Evidence map›Paper›PMID 36564737›Full record

ArticleBMC psychiatry2022

The mediating and moderating role of psychological resilience between occupational stress and mental health of psychiatric nurses: a multicenter cross-sectional study.

Shu-Yan Chen, Shi-Rui Yan, Wei-Wei Zhao, Ying Gao, Wei Zong, Cheng Bian, Yin Cheng, Yan-Hong Zhang

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% of its field
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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Resilience enhancement interventions for disaster rescue workers: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 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

8 authors at 2 institutions in 1 country.

Shu-Yan ChenSchool of Nursing, Nanjing Medical University, Nanjing, China.ORCID 0000-0002-2470-4972
Shi-Rui YanThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-2375-0563
Wei-Wei ZhaoSchool of Nursing, Nanjing Medical University, Nanjing, China.
Ying GaoThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Wei ZongThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Cheng BianSchool of Nursing, Nanjing Medical University, Nanjing, China.ORCID 0000-0002-9969-1213
Yin ChengSchool of Nursing, Nanjing Medical University, Nanjing, China.ORCID 0000-0001-5288-6278
Yan-Hong ZhangThe Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China. zhangyanhong6312@126.com.ORCID 0000-0002-8421-9004
Nanjing Brain Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe particular occupational stress of psychiatric nurses has a negative impact on their mental health. There is evidence that psychological resilience can promote mental health; however, the relationship between resilience in occupational stress and mental health of psychiatric nurses is unclear, and mental health was assessed from a psychopathological perspective, neglecting the role of positive psychology. Therefore, this study was based on a dual-factor model of mental health, describing mental health in terms of both positive well-being and psychiatric symptoms. We aimed to investigate the level of psychiatric nurses' mental health and whether resilience plays a mediating or moderating role between occupational stress and mental health in psychiatry nurses.

methodsA cross sectional survey of 450 psychiatric nurses in five hospitals in Jiangsu Province was conducted using a convenience sampling method, of which 413 were valid questionnaires with an effective rate of 91.8%. The evaluation included the Chinese Nurses' Stress Scale, the Connor-Davidson Resilience Scale, the Warwick-Edinburgh Mental Well-being Scale, and the General Health Questionnaire. Descriptive and Spearman correlation analyses were performed using SPSS25.0 while mediating and moderating effects were performed using SmartPLS3.0.

resultsBased on a dual-factor model of mental health, this study found that psychiatric nurses had a low general state of mental health, with 54.5% positive mental health, 7% vulnerable, 21.8% symptomatic but content, and 16.7% completely troubled. In addition, we found that resilience plays a mediating role in stress and mental health [β = -0.230, 95% CI of (-0.310, -0.150)] and does not play a moderating role [β = -0.018, 95%CI (-0.091, 0.055)].

conclusionsPsychiatric nurses are in a poor state of mental health, and psychological resilience partly mediates occupational stress and mental health. This study suggests that attention should be paid to both positive and negative aspects of psychiatric nurses' mental health, and strategies should be developed to reduce occupational stress and develop psychological resilience.

Indexed as

Mental DisordersNursesOccupational StressResilience, PsychologicalCross-Sectional StudiesHumansMental HealthSurveys and QuestionnairesDual-factor model of mental healthMental healthOccupational stressPsychiatric nursesPsychological resilience

Identifiers

PMID36564737
PMCPMC9786521
OpenAlexW4312179224

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.