Analysis of stress resistance indicators and risk of developing depression in emergency medical staff

Introduction. Performing occupational tasks for emergency medical staff is often associated with various conflict situations, unreasonable calls, and low wages. Thus, the interrelation of emotional, mental, and physical health employees directly affects the health and lives in patients.

Purpose. Identification of links between the level of conflict with and the frequency of unreasonable calls depending on salary satisfaction and indicators of stress resistance and depression risks among medical staff of emergency services.

Materials and methods. The material of the study was the data of a survey of five hundred twenty eight medical staff workers of emergency services in Ufa city. The analysis was carried out according to the author’s questionnaire using standardized methods.

Results. The range of distribution of social characteristics showed 43.3% and 36.3% to note medium and high rates of unreasonable calls; 24.8% — low satisfaction with wages; 10.5% — frequent conflicts with the staff of admission departments of hospitals. A high frequency of unreasonable calls (AUC = 0.714, p < 0.05) was revealed to increase in the frequency of conflicts (AUC = 0.827, p < 0.05) significantly reduce stress resistance; increased conflict frequency increases the risk of depression (AUC = 0.982, p < 0.05); low salary satisfaction is intercorrelated in a similar way to conflict frequency.

Research limitations. The limitations of the research can be determined: difficulty in assessing the impact of the emotional state of participants on the subjective variables of the analysis (conflict, wage satisfaction), as well as the influence of external factors (changes in legislation, economic crises) during the survey. The development of methods for taking into account these restrictions in the future will help to increase the objectivity and reliability of this kind of research.

Conclusion. This research can be used to form preventive algorithms for improving the quality and efficiency of medical services provided by emergency medical care, as well as to accelerate the development of healthcare institutions and increase the efficiency of medical staff.

Compliance with ethical standards. The study was approved by the local ethics committee of the Bashkir State Medical University of the Russian Ministry of Health (Protocol No. 1, dated January 22, 2025). All respondents provided informed consent to participate in the study.

Contribution of the authors:
Melnikov A.S. — research concept and design, writing the text, compiling the list of references, statistical data processing;
Nelyubina E.V. — writing the text, statistical data processing, editing;
Amirov A.F. — research concept and design, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Funding. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: April 19, 2025 / Revised: July 10, 2025 / Accepted: February 19, 2026 / Published: April 30, 2026

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