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Network analysis of core symptoms of comorbidity between burnout and depression in social workers

Published on Apr. 30, 2026Total Views: 13 timesTotal Downloads: 2 timesDownloadMobile

Author: ZHANG Xiaorui 1 WANG Yijie 2 MENG Linghui 1

Affiliation: 1. Beijing Anding Hospital, Capital Medical University, National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders, National Center for Mental Disorders, Beijing 100088, China 2. Department of Quality Control, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

Keywords: Social workers Burnout Depression Symptoms Network analysis

DOI: 10.12173/j.issn.1004-5511.202511041

Reference: Zhang XR, Wang YJ, Meng LH. Network analysis of core symptoms of comorbidity between burnout and depression in social workers[J]. Yixue Xinzhi Zazhi, 2026, 36(4): 368-377. DOI: 10.12173/j.issn.1004-5511.202511041. [Article in Chinese]

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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 was 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.

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