Mediating effects of mindfulness level on resilience and symptoms of anxiety and depression among healthcare workers
Objective To examine the mediating effects of mindfulness level on resilience and symptoms of anxiety and depression among healthcare workers,so as to provide the reference for developing effective psychological intervention.Methods The clinical doctors,nurses and public health professionals were selected using the stratified random cluster sampling method from hospitals,disease prevention and control centers,and health departments in five cities in Shan-dong Province,including Qingdao,Jinan,Rizhao,Jining and Liaocheng in January 2023.Basic information,mindfulness level,resilience and symptoms of anxiety and depression among healthcare workers were collected using general demo-graphic questionnaires,the 5-item Mindful Attention Awareness Scale,10-item Connor-Davidson Resilience Scale,Gen-eralized Anxiety Disorder Scale and Patient Health Questionnaire,respectively.The Process program was used to ana-lyze the mediating effects of mindfulness level on resilience and symptoms of anxiety and depression.Results A total of 1836 healthcare workers were investigated,including 472 males (25.71%) and 1364 females (74.29%),and the me-dian age was 39 (interquartile range,12) years.There were 629 clinical doctors (34.26%),963 nurses (52.45%) and 244 public health professionals (13.29%).The median scores of mindfulness level and resilience were 22 (interquartile range,7) and 20 (interquartile range,4) points,respectively.The detection rates of anxiety and depression symptoms were 49.78% and 72.28%,respectively.The mediation analysis showed that mindfulness level exerted a partial mediat-ing effect between resilience and anxiety symptoms (β=-0.510,P<0.001),with a direct effect value of-0.130 and a me-diating effect value of-0.046,and the mediating effect accounted for 26.14% of the total effect;mindfulness level also exerted a partial mediating effect between resilience and depression symptoms (β=-0.575,P<0.001),with a direct effect value of-0.120 and a mediating effect value of-0.052,and the mediating effect accounted for 30.23% of the total ef-fect.Conclusion Mindfulness level plays a mediating effect between resilience and symptoms of anxiety and depression among healthcare workers.
healthcare workermindfulness levelresilienceanxiety and depressionmediating effect