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General psychiatry
2018;31 (1): e000004.

Work-family conflict and job burn-out among Chinese doctors: the mediating role of coping styles.

Ling Chen, Junjun Liu, Hailong Yang, Hui Ma, Hui Wang, Yun Huang, Hao Cheng, Dianzhen Tang, Miao Liu, Houyuan Luo, Haitao Qu, Diwen Shen, Ning Zhang
Author Information
  1. Ling Chen: Department of Clinical Psychology, Jiangsu Province Geriatric Institute, Nanjing, China.
  2. Junjun Liu: Department of Psychiatry, Nanjing Meishan Hospital, Nanjing, China.
  3. Hailong Yang: Department of Clinical Psychology, Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, China.
  4. Hui Ma: Department of Clinical Psychology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
  5. Hui Wang: Department of Neurology Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China.
  6. Yun Huang: Medical Insurance Audit Department, Medical Insurance Management and Service Bureau, Hangzhou, China.
  7. Hao Cheng: Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China.
  8. Dianzhen Tang: Customer Service Department, Tuniu Corporation, Nanjing, China.
  9. Miao Liu: College of Education, Weifang University of Science and Technology, Huaifang, China.
  10. Houyuan Luo: Department of Educational Psychology, University of Alberta, Edmonton, Alberta, Canada.
  11. Haitao Qu: Institute of Health Management, Jiangsu Jiankang Vocational College, Nanjing, China.
  12. Diwen Shen: Department of Psychiatry, Nanjing Meishan Hospital, Nanjing, China.
  13. Ning Zhang: Department of Clinical Psychology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
PMID: 30582114 DOI: 10.1136/gpsych-2018-000004

Abstract

BACKGROUND: Burn-out among doctors threatens their own health, and that of their patients. To identify risk factors of the doctor burn-out is vital to improving their health and increasing the quality of healthcare services. This study aims to explore the relationship between work-family conflict (WFC) and burn-out among Chinese doctors and the mediating role of coping styles in this relationship.
METHODS: A cross-sectional survey was conducted in China, with a questionnaire packet which consisted of the Chinese Maslach Burnout Inventory (CMBI), WFC Scale and the Simplified Coping Style Questionnaire (SCSQ). A total of 2530 doctors participated in the survey. Correlation analysis was performed to explore the relationship between CMBI, WFC and SCSQ scores. A linear regression model was set to determine the mediating role of coping styles on the relationship between WFC and burn-out.
RESULTS: Doctors who had higher scores on work interfering with family conflict, reported more emotional exhaustion (r=0.514, P<0.001) and had a sense of accomplishment (r=-0.149, P<0.001). Simultaneously, family interfering with work (FIW) was positively associated with all dimensions of burn-out (r=0.213, 0.504, 0.088, respectively, P<0.001). Coping styles had partial, complete and even mediating effects on the relationship between WFC and burn-out among Chinese doctors.
CONCLUSIONS: WFC was correlated with burn-out, and coping style was a mediator in this relationship among Chinese doctors. Coping style was a positive resource against burn-out.

Keywords

Chinese doctors Chinese maslach burnout inventory burnout coping style work-family conflict

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