Evidence map›Paper›PMID 40968660›Full record

ArticleJournal of global health2025

Relationship between workplace violence and depressive symptoms among emergency department physicians in China: the mediating role of occupational burnout.

Ruofan Zhang, Ge Qu, Jing Feng, Yuchao Sun, Xinyan Li, Aoqi Shen, Heng Jiang, Yingbin Luo, Zixin Xu, Xingyue Song and 5 more

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Ruofan ZhangHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Ge QuHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Jing FengHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Yuchao SunHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Xinyan LiHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Aoqi ShenHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Heng JiangLa Trobe University, School of Psychology and Public Health, Department of Public Health, Melbourne, Australia.
Yingbin LuoHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Zixin XuHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Xingyue SongEmergency Department of The Second Affiliated Hospital of Hainan Medical University, Key Laboratory of Emergency and Trauma of Ministry of Education, Haikou, China.
Chuanzhu LvUniversity of Electronic Science and Technology of China, Sichuan Provincial People's Hospital, Emergency Medicine Center, Chengdu, China.
Yanli ZuoGuangxi Medical University, School of General Practice, Nanning, China.
Zhong LiNanjing Medical University, School of Health Policy and Management, Nanjing, China.
Yong GanHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.
Zuxun LuHuazhong University of Science and Technology, Tongji Medical College, School of Public Health, Department of Social Medicine and Health Management, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Workplace violence (WPV) was a global public health issue worldwide. Given the specificity of emergency department physicians' professional roles, the incidence of WPV was significantly higher than that of practitioners in other healthcare groups. Investigating the association between exposure to WPV and psychological health can provide a scientific basis for managers to implement precise interventions on violent incidents, thereby effectively reducing the adverse impacts of WPV. Methods: A multi-stage random sampling method was employed to conduct a questionnaire survey among 14 848 emergency department physicians across 31 provincial-level administrative regions in China from July to September 2019. This survey utilised the WPV Scale, the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the Center for Epidemiological Studies Depression Scale (CES-D) to investigate the levels of WPV, burnout, and depressive symptoms among respondents. Data analysis were performed using STATA 17.0 and Amos 26.0 software. Results: A total of 90.40% of emergency department physicians reported experiencing at least one incident of WPV in the past year. The mean score for depressive symptoms was 16.80 ± 14.78, and the mean score for burnout was 82.94 ± 26.11. The correlation coefficients between WPV and depressive symptoms, WPV and job burnout, and depressive symptoms and job burnout were 0.444, 0.347, and 0.562, respectively (all P < 0.01). Structural equation analysis indicated that the total effect of WPV on depressive symptoms was 0.471, with a mediating effect of burnout at 0.421, accounting for 89.38% of the total effect. Conclusions: Emergency department physicians had a severe level of depressive symptoms and burnout, with burnout playing a mediating role between WPV and depressive symptoms. Therefore, future policy efforts are warranted to build a supportive work environment for emergency department physicians and consequently enhance their well-being.

Indexed as

Burnout, ProfessionalDepressionEmergency Service, HospitalPhysiciansWorkplace ViolenceAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID40968660
PMCPMC12447017

What OpenQuestion holds

Textmetadata
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.