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<p>Mental health among medical staff is a critical concern, particularly in the context of the demanding and often stressful nature of healthcare work. Previous research has underscored the buffering effects of self-esteem on psychological well-being, suggesting that higher self-esteem can mitigate the impact of stressors on mental health outcomes. However, the existing literature has not fully explored the nuances of self-esteem profiles within this population and the mechanisms through which it influences mental health. This study aimed to delineate self-esteem subtypes and assess their associations with depression and anxiety in a healthcare context. A cohort of 1027 medical staff were recruited from various institutions in Beijing, China. A latent profile analysis was performed to identify self-esteem subtypes, and mediation analysis was employed to explore the underlying mechanisms of positive coping styles. Our findings revealed two distinct self-esteem profiles: the low self-esteem group (53.2%) and the high self-esteem group (46.8%). Participants in the low self-esteem group reported significantly higher levels of depression and anxiety compared to those in the high self-esteem group (<i>p</i> &lt; 0.001). Mediation analysis demonstrated that positive coping styles significantly mediated the relationship between self-esteem and symptoms of depression and anxiety within both groups. The identification of two distinct self-esteem profiles highlights the heterogeneity in the psychological landscape of medical staff. Medical staff with lower self-esteem were more vulnerable to depression and anxiety, underscoring the need for targeted intervention strategies. Furthermore, the results underscore the critical role of self-esteem and the mediating effect of positive coping styles on the mental health of medical staff, offering insights for targeted psychological support and intervention strategies. Interventions in healthcare practice could focus on enhancing self-esteem and promoting positive coping styles.</p>

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Do varying levels of self-esteem influence the mental health status of Chinese medical staff? A latent and mediation analysis focused on depression and anxiety

  • 期刊论文

  • 发表日期：

    2025年1月10日

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  • Shuwei Hao,
  • Xueting Zhang

摘要

Mental health among medical staff is a critical concern, particularly in the context of the demanding and often stressful nature of healthcare work. Previous research has underscored the buffering effects of self-esteem on psychological well-being, suggesting that higher self-esteem can mitigate the impact of stressors on mental health outcomes. However, the existing literature has not fully explored the nuances of self-esteem profiles within this population and the mechanisms through which it influences mental health. This study aimed to delineate self-esteem subtypes and assess their associations with depression and anxiety in a healthcare context. A cohort of 1027 medical staff were recruited from various institutions in Beijing, China. A latent profile analysis was performed to identify self-esteem subtypes, and mediation analysis was employed to explore the underlying mechanisms of positive coping styles. Our findings revealed two distinct self-esteem profiles: the low self-esteem group (53.2%) and the high self-esteem group (46.8%). Participants in the low self-esteem group reported significantly higher levels of depression and anxiety compared to those in the high self-esteem group (p < 0.001). Mediation analysis demonstrated that positive coping styles significantly mediated the relationship between self-esteem and symptoms of depression and anxiety within both groups. The identification of two distinct self-esteem profiles highlights the heterogeneity in the psychological landscape of medical staff. Medical staff with lower self-esteem were more vulnerable to depression and anxiety, underscoring the need for targeted intervention strategies. Furthermore, the results underscore the critical role of self-esteem and the mediating effect of positive coping styles on the mental health of medical staff, offering insights for targeted psychological support and intervention strategies. Interventions in healthcare practice could focus on enhancing self-esteem and promoting positive coping styles.