{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T22:54:50Z","timestamp":1772060090982,"version":"3.50.1"},"reference-count":88,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T00:00:00Z","timestamp":1756598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Introduction: The mental health of nursing professionals is an escalating global concern, particularly due to the inherently challenging work conditions they frequently encounter. This study aimed to investigate the prevalence of Minor Mental Disorders (MMD) and resilience levels among nursing professionals, analyzing the relationship between these constructs and identifying resilience\u2019s potential protective role. Methods: This was a quantitative, descriptive, correlational, and cross-sectional study. The sample consisted of 203 nursing professionals (including nursing assistants, technicians, and nurses) from two healthcare institutions in the interior of S\u00e3o Paulo, Brazil. Data were collected between August and October 2019. Instruments utilized included a sociodemographic and professional questionnaire, the Self-Report Questionnaire (SRQ-20) for MMD screening, and the Wagnild &amp; Young Resilience Scale. Results: The overall prevalence of MMD in the studied sample was 31.0%. Mean scores for the SRQ-20 domains were observed as follows: Depressive\/Anxious Mood (1.33), Somatic Symptoms (1.63), Reduced Vital Energy (1.77), and Depressive Thoughts (0.39). A key finding indicated that resilience did not demonstrate a significant direct predictive role on MMDs when the effect of quality of life was controlled. However, resilience showed a significant positive correlation with Quality of Life (QoL) (coef. = 0.515; p &lt; 0.001). Furthermore, QoL emerged as a robust and statistically significant negative association with all dimensions of MMD. Discussion: These findings suggest that resilience may function as an indirect moderator or precursor to QoL, with QoL, in turn, exerting a more direct and substantial influence on the reduction of MMDs. This integrated perspective aligns with the understanding that resilience contributes to a more adaptive assessment of stressors and, consequently, to better QoL, thereby minimizing the detrimental effects of stress on mental health. Conclusion: This study reaffirms the high prevalence of Minor Mental Disorders among nursing professionals, highlighting Quality of Life as a primary target for interventions aimed at promoting mental well-being. It also emphasizes resilience as a valuable individual resource that indirectly supports mental health by enhancing QoL. A holistic understanding of occupational stressors, psychosocial, and biological mechanisms is crucial for developing effective and targeted support strategies for these essential professionals.<\/jats:p>","DOI":"10.3390\/ijerph22091375","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T08:28:15Z","timestamp":1756715295000},"page":"1375","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Resilience, Quality of Life, and Minor Mental Disorders in Nursing Professionals: A Study in Challenging Work Environments"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9513-1083","authenticated-orcid":false,"given":"Emerson Roberto dos","family":"Santos","sequence":"first","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco Antonio Ribeiro","family":"Filho","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weslley dos Santos","family":"Borges","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Brazil, Fernand\u00f3polis 15600-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9506-6376","authenticated-orcid":false,"given":"William Doneg\u00e1","family":"Martinez","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8767-7556","authenticated-orcid":false,"given":"Jo\u00e3o Daniel de Souza","family":"Menezes","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matheus Querino da","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7637-3925","authenticated-orcid":false,"given":"Andr\u00e9 Bavaresco Gon\u00e7alves","family":"Crist\u00f3v\u00e3o","sequence":"additional","affiliation":[{"name":"University of Santo Amaro (UNISA), S\u00e3o Paulo 04743-030, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0585-7367","authenticated-orcid":false,"given":"Renato Mendon\u00e7a","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Ribeir\u00e3o Preto School of Nursing, USP, Ribeir\u00e3o Preto 14040-902, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1via Cristina","family":"Cust\u00f3dio","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geovanna Mohieddine Felix","family":"Pereira","sequence":"additional","affiliation":[{"name":"University Nove de Julho, S\u00e3o Paulo 01504-001, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9ssica Gisleine de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1613-5126","authenticated-orcid":false,"given":"Alex Bertolazzo","family":"Quit\u00e9rio","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1178-2233","authenticated-orcid":false,"given":"Rauer Ferreira","family":"Franco","sequence":"additional","affiliation":[{"name":"University of Brazil, Fernand\u00f3polis 15600-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda Oliva","family":"Spaziani","sequence":"additional","affiliation":[{"name":"University of Brazil, Fernand\u00f3polis 15600-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Paula Bernardes da","family":"Rosa","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio do Norte de S\u00e3o Paulo (UNORTE), S\u00e3o Jose do Rio Preto 15020-040, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Soares","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayara Tedeschi Fernandes","family":"Furtile","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8716-1292","authenticated-orcid":false,"given":"Daniele Nunes Longhi","family":"Aleixo","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T\u00e2nia Cassiano Garcia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o J\u00fanior","family":"Gomes","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana Pelegrini dos Santos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Nestor Facio","family":"J\u00fanior","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marli de Carvalho","family":"Jerico","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josimerci Ittavo Lamana","family":"Faria","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8313-8675","authenticated-orcid":false,"given":"Maysa Alahmar","family":"Bianchin","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds Cesar Fava","family":"Spessoto","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Helena","family":"Pinto","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita de C\u00e1ssia Hel\u00fa Mendon\u00e7a","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele Alcal\u00e1","family":"Pompeo","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio H\u00e9lio","family":"Oliani","sequence":"additional","affiliation":[{"name":"University Hospital Center Cova da Beira, University of Beira Interior, 6200-251 Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise Cristina M\u00f3z Vaz","family":"Oliani","sequence":"additional","affiliation":[{"name":"University Hospital Center Cova da Beira, University of Beira Interior, 6200-251 Covilh\u00e3, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0549-4527","authenticated-orcid":false,"given":"J\u00falio C\u00e9sar","family":"Andr\u00e9","sequence":"additional","affiliation":[{"name":"Center for Studies and Development of Health Education (CEDES), Faculty of Medicine of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP), Avenida Brigadeiro Faria Lima, 5416, S\u00e3o Jos\u00e9 do Rio Preto 15090-000, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Comelis","family":"Bertolin","sequence":"additional","affiliation":[{"name":"Uni\u00e3o das Faculdades os Grandes Lagos (UNILAGO), S\u00e3o Jos\u00e9 do Rio Preto 15030-070, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3363","DOI":"10.1177\/15248380221126476","article-title":"Workplace Violence in Healthcare Settings: A Scoping Review of Guidelines and Systematic Reviews","volume":"24","author":"Fricke","year":"2023","journal-title":"Trauma Violence Abus."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/NAQ.0000000000000338","article-title":"An Integrative Review of Nurse-to-Nurse Incivility, Hostility, and Workplace Violence","volume":"43","author":"Crawford","year":"2019","journal-title":"Nurs. Adm. Q."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"4148","DOI":"10.1111\/jocn.15443","article-title":"How does workplace bullying influence nurses\u2019 abilities to provide patient care? A nurse perspective","volume":"29","author":"Anusiewicz","year":"2020","journal-title":"J. Clin. Nurs."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1111\/nuf.12781","article-title":"Associations among the nursing work environment, nurse-reported workplace bullying, and patient outcomes","volume":"57","author":"Pogue","year":"2022","journal-title":"Nurs. Forum"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Souza, J.S., Reis, E.A., Godman, B., Campbell, S.M., Meyer, J.C., Sena, L.W.P., and God\u00f3i, I.P.D. (2024). Users\u2019 Perceptions of Access to and Quality of Unified Health System Services in Brazil: A Cross-Sectional Study and Implications to Healthcare Management Challenges. Int. J. Environ. Res. Public Health, 21.","DOI":"10.3390\/ijerph21060721"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/09727531241231055","article-title":"Adversity Quotient as Determining Factor of Mental Health and Professional Quality of Life Among Healthcare Professionals: A Systematic Review","volume":"32","author":"Saxena","year":"2025","journal-title":"Ann. Neurosci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1038\/138032a0","article-title":"A Syndrome produced by Diverse Nocuous Agents","volume":"138","author":"Selye","year":"1936","journal-title":"Nature"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"52","DOI":"10.15446\/av.enferm.v39n1.85701","article-title":"Satisfa\u00e7\u00e3o profissional e qualidade de vida de enfermeiros de um hospital brasileiro","volume":"39","author":"Vieira","year":"2021","journal-title":"Av. Enfermer\u00eda"},{"key":"ref_9","first-page":"e20230476","article-title":"Quality of life associated with nursing professionals\u2019 individual resources and work","volume":"77","author":"Mallagoli","year":"2024","journal-title":"Rev. Bras. Enferm."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1590\/2317-6369\/38122pt2024v49e9","article-title":"Avalia\u00e7\u00e3o dos aspectos psicossociais do trabalho no Brasil no contexto da sa\u00fade do trabalhador: Uma revis\u00e3o de escopo","volume":"49","author":"Gomes","year":"2024","journal-title":"Rev. Bras. Sa\u00fade Ocup."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1037\/0021-9010.86.3.499","article-title":"The job demands-resources model of burnout","volume":"86","author":"Demerouti","year":"2001","journal-title":"J. Appl. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e20210263","DOI":"10.1590\/0034-7167-2021-0263","article-title":"Factors associated with stress, anxiety and depression in nursing professionals in the hospital context","volume":"75","author":"Azevedo","year":"2022","journal-title":"Rev. Bras. Enferm."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/job.4030020205","article-title":"The measurement of experienced burnout","volume":"2","author":"Maslach","year":"1981","journal-title":"J. Organ. Behav."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1111\/jocn.16331","article-title":"Workplace violence, occupational commitment and intention among emergency room nurses: A mixed-methods study","volume":"32","author":"Kiymaz","year":"2023","journal-title":"J. Clin. Nurs."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e50944","DOI":"10.18471\/rbe.v37.50944","article-title":"Pr\u00e1ticas de sa\u00fade mental na aten\u00e7\u00e3o b\u00e1sica sob a \u00f3tica dos profissionais gestores","volume":"37","author":"Makiyama","year":"2023","journal-title":"Rev. Baiana Enferm."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5294\/aqui.2023.23.1.6","article-title":"Levels of Anxiety and Stress Experienced by Nurses in Inpatient Units","volume":"23","author":"Vega","year":"2023","journal-title":"Aquichan"},{"key":"ref_17","unstructured":"Soder, R.M., Escobar Dos Santos, L., Cristine Oliveira, I., Anacleto da Silva, L.A., Cechinel Peiter, C., and Guedes dos Santos, J.L. (2020). Pr\u00e1ticas de enfermeiros na gest\u00e3o do cuidado na aten\u00e7\u00e3o b\u00e1sica. Rev. Cubana Enferm., 36, Available online: https:\/\/revenfermeria.sld.cu\/index.php\/enf\/article\/view\/2815."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","article-title":"The Need for a New Medical Model: A Challenge for Biomedicine","volume":"196","author":"Engel","year":"1977","journal-title":"Science"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"The Whoqol Group (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med., 28, 551\u2013558.","DOI":"10.1017\/S0033291798006667"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1590\/S0034-89102000000200012","article-title":"Aplica\u00e7\u00e3o da vers\u00e3o em portugu\u00eas do instrumento abreviado de avalia\u00e7\u00e3o da qualidade de vida \u201cWHOQOL-bref\u201d","volume":"34","author":"Fleck","year":"2000","journal-title":"Rev. Saude Publica"},{"key":"ref_21","first-page":"40226","article-title":"Quality of life and resilience in nursing staff working in hospitalization units and emergency departments","volume":"10","author":"Bertolin","year":"2020","journal-title":"Int. J. Dev. Res."},{"key":"ref_22","first-page":"47107","article-title":"Qualidade de vida, perfil sociodemografico e laboral da equipe de enfermagem de um hospital universit\u00e1rio","volume":"41","author":"Mininel","year":"2021","journal-title":"Enfermer\u00eda Actual Costa Rica"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"346","DOI":"10.23925\/recape.v14i2.60020","article-title":"Qualidade de Vida no Trabalho segundo as percep\u00e7\u00f5es dos funcion\u00e1rios p\u00fablicos de uma Unidade B\u00e1sica de Sa\u00fade (UBS)","volume":"14","author":"Silva","year":"2024","journal-title":"Rev. Carreiras Pessoas"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2758","DOI":"10.25110\/arqsaude.v27i5.2023-040","article-title":"Entre o adoecimento e trabalho: A\u00e7\u00f5es de qualidade de vida no \u00e2mbito de sa\u00fade mental","volume":"27","author":"Hernandes","year":"2023","journal-title":"Arq. Ci\u00eancias Sa\u00fade UNIPAR"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e1712842808","DOI":"10.33448\/rsd-v12i8.42808","article-title":"Work process and mental health: Perceptions of workers at a Psychosocial Care Center","volume":"12","author":"Nunes","year":"2023","journal-title":"Res. Soc. Dev."},{"key":"ref_26","first-page":"44","article-title":"Work-Related Stressors, Coping Strategies: Its Relation to Job Performance and Perceived Organizational Support among Critical Care Nurses","volume":"2","author":"Morsy","year":"2020","journal-title":"Evid.Based Nurs. Res."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e20230211","DOI":"10.1590\/1983-1447.2024.20230211.pt","article-title":"Preval\u00eancia e fatores associados aos transtornos mentais e comportamentais entre trabalhadoras\/es de enfermagem","volume":"45","author":"Ramos","year":"2024","journal-title":"Rev. Ga\u00facha Enferm."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1111\/inr.12838","article-title":"Relation and effect of resilience on burnout in nurses: A literature review and meta-analysis","volume":"71","year":"2024","journal-title":"Int. Nurs. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.47626\/1679-4435-2022-980","article-title":"Working conditions and mental illness among nursing workers","volume":"22","author":"Pereira","year":"2024","journal-title":"Rev. Bras. Med. Trab."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1590\/S0102-311X2008000200017","article-title":"Avalia\u00e7\u00e3o de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiqui\u00e1trico: Um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR","volume":"24","author":"Stein","year":"2008","journal-title":"Cad. Saude Publica"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1192\/bjp.148.1.23","article-title":"A Validity Study of a Psychiatric Screening Questionnaire (SRQ-20) in Primary Care in the city of Sao Paulo","volume":"148","author":"Williams","year":"1986","journal-title":"Br. J. Psychiatry"},{"key":"ref_32","first-page":"45","article-title":"Resili\u00eancia individual, prazer e sofrimento no trabalho e v\u00ednculos organizacionais: Reflex\u00f5es e perspectivas de pesquisas para o setor p\u00fablico","volume":"19","author":"Bottini","year":"2021","journal-title":"Cad EBAPEBR"},{"key":"ref_33","first-page":"6","article-title":"Resili\u00eancia: Uma compet\u00eancia da Enfermagem","volume":"11","author":"Cunha","year":"2020","journal-title":"Enferm. Foco"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e20220290","DOI":"10.1590\/0034-7167-2020-0198","article-title":"Psychosocial factors in nursing work and occupational risks: A systematic review","volume":"74","author":"Pousa","year":"2021","journal-title":"Rev. Bras. Enferm."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e20220290","DOI":"10.1590\/1980-265x-tce-2022-0290pt","article-title":"Estresse e sofrimento em enfermeiros hospitalares: Rela\u00e7\u00e3o com vari\u00e1veis pessoais, laborais e h\u00e1bitos de vida","volume":"32","author":"Andrade","year":"2023","journal-title":"Texto. Context Enferm."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.cnur.2021.11.011","article-title":"Nursing Burnout and Its Impact on Health","volume":"57","author":"Sullivan","year":"2022","journal-title":"Nurs. Clin. North Am."},{"key":"ref_37","first-page":"291","article-title":"Fatores sociodemogr\u00e1ficos e acad\u00eamicos relacionados \u00e0 resili\u00eancia dos graduandos da \u00e1rea da sa\u00fade","volume":"9","author":"Nascimento","year":"2020","journal-title":"REVISA"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1037\/0003-066X.55.1.5","article-title":"Positive psychology: An introduction","volume":"55","author":"Seligman","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1152\/physrev.00041.2006","article-title":"Physiology and Neurobiology of Stress and Adaptation: Central Role of the Brain","volume":"87","author":"McEwen","year":"2007","journal-title":"Physiol Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1016\/j.biopsych.2008.11.029","article-title":"Inflammation and Its Discontents: The Role of Cytokines in the Pathophysiology of Major Depression","volume":"65","author":"Miller","year":"2009","journal-title":"Biol. Psychiatry"},{"key":"ref_41","first-page":"e3636","article-title":"A resili\u00eancia e a redu\u00e7\u00e3o do estresse ocupacional na Enfermagem","volume":"30","author":"Schultz","year":"2022","journal-title":"Rev. Lat. Am. Enfermagem."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e70018","DOI":"10.1111\/nhs.70018","article-title":"Coping Styles Mediated the Association Between Perceived Organizational Support and Resilience in Emergency Nurses Exposed to Workplace Violence: A Cross-Sectional Study","volume":"27","author":"Liao","year":"2025","journal-title":"Nurs. Health Sci."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1111\/inm.13337","article-title":"Risk factors and consequences of mental health problems in nurses: A scoping review of cohort studies","volume":"33","author":"Yang","year":"2024","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref_44","first-page":"1","article-title":"Psychosocial factors at work and common mental disorders in health care professionals and workers","volume":"23","author":"Biasi","year":"2025","journal-title":"Rev. Bras. Med. Trab."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1080\/0142159X.2020.1714020","article-title":"What are the factors affecting resilience in health professionals? A synthesis of systematic reviews","volume":"42","author":"Huey","year":"2020","journal-title":"Med. Teach."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1177\/00914150241268178","article-title":"Better and Healthier Together? The Mediation Effect of Positive Psychological Capital on the Relationship Between Perceived Social Support and Health-Related Quality of Life Among Older Adults","volume":"100","author":"Leonti","year":"2025","journal-title":"Int. J. Aging Hum. Dev."},{"key":"ref_47","unstructured":"(2022, September 02). Hospital de Base de S\u00e3o Jos\u00e9 do Rio Preto. Available online: https:\/\/www.hospitaldebase.com.br\/."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"383","DOI":"10.51668\/bp.8321210s","article-title":"Propiedades psicom\u00e9tricas de la versi\u00f3n chilena del Whoqol-Bref para la calidad de vida","volume":"29","author":"Morales","year":"2021","journal-title":"Behav. Psychol. Conduct."},{"key":"ref_49","unstructured":"Beusenberg, M., Orley, J.H., and World Health Organization (2025, July 02). A User\u2019s Guide to the Self Reporting Questionnaire (SRQ\/Compiled by, M. Beusenberg and J. Orley. Available online: https:\/\/iris.who.int\/handle\/10665\/61113."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1176\/ajp.140.11.1474","article-title":"The WHO collaborative study on strategies for extending mental health care, II: The development of new research methods","volume":"140","author":"Harding","year":"1983","journal-title":"Am. J. Psychiatry"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/002076408903500301","article-title":"Reliability and Factor Structure of the Portuguese Version of Self-Reporting Questionnaire","volume":"35","author":"Iacoponi","year":"1989","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1590\/S0102-311X2009000100023","article-title":"Estrutura fatorial e consist\u00eancia interna do Self-Reporting Questionnaire (SRQ-20) em popula\u00e7\u00e3o urbana","volume":"25","author":"Santos","year":"2009","journal-title":"Cad. Saude Publica"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"544","DOI":"10.22278\/2318-2660.2010.v34.n3.a54","article-title":"Avalia\u00e7\u00e3o de um instrumento de mensura\u00e7\u00e3o de morbidade ps\u00edquica: Estudo de valida\u00e7\u00e3o do Self-Reporting Questionnaire (SRQ-20)","volume":"34","year":"1970","journal-title":"Rev Baiana Sa\u00fade P\u00fablica"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s00127-008-0425-y","article-title":"Validity of the self reporting questionnaire-20 in epidemiological studies with older adults","volume":"44","author":"Scazufca","year":"2009","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_55","first-page":"165","article-title":"Development and Psychometric Evaluation of the Resilience Scale","volume":"1","author":"Wagnild","year":"1993","journal-title":"J. Nurs. Meas."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1590\/S0102-311X2005000200010","article-title":"Adapta\u00e7\u00e3o transcultural, confiabilidade e validade da escala de resili\u00eancia","volume":"21","author":"Pesce","year":"2005","journal-title":"Cad. Saude Publica"},{"key":"ref_57","first-page":"373","article-title":"An\u00e1lise fatorial confirmat\u00f3ria da vers\u00e3o Brasileira da Escala de Resili\u00eancia (ER-Brasil)","volume":"8","author":"Perim","year":"2015","journal-title":"Gerais Rev. Interinstitucional Psicol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1080\/10705511.2020.1803073","article-title":"Collapsing Categories is Often More Advantageous than Modeling Sparse Data: Investigations in the CFA Framework","volume":"28","author":"DiStefano","year":"2021","journal-title":"Struct. Equ. Model A Multidiscip. J."},{"key":"ref_59","unstructured":"Nering, M.L. (2025, July 02). Handbook of Polytomous Item Response Theory Models-Google Livros. Available online: https:\/\/books.google.com.br\/books?hl=ptBR&lr=&id=4Yd7jSDxsc8C&oi=fnd&pg=PP1&dq=Handbook+of+polytomous+item+response+theory+models&ots=X_yj2HvREA&sig=VJMJh4-u8zIjNtYRR5959y_Pxe8#v=onepage&q=Handbook of polytomous item response theory models&f=false."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Reise, S.P., and Revicki, D.A. (2014). Handbook of Item Response Theory Modeling, Taylor & Francis.","DOI":"10.4324\/9781315736013"},{"key":"ref_61","unstructured":"R Development Core Team (2020). RA Language and Environment for Statistical Computing, The R Foundation for Statistical Computing."},{"key":"ref_62","first-page":"35","article-title":"A new methodology to evaluate factor scores: Internal and external correlational accuracy","volume":"12","author":"Farias","year":"2024","journal-title":"Int. J. Educ. Res."},{"key":"ref_63","unstructured":"Hoyle, H. (2012). Bayesian structural equation modeling. Handbook of Structural Equation Modeling, The Guilford Press."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1037\/a0026802","article-title":"Bayesian structural equation modeling: A more flexible representation of substantive theory","volume":"17","author":"Asparouhov","year":"2012","journal-title":"Psychol. Methods"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v085.i04","article-title":"blavaan: Bayesian Structural Equation Models via Parameter Expansion","volume":"85","author":"Merkle","year":"2018","journal-title":"J. Stat. Softw."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Gelman, A., Carlin, J.B., Stern, H.S., and Rubin, D.B. (2003). Bayesian Data Analysis, Chapman and Hall\/CRC. [2nd ed.].","DOI":"10.1201\/9780429258480"},{"key":"ref_67","unstructured":"Muth\u00e9n, B., Muth\u00e9n, L.K., and Asparouhov, T. (2025, January 23). Bayesian Analysis Using Mplus. Available online: https:\/\/scispace.com\/pdf\/bayesian-analysis-using-mplus-3yyuz79m2g.pdf."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1007\/s11222-016-9696-4","article-title":"Practical Bayesian model evaluation using leave-one-out cross-validation and WAIC","volume":"27","author":"Vehtari","year":"2017","journal-title":"Stat. Comput."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/BF02294531","article-title":"On the Relationship between the Higher-Order Factor Model and the Hierarchical Factor Model","volume":"64","author":"Yung","year":"1999","journal-title":"Psychometrika"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s11136-007-9183-7","article-title":"The role of the bifactor model in resolving dimensionality issues in health outcomes measures","volume":"16","author":"Reise","year":"2007","journal-title":"Qual. Life Res."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1207\/s15327906mbr4102_5","article-title":"A Comparison of Bifactor and Second-Order Models of Quality of Life","volume":"41","author":"Chen","year":"2006","journal-title":"Multivar. Behav Res."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"583","DOI":"10.22237\/jmasm\/1320120900","article-title":"Indeterminacy of Factor Score Estimates In Slightly Misspecified Confirmatory Factor Models","volume":"10","author":"Beauducel","year":"2011","journal-title":"J. Mod. Appl. Stat. Methods"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/nous.12075","article-title":"Realism and Uncertainty of Unobservable Common Causes in Factor Analysis","volume":"50","author":"Johnson","year":"2016","journal-title":"No\u00fbs"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"244","DOI":"10.3102\/10769986221128810","article-title":"Breaking Our Silence on Factor Score Indeterminacy","volume":"48","author":"Waller","year":"2023","journal-title":"J. Educ. Behav. Stat."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1037\/1082-989X.6.4.430","article-title":"Computing and evaluating factor scores","volume":"6","author":"Grice","year":"2001","journal-title":"Psychol. Methods"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/j.2044-8317.1995.tb01062.x","article-title":"The cold equations: Spearman and Wilson on factor indeterminacy","volume":"48","author":"Lovie","year":"1995","journal-title":"Br. J. Math. Stat. Psychol."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"2107","DOI":"10.1007\/s11135-021-01202-x","article-title":"Should I allow my confirmatory factors to correlate during factor score extraction? Implications for the applied researcher","volume":"56","author":"Logan","year":"2022","journal-title":"Qual. Quant."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1080\/00031305.2016.1277159","article-title":"Optimal Whitening and Decorrelation","volume":"72","author":"Kessy","year":"2018","journal-title":"Am. Stat."},{"key":"ref_79","unstructured":"Strimmer, K., Jendoubi, T., Kessy, A., and Lewin, A. (Whitening: Whitening and High-Dimensional Canonical Correlation Analysis, 2021). Whitening: Whitening and High-Dimensional Canonical Correlation Analysis, R package version 1.4.0."},{"key":"ref_80","unstructured":"Waller, N.G., Jones, J., and Giordano, C. (fungible: Psychometric Functions from the Waller Lab, 2022). fungible: Psychometric Functions from the Waller Lab, R package 2.4.4."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v048.i02","article-title":"lavaan: An R Package for Structural Equation Modeling","volume":"48","author":"Rosseel","year":"2012","journal-title":"J. Stat. Softw."},{"key":"ref_82","doi-asserted-by":"crossref","unstructured":"Wang, J., Qiu, Y., and Zhu, X. (2023). Trends of mental health care utilization among US adults from 1999 to 2018. BMC Psychiatry, 23.","DOI":"10.1186\/s12888-023-05156-2"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"4511","DOI":"10.2147\/JMDH.S534729","article-title":"Factors Associated with Work Life Balance Among Nurses in Hospitals: A Socio-Ecological Scoping Review","volume":"18","author":"Widayana","year":"2025","journal-title":"J. Multidiscip. Health"},{"key":"ref_84","first-page":"E283","article-title":"Burnout prevention in healthcare professionals during COVID-19","volume":"64","author":"Micali","year":"2023","journal-title":"J. Prev. Med. Hyg."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1111\/jonm.13558","article-title":"Global prevalence of resilience in health care professionals: A systematic review, meta-analysis and meta-regression","volume":"30","author":"Cheng","year":"2022","journal-title":"J. Nurs. Manag."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"e187435012212220","DOI":"10.2174\/18743501-v15-e221222-2022-69","article-title":"The Role of Perceived Social Support and Resilience in Predicting the Mental Health of Healthcare Professionals During the COVID-19 Pandemic: A Study from Indonesia","volume":"15","author":"Siswadi","year":"2022","journal-title":"Open Psychol. J."},{"key":"ref_87","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer Publishing Company."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"e315","DOI":"10.56048\/MQR20225.9.1.2025.e315","article-title":"Factores de riesgo ergon\u00f3mico asociados a trastornos musculoesquel\u00e9ticos en personal de enfermer\u00eda, servicio de emergencia, Cuenca-Ecuador","volume":"9","year":"2025","journal-title":"MQRInvestigar"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/9\/1375\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:36:46Z","timestamp":1760035006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/9\/1375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,31]]},"references-count":88,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025,9]]}},"alternative-id":["ijerph22091375"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22091375","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,31]]}}}