Vaccines as a psychological shield: the role of vaccine acceptance in mitigating COVID-19 obsession, burnout, and death anxiety among medical personnel

Healthcare workers experienced psychological distress during the COVID-19 pandemic, particularly in the form of intrusive thoughts and heightened death anxiety. Vaccination is expected not only reduce infection risk but also reduce psychological burden. The aim of the present study was to examine the relationship among COVID-19 obsessions, emotional exhaustion, and death anxiety and examined whether vaccine acceptance moderates these association among medical staff. Cross-sectional designs were adopted in this study, and data was collected from 200 members of the medical staff (doctors, nurses, and paramedical personnel). All the study’s participants were vaccinated at the time of data collection. PLS-SEM was used to analyze the data. The sample had a high exposure of COVID-19, with 63% previously infected, and female staff reported high level of obsession, emotional exhaustion and death anxiety. Vaccine acceptance was high across the sample (86%). Moreover, hypothesis testing results showed that COVID-19 obsession was found to be associated with death anxiety (β = 0.271; t = 5.120; p = 0.000). Vaccine acceptance also influences the relationship between COVID-19 obsession and death anxiety (β= -0.263; t = 4.393; p = 0.000). Vaccine acceptance is a psychosocial protective factor for frontline healthcare professionals by diminishing their experiences of obsessive thoughts and fear of dying related to COVID-19. Enhancing vaccination campaigns, while incorporating psychological support into workplace health programs, is likely to improve the psychological health and resilience of frontline healthcare workers.

Authors

Institutions

Publication Details

Journal
BMC Health Services Research
Published
2026-03-17
DOI
https://doi.org/10.1186/s12913-026-14338-z
Primary Topic
COVID-19 and Mental Health
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Vaccines as a psychological shield: the role of vaccine acceptance in mitigating COVID-19 obsession, burnout, and death anxiety among medical personnel

Iqra Mushtaque, Preeda Sansakorn, Muhammad AWAIS-E-YAZDAN
BMC Health Services Research
COVID-19 and Mental Health
article

Vaccines as a psychological shield: the role of vaccine acceptance in mitigating COVID-19 obsession, burnout, and death anxiety among medical personnel

Iqra Mushtaque, Preeda Sansakorn, Muhammad AWAIS-E-YAZDAN
article en

Abstract

Healthcare workers experienced psychological distress during the COVID-19 pandemic, particularly in the form of intrusive thoughts and heightened death anxiety. Vaccination is expected not only reduce infection risk but also reduce psychological burden. The aim of the present study was to examine the relationship among COVID-19 obsessions, emotional exhaustion, and death anxiety and examined whether vaccine acceptance moderates these association among medical staff. Cross-sectional designs were adopted in this study, and data was collected from 200 members of the medical staff (doctors, nurses, and paramedical personnel). All the study’s participants were vaccinated at the time of data collection. PLS-SEM was used to analyze the data. The sample had a high exposure of COVID-19, with 63% previously infected, and female staff reported high level of obsession, emotional exhaustion and death anxiety. Vaccine acceptance was high across the sample (86%). Moreover, hypothesis testing results showed that COVID-19 obsession was found to be associated with death anxiety (β = 0.271; t = 5.120; p = 0.000). Vaccine acceptance also influences the relationship between COVID-19 obsession and death anxiety (β= -0.263; t = 4.393; p = 0.000). Vaccine acceptance is a psychosocial protective factor for frontline healthcare professionals by diminishing their experiences of obsessive thoughts and fear of dying related to COVID-19. Enhancing vaccination campaigns, while incorporating psychological support into workplace health programs, is likely to improve the psychological health and resilience of frontline healthcare workers.

BMC Health Services Research
Anhui Normal University (CN), Walailak University (TH)
Good health and well-being
Openalex Percentile: Top 23%
COVID-19 and Mental Health
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Vaccines as a psychological shield: the role of vaccine acceptance in mitigating COVID-19 obsession, burnout, and death anxiety among medical personnel — Iqra Mushtaque, Preeda Sansakorn, et al. · BMC Health Services Research (2026) | TGRS Research Map | TGRS