Evidence map›Paper›PMID 41731508›Full record

ArticleBMC health services research2026

The mediating role of psychological resilience in the relationship between health anxiety and burnout among healthcare workers working in closed environments.

Altuğ Çağatay, İbrahim Çakmak

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Altuğ ÇağatayAlmus Vocational School, Office Services and Secretarial Department, Tokat Gaziosmanpaşa University, Tokat, Türkiye. altug.cagatay@gop.edu.tr.ORCID http://orcid.org/0000-0001-7067-5570
İbrahim ÇakmakGraduate Education Institute, Tokat Gaziosmanpaşa University, Tokat, Türkiye.ORCID http://orcid.org/0009-0002-8558-1774

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout is a pervasive problem among healthcare professionals, particularly in high-stress environments where psychological demands and uncertainty are constant. Health anxiety, intensified by occupational stressors and perceived health risks, can increase vulnerability to burnout. However, psychological resilience may serve as a protective mechanism that buffers the impact of anxiety on occupational well-being. This study aimed to examine the mediating role of psychological resilience in the relationship between health anxiety and burnout among healthcare workers.

methodsA cross-sectional, questionnaire-based design was employed. Data were collected from 348 healthcare professionals working in a university hospital in Türkiye. Standardized instruments were used to measure health anxiety, psychological resilience, and burnout. The hypothesized structural model was tested using structural equation modeling (SEM) with maximum likelihood estimation and bias-corrected bootstrapping (5,000 resamples). Model fit was evaluated using multiple indices, including χ²/df, RMSEA, CFI, TLI, and SRMR.

resultsThe final model demonstrated an acceptable fit to the data (χ²/df = 3.83, RMSEA = 0.090, SRMR = 0.066, CFI = 0.89, TLI = 0.86). Health anxiety significantly and positively predicted burnout (β = 0.522, p < .001) and negatively predicted psychological resilience (β = –0.308, p < .001). Psychological resilience negatively predicted burnout (β = –0.210, p < .001). The indirect effect of health anxiety on burnout via resilience was significant (βindirect = 0.065, 95% BC bootstrap CI [0.032, 0.118]), confirming partial mediation. The model explained 38% of the variance in burnout and 9% in psychological resilience.

conclusionsHealth anxiety increases burnout among healthcare professionals, while psychological resilience serves as a partial buffer that mitigates this effect. These findings underscore the importance of enhancing resilience-focused interventions—such as stress management, coping skills, and mindfulness-based training—to protect healthcare workers from the psychological consequences of anxiety and emotional exhaustion. Future research should employ longitudinal designs and cross-cultural samples to validate these relationships and inform evidence-based mental health policies in healthcare institutions. This study highlights the importance of resilience-based interventions for sustaining the psychological well-being of healthcare professionals.

Indexed as

AnxietyBurnout, ProfessionalHealth PersonnelResilience, PsychologicalAdultCross-Sectional StudiesFemaleFinlandHospitals, UniversityHumansMaleMiddle AgedSurveys and QuestionnairesBurnoutHealth anxietyHealthcare professionalsMediationPsychological resilienceStructural equation modeling

Identifiers

PMID41731508
PMCPMC13037247

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.