医学新知2026，Vol.36Issue(4)：368-377,中插1-中插5,15.DOI:10.12173/j.issn.1004-5511.202511041
社会工作者职业倦怠和抑郁共病核心症状的网络分析
Network analysis of core symptoms of comorbidity between burnout and depression in social workers
摘要
Abstract
Objective To explore the network structure of burnout and depressive symptoms among social workers and provide evidence for the construction of a precise symptom management program.Methods This study used baseline data from the China Social Work Longitudinal Study(CSWLS).The survey included basic information,burnout,and depressive symptoms.Regularized partial correlation network(R-PCN)and directed acyclic graph(DAG)were used to construct the network.Results A total of 6,448 social workers were included in the study.The detection rates of burnout and depressive symptoms were 32.04%and 21.00%,respectively.In the network of burnout and depressive symptom dimensions,the dimension with the highest expected influence(EI)was"emotional exhaustion",and the dimension with the highest bridge expected influence(BEI)was"interpersonal relationships".The symptom items exhibiting the highest EI in the depression and burnout network were CESD-19("I feel that people don't like me")and B-7("I feel that my work is exhausting");those with the highest BEI were CESD-20("I feel unable to continue living")and B-9("I feel that service recipients will attribute the problems they should face to me").The exploratory analysis of DAG suggested the conditional,directional,and dependent relationships between burnout and specific depressive dimensions(such as emotional exhaustion and depressive emotions,depersonalization and interpersonal relationships).Conclusion The network analysis of burnout and depressive symptoms among social workers shows that"emotional exhaustion"is the primary core node,and"interpersonal relationships"is the key bridging symptom.Close attention to these nodes may be crucial for preventing burnout and depression among social workers.关键词
社会工作者/职业倦怠/抑郁/症状/网络分析Key words
Social workers/Burnout/Depression/Symptoms/Network analysis分类
医药卫生引用本文复制引用
张晓瑞,王漪洁,孟玲慧..社会工作者职业倦怠和抑郁共病核心症状的网络分析[J].医学新知,2026,36(4):368-377,中插1-中插5,15.基金项目
首都卫生发展科研专项项目(首发2024-1G-2121) （首发2024-1G-2121）
高层次公共卫生技术人才建设项目(学科带头人-03-17) （学科带头人-03-17）
