The Moderation of Satisfaction with Working Conditions in the Association Between Workload and Mental Health Among Healthcare Workers Collecting Test Samples in the Post-COVID-19 Era

Overview

Journal Front Public Health

Specialty Public Health

Date 2023 Jun 26

PMID 37361146

Authors

Kehui Wang

Bin Yang

Cuiping Wu

Lianxue Zheng

Affiliations

Soon will be listed here.

Abstract

Background: This study aimed to examine the associations between workload and satisfaction with working conditions and mental health (i.e., anxiety disorder, depression, and somatization) of healthcare workers collecting test samples during the local outbreaks of COVID-19, and explore satisfaction with working conditions as a moderator of these relationships.

Methods: A total of 1,349 participants were obtained via an online survey in Zhengzhou, Henan Province, China. Multivariate regression was used to assess the associations between workload and satisfaction with working conditions and anxiety disorder, depression, and somatization. The simple slope analysis and Johnson-Neyman technique were used to assess the effect value and change trend of the moderator.

Results: The prevalence of anxiety disorder, depression, and somatization were 8.6, 6.9, and 19.2% of healthcare workers collecting test samples, respectively. High levels of workload were associated with an increased risk of an anxiety disorder (OR = 1.81, 95%CI = 1.17-2.78), depression (OR = 1.92, 95%CI = 1.19-3.10), and somatization (OR = 1.90, 95%CI = 1.40-2.57), while high satisfaction of working conditions was associated with a reduction in the risk of these outcomes, and ORs (95%CI) were 0.35 (0.20-0.64), 0.27 (0.13-0.56), and 0.32 (0.21-0.48), respectively. The findings also indicated that a weaker association between workload and anxiety disorder, as well as depression and somatization, has been reported in those with a high level of satisfaction with working conditions.

Conclusion: Workload significantly increased the risk of healthcare workers suffering from psychological problems, while satisfaction with working conditions alleviated these negative effects, and effective resource support was crucial for healthcare workers.

Citing Articles

Psychological status and related factors of resident physicians during the release of COVID-19 pandemic restrictions in China.

Zhang Q, Pan R, Pan Q, Qian Y, Zhou X, Chen Q Front Public Health. 2024; 12:1322742.

PMID: 38694979 PMC: 11061888. DOI: 10.3389/fpubh.2024.1322742.

References

Badawi G, Page V, Smith K, Gariepy G, Malla A, Wang J . Self-rated health: a predictor for the three year incidence of major depression in individuals with Type II diabetes. J Affect Disord. 2012; 145(1):100-5. DOI: 10.1016/j.jad.2012.07.018. View

Joyce K, Pabayo R, Critchley J, Bambra C . Flexible working conditions and their effects on employee health and wellbeing. Cochrane Database Syst Rev. 2010; (2):CD008009. PMC: 7175959. DOI: 10.1002/14651858.CD008009.pub2. View

Alghamdi M . Nursing workload: a concept analysis. J Nurs Manag. 2016; 24(4):449-57. DOI: 10.1111/jonm.12354. View

ZUNG W . A rating instrument for anxiety disorders. Psychosomatics. 1971; 12(6):371-9. DOI: 10.1016/S0033-3182(71)71479-0. View

Too L, Leach L, Butterworth P . Cumulative impact of high job demands, low job control and high job insecurity on midlife depression and anxiety: a prospective cohort study of Australian employees. Occup Environ Med. 2020; . DOI: 10.1136/oemed-2020-106840. View

Weigl M, Stab N, Herms I, Angerer P, Hacker W, Glaser J . The associations of supervisor support and work overload with burnout and depression: a cross-sectional study in two nursing settings. J Adv Nurs. 2016; 72(8):1774-88. DOI: 10.1111/jan.12948. View

Huang Y, Zhao N . Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020; 288:112954. PMC: 7152913. DOI: 10.1016/j.psychres.2020.112954. View

Allan B, Dexter C, Kinsey R, Parker S . Meaningful work and mental health: job satisfaction as a moderator. J Ment Health. 2016; 27(1):38-44. DOI: 10.1080/09638237.2016.1244718. View

Dunstan D, Scott N . Norms for Zung's Self-rating Anxiety Scale. BMC Psychiatry. 2020; 20(1):90. PMC: 7048044. DOI: 10.1186/s12888-019-2427-6. View

10.

Bakker A, Demerouti E, Euwema M . Job resources buffer the impact of job demands on burnout. J Occup Health Psychol. 2005; 10(2):170-80. DOI: 10.1037/1076-8998.10.2.170. View

11.

Courtright S, McCormick B, Postlethwaite B, Reeves C, Mount M . A meta-analysis of sex differences in physical ability: revised estimates and strategies for reducing differences in selection contexts. J Appl Psychol. 2013; 98(4):623-41. DOI: 10.1037/a0033144. View

12.

Hayes A, Matthes J . Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behav Res Methods. 2009; 41(3):924-36. DOI: 10.3758/BRM.41.3.924. View

13.

Moreno Martinez M, Fernandez-Cano M, Feijoo-Cid M, Llorens Serrano C, Navarro A . Health outcomes and psychosocial risk exposures among healthcare workers during the first wave of the COVID-19 outbreak. Saf Sci. 2021; 145:105499. PMC: 8443331. DOI: 10.1016/j.ssci.2021.105499. View

14.

Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N . Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag. 2020; 28(5):1002-1009. PMC: 7262235. DOI: 10.1111/jonm.13014. View

15.

Zhou Y, Wang W, Sun Y, Qian W, Liu Z, Wang R . The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned. J Affect Disord. 2020; 277:510-514. PMC: 7448730. DOI: 10.1016/j.jad.2020.08.059. View

16.

Faragher E, Cass M, Cooper C . The relationship between job satisfaction and health: a meta-analysis. Occup Environ Med. 2005; 62(2):105-12. PMC: 1740950. DOI: 10.1136/oem.2002.006734. View

17.

Huang C, Xie X, Cheung S, Zhou Y . Job Demands and Resources, Positive and Negative Affect, and Psychological Distress of Social Workers in China. Front Psychiatry. 2022; 12:752382. PMC: 8803745. DOI: 10.3389/fpsyt.2021.752382. View

18.

Mosheva M, Hertz-Palmor N, Dorman Ilan S, Matalon N, Pessach I, Afek A . Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic. Depress Anxiety. 2020; 37(10):965-971. PMC: 7436709. DOI: 10.1002/da.23085. View

19.

Adriaenssens J, De Gucht V, Maes S . Causes and consequences of occupational stress in emergency nurses, a longitudinal study. J Nurs Manag. 2013; 23(3):346-58. DOI: 10.1111/jonm.12138. View

20.

Gold J . Covid-19: adverse mental health outcomes for healthcare workers. BMJ. 2020; 369:m1815. DOI: 10.1136/bmj.m1815. View