TY  - JOUR
PY  - 2019//
TI  - Associations of workplace violence and psychological capital with depressive symptoms and burn-out among doctors in Liaoning, China: a cross-sectional study
JO  - BMJ open
A1  - Sui, Guoyuan
A1  - Liu, Guangcong
A1  - Jia, Lianqun
A1  - Wang, Lie
A1  - Yang, Guanlin
SP  - e024186
EP  - e024186
VL  - 9
IS  - 5
N2  - OBJECTIVES: The purpose of this study was to (1) Identify the prevalence of workplace violence among doctors in Liaoning, China. (2) Examine the relationships between workplace violence and psychological capital with depressive symptoms and burn-out in Chinese doctors. <br><br>DESIGN: A quantitative, cross-sectional study. SETTING: Eight hospitals in Liaoning Province were surveyed using a self-reported questionnaire. PARTICIPANTS: The study population comprised 1800 doctors. Ultimately 1392 doctors completed valid questionnaires with a response rate of 77.3%. <br><br>RESULTS: The prevalence of workplace violence was 77.5%. Compared with other types of workplace violence, the prevalence of psychological aggression was the highest (72.7%). Workplace violence (depressive symptoms: <i>β</i>[95% CI]=0.11 [0.06, 0.16]; emotional exhaustion: <i>β</i>[95% CI]=0.18 [0.13, 0.23]; depersonalisation: <i>β</i>[95% CI]=0.17 [0.12, 0.22]) and psychological capital (depressive symptoms: <i>β</i>[95% CI]=-0.32 [-0.37, -0.27]; emotional exhaustion: <i>β</i>[95% CI]=-0.23 [-0.28, -0.18]; depersonalisation: <i>β</i>[95% CI]=-0.23 [-0.28, -0.18]) were associated with depressive symptoms and burn-out. Workplace violence increased the level of depressive symptoms and burn-out by damaging psychological capital (depressive symptoms: a*b=1.61, bias-corrected and accelerated [BCa] 95% CI 1.08 to 2.25; emotional exhaustion: a*b=1.29, BCa 95% CI 0.86 to 1.83; depersonalisation: a*b=0.70, BCa 95% CI 0.45 to 1.00). <br><br>CONCLUSIONS: In China, most doctors will be exposed to workplace violence, especially psychological aggression. A safer work environment and psychological capital development may be considered in prevention and treatment strategies for improving mental health.<br><br>© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2018-024186
ID  - ref1
ER  -