Copyright: ©Author(s) 2026.
World J Psychiatry. Aug 19, 2026; 16(8): 120114
Published online Aug 19, 2026. doi: 10.5498/wjp.120114
Published online Aug 19, 2026. doi: 10.5498/wjp.120114
Table 1 Descriptive statistics of psychological well-being dimensions and physiological indicator
| Variable | mean ± SD1 |
| Mental fatigue | 6.81 ± 2.14 |
| Workload | 3.09 ± 1.93 |
| Stress level | 3.92 ± 2.41 |
| Self-efficacy | 7.18 ± 1.89 |
| Emotional state | 5.89 ± 1.90 |
| Overall psychological well-being | 5.38 ± 0.95 |
| Physiological indicator | 4.04 ± 2.20 |
Table 2 Descriptive statistics of cognitive task performance
| Task | Trials, n | mean ± SD1 |
| Stroop-accuracy | 241 | 0.801 ± 0.141 |
| Stroop-time (milliseconds) | 241 | 1182 ± 391 |
| Target tracking | 196 | 0.740 ± 0.216 |
| Ligature test (seconds) | 181 | 67.600 ± 20.800 |
| Digit memory | 176 | 6.670 ± 1.830 |
| Ballsport (seconds) | 173 | 1.520 ± 0.810 |
| Balloon | 150 | 10.200 ± 3.490 |
Table 3 Joint effects of psychological well-being, individual cognitive tasks, and physiological indicators on the risk of non-full-score operational events (Poisson event-rate models)
| Cognitive task1 | Drivers (n) | Non-full events | Event rate | Psychological well-being IRR (95%CI) | P value | Cognitive task IRR (95%CI) | P value | physiological IRR (95%CI) | P value |
| Stroop-accuracy | 142 | 23 | 0.095 | 0.88 (0.56-1.38) | 0.575 | 1.06 (0.67-1.84) | 0.807 | 1.19 (0.75-1.77) | 0.422 |
| Stroop-time | 142 | 23 | 0.095 | 0.89 (0.57-1.40) | 0.604 | 1.01 (0.63-1.60) | 0.963 | 1.20 (0.75-1.80) | 0.411 |
| Target tracking | 105 | 20 | 0.102 | 0.88 (0.54-1.45) | 0.602 | 1.05 (0.68-1.68) | 0.845 | 0.66 (0.38-1.13) | 0.139 |
| Ligature test | 100 | 18 | 0.099 | 0.68 (0.40-1.15) | 0.160 | 0.90 (0.56-1.55) | 0.688 | 0.89 (0.47-1.47) | 0.679 |
| Digit memory | 99 | 14 | 0.080 | 0.90 (0.53-1.48) | 0.684 | 0.78 (0.44-1.40) | 0.409 | 0.26 (0.09-0.68) | 0.012 |
| BallSport | 94 | 15 | 0.087 | 0.73 (0.38-1.34) | 0.324 | 1.11 (0.67-2.29) | 0.731 | 1.07 (0.60-1.82) | 0.797 |
| Balloon | 81 | 9 | 0.060 | 0.54 (0.27-1.09) | 0.083 | 1.22 (0.59-3.38) | 0.646 | 1.20 (0.60-2.26) | 0.580 |
- Citation: Wang JH, Jia SY, Zhao KG, Meng T, Ren YM, Gao X, Sun P. Psychological well-being and multimodal predictors of operational safety in heavy-haul railway drivers. World J Psychiatry 2026; 16(8): 120114
- URL: https://www.wjgnet.com/2220-3206/full/v16/i8/120114.htm
- DOI: https://dx.doi.org/10.5498/wjp.120114