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Front Psychiatry. 2019 Apr 18;10:260. doi: 10.3389/fpsyt.2019.00260. eCollection 2019.

Moderating Effect of Mindfulness on the Relationships Between Perceived Stress and Mental Health Outcomes Among Chinese Intensive Care Nurses.

Lu F1,2, Xu Y1, Yu Y3, Peng L1, Wu T1, Wang T1, Liu B1, Xie J1, Xu S1, Li M1.

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School of Psychology, Army Medical University, Chongqing, China.
School of Nursing, Army Medical University, Chongqing, China.
Department of Sociology, Sichuan International Studies University, Chongqing, China.


This study aimed to explore the potential moderating effect of mindfulness and its facets on the relationships among perceived stress and mental health outcomes (burnout, depression, anxiety, and subjective well-being) among Chinese intensive care nurses. A total of 500 Chinese intensive care nurses completed self-report measures of mindfulness, burnout syndromes, perceived stress, depression, anxiety, and subjective well-being. Correlation and hierarchical multiple regressions were applied for data analysis. Mindfulness moderated the effects of perceived stress on emotional exhaustion (the core component of burnout syndrome), depression, anxiety, positive affect, and negative affect but not on the other two dimensions of burnout and life satisfaction. Further analyses indicated that the ability to act with awareness was particularly crucial in improving the effects of perceived stress on depression. These results further broaden our understanding of the relationships between perceived stress and burnout, depression, anxiety, and subjective well-being by demonstrating that mindfulness may serve as a protective factor that alleviates or eliminates the negative effects of perceived stress on depression, anxiety, burnout syndrome, and subjective well-being and may instigate further research into targeted mindfulness interventions for Chinese intensive care nurses.


anxiety symptom; burnout syndrome; depressive symptom; intensive care nurses; mindfulness; perceived stress; subjective well-being

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