Evidence map›Paper›PMID 42026564›Full record

ArticleBMC health services research2026

Mental health profiles and job satisfaction among healthcare workers in an Italian Local Health Authority (ASL 1 Abruzzo): a cross-sectional Person-centered cluster analysis.

Antony Bologna, Tommaso Barlattani, Eleonora Sapone, Edoardo Trebbi, Valentina Socci, Alessandro Rossi, Ferdinando Romano, Francesca Pacitti

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Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Antony BolognaDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy.
Tommaso BarlattaniDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy. Tommaso.barlattani@graduate.univaq.it.
Eleonora SaponeDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy.
Edoardo TrebbiDepartment of Public Health and Infectious Diseases, "La Sapienza" University of Rome, 00100, Rome, Italy.
Valentina SocciDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy.
Alessandro RossiDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy.
Ferdinando RomanoDepartment of Public Health and Infectious Diseases, "La Sapienza" University of Rome, 00100, Rome, Italy.
Francesca PacittiDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L' Aquila, Via Vetoio, (Coppito 2), 67100, L' Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers are exposed to sustained occupational stressors that may lead to heterogeneous patterns of psychological distress and resilience, with potential implications for job satisfaction. Person-centered approaches may help identify subgroups with distinct mental health profiles.

methodsWe conducted a cross-sectional survey between December 2024 and March 2025 among healthcare workers employed in a single Italian Local Health Authority (ASL 1 Abruzzo). Participants completed measures of anxiety (GAD-7), depressive symptoms (PHQ-9), insomnia (ISI), resilience (RSA-11), perceived stress (PSS-10), and job satisfaction (JSS). K-means clustering on standardized mental health measures was used to identify profiles; the optimal number of clusters was selected using multiple internal validation indices (Gap statistic, average silhouette width, elbow method, and NbClust majority rule). Clusters were compared on sociodemographic variables and job satisfaction using non-parametric tests and chi-square tests.

resultsOf 383 respondents, five were excluded (n = 2 for invalid response patterns, n = 3 for incomplete data), yielding N = 378. A two-cluster solution emerged. Cluster 1 (n = 145) showed higher psychological distress and perceived stress and lower resilience; Cluster 2 (n = 233) showed lower anxiety, depressive symptoms, insomnia and perceived stress, alongside higher resilience. Job satisfaction was significantly higher in Cluster 2 than Cluster 1 (Wilcoxon W = 21521, p < 0.001, r = 0.23). Cluster membership also differed by gender and work site.

conclusionsTwo distinct mental health profiles were identified within a single health authority, highlighting a subgroup characterized by high distress, low resilience and lower job satisfaction. Targeted psychosocial and organizational interventions may be warranted to support this vulnerable group and sustain workforce wellbeing.

Indexed as

Health PersonnelJob SatisfactionMental HealthAdultAnxietyCluster AnalysisCross-Sectional StudiesDepressionFemaleHumansItalyMaleMiddle AgedOccupational StressResilience, PsychologicalSleep Initiation and Maintenance DisordersCluster analysisHealthcare workersItalyJob satisfactionMental healthPerceived stressResilience

Identifiers

PMID42026564
PMCPMC13245043

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