Publication Name	World Journal of Psychiatry
Manuscript ID	122230
DOI	10.5498/wjp.122230
Country	China

Category	Psychiatry
Manuscript Type	Observational Study
Article Title	Association Between Job Burnout and Depressive Symptoms in Rural Primary Healthcare Workers: The Indirect Role of Sleep Quality
Manuscript Source	Unsolicited Manuscript
All Author List	Lian Nan, Ye Wang, Nicha Wareesawetsuwan, Muhammad Sanan, Xiao-Feng Zhao, Lei Yang and Wen-Li Zhu
Funding Agency and Grant Number	Funding Agency Grant Number Anhui Province Clinical Medical Research Transformation Special Project 2022-04295107020065 Anhui Province Clinical Medical Research Transformation Special Project 2022-04295107020006, and 2022-04295107020028 Henan Province Science and Technology Research and Development Program 242102311050
Corresponding Author	Lei Yang, MD, PhD, Department of Psychiatry, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou 450000, Henan Province, China. 355280249@qq.com
Key Words	Depressive symptoms; Job burnout; Sleep quality; Primary healthcare workers; Rural areas
Core Tip	This cross-sectional study among rural primary healthcare workers demonstrates that sleep quality partially mediates the relationship between job burnout and depressive symptoms, accounting for 25.6% of the total effect. These findings highlight sleep disturbance as a modifiable pathway linking occupational stress to depression. Targeting sleep quality may offer a practical and scalable strategy to reduce depressive symptoms and improve workforce retention in resource-limited primary care settings.
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; In press DOI: https://doi.org/10.5498/wjp.122230
PDF	122230-in-press.pdf

Received	2026-04-16 02:34
Peer-Review Started	2026-04-16 02:34
First Decision by Editorial Office Director	2026-05-14 02:19
Return for Revision	2026-05-14 02:19
Revised	2026-05-28 13:23
Publication Fee Transferred	2026-06-07 10:14
Second Decision by Editor	2026-08-25 02:33
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-08-25 09:27
Articles in Press	2026-08-25 09:27
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
Open Access	Open-Access: 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.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com