Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Factors Associated with Depression, Anxiety and Somatic Symptoms Among International Salespeople in the Medical Device Industry: A Cross-sectional Study in China

Version 1 : Received: 7 June 2023 / Approved: 7 June 2023 / Online: 7 June 2023 (08:42:51 CEST)

A peer-reviewed article of this Preprint also exists.

Mao, B.; Kanjanarat, P.; Wongpakaran, T.; Permsuwan, U.; O’Donnell, R. Factors Associated with Depression, Anxiety, and Somatic Symptoms among International Salespeople in the Medical Device Industry: A Cross-Sectional Study in China. Healthcare 2023, 11, 2174. Mao, B.; Kanjanarat, P.; Wongpakaran, T.; Permsuwan, U.; O’Donnell, R. Factors Associated with Depression, Anxiety, and Somatic Symptoms among International Salespeople in the Medical Device Industry: A Cross-Sectional Study in China. Healthcare 2023, 11, 2174.

Abstract

Background: Physical and mental health of corporate employees is equally important, especially in international salespeople in the in vitro diagnostic (IVD) medical device industry. The rapid growth of the IVD market is driven by the increasing prevalence of chronic and infectious diseases. This study aims to identify the association of socio-demographic, occupational, organizational, and psychosocial factors with mental health outcomes for depression, anxiety, and somatic symptoms in Chinese IVD international salespeople. Methods: The study was a cross-sectional survey of ISs in IVD companies officially registered in China. An online survey was designed to collect data through email contact with IVD companies and social media between August 2022 and March 2023. Measured factors included effort-reward imbalance (ERI), health-promoting leadership (HPL), health climate (HC), inner strength (IS), and perceived social support (PSS). Mental health outcomes assessed using the Core Symptom Index (CSI) were depression, anxiety, and somatic symptoms. Results: A total of 244 salespeople responded to the survey. CSI scores indicated that 18.4% (n = 45) and 10.2% (n = 25) of the respondents had symptoms of major depression and anxiety, respectively. ERI was positively correlated, while the IS and PSS were negatively correlated with major depression, anxiety, and somatic symptoms (p < .01). Health climate was negatively correlated with major depression (p < .05). Education background was associated with somatic symptoms (p < .05). ERI, IS, and gender were significant predictors of major depression, anxiety, and somatic symptoms (p < .05). Conclusion: The prevalence of depression and anxiety in China’s IVD international salespeople was considered low compared with prevalence in Chinese populations during COVID-19, but higher than those before the pandemic. Effort–reward imbalance, inner strength, and gender were significant factors in major depression, anxiety, and somatic symptoms among IVD international salespeople.

Keywords

depression; anxiety; somatic symptom; organizational factor; occupational factor; effort–reward imbalance; health-promoting leadership; health climate; inner strength; perceived social support; international salespeople; medical device industry

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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