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Jan 22, 2015;15 20.

Factors related to health-related quality of life among Chinese psychiatrists: occupational stress and psychological capital.

Chuan Liu, Lie Wang, Qun Zhao
Author Information
  1. Chuan Liu: Department of Social Medicine, School of public health, China Medical University, No.92 North second road, Heping District, Shenyang, 110001, China. vliuchuan2012@163.com.
  2. Lie Wang: Department of Social Medicine, School of public health, China Medical University, No.92 North second road, Heping District, Shenyang, 110001, China. liewang@mail.cmu.edu.cn.
  3. Qun Zhao: Department of Social Medicine, School of public health, China Medical University, No.92 North second road, Heping District, Shenyang, 110001, China. zhaoqun@cmu.edu.cn.
PMID: 25609081 DOI: 10.1186/s12913-015-0677-7

Abstract

BACKGROUND: Psychiatry has been considered as one of the most stressful medical specialities, and psychiatrists are likely to experience impaired health-related quality of life (HRQOL). However, few studies are available in regard to related factors of HRQOL among psychiatrists in China. This study aims to evaluate the condition of HRQOL of psychiatrists and explore its predictive factors, especially the effects of occupational stress and psychological capital.
METHODS: A cross-sectional, multicenter survey was conducted among psychiatrists from different regions of Liaoning province, China, during August 2013-April 2014. Self-administrated questionnaires including the 36-item Short-Form Health Survey (SF-36), the Chinese version Psychological Capital Questionnaire, effort-reward-imbalance (ERI) scale and participants' basic characteristics were distributed to 500 psychiatrists from 10 psychiatric hospitals of 8 major cities in Liaoning province. Overall, 373 psychiatrists became our final research objects. Hierarchical multiple regression analysis (HMR) was performed to explore the predictors of psychiatrists' HRQOL.
RESULTS: The mean (SD) scores of PCS and MCS among psychiatrists were 79.78 (16.55) and 71.50 (19.24) respectively. The mean (SD) of ERR were 0.777 (0.493), and 89 (23.9%) had ERR scores above 1 (ERR > 1). Hierarchical multiple regression analysis showed that, psychiatrists' basic characteristics that significant correlated with PCS and MCS were educational level, turnover intention, and exercise; age, weekly working hours were associated with MCS; psychiatrists' experienced occupational stress (both ERR and overcommitment), and PsyCap were significant predictors for PCS and MCS.
CONCLUSIONS: Chinese psychiatrists experienced relatively good physical QOL but impaired mental QOL, and they experienced high level of occupational stress. For the sake of psychiatrists' HRQOL, the reduction of occupational stress should be implemented. The enhancement of PsyCap could be a new intervention strategy and should be paid attention to in improving HRQOL of psychiatrists. Proportionate occupational reward (money, esteem, career opportunities) to their high work demands, psychological counseling, and stress management courses should be provided to psychiatrists to improve their QOL. PsyCap, as a personal coping resource open to change, should be managed and developed among psychiatrists.

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MeSH Term

Adaptation, Psychological
Adult
Asian People
China
Cross-Sectional Studies
Female
Health Status
Humans
Male
Mental Disorders
Middle Aged
Multivariate Analysis
Occupational Health
Psychiatry
Quality of Life
Regression Analysis
Reward
Stress, Psychological
Surveys and Questionnaires
Young Adult
Journal Article Multicenter Study
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0psychiatristsHRQOLoccupationalstressamongpsychiatrists'MCSpsychologicalChinesePCSERRexperiencedPsyCapQOLimpairedhealth-relatedqualityliferelatedfactorsChinaexplorecapitalLiaoningprovincebasiccharacteristicsHierarchicalmultipleregressionanalysispredictorsmeanSDscores0significantlevelhighBACKGROUND:PsychiatryconsideredonestressfulmedicalspecialitieslikelyexperienceHoweverstudiesavailableregardstudyaimsevaluateconditionpredictiveespeciallyeffectsMETHODS:cross-sectionalmulticentersurveyconducteddifferentregionsAugust2013-April2014Self-administratedquestionnairesincluding36-itemShort-FormHealthSurveySF-36versionPsychologicalCapitalQuestionnaireeffort-reward-imbalanceERIscaleparticipants'distributed50010psychiatrichospitals8majorcitiesOverall373becamefinalresearchobjectsHMRperformedRESULTS:7978165571501924respectively77749389239%1ERR > 1showedcorrelatededucationalturnoverintentionexerciseageweeklyworkinghoursassociatedovercommitmentCONCLUSIONS:relativelygoodphysicalmentalsakereductionimplementedenhancementnewinterventionstrategypaidattentionimprovingProportionaterewardmoneyesteemcareeropportunitiesworkdemandscounselingmanagementcoursesprovidedimprovepersonalcopingresourceopenchangemanageddevelopedFactorspsychiatrists:

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