Is COVID-19 related workload related to Chinese social workers’ mental health? A moderated mediation model of compassion burnout and emotional regulation
Restricted accessResearch articleFirst published online November, 2024
Is COVID-19 related workload related to Chinese social workers’ mental health? A moderated mediation model of compassion burnout and emotional regulation
COVID-19-related workload is a significant determinant of social worker mental health, with limited exploration of the underlying mechanisms. This study investigates the mediating role of compassion burnout and the moderating effect of emotional regulation among 1023 Chinese social workers. Compassion burnout partially mediates the COVID-19 workload–depression relationship, while emotional regulation moderates this link and the impact of compassion burnout on depression. Notably, social workers with higher emotional regulation exhibit reduced susceptibility. This research advances our understanding of the COVID-19 workload’s impact on mental health and offers policy and organizational-level recommendations for safeguarding Chinese social workers’ well-being.
AguiarJMatiasMBrazAC, et al. (2021) Parental burnout and the COVID-19 pandemic: How Portuguese parents experienced lockdown measures. Family Relations70(4): 927–938.
2.
AgyapongBObuobi-DonkorGBurbackL, et al. (2022) Stress, burnout, anxiety, and depression among teachers: A scoping review. International Journal of Environmental Research and Public Health19(17): 10706.
3.
AndresenEMMalmgrenJACarterWB, et al. (1994) Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine10(2): 77–84.
4.
Arimon-PagèsETorres-Puig-GrosJFernández-OrtegaP, et al. (2019) Emotional impact and compassion fatigue in oncology nurses: Results of a multicentre study. European Journal of Oncology Nursing43: 101666.
5.
BakkerABDemeroutiE (2007) The job demands-resources model: State of the art. Journal of Managerial Psychology22: 309–328.
6.
BakkerABDemeroutiE (2017) Job demands-resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology22(3): 273–285.
7.
BarnettMDHaysKNCantuC (2022) Compassion fatigue, emotional labor, and emotional display among hospice nurses. Death Studies46(2): 290–296.
8.
BatesGWElphinstoneBWhiteheadR (2021) Self-compassion and emotional regulation as predictors of social anxiety. Psychology and Psychotherapy94(3): 426–442.
9.
BenatovJZerachGLevi-BelzY (2022) Moral injury, depression, and anxiety symptoms among health and social care workers during the COVID-19 pandemic: The moderating role of belongingness. International Journal of Social Psychiatry68(5): 1026–1035.
10.
BodenMTThompsonRJ (2015) Facets of emotional awareness and associations with emotion regulation and depression. Emotion15(3): 399–410.
11.
CastellanoEMuñoz-NavarroRToledoMS, et al. (2019) Cognitive processes of emotional regulation, burnout, and work engagement. Psicothema31(1): 73–80.
12.
Chahar MahaliSBeshaiSFeeneyJR, et al. (2020) Associations of negative cognitions, emotional regulation, and depression symptoms across four continents: International support for the cognitive model of depression. BMC Psychiatry20(1): 18.
13.
ChanCLLeungJCMinJ, et al. (2020) China: From Ideological Focused Education to Professional Social Work Education (The Palgrave Handbook of Global Social Work Education). Cham: Palgrave Macmillan.
14.
ChatterjeeSSBhattacharyyaRBhattacharyyaS, et al. (2020) Attitude, practice, behavior, and mental health impact of COVID-19 on doctors. Indian Journal of Psychiatry62(3): 257–265.
15.
ChoiSKangYYeoK (2021) Effect of a Protestant work ethic on burnout: Mediating effect of emotional dissonance and moderated mediating effect of negative emotion regulation. Sustainability13(11): 5909.
16.
Da RosaPBrownRPravecekB, et al. (2021) Factors associated with nurses’ emotional distress during the COVID-19 pandemic. Applied Nursing Research62: 151502.
17.
DaviesHCheungM (2022) COVID-19 and first responder social workers: An unexpected mental health storm. Social Work67(2): 114–122.
18.
DemeroutiEBakkerAB (2011) The Job Demands-Resources model: Challenges for future research. IEEE Electrical Insulation Magazine37(2): a974.
19.
DeweP (1997) The transactional model of stress: Some implications for stress management programs. Asia Pacific Journal of Human Resources35(2): 41–51.
20.
Dixon-GordonKLTurnerBJZachary RosenthalM, et al. (2017) Emotion regulation in borderline personality disorder: An experimental investigation of the effects of instructed acceptance and suppression. Behavior Therapy48(6): 750–764.
21.
DruryVCraigieMFrancisK, et al. (2014) Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results. Journal of Nursing Management22(4): 519–531.
22.
FaustinoBVascoABSilvaAN, et al. (2020) Relationships between emotional schemas, mindfulness, self-compassion and unconditional self-acceptance on the regulation of psychological needs. Research in Psychotherapy23(2): 442.
23.
García-BatistaZEGuerra-PeñaKNouri KandanyV, et al. (2021) COVID-19 pandemic and health worker stress: The mediating effect of emotional regulation. PLoS ONE16(11): e0259013.
24.
GiacamanRRabaiaYNguyen-GillhamV, et al. (2011) Mental health, social distress and political oppression: The case of the occupied Palestinian territory. Global Public Health6(5): 547–559.
25.
GoldenbergAHalperinEVan ZomerenM, et al. (2016) The process model of group-based emotion: Integrating intergroup emotion and emotion regulation perspectives. Personality and Social Psychology Review20(2): 118–141.
26.
GolombekKLidleLTuschen-CaffierB, et al. (2020) The role of emotion regulation in socially anxious children and adolescents: A systematic review. European Child & Adolescent Psychiatry29(11): 1479–1501.
27.
GreeneTHarju-SeppänenJAdenijiM, et al. (2021) Predictors and rates of PTSD, depression and anxiety in UK frontline health and social care workers during COVID-19. European Journal of Psychotraumatology12(1): 1882781.
28.
GrossJJ (1998) Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology74(1): 224–237.
29.
GrossJJ (2002) Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology39(3): 281–291.
30.
HayesAF (2013) An Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York: Guilford Press.
31.
HegneyDGCraigieMHemsworthD, et al. (2014) Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Study 1 results. Journal of Nursing Management22(4): 506–518.
32.
HoHCYChuiOSChanYC (2022) When pandemic interferes with work: Psychological capital and mental health of social workers during COVID-19. Social Work67(4): 311–320.
33.
HolmesMRRentropeCRKorsch-WilliamsA, et al. (2021) Impact of COVID-19 pandemic on posttraumatic stress, grief, burnout, and secondary trauma of social workers in the United States. Clinical Social Work Journal49(4): 495–504.
34.
İzciSMÇetinkayaB (2022) The effect of work stress, workload and social support on nurses’ self-perceptions of parenting roles during the Covid-19 pandemic. Journal of Nursing Management30(8): 4322–4329.
35.
JasińskiAMDerbisRWalczakR (2021) Workload, job satisfaction and occupational stress in Polish midwives before and during the COVID-19 pandemic. Medycyna Pracy72(6): 623–632.
36.
JiaCXLiJC (2022) Work-family conflict, burnout, and turnover intention among Chinese social workers: The moderating role of work support. Journal of Social Service Research48(1): 12–27.
37.
JiangCJiangS (2022) Effects of adverse childhood experiences on late-life mental health: Potential mechanisms based on a nationally representative survey in China. Archives of Gerontology and Geriatrics100: 104648.
38.
JoMNaHJungYE (2020) Mediation effects of compassion satisfaction and compassion fatigue in the relationships between resilience and anxiety or depression among hospice volunteers. Journal of Hospice & Palliative Nursing22(3): 246–253.
JoubertLHampsonRAcutoR, et al. (2022) Resilience and adaptability of social workers in health care settings during COVID-19 in Australia. Social Work in Health Care61(4): 199–217.
41.
KolthoffKLHickmanSE (2017) Compassion fatigue among nurses working with older adults. Geriatric Nursing38(2): 106–109.
42.
KreitzerLBrintnellSAustinWJ (2019) Institutional barriers to healthy workplace environments: From the voices of social workers experiencing compassion fatigue. The British Journal of Social Work50(7): 1942–1960.
43.
LeungTTYipNMHuangR, et al. (2012) Governmentality and the politicisation of social work in China. The British Journal of Social Work42(6): 1039–1059.
44.
LiYSHanWJHuangCC (2012) Development of social work education in China: Background, current status, and prospects. Journal of Social Work Education48(4): 635–653.
45.
MaHHuangSQWeB, et al. (2022) Compassion fatigue, burnout, compassion satisfaction and depression among emergency department physicians and nurses: A cross-sectional study. BMJ Open12(4): e055941.
46.
MagruderLWilkeDRadeyM, et al. (2022) COVID-19’s social ecological impacts on health and human services worker well-being. Social Work in Public Health37(3): 233–243.
47.
MalhiGSMannJJ (2018) Depression. The Lancet392(10161): 2299–2312.
48.
MarshmanCHansenAMunroI (2022) Compassion fatigue in mental health nurses: A systematic review. Journal of Psychiatric and Mental Health Nursing29(4): 529–543.
49.
MaslachCJacksonSE (1981) The measurement of experienced burnout. Journal of Organizational Behavior2: 99–113.
50.
McFaddenPNeillRDMallettJ, et al. (2022) Mental well-being and quality of working life in UK social workers before and during the COVID-19 pandemic: A propensity score matching study. The British Journal of Social Work52(5): 2814–2833.
51.
MissouridouEMangouliaPPavlouV, et al. (2021) Wounded healers during the COVID-19 syndemic: Compassion fatigue and compassion satisfaction among nursing care providers in Greece. Perspectives in Psychiatric Care58(4): 1421–1432.
52.
MoudatsouMStavropoulouAPhilalithisA, et al. (2020) The role of empathy in health and social care professionals. Healthcare8(1): 26.
53.
NiuDHaugenHØ (2019) Social workers in China: Professional identity in the making. The British Journal of Social Work49(7): 1932–1949.
54.
PadyabMGhazinourMRichterJ (2013) The coping and mental health of Iranian social workers: The impact of client violence. Social Behavior and Personality41(5): 805–814.
55.
PanayiotouGPanteliMVlemincxE (2021) Adaptive and maladaptive emotion processing and regulation, and the case of alexithymia. Cognition and Emotion35(3): 488–499.
56.
PedrazzaMTrifilettiEBerlandaS, et al. (2013) Self-efficacy in social work: Development and initial validation of the self-efficacy scale for social workers. Social Sciences2(3): 191–207.
57.
PeinadoMEAndersonKN (2020) Reducing social worker burnout during COVID-19. International Social Work63(6): 757–760.
58.
PetersCDulonMWestermannC, et al. (2022) Long-term effects of COVID-19 on workers in health and social services in Germany. International Journal of Environmental Research and Public Health19(12): 6983.
59.
Ruiz FernándezMDLirolaMJRamos-PichardoJD, et al. (2021) Emotional intelligence and perceived health related to expressed compassion fatigue: A study in health sector at regional level. Frontiers in Psychology1: 2729624.
60.
Ruiz-FernándezMDRamos-PichardoJDIbáñez-MaseroO, et al. (2020) Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. Journal of Clinical Nursing29(21–22): 4321–4330.
61.
SarosiACoakleyBABermanL, et al. (2021) A cross-sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric surgeons in the U.S. Journal of Pediatric Surgery56(8): 1276–1284.
62.
SevernMSSearchfieldGDHuggardP (2012) Occupational stress amongst audiologists: Compassion satisfaction, compassion fatigue, and burnout. International Journal of Audiology51(1): 3–9.
63.
ShaJTangTShuH, et al. (2022) Emotional intelligence, emotional regulation strategies, and subjective well-being among university teachers: A moderated mediation analysis. Frontiers in Psychology12: 811260.
64.
SiebertDC (2004) Depression in North Carolina social workers: Implications for practice and research. Social Work Research28(1): 30–40.
65.
SinghJKaranika-MurrayMBaguleyT, et al. (2020) A systematic review of job demands and resources associated with compassion fatigue in mental health professionals. International Journal of Environmental Research and Public Health17(19): 6987.
66.
StammBH (2002) Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion satisfaction and fatigue test. In: FigleyCR (ed.) Treating Compassion Fatigue. New York: Brunner-Routledge, pp. 107–119.
67.
TanakaK (2020) Depression-linked beliefs in older adults with depression. Journal of Clinical Nursing29(1–2): 228–239.
68.
ThomasJT (2013) Association of personal distress with burnout, compassion fatigue, and compassion satisfaction among clinical social workers. Journal of Social Service Research39(3): 365–379.
TsaiYHJoeSWChenML, et al. (2016) Assessing team performance: Moderating roles of transactive memory, hyper competition, and emotional regulation. Human Performance29(2): 89–105.
71.
Van OvermeireRVan KeerRLCocquytM, et al. (2021) Compassion fatigue of funeral directors during and after the first wave of COVID-19. Journal of Public Health43(4): 703–709.
72.
VasconcelosEMMartinoMMFFrançaSPS (2018) Burnout and depressive symptoms in intensive care nurses: Relationship analysis. Revista Brasileira de Enfermagem71(1): 135–141.
73.
WagamanMAGeigerJMShockleyC, et al. (2015) The role of empathy in burnout, compassion satisfaction, and secondary traumatic stress among social workers. Social Work60(3): 201–209.
74.
XiaWDefangWXiaoliG, et al. (2022) Compassion satisfaction and compassion fatigue in frontline nurses during the COVID-19 pandemic in Wuhan, China. Journal of Nursing Management30(7): 2537–2548.
75.
YiJKimMAChoiK, et al. (2019) Compassion satisfaction and compassion fatigue among medical social workers in Korea: The role of empathy. Social Work in Health Care58(10): 970–987.
76.
ZhaoYZhaoG (2015) Emotion regulation and depressive symptoms: Examining the mediation effects of school connectedness in Chinese late adolescents. Journal of Adolescence40: 14–23.
77.
ZhuMHeXWangY, et al. (2023) Does macrosocial orientation matter in frontline social workers’ professional identity? Considering the critical factors of social work development in China. International Social Work66(3): 889–903.
