Prevalence and associated factors of depressive symptoms among Chinese doctors: a cross-sectional survey

  • Jia-Na Wang
  • Wei Sun
  • Tie-Shuang Chi
  • Hui Wu
  • Lie Wang
Original Article
First Online:
Received:
Accepted:

Abstract

Objectives

Doctors, the major workforce in hospitals, are doing heavy emotional and physical work which may lead to depressive symptoms. However, in China, few studies are available pertaining to the prevalence and associated factors of depressive symptoms among doctors. The aim of this study was to evaluate the prevalence of depressive symptoms and to explore its associated factors among Chinese doctors in public hospitals.

Methods

This cross-sectional study was performed during the period of September/October 2008. The study population comprised of 1,890 doctors registered and working in the 20 national hospitals in Liaoning province, northeast of China. A questionnaire that comprised depressive symptoms assessed by the Chinese Version of the Center for Epidemiologic Studies Depression Scale (CES-D), demographic factors, work conditions, occupational stress, and coping strategies was distributed to these doctors. A total of 1,488 effective respondents became our subjects (effective response rate 78.7%). Multivariate logistic regression was used to explore the factors related to depressive symptoms.

Results

The prevalence of depressive symptoms among doctors was 65.3%. Multivariate logistic analyses showed that high role insufficiency (OR 2.15, 95% CI 1.66–2.78), worse doctor–patient relationship (OR 2.07, 95% CI 1.62–2.64), having a chronic disease (OR 1.73, 95% CI 1.31–2.27), serious role boundary (OR 1.54, 95% CI 1.21–2.00), and role overload (OR 1.42, 95% CI 1.11–1.81) were positively associated with depressive symptoms; whereas adequate rational coping (OR 0.58, 95% CI 0.45–0.76) and social support (OR 0.75, 95% CI 0.57–0.98) were negatively associated with depressive symptoms.

Conclusions

Most Chinese doctors probably have depressive symptoms. Role insufficiency, doctor–patient relationship, and rational coping seemed to be crucial in relation to depressive symptoms. Efficient interventions such as taking further education course, improving communications with patients, and improving the ability of rational coping should be considered by health administrators aiming at improving the quality of Chinese doctors’ mental health from the view point of depressive symptoms.

Keywords

Depressive symptoms Role insufficiency Doctor–patient relationship Rational coping Doctors 
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Notes

Acknowledgments

The authors would like to thank all the administrators in all selected hospitals who helped to get the written informed consent about the conduct of this survey and to distribute the questionnaires to the subjects.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Jia-Na Wang
    • 1
  • Wei Sun
    • 1
  • Tie-Shuang Chi
    • 1
  • Hui Wu
    • 1
  • Lie Wang
    • 1
  1. 1.Department of Social Medicine, School of Public HealthChina Medical UniversityHeping District, ShenyangPeople’s Republic of China

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