Co-Occurrence of Depression, Anxiety, and Burnout: A Cross-Sectional Network Analysis.

IF 1.3 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2025-09-01 Epub Date: 2025-08-12 DOI:10.1097/NMD.0000000000001845

Qi-Qi Ge, Ji-Feng Feng, Yan-Jun Liu, Yi-Lin Wu, Ting Hu, Xiao-Na Zhou, Yun-E Liu, Wei Wang

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引用次数: 0

Abstract

Introduction: Discrepancies persist regarding burnout-depression-anxiety relationships in health care workers (HCWs), hindering interventions. This cross-sectional study developed a symptom-level network model to clarify their interconnections.

Methods: Nine hundred ninety-two HCWs completed online surveys assessing depression, anxiety, and burnout symptoms. A network model was constructed using bridge expected influence (BEI) to identify central symptoms and network comparisons to evaluate work-related stress impacts.

Results: The analysis identified "psychomotor problems" (BEI=0.96, 95% CI [0.78, 1.11]), "irritability" (BEI=0.85, 95% CI [0.68, 1.02]), and "collapse" (BEI=0.78, 95% CI [0.58, 0.99]) as central symptoms. Network comparison revealed no significant differences in the structure of symptom networks among varying levels of stress (global strength in high-stress condition: 13.50; moderate-stress condition: 13.06; S =0.44, p =.17).

Conclusions: Preliminary evidence indicates interventions targeting "psychomotor problems," "irritability," and "collapse" can be applied across varying stress levels. Targeting these symptoms might disrupt cross-diagnostic activation pathways to mitigate comorbidities in HCWs.

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抑郁、焦虑和倦怠共现：一个横断面网络分析。

在卫生保健工作者（HCWs）中，关于倦怠-抑郁-焦虑关系的差异持续存在，阻碍了干预。本横断面研究建立了一个症状水平的网络模型来阐明它们之间的相互联系。方法：992名医护人员完成了评估抑郁、焦虑和倦怠症状的在线调查。本研究采用桥式期望影响（BEI）来识别中心症状，并利用网络比较来评估工作压力的影响。结果：分析确定“精神运动问题”（BEI=0.96, 95% CI[0.78, 1.11]）、“易怒”（BEI=0.85, 95% CI[0.68, 1.02]）和“崩溃”（BEI=0.78, 95% CI[0.58, 0.99]）为中心症状。网络比较显示，不同应激水平的症状网络结构无显著差异(高应激条件下的整体强度：13.50；中等应力状态：13.06；S = 0.44, p =。)。结论：初步证据表明，针对“精神运动问题”、“易怒”和“崩溃”的干预措施可以适用于不同的压力水平。针对这些症状可能会破坏交叉诊断激活途径，以减轻HCWs的合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.