Quyi Zhang’s research while affiliated with Chongqing Medical University and other places

The purpose of this study was to explore the effects of perceived stress on sleep quality and the mediating effects of positive and negative rumination in primary medical staff. We also intended to analyse the associations between all these variables and the gender differences. In total 734 primary medical staff were investigated by general demographic information, Chinese perceived stress scale, pittsburgh sleep quality index and positive and negative rumination scale, and analyzed by SPSS 26.0 and AMOS structural equation model. Results indicates that the prevalence of sleep problems among primary care workers was 46.2% (339 persons), with a statistically significant difference observed in sleep quality among primary care workers based on their gender, frequency of night shifts, types of work, and hours of work (P < 0.01). In addition, after controlling for gender differences, positive rumination in primary care workers positively mediated the effect of perceived stress on sleep quality, whereas negative rumination negatively mediated this relationship (p < 0.05). These results provide theoretical support and guidance for improving sleep quality among Chinese primary care workers and emphasize the importance of interventions to reduce perceived stress, increase positive rumination, and decrease negative rumination.

Background Research highlights poor mental health among healthcare workers, but limited attention has been given to the mental health literacy and professional psychological help-seeking attitudes of primary healthcare workers.This study investigates the relationship between primary healthcare workers’ mental health literacy and their attitudes toward professional psychological help-seeking. It also explores the chain mediating roles of social support and mental illness stigma in this relationship. Methods We conducted the study among primary healthcare workers in Shapingba District, Chongqing, China. The study utilized demographic questionnaires, the Multiple Mental Health Literacy Scale, Social Support Rating Scale, Perceived Devaluation-Discrimination Scale, and Attitudes Toward Seeking Professional Psychological Help Scale. We applied Pearson correlation, multiple linear regression, and structural equation modeling (SEM) for data analysis. Results Correlation analysis revealed positive associations between mental health literacy and help-seeking attitudes, while stigma negatively impacted these attitudes. The regression analysis demonstrated that mental health literacy, social support, and mental illness stigma significantly influenced attitudes toward professional psychological help-seeking, with the adjusted R square being 0.402. Specifically, social support and stigma acted as partial mediators in the relationship between mental health literacy and help-seeking attitudes. SEM confirmed a significant chain mediation effect, with social support and stigma jointly mediating the link between mental health literacy and help-seeking attitudes, explaining 27.46% of the variance. Conclusion This study underscores the critical role of mental health literacy, social support, and mental illness stigma in shaping primary healthcare workers’ attitudes toward professional psychological help-seeking. Strengthening these factors can enhance their mental health outcomes and encourage more proactive help-seeking behavior. Implementing targeted interventions in training programs to reduce stigma and promote social support could improve help-seeking behaviors and overall mental health within healthcare settings.