Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study

ObjectiveWorkplace violence (WPV) poses a serious occupational risk. This study aims to explore the association between WPV from patients and the occurrence of insomnia, depression, and anxiety among healthcare workers.MethodsInformation about the WPV from patients was collected by a self-designed q...

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Main Authors: Ying Zheng, Xuping Li, Yajun Sun, Chun Mao, Jiaju Huang, Jingya Li, Guangchuan Zhang, Ning Wei, Xiaohui Wang, Yongyong Teng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1441389/full
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author Ying Zheng
Xuping Li
Yajun Sun
Yajun Sun
Chun Mao
Chun Mao
Jiaju Huang
Jiaju Huang
Jingya Li
Guangchuan Zhang
Guangchuan Zhang
Ning Wei
Ning Wei
Xiaohui Wang
Xiaohui Wang
Yongyong Teng
Yongyong Teng
author_facet Ying Zheng
Xuping Li
Yajun Sun
Yajun Sun
Chun Mao
Chun Mao
Jiaju Huang
Jiaju Huang
Jingya Li
Guangchuan Zhang
Guangchuan Zhang
Ning Wei
Ning Wei
Xiaohui Wang
Xiaohui Wang
Yongyong Teng
Yongyong Teng
author_sort Ying Zheng
collection DOAJ
description ObjectiveWorkplace violence (WPV) poses a serious occupational risk. This study aims to explore the association between WPV from patients and the occurrence of insomnia, depression, and anxiety among healthcare workers.MethodsInformation about the WPV from patients was collected by a self-designed questionnaire. Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Insomnia Severity Index (ISI) were used for the assessment of mental health. Logistic regression was used to explore the association between WPV from patients and insomnia, depression, and anxiety. Mediation analysis was used to evaluate the mediation effect of depression and anxiety on the relationships between WPV from patients and insomnia.ResultsOf 10,413 included healthcare workers, 40.05% experienced verbal violence, 6.44% experienced physical violence from patients in the past year. There is a significant association between verbal violence and insomnia (OR = 1.780, 95% CI: 1.591–1.990), depression (OR = 1.823, 95% CI: 1.640–2.026), and anxiety (OR = 1.831, 95% CI: 1.606–2.087), as well as physical violence (insomnia: OR = 1.220, 95% CI: 1.002–1.481; depression: OR = 1.274, 95% CI: 1.052–1.540; anxiety: OR = 1.316, 95% CI: 1.058–1.630). Moreover, depression and anxiety mediated the relationship between WPV and insomnia, the mediated proportion was 62.21% in the association between verbal violence and insomnia, and 60.22% in the association between physical violence and insomnia.ConclusionsThe association between WPV from patients and heightened risks of mental health issues emphasizes the necessity of supportive work environments. Recognizing the mediating role of depression and anxiety stresses the significance of tailored mental health training for healthcare staff.
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spelling doaj-art-36884189f7b845f5bd0219cd4e7c33d82025-01-07T06:47:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14413891441389Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional studyYing Zheng0Xuping Li1Yajun Sun2Yajun Sun3Chun Mao4Chun Mao5Jiaju Huang6Jiaju Huang7Jingya Li8Guangchuan Zhang9Guangchuan Zhang10Ning Wei11Ning Wei12Xiaohui Wang13Xiaohui Wang14Yongyong Teng15Yongyong Teng16Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaXiangya School of Public Health, Central South University, Changsha, Hunan, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaXiangya School of Public Health, Central South University, Changsha, Hunan, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaThe Third People's Hospital of Zhuhai, Zhuhai, Guangdong, ChinaZhuhai Mental Health Association, Zhuhai, Guangdong, ChinaObjectiveWorkplace violence (WPV) poses a serious occupational risk. This study aims to explore the association between WPV from patients and the occurrence of insomnia, depression, and anxiety among healthcare workers.MethodsInformation about the WPV from patients was collected by a self-designed questionnaire. Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Insomnia Severity Index (ISI) were used for the assessment of mental health. Logistic regression was used to explore the association between WPV from patients and insomnia, depression, and anxiety. Mediation analysis was used to evaluate the mediation effect of depression and anxiety on the relationships between WPV from patients and insomnia.ResultsOf 10,413 included healthcare workers, 40.05% experienced verbal violence, 6.44% experienced physical violence from patients in the past year. There is a significant association between verbal violence and insomnia (OR = 1.780, 95% CI: 1.591–1.990), depression (OR = 1.823, 95% CI: 1.640–2.026), and anxiety (OR = 1.831, 95% CI: 1.606–2.087), as well as physical violence (insomnia: OR = 1.220, 95% CI: 1.002–1.481; depression: OR = 1.274, 95% CI: 1.052–1.540; anxiety: OR = 1.316, 95% CI: 1.058–1.630). Moreover, depression and anxiety mediated the relationship between WPV and insomnia, the mediated proportion was 62.21% in the association between verbal violence and insomnia, and 60.22% in the association between physical violence and insomnia.ConclusionsThe association between WPV from patients and heightened risks of mental health issues emphasizes the necessity of supportive work environments. Recognizing the mediating role of depression and anxiety stresses the significance of tailored mental health training for healthcare staff.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1441389/fullworkplace violencepatientdepressioninsomniahealthcare worker
spellingShingle Ying Zheng
Xuping Li
Yajun Sun
Yajun Sun
Chun Mao
Chun Mao
Jiaju Huang
Jiaju Huang
Jingya Li
Guangchuan Zhang
Guangchuan Zhang
Ning Wei
Ning Wei
Xiaohui Wang
Xiaohui Wang
Yongyong Teng
Yongyong Teng
Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
Frontiers in Public Health
workplace violence
patient
depression
insomnia
healthcare worker
title Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
title_full Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
title_fullStr Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
title_full_unstemmed Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
title_short Association between workplace violence from patients and the mental health status of healthcare workers in Zhuhai China: a cross-sectional study
title_sort association between workplace violence from patients and the mental health status of healthcare workers in zhuhai china a cross sectional study
topic workplace violence
patient
depression
insomnia
healthcare worker
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1441389/full
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