ArticleAnnals of medicine2024
Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under Standardized Residency Training: a network analysis.
Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Interrelationships of childhood trauma, psychiatric symptoms, neurocognition, and insomnia in chronic schizophrenia: a network perspective.European archives of psychiatry and clinical neuroscience · 2026Article
- Psychological resilience moderates the association between adverse academic events and probable anxiety disorder in Chinese clinical medicine postgraduates: a cross-sectional study.BMC medical education · 2026Article
- Relationship Between Self-Efficacy and Burnout Syndrome in Resident Physicians in Metropolitan Lima.International journal of environmental research and public health · 2026Observational
- Effectiveness of Mindfulness-Based Stress Reduction Therapy in Improving Quality of Life Among Anesthesiology Residents.Actas espanolas de psiquiatria · 2026Article
- Network analysis of anxiety, depression, stress, and sleep disturbances in healthcare workers.Frontiers in psychiatry · 2026Article
- Integrating Health Communication into Basic Medical Courses: A Qualitative Study for Enhancing Professional Competencies in Undergraduate Medical Students.Advances in medical education and practice · 2026Article
- A multicenter cross-sectional study on proactive health knowledge, attitude, and practice and its influencing factors among resident standardized training physicians in Guangxi.Frontiers in public health · 2026Article
- Article
- Psychological profiles of patients with acromegaly: personality traits, quality of life, and clinical correlates.Pituitary · 2025Article
- Ability and utility of the Physician Well-Being Index to identify distress among Chinese physicians.Annals of medicine · 2025Article
- Prevalence and correlates of perceived stress and psychological health among residents receiving standardized training: a multicenter cross-sectional survey study in China.BMC public health · 2025Article
- Network analysis of burnout, depression, and anxiety with occupational and personal outcomes among clinical nurses in China.Scientific reports · 2025Article
- Network analysis of interrelationships among physical activity, sleep disturbances, depression, and anxiety in college students.BMC psychiatry · 2025Article
- Association between burnout and physiological-psychological-social health domains among Chinese resident physicians: a network analysis approach.BMC health services research · 2025Article
- Quality of life among healthcare workers in the hospitals and primary healthcare centers in Gaza Strip: a cross-sectional study.BMC psychology · 2025Article
- Burnout syndrome in resident physicians: A study after the third COVID-19 wave in two tertiary hospitals of southeastern Brazil.PloS one · 2025Article
- Interrelationships of Anxiety, Burnout, Depression, and Insomnia Among Chinese Healthcare Workers Exposed to Workplace Violence: A Network Analysis.Depression and anxiety · 2025Article
- A study on transition shock among first-year residents in China: survey data based on latent profile analysis.Frontiers in medicine · 2025Article
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Authors and funding
19 authors.
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Abstract
backgroundChinese resident physicians confront challenges such as staff shortages and heavy workloads, leading to a heightened prevalence of mental distress. This study aims to investigate the symptom network of stress, burnout, anxiety, depression (SBAD) and adverse personal outcomes in this cohort.
methodsFrom October 2020 to April 2022, 994 physicians were recruited across China through snowball sampling. Stress, burnout, anxiety and depression were assessed using the 10-item Perceived Stress Scale, a two-item burnout questionnaire, Generalized Anxiety Disorder Scale-7 and the Patient Health Questionnaire-9, respectively. Data on adverse personal outcomes (low quality of life [QOL] and suicidal ideation) were collected. We constructed and visualized two networks, calculating expected influence (EI) and bridge EI indices to identify central and bridge symptoms.
resultsIn the SBAD network, perceived helplessness was the most central and critical bridge symptom connecting stress and mental distress, with emotional exhaustion identified as the secondary bridge symptom. Perceived helplessness, perceived self-efficacy and emotional exhaustion exhibited the highest negative correlations with QOL. Worthless (PHQ6) and motor (PHQ8) symptoms were strongly correlated with suicidal ideation. The estimated SBAD network showed excellent stability and accuracy.
conclusionsOur study emphasizes that perceived helplessness may be a high-priority target for preventing and intervening in mental distress and improving QOL among residents. Burnout transcends workplace problems and is widely connected to depression, anxiety and QOL. Implementing early detection and intervention measures at three levels-the individual physician, health system and professional colleges, and external regulators-is crucial for preventing and alleviating stress and mental distress among residents.
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