Evidence map›Paper›PMID 36280200›Full record

ArticleJournal of affective disorders2023

Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators.

Yifang Liu, Li Zou, Shijiao Yan, Pu Zhang, Jun Zhang, Jing Wen, Jing Mao, Longti Li, Ying Wang, Wenning Fu

Abstract readMulticenter Study
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. The second victim phenomenon´s impact in male and female healthcare workers: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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  12. Factors associated with depression, anxiety, stress, PTSD, and fatigue of medical staff during the COVID-19 pandemic in Shanghai: a two-phase cross-sectional study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yifang LiuSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Li ZouDepartment of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Shijiao YanDepartment of Emergency Medicine, Hunan Provincial People's Hospital/The First Affiliated Hospital, Hunan Normal University, Changsha, Hunan, China; School of Public Health, Hainan Medical University, Haikou, China.
Pu ZhangDepartment of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Jun ZhangDepartment of Endocrinology, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Jing WenSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jing MaoSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Longti LiDepartment of Nursing, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Ying WangDepartment of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Wenning FuSchool of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: wenningfu@hust.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on the relationship between burnout and post-traumatic stress disorder (PTSD) is limited. We aimed to evaluate the association between burnout and PTSD symptoms among medical staff two years after the coronavirus disease 2019 (COVID-19) pandemic in Wuhan, China, and explore the mediating roles of social support and psychological resilience.

methodsA multicenter survey was conducted online from January to March 2022 among healthcare professionals from six general hospitals. Hierarchical linear regression was used to detect the predictors of PTSD symptoms. Structural equation modeling (SEM) was used to analyze the pathways from burnout to PTSD symptoms.

resultsHierarchical linear regression showed that burnout, social support, and psychological resilience were significant predictors of PTSD symptoms among medical staff. In the SEM, the standardized total effect of burnout on PTSD symptoms was 0.336(bias-corrected 95 % confidence interval [0.303, 0.367], P < 0.001). Social support and psychological resilience partially mediated the relationship between burnout and PTSD symptoms (indirect effects accounted for 22.3 % of the total effect). LIMITATIONS: Owing to the cross-sectional design, only clues to causal explanations can be provided.

conclusionsBurnout has significant direct and indirect effects on PTSD symptoms. Furthermore, social support and psychological resilience might be effective ways to reduce the impact of burnout on PTSD symptoms in medical staff after a major public health outbreak.

Indexed as

Burnout, ProfessionalCOVID-19Stress Disorders, Post-TraumaticBurnout, PsychologicalChinaCross-Sectional StudiesHumansMedical StaffPandemicsSocial SupportBurnoutCOVID-19Post-traumatic stress symptomsResilienceSocial support

Identifiers

PMID36280200
PMCPMC9585849

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.