Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach

BackgroundThe outbreak of the COVID-19 pandemic imposed a heavy workload on nurses with more frequent night shifts, which led to higher levels of insomnia, depression, and anxiety among nurses. The study aimed to describe the symptom-symptom interaction of depression, anxiety, and insomnia among nur...

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Main Authors: Pu Peng (Author), Mining Liang (Author), Qian Wang (Author), Lulu Lu (Author), Qiuxia Wu (Author), Qiongni Chen (Author)
Format: Book
Published: Frontiers Media S.A., 2022-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Pu Peng  |e author 
700 1 0 |a Pu Peng  |e author 
700 1 0 |a Mining Liang  |e author 
700 1 0 |a Mining Liang  |e author 
700 1 0 |a Qian Wang  |e author 
700 1 0 |a Qian Wang  |e author 
700 1 0 |a Lulu Lu  |e author 
700 1 0 |a Lulu Lu  |e author 
700 1 0 |a Qiuxia Wu  |e author 
700 1 0 |a Qiongni Chen  |e author 
700 1 0 |a Qiongni Chen  |e author 
245 0 0 |a Night shifts, insomnia, anxiety, and depression among Chinese nurses during the COVID-19 pandemic remission period: A network approach 
260 |b Frontiers Media S.A.,   |c 2022-12-01T00:00:00Z. 
500 |a 2296-2565 
500 |a 10.3389/fpubh.2022.1040298 
520 |a BackgroundThe outbreak of the COVID-19 pandemic imposed a heavy workload on nurses with more frequent night shifts, which led to higher levels of insomnia, depression, and anxiety among nurses. The study aimed to describe the symptom-symptom interaction of depression, anxiety, and insomnia among nurses and to evaluate the impact of night shifts on mental distress via a network model.MethodsWe recruited 4,188 nurses from six hospitals in December 2020. We used the Insomnia Severity Index, Patient Health Questionnaire-9, and Generalized Anxiety Disorder Scale-7 to assess insomnia, depression, and anxiety, respectively. We used the gaussian graphical model to estimate the network. Index expected influence and bridge expected influence was adapted to identify the central and bridge symptoms within the network. We assessed the impact of night shifts on mental distress and compared the network structure based on COVID-19 frontline experience.ResultsThe prevalence of depression, anxiety, and insomnia was 59, 46, and 55%, respectively. Nurses with night shifts were at a higher risk for the three mental disorders. "Sleep maintenance" was the central symptom. "Fatigue," "Motor," "Restlessness," and "Feeling afraid" were bridge symptoms. Night shifts were strongly associated with sleep onset trouble. COVID-19 frontline experience did not affect the network structure.Conclusion"Sleep maintenance," "Fatigue," "Motor," and "Restlessness" were important in maintaining the symptom network of anxiety, depression, and insomnia in nurses. Further interventions should prioritize these symptoms. 
546 |a EN 
690 |a COVID-19 pandemic 
690 |a depression 
690 |a anxiety 
690 |a insomnia 
690 |a network analysis 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Frontiers in Public Health, Vol 10 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fpubh.2022.1040298/full 
787 0 |n https://doaj.org/toc/2296-2565 
856 4 1 |u https://doaj.org/article/a5ca6360e90341b28a48e34e0caeb8f4  |z Connect to this object online.