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Does Psychological Capital Mediate Between Workplace Violence and Depressive Symptoms Among Doctors and Nurses in Chinese General Hospitals?

Authors Li X, Wu H

Received 25 November 2020

Accepted for publication 19 January 2021

Published 19 February 2021 Volume 2021:14 Pages 199—206


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Igor Elman

Xiaomeng Li,1,2 Huazhang Wu1

1Department of Health Service Management, China Medical University, Shenyang, Liaoning, 110122, People’s Republic of China; 2Liaoning Academy of Social Sciences, Shenyang, Liaoning, 110032, People’s Republic of China

Correspondence: Huazhang Wu Tel +86-13694129862

Background: Depressive symptoms related to workplace violence (WPV) have been studied and are the main causes of lower psychological and physical well-being and work motivation. Our study aims to examine the prevalence of depressive symptoms and to explore whether psychological capital (PsyCap) mediates the effect of WPV on depressive symptoms in doctors and nurses.
Methods: Participants were recruited from general hospitals in Liaoning, China in 2018. Out of 1218 participants, 1062 (87.2%) completed self-reported questionnaires. Depressive symptoms, WPV and PsyCap were measured by Epidemiologic Studies Depression Scale (CES-D), Workplace Violence Scale (WVS) and Psychological Capital Questionnaire (PCQ), respectively. The related factors of depressive symptoms were investigated by using hierarchical multiple regression in both doctors and nurses.
Results: The mean scores of depressive symptoms were 23.09 ± 8.38 in doctors and 22.33 ± 8.95 in nurses, and there was no significant difference between the scores of these two groups. WPV was positively associated with depressive symptoms (doctors: β=0.349, P< 0.001; nurses: β=0.317, P< 0.001) while PsyCap was negatively associated with depressive symptoms (doctors: β=− 0.101, P< 0.001; nurses: β=− 0.230, P< 0.001). In addition, PsyCap acted as a mediating role between WPV and depressive symptoms in both doctors and nurses.
Conclusion: Both doctors and nurses had serious depressive symptoms. WPV could aggravate depressive symptoms, while PsyCap could aggravate against depressive symptoms. When PsyCap acted as a mediator, WPV had a negative impact on PsyCap, which could increase doctors’ and nurses’ depressive symptoms.

Keywords: doctors, nurses, workplace violence, depressive symptoms, psychological capital

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