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. 2023 Jun 5:16:2045-2057.
doi: 10.2147/PRBM.S411098. eCollection 2023.

Associations Between Workplace Violence and Mental Health Among Chinese Health Technicians: A Moderated Mediation Analysis of Sleep Quality and Physical Activity

Qixiu Li  1   2 , Wenhua Jing  3 , Zhen Wei  1   2 , Yifan Wang  1   2 , Long Sun  1   2
Affiliations

Associations Between Workplace Violence and Mental Health Among Chinese Health Technicians: A Moderated Mediation Analysis of Sleep Quality and Physical Activity

Qixiu Li et al. Psychol Res Behav Manag. .

Abstract

Background: Workplace violence (WPV) had always been the focus of attention in all walks of lives, especially in the health fields. Previous studies had shown it adversely affected mental health for healthcare workers. In addition, both sleep quality and physical activity were supported to have impact on mental health. However, the mechanism of sleep quality and physical activity influence the association between WPV and mental health had not been explored, so the purpose of this paper was to explore this mechanistic link among workplace violence, sleep quality, physical activity, and mental health in Chinese health technicians.

Methods: Cross-sectional study was conducted in 3 cities of China, totally 3426 valid questionnaires were collected. WPV, physical activity, and social-demographic variables were evaluated. The Pittsburgh Sleep Quality Index and the Kessler Psychological Distress Scale were used to measure sleep quality and mental health. Descriptive analysis, univariate analysis, Pearson correlation, and moderated mediation analysis were used to estimate prevalence of WPV, association between WPV and mental health, and the role of sleep quality and physical activity on association between WPV and mental health.

Results: The prevalence of WPV was 52.2% among Chinese health technicians. After controlling social-demographic and work-related variables, sleep quality partially mediated the effect of WPV on mental health (indirect effect=0.829). Physical activity moderated the relationship between WPV and sleep quality (β=0.235, p=0.013), but not find the moderating role between WPV and mental health (β=0.140, p=0.474), and between sleep quality and mental health (β=0.018, p=0.550).

Conclusion: The rate of WPV among health technicians remained at an alarming level. Sleep quality and physical activity could mitigate the adverse effect of WPV on mental health. In the future, we could improve sleep quality and encourage health technicians to engage physical activity to decrease the negative effect of WPV on mental health.

Keywords: mental health; physical activity; sleep quality; workplace violence.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The conceptual framework of the moderated mediation model.
Figure 2
Figure 2
Output model of sleep quality mediation.
Figure 3
Figure 3
Mediation diagram with moderating effect.
See this image and copyright information in PMC

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References

    1. Lu L, Dong M, Wang SB, et al. Prevalence of Workplace Violence Against Health-Care Professionals in China: a Comprehensive Meta-Analysis of Observational Surveys. Trauma Violence Abuse. 2020;21(3):498–509. doi:10.1177/1524838018774429 - DOI - PubMed
    1. Lu L, Lok KI, Zhang L, et al. Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China. Arch Psychiatr Nurs. 2019;33(5):68–72. doi:10.1016/j.apnu.2019.07.002 - DOI - PubMed
    1. Magnavita N. Workplace violence and occupational stress in healthcare workers: a chicken-and-egg situation-results of a 6-year follow-up study. J Nurs Scholarsh. 2014;46(5):366–376. doi:10.1111/jnu.12088 - DOI - PubMed
    1. Li X, Wu H. Does psychological capital mediate between workplace violence and depressive symptoms among doctors and nurses in Chinese general hospitals? Psychol Res Behav Manag. 2021;14:199–206. doi:10.2147/PRBM.S293843 - DOI - PMC - PubMed
    1. Tong C, Cui C, Li Y, Wang L. The effect of workplace violence on depressive symptoms and the mediating role of psychological capital in Chinese township general practitioners and nurses: a cross-sectional study. Psychiatry Investig. 2019;16(12):896–903. doi:10.30773/pi.2019.0095 - DOI - PMC - PubMed