Abstract: Objective To understand the current situation of generalized anxiety symptoms and obsessive-compulsive symptoms among healthcare workers in Leshan general hospital,and analyze the network co-morbidity pattern of generalized anxiety symptoms and obsessive-compulsive symptoms among healthcare workers. Methods From January to April 2023,a survey was conducted on medical staff at Leshan general hospital using the generalized anxiety disorder scale and obsessive-compulsive inventory-revised. A symptom coexistence network was drawn based on the graphical lasso program and Bayesian hill climbing method. Results The total score of generalized anxiety symptoms among 574 medical staff was （2.55±4.00）points,with a detection rate of 25.2%. The total score of obsessive-compulsive symptoms was （10.01±12.02）points,with a detection rate of 16.1%. The combined detection rate of the two was 12.4%. In undirected networks,generalized anxiety symptoms and obsessive-compulsive symptoms formed two closely related network clusters,with the core symptoms being "obsessive-compulsive ideation"（expected impact value=1.22,bridge expected impact value=0.57） and "fear"（expected impact value=1.08,bridge expected impact value=0.25）,and both played a bridging role in the symptom network（r=0.15）. According to directed network analysis,the concept of "compulsive behavior" pointed to compulsive behavior and anxiety symptoms as the driving points of the entire symptom network. Conclusion Although generalized anxiety symptoms are highly correlated with obsessive-compulsive symptoms,the symptom boundaries are clear. Obsessions play a key role in the occurrence and maintenance of compulsive behavior and generalized anxiety symptoms.

Key words: Generalized anxiety, Obsessive-compulsive disorder, Healthcare workers, Network analysis