Health Problem and Occupational Stress among Chinese Doctors

DOI: 10.4236/cm.2013.41001   PDF   HTML   XML   4,946 Downloads   8,544 Views   Citations


This paper provides an overview of research into mental health problem and occupational stress among Chinese doctors in recent 10 years. It indicates that doctors in general hospitals have worse mental status. Occupational stress comes from over workload, high demanding from patients, occupational risk, effort-reward imbalance and fierce competition for job promotion. For medical staffs battling against severe acute respiratory syndrome (SARS), or working in catastrophic Wenchuan earthquake-affected areas, they have elevated stress and worrying levels of psychological distress. Post-traumatic stress disorder (PTSD) is a common mental health problem among them. The most common diseases the Chinese doctors usually suffered were cervical spondylosis, hyperlipidemia, hypertension, fatty liver and hyperglycemia. It could be important for health administrators to note that mental health appears to be an increasing problem in Chinese doctors and corresponding helping measure should be made.

Share and Cite:

X. Chen, X. Tan and L. Li, "Health Problem and Occupational Stress among Chinese Doctors," Chinese Medicine, Vol. 4 No. 1, 2013, pp. 1-6. doi: 10.4236/cm.2013.41001.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. F. Yu, S. Q. Yao, H. Ding, L. Q. Ma, Y. Yang and Z. H. Wang, “Relationship between Depression Symptoms and Stress in Occupational Populations,” Chinese Journal of Industrial Hygiene and Occupational Diseases, Vol. 24, 2006, pp. 129-133.
[2] J. Li, W. Yang and S. I. Cho, “Gender Differences in Job Strain, Effort Reward Imbalance, and Health Functioning among Chinese Physicians,” Social Science & Medicine, Vol. 62, No. 5, 2007, pp. 1066-1077. doi:10.1016/j.socscimed.2005.07.011
[3] X. J. Feng, “Causes and Respond of Mental Health Problems in the Medical Staff,” Chinese Medicine Modern Distance Education of China, Vol. 8, No. 15, 2010, pp. 152-153.
[4] H. Z. Jia, J. Shan and Y. Zhao, “A Survey on Psychological Status of Medical Staff in Infectious Department in Hengshui,” Chinese Nursing Management, Vol. 11, 2007, pp. 28-29.
[5] L. Tu, X. Q. Zhang, N. Ren and H. Peng, “Current Situation and Analysis of the Medical Staff’S Psychological Health in China,” Medicine & Philosophy, Vol. 30, No. 7, 2009, pp. 44-46.
[6] X. H. Xue, T. L. Zhao and J. G. Hu, “Mental Health of Doctors in General Hospital,” Chinese Journal of Clinical Psychology, Vol. 14, No. 3, 2006, pp. 324-325.
[7] Y. B. Li, W. Zhong and P. Wang, “Study on Mental Health and Correlating Factors of Clinical Doctor vs NonClinical Doctor,” Chinese Journal of Health Psychology, Vol. 13, No. 2, 2005, pp. 94-95.
[8] W. Sun, J. L. Fu, Y. Chang and L. Wang, “Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors,” Occupational Health, Vol. 54, No. 1, 2012, pp. 1-8. doi:10.1539/joh.11-0169-OA
[9] M. Guo, Y. Gao, X. Wang and X. Jiang, “Survey of Anxiety and Depression of People during Wenchuan Earthquake,” China Tropical Medicine, Vol. 19, 2009, pp. 383-384.
[10] S. Y. Wu, H. Y. Li, X. R. Wang, S. J. Yang and H. Qiu, “A Comparison of the Effect of Work Stress on Burnout and Quality of Life between Female Nurses and Female Doctors,” Archives of Environmental and Occupational Health, Vol. 66, No. 4, 2011, pp. 193-200. doi:10.1080/19338244.2010.539639
[11] Y. Tu, X. Y. Dou and R. Y. Yang, “On the Mental Health Survey of Doctors and Counter Measure,” Journal of Yunan University, Vol. 31, No. S1, 2009, pp. 415-418.
[12] H. Wu, Y. Zhao, J. N. Wang and L. Wang, “Factors Associated with Occupational Stress among Chinese Doctors: A Cross-Sectional Survey,” International Archives of Occupational and Environmental Health, Vol. 83, No. 2, 2010, pp. 155-164. doi:10.1007/s00420-009-0456-z
[13] B. L. Lin, S. R. Gao, L. H. Cheng, Y. H. Sun and H. Luo, “Occupational Stress and Psychological Health between Traditional Chinese Medicine and Western Medicine Doctors in China,” Chinese Mental Health Journal, Vol. 21, No. 11, 2007, pp. 779-782.
[14] S. Y. Wu, W. Zhu, H. Y. Li, Z. M. Wang and M. Z. Wang, “Relationship between Job Burnout and Occupational Stress among Doctors in China,” Stress and Health, Vol. 24, No. 2, 2008, pp. 143-149. doi:10.1002/smi.1169
[15] Y. J. Shi and L. F. Wang, “Doctors Professional Stress and Its Relation with Their Mental Health,” Chinese Journal of Public Health, Vol. 23, No. 5, 2007, pp. 529-531.
[16] R. Tyssen, “Health Problems and the Use of Health Services among Physicians: A Review Article with Particular Emphasis on Norwegian Studies,” Industrial Health, Vol. 45, No. 5, 2007, pp. 599-610. doi:10.2486/indhealth.45.599
[17] “Summary of Probable SARS Cases with Onset of Illness from 1 November 2002 to 7 August 2003,”
[18] C. Y. Lin, Y. C. Peng, Y. H. Wu, J. Chang, C. H. Chan and D. Y. Yang, “The Psychological Effect of Severe Acute Respiratory Syndrome on Emergency Department Staff,” Emergency Medicine Journal, Vol. 24, No. 1, 2007, pp. 12-17. doi:10.1136/emj.2006.035089
[19] M. Gu, Y. Gu, Y. M. Mei, J. H. Lu and R. B. Yu, “Survey on Mental Health Status of Medical Practitioners in Comprehensive Hospitals of Jiangsu,” Chinese Journal of Public Health, Vol. 24, No. 8, 2008, pp. 921-922.
[20] Z. H. Zhou, X. M. Li, K. N. Chen, X. Q. Li, Y. Dong and J. B. Zhao, “Relation of Mental Health and Coping Style for First-Line Medical Staff in SARS Battle,” Chinese Journal of Behavioral Medical Science, Vol. 13, No. 3, 2004, p. 305.
[21] L. Shao, S. H. Xiao, T. Y. Cao, J. Xia and X. D. Li, “Survey on Mental Health of Young Medical Staff during SARS Period,” Medical Journal of National Defending Forces in North China, Vol. 16, No. 3, 2004, p. 209.
[22] L. Wang, Y. Zhang, W. Wang, Z. Shi, J. Shen, M. Li, et al., “Symptoms of Posttraumatic Stress Disorder among Adult Survivors Three Months after the Sichuan Earthquake in China,” Journal of Traumatic Stress, Vol. 22, No. 5, 2009, pp. 444-450. doi:10.1002/jts.20439
[23] Z. Li, J. Li, Y. Liu, H. Liao, Y. Feng and X. L. Sun, “A Mental Health Survey of Medical Staffs Who Took Part in Rescue in Disaster Area after Wenchuan Earthquake,” Chinese Journal of Evidence-Based Medicine, Vol. 9, No. 11, 2009, pp. 1151-1154.
[24] W. J. Mao, T. Zhang, W. J. Min, et al., “The Association Analysis of Rural Doctor’S Mental Heath Status and Social Supports after Earthquake in Dujiangyan,” Sichuan Medical Journal, Vol. 30, No. 10, 2009, pp. 1649-1651.
[25] B. Zhou, Y. Hu, L. M. Yang, J. Xiao, L. Zheng and C. Yang, “Investigation the Mental Health Status of the Medical Staff after Wenchuan Earthquake,” Sichuan Medical Journal, Vol. 30, No. 10, 2009, pp. 1652-1654.
[26] Z. L. Guo, C. R. Zhang and C. Y. Chen, “Survey on Health Status of Medical Staff in a District in Guangzhou City,” Chinese Journal of Coal Industry Medicine, Vol. 14, No. 5, 2011, pp. 724-725.
[27] J. Tang, B. Lv, J. Sun and J. Song, “Analysis on the Health Status of Senior Medical Staff,” Chinese Journal of Health Education, Vol. 23, No. 10, 2007, pp. 784-785.
[28] Z. Y. Sun and Y. F. Wu, “Healthy Situation of the Medical Staff in a Hospital from 2006 to 2008,” China Foreign Medical Treatment, Vol. 9, 2010, p. 150.
[29] L. P. Wang, Z. Y. Zhu, Y. B. Lin and D. Nie, “The Follow-Up Analysis about Circumstances of Health Physical Examination of Medical Staff,” Chinese Journal of Clinical Healthcare, Vol. 9, No. 5, 2006, pp. 436-437.
[30] J. Yang, H. Zhao, H. Xin and Y. Q Liu, “Investigation of Health Check Results of Medical Staff in a Beijing Hospital in 2010,” Chinese Journal of Misdiagnose, Vol. 11, No. 3, 2011, pp. 749-750.
[31] H. Xing and X. F. Wang, “Analysis of the Health Situation of the Medical Staff in a Hospital,” Hebei Medicine, Vol. 11, No. 4, 2005, pp. 337-338.
[32] L. N. Lai, L. N. Yang, W. W. Lu and Y. Dai, “Survey on Health and Working Conditions of Medical Staff Members in a Third: A Comprehensive Hospital in Beijing,” Modern Hospital Management, Vol. 42, No. 3, 2011, pp. 58-60.
[33] D. L. Nie, “Results of Health Check-Up of Medical Workers,” China Tropical Medicine, Vol. 9, No. 3, 2009, p. 589.
[34] X. L. Gan, Q. Y. Chen and X. Z. Liu, “Sub-Health Status of Doctors in 3A Grade Hospital of Guangzhou and Its Characteristic Analysis,” Chinese General Practice, Vol. 11, No. 9A, 2009, pp. 1573-1574.
[35] J. N. Wang, W. Sun, T. S. Chi, H. Wu and L. Wang, “Prevalence and Associated Factors of Depressive Symptoms among Chinese Doctors: A Cross-Sectional Survey,” International Archives of Occupational and Environmental Health, Vol. 83, No. 8, 2010, pp. 905-911. doi:10.1007/s00420-010-0508-4
[36] Y. Cao and Y. Qi, “Psychological Status and Effect of Psychological Intervention in SARS Patients,” Chinese Journal of Nursing, Vol. 38, No. Suppl, 2003, pp. 233-234.
[37] J. Gan, X. Q. Li, W. H. Zhang, C. Y. Gao, D. D. Yang, Y. N. Zhao, et al., “Relative Factors of Mental Health of AntiSARS Medical Staff,” Practical Journal of Medicine & Pharmacy, Vol. 21, No. 1, 2004, pp. 42-43.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.