Evidence map›Paper›PMID 40885990›Full record

ArticleBMC health services research2025

Association between burnout and physiological-psychological-social health domains among Chinese resident physicians: a network analysis approach.

Jiarui Li, Tao Li, Chunfeng Xiao, Yanping Duan, Yinan Jiang, Wenqi Geng, Lili Shi, Xia Hong, Jianhua Du, Yinghan Xie and 4 more

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

14 authors.

Jiarui LiDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Tao LiDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China. litao@pumch.cn.
Chunfeng XiaoDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Yanping DuanDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Yinan JiangDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Wenqi GengDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Lili ShiDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Xia HongDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Jianhua DuDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Yinghan XieDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Jiaojiao HuDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Yufei WangDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Jinya CaoDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China.
Jing WeiDepartment of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 1 Shuai Fu Yuan, Dongcheng District, Beijing, 100730, China. weijing@pumch.cn.

Funding

the Capital Fund for Health Improvement and Research 2022-2-4012
6 · The paper itself

Abstract

backgroundBurnout affects the physical and mental health of residents. This study aims to investigate the association between burnout and health across biological, psychological, and social domains among Chinese residents.

methodA cross-sectional study was conducted from July 2022 to June 2024 at Peking Union Medical College Hospital in China. A total of 274 resident physicians were recruited, with 207 providing valid responses. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), while general health was measured using the Union Physio-Psycho-Social Assessment Questionnaire (UPPSAQ-70). Self-efficacy and subjective incompetence were also evaluated. Network analysis was applied to identify the centrality of various health factors in relation to burnout.

resultsThe overall prevalence of burnout was 74.4% (95% CI: 68.5-79.9%). Emotional exhaustion and depersonalization were significantly higher in male physicians compared to females, while younger physicians (aged ≤ 30 years) reported higher burnout in personal achievement. Network analysis identified strong connections between burnout dimensions (emotional exhaustion and depersonalization) and mental health symptoms such as anxiety, fatigue, and depression. Sleep, anxiety, and self-efficacy were found to be central nodes in the network, indicating their crucial role in resident physicians' well-being.

conclusionsThis study found a high prevalence of burnout among resident physicians, with significant links between burnout and mental health conditions. Anxiety and fatigue emerge as core symptoms in the burnout network, suggesting that interventions should address these factors. Additionally, self-efficacy plays a crucial role in burnout.

Indexed as

Burnout, ProfessionalInternship and ResidencyPhysiciansAdultChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansMaleMental HealthPrevalenceSelf EfficacySocial Network AnalysisSurveys and QuestionnairesAnxietyBurnoutDepressionMental healthNetwork analysisPhysicianResidentSelf-efficacySleep

Identifiers

PMID40885990
PMCPMC12398008

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LicenceCC BY
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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.