Background Burn-out among doctors threatens their own health, and that of their patients. To identify risk factors of the doctor burn-out is vital to improving their health and increasing the quality of healthcare services. This study aims to explore the relationship between work-family conflict (WFC) and burn-out among Chinese doctors and the mediating role of coping styles in this relationship.MethodsA cross-sectional survey was conducted in China, with a questionnaire packet which consisted of the Chinese Maslach Burnout Inventory (CMBI), WFC Scale and the Simplified Coping Style Questionnaire (SCSQ). A total of 2530 doctors participated in the survey. Correlation analysis was performed to explore the relationship between CMBI, WFC and SCSQ scores. A linear regression model was set to determine the mediating role of coping styles on the relationship between WFC and burn-out.ResultsDoctors who had higher scores on work interfering with family conflict, reported more emotional exhaustion (r=0.514, P<0.001) and had a sense of accomplishment (r=−0.149, P<0.001). Simultaneously, family interfering with work (FIW) was positively associated with all dimensions of burn-out (r=0.213, 0.504, 0.088, respectively, P<0.001). Coping styles had partial, complete and even mediating effects on the relationship between WFC and burn-out among Chinese doctors.ConclusionsWFC was correlated with burn-out, and coping style was a mediator in this relationship among Chinese doctors. Coping style was a positive resource against burn-out.

Civil servants are bridges that connect the general public and the government in China. Because their mental health may influence the rise and fall of the country, it is important to study their mental health and living conditions. The Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT) is a general measure of ACT processes and reflects individual psychological flexibility. We investigated the psychometric properties of CompACT in a non-clinical sample of civil servants. The Chinese CompACT demonstrated acceptable internal consistency (Cronbach α = 0.87) and reliability (Guttman split-half coefficient = 0.69). Confirmatory factor analysis provided support for the three-factor model. Our findings suggest that the Chinese version of the CompACT has acceptable psychometric properties and is a valid instrument for the assessment of psychological flexibility.

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