BMC Health Services Research, Volume 26, Issue 1 , 01/12/2026

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

Preeda Sansakorn, Iqra Mushtaque, Muhammad Awais-E-Yazdan

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.

Document Type

Article

Source Type

Journal

Keywords

AnxietyBurnoutCOVID-19 vaccinesPsychologicalVaccine hesitancy

ASJC Subject Area

Medicine : Health Policy



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Citations (Scopus)

Bibliography


Sansakorn, P., Mushtaque, I., & Awais-E-Yazdan, M. (2026). Vaccines as a psychological shield: the role of vaccine acceptance in mitigating COVID-19 obsession, burnout, and death anxiety among medical personnel. BMC Health Services Research, 26(1) doi:10.1186/s12913-026-14338-z

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