses' health: a mediating and moderating role of emotional exhaustion and work-family conflict.Frontiers in public health · 2025Article
- Predictors of professional burnout and fulfilment in a longitudinal analysis on nurses and healthcare workers in the COVID-19 pandemic.Journal of clinical nursing · 2024Article
- Latent profile analysis of burnout, depression, and anxiety symptoms among Chinese medical staff with frontline anti-epidemic experience in the post-COVID-19 pandemic era.Frontiers in public health · 2024Article
- Exploring the thalamus: a crucial hub for brain function and communication in patients with bulimia nervosa.Journal of eating disorders · 2023Article
- Techno-Stress Creators, Burnout and Psychological Health among Remote Workers during the Pandemic: The Moderating Role of E-Work Self-Efficacy.International journal of environmental research and public health · 2023Article
- Mediating Role of Viral Anxiety and Insomnia in Relationship Between Work-Related Stress and Depression Among Cold Chain Workers During COVID-19 Pandemic.Journal of Korean medical science · 2023Article
- Validating a Korean Version of the Single-Item Burnout Measure for Evaluating Burnout Among Doctors.Psychiatry investigation · 2023Article
- Experiences of burnout, anxiety, and empathy among health profession students in Qatar University during the COVID-19 pandemic: a cross-sectional study.BMC psychology · 2023Article
- Academic Stress and Sleep Quality among Chinese Adolescents: Chain Mediating Effects of Anxiety and School Burnout.International journal of environmental research and public health · 2023Article
- A narrative review of the physiology and health effects of burnout associated with veterinarian-pertinent occupational stressors.Frontiers in veterinary science · 2023Review
- Relationship Between Effort-Reward Imbalance, Over-Commitment and Occupational Burnout in the General Population: A Prospective Cohort Study.International journal of public health · 2023Article
- Job Motivation, Burnout and Turnover Intention during the COVID-19 Pandemic: Are There Differences between Female and Male Workers?Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral occupational stress studies of healthcare workers have predicted a high prevalence of anxiety symptoms, which can affect their quality of life and the care that they provide. However, few studies have been conducted among community healthcare workers in China. We attempted to explore whether burnout mediates the association between occupational stress and anxiety symptoms.
methodsA cross-sectional survey was completed in Liaoning Province, China from November to December 2012. A total of 1,752 healthcare workers from 52 Community Health Centers participated in this study, and all participants were given self-administered questionnaires. These questionnaires addressed the following aspects: the Zung Self-Rating Anxiety Scale, the Chinese version of the effort-reward imbalance scale and the Maslach Burnout Inventory-General Survey. Finally, the study included 1,243 effective respondents (effective response rate, 70.95%). Hierarchical linear regression analysis, performed with SPSS 17.0, was used to estimate the effect of burnout.
resultsThe prevalence of anxiety symptoms among the community healthcare workers was 38.0%. After adjusting for demographic characteristics, the effort-reward ratio and overcommitment positively predicted anxiety symptoms. Meanwhile, the effort-reward ratio and overcommitment were positively related to the emotional exhaustion and cynicism subscales of burnout. In addition, the emotional exhaustion and cynicism subscales were positively related to anxiety symptoms. Thus, there is a link between burnout, occupational stress and anxiety symptoms.
conclusionsBurnout mediates the effect of occupational stress on anxiety symptoms. To effectively reduce the impact of occupational stress on anxiety symptoms, burnout management should be considered.
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