Association between job burnout and depressive symptoms in rural primary healthcare workers: The indirect role of sleep quality

doi:10.5498/wjp.122230

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Oct 19, 2026; 16(10): 122230
Published online Oct 19, 2026. doi: 10.5498/wjp.122230

Table 3 Comparison of model fit indices between unconstrained and constrained (nested) models

Fit index	Unconstrained model	Constrained (nested) model¹	Acceptable fit range
χ² (df)	50.83 (17)	158.41 (23)	-
χ²/df	2.99	6.89	< 3
CFI	0.98	0.91	> 0.90
IFI	0.98	0.91	> 0.90
NFI	0.97	0.90	> 0.90
RMSEA	0.07	0.12	< 0.08
Δχ² (Δdf)	-	107.58 (6)	-

¹The constrained nested model constrained the paths from total burnout score to the seven PSQI components to be equal, whereas the unconstrained model allowed these paths to be estimated freely.

CFI: Comparative Fit Index; IFI: Incremental Fit Index; NFI: Normed Fit Index; RMSEA: Root Mean Square Error of Approximation.

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Citation: Nan L, Wang Y, Wareesawetsuwan N, Sanan M, Zhao XF, Yang L, Zhu WL. Association between job burnout and depressive symptoms in rural primary healthcare workers: The indirect role of sleep quality. World J Psychiatry 2026; 16(10): 122230
URL: https://www.wjgnet.com/2220-3206/full/v16/i10/122230.htm
DOI: https://dx.doi.org/10.5498/wjp.122230

Nan L, Wang Y, Wareesawetsuwan N, Sanan M, Zhao XF, Yang L, Zhu WL. Association between job burnout and depressive symptoms in rural primary healthcare workers: The indirect role of sleep quality. World J Psychiatry 2026; 16(10): 122230 [DOI: 10.5498/wjp.122230]

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