社会工作者职业倦怠和抑郁共病核心症状的网络分析OA
Network analysis of core symptoms of comorbidity between burnout and depression in social workers
目的 探索社会工作者(以下简称"社工")职业倦怠和抑郁症状的网络结构,以期为精准化症状管理方案的构建提供依据.方法 本研究数据来源于中国社会工作动态调查(CSWLS),收集社工基本信息、职业倦怠和抑郁症状等资料.采用正则化偏相关网络(R-PCN)和有向无环图(DAG)构建职业倦怠和抑郁症状网络.结果 研究共纳入CSWLS基线调查的 6 448 名社工,职业倦怠和抑郁症状的检出率分别为 32.04%和 21.00%.社工职业倦怠-抑郁症状维度网络中预期影响(EI)最高的维度为"情绪耗竭";桥预期影响(BEI)最高的维度是"人际关系".抑郁、职业倦怠网络中 EI 最高的症状条目为 CESD-19(我感到人们不喜欢我)和B-7(我感到工作令我筋疲力尽);BEI最高的症状条目为CESD-20(我觉得我无法继续我的生活)、B-9(我觉得服务对象会把他们应该面对的问题归咎于我).DAG 探索性分析结果提示,职业倦怠与特定抑郁维度(如情绪耗竭和抑郁情绪、人格解体和人际关系)之间存在条件性、方向性和依赖性.结论 社工职业倦怠-抑郁症状的网络分析结果显示,"情绪耗竭"是首要核心节点,"人际关系"是关键桥梁症状,密切关注这些节点可能对预防社工职业倦怠和抑郁至关重要.
Objective To explore the network structure of burnout and depressive symptoms among social workers and provide evidence for the construction of a precise symptom management program.Methods This study used baseline data from the China Social Work Longitudinal Study(CSWLS).The survey included basic information,burnout,and depressive symptoms.Regularized partial correlation network(R-PCN)and directed acyclic graph(DAG)were used to construct the network.Results A total of 6,448 social workers were included in the study.The detection rates of burnout and depressive symptoms were 32.04%and 21.00%,respectively.In the network of burnout and depressive symptom dimensions,the dimension with the highest expected influence(EI)was"emotional exhaustion",and the dimension with the highest bridge expected influence(BEI)was"interpersonal relationships".The symptom items exhibiting the highest EI in the depression and burnout network were CESD-19("I feel that people don't like me")and B-7("I feel that my work is exhausting");those with the highest BEI were CESD-20("I feel unable to continue living")and B-9("I feel that service recipients will attribute the problems they should face to me").The exploratory analysis of DAG suggested the conditional,directional,and dependent relationships between burnout and specific depressive dimensions(such as emotional exhaustion and depressive emotions,depersonalization and interpersonal relationships).Conclusion The network analysis of burnout and depressive symptoms among social workers shows that"emotional exhaustion"is the primary core node,and"interpersonal relationships"is the key bridging symptom.Close attention to these nodes may be crucial for preventing burnout and depression among social workers.
张晓瑞;王漪洁;孟玲慧
首都医科大学附属北京安定医院/国家精神疾病医学中心/精神心理疾病国家临床医学研究中心/精神疾病创新药智能研发北京市重点实验室(北京 100088)首都医科大学附属北京安贞医院质控质效部(北京 100029)首都医科大学附属北京安定医院/国家精神疾病医学中心/精神心理疾病国家临床医学研究中心/精神疾病创新药智能研发北京市重点实验室(北京 100088)
医药卫生
社会工作者职业倦怠抑郁症状网络分析
Social workersBurnoutDepressionSymptomsNetwork analysis
《医学新知》 2026 (4)
368-377,中插1-中插5,15
首都卫生发展科研专项项目(首发2024-1G-2121)高层次公共卫生技术人才建设项目(学科带头人-03-17)
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