Situation of anxiety,depression,and stress among medical staff in a Grade-A tertiary specialized hospital and their relationships with job burnout

DONG Baoji; HUI Liping; Zinaitiguli Keranmu; Yusufu Yusaiyin; GAO Hui; Xiabidan Tusunjiang; LI Wenyu

doi:10.3969/j.issn.1002-266X.2025.01.018

Abstract：Objective To investigate the anxiety,depression,and stress levels of medical staff in a Grade-A tertiary specialized hospital and to construct a structural equation model to explore the relationship between negative emotions and job burnout,so as to provide a reference for promoting the mental health of medical staff.Methods A total of 461 in-ser-vice medical staff working in a Grade-A tertiary specialized hospital in Urumqi,Xinjiang were selected.Online question-naires were used to collect the general demographic data of the subjects,such as age,gender,educational level,marital status,department and position classification,professional title,and working years.The Self-Rating Anxiety Scale(SAS)was used to evaluate the anxiety of the subjects,the Self-Rating Depression Scale(SDS)was used to evaluate the depres-sion of the subjects,the Perceived Stress Scale(PSS)was used to evaluate the work stress of the subjects,and the Chinese Maslach Burnout Inventory(CMBI)was used to evaluate the job burnout of the subjects.Spearman correlation analysis was used to analyze the correlation between anxiety,depression,stress and job burnout of the subjects,and path analysis was used to evaluate the direct and indirect relationships and directed dependencies among anxiety,depression,stress and job burnout.Results Among the 461 subjects,most were female,aged 25-35 years,married,with a bachelor's de-gree,nurses,with junior professional titles,in the surgical department,operating room,and with 6-10 years of working experience.Among them,10.4％of the subjects had anxiety symptoms,20.4％had depression symptoms,and 50.6％had stress symptoms.There were statistically significant differences in the SDS scores of the subjects with different gen-ders,ages,marital statuses,and professional titles,and there were statistically significant differences in the PSS scores of the subjects with different ages,professional titles,and working years(all P<0.05).95.4％of the subjects had job burn-out,among which 20.5％had mild job burnout,69.5％had moderate job burnout,and 10.0％had severe job burnout.There were statistically significant differences in the job burnout levels of the subjects with different genders and positions(all P<0.05).Spearman correlation analysis showed that anxiety,depression and stress were all positively correlated with job burnout(r=0.345,0.327,and 0.348,respectively;all P<0.01),anxiety and depression were both positively corre-lated with stress(r=0.555,0.247,respectively;all P<0.01),and anxiety was positively correlated with depression(r=0.614,P<0.01).The results of path analysis showed that stress had a direct positive impact on anxiety,depression and job burnout(β=0.586,0.192,0.235 respectively;all P<0.01),depression had a direct positive impact on job burnout(β=0.217,P<0.01),and both anxiety and stress had direct positive effects on depression(β=0.685,0.192,respective-ly;both P<0.001).Conclusions The incidence of job burnout among medical workers is relatively high.Work stress is the cause of anxiety,depression and job burnout among medical staff.It can directly affect the formation of job burnout among medical staff,and can also indirectly cause the occurrence of job burnout through negative emotions such as anxiety and depression.