Stress, Anxiety and Depressive Symptoms, Burnout and Insomnia Among Greek Nurses One Year After the End of the Pandemic: A Moderated Chain Mediation Model

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(4), P. 1145 - 1145

Published: Feb. 10, 2025

Background/Objectives: Several studies have reported alarming rates of mental health issues and sleep problems among nurses even in the post-pandemic era. The objective was to investigate prevalence stress, anxiety depressive symptoms, burnout insomnia Greece one year after end pandemic construct a mediation model evaluating impact stress on insomnia, chain mediating roles symptoms burnout, as well moderating role model. Methods: This cross-sectional study conducted online July 2024 included 380 hospital who completed Depression Anxiety Stress Scale (DASS-21), Copenhagen Burnout Inventory (CBI) Athens Insomnia (AIS). Results: were 33.9% with 95% confidence interval (CI): [0.292, 0.390], 33.3% (95% CI: [0.284, 0.381]), 35% [0.302, 0.400]), 46.8% [0.399, 0.502]) 56.1% [0.509, 0.611]), respectively. Multiple regression analysis indicated that subscale DASS-21 explained 40.6% variance AIS, while an additional 7.6% by CBI another 1.3% rate DASS-21. Mediation revealed affected both directly indirectly through burnout. moderated path enhancing negative symptoms. Conclusions: proposed introduces certain factors influencing explains how changes any these effectuate other factors, offering insights for individualized interventions.

Language: Английский

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Prevalence and associated factors of depressive and anxiety symptoms among Chinese secondary school students

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Aug. 10, 2023

Abstract Background Depressive and anxiety symptoms affect about one-fourth of Chinese secondary school students. However, the prevalence correlates mental distress among students from Western China remain largely unexplored. This study aimed to examine associations depressive with demographic, family, school, life, behavior factors in a large, representative sample Zigong, city China. Methods Secondary were recruited using cluster sampling. The 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Multidimensional Peer-Victimization Scale, Pittsburgh Sleep Quality Index, Nine-Item Internet Gaming Scale-Short Form used. Descriptive statistic was used describe sociodemographic characteristics participants. clustering effect adjusted by “survey” package R calculate weighted prevalence. Univariate multivariate logistic regression explore associated depression anxiety, respectively. Results A total 63,205 participants involved, which all subjects 23.0% ( 95% CI : 19.6- 27.0%), 13.9% 11.2- 17.0%). Logistic results showed girls, being single-child, non-nuclear peer bullying, sleep disturbance, internet gaming disorder positively symptoms. Conclusion prevalent Our can guide policy strategies for assessment, prevention, intervention psychological status

Language: Английский

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A network analysis of the long-term quality of life and mental distress of COVID-19 survivors 1 year after hospital discharge

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: July 28, 2023

Objectives COVID-19 survivors suffer from persistent mental distress and impaired quality of life (QOL) after recovery the infection. However, symptom-symptom interaction between these psychological variables remained unexplored. The present study aimed to determine symptom network (depression, anxiety, sleep disturbance, fatigue, post-traumatic stress disorder) their association with QOL among 535 1 year hospital discharge. Methods 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale, Chalder fatigue scale, Impact Event Scale-Revised, Pittsburgh Sleep Quality Index, 36-Item Short-Form Survey were applied measure depression, PTSD, disturbances, QOL, respectively. Two networks estimated using Gaussian graphical model. Network consisted symptoms central bridge symptoms. 2 additionally included which mostly related QOL. Results 60% experienced Uncontrollable excessive worry, psychomotor symptoms, intrusion, daytime dysfunction most Daytime (especially loss energy) served as across exhibited substantial Conclusion Our demonstrated several key that played a vital role in survivors. Prompt screening targeted interventions for might hold great promise preventing improving

Language: Английский

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Clinical symptoms, thyroid dysfunction, and metabolic disturbances in first-episode drug-naïve major depressive disorder patients with suicide attempts: A network perspective

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: Feb. 24, 2023

Backgrounds Co-occurrence of thyroid dysfunction, metabolic disturbances, and worsening clinical symptoms in major depressive disorder (MDD) patients with suicidal attempts (SA) are common. However, their relationship SA remains unexplored. We aimed to (1) determine the independent association symptoms, disturbances SA; (2) identify interactions via network approach. Methods 1718 FEDN MDD were recruited. Depressive, anxiety, psychotic assessed by Hamilton Rating Scale for Depression (HAMD), Anxiety (HAMA), Positive Negative Syndrome Subscale positive subscale, respectively. The serum levels hormones other parameters assessed. Logistic regression model was applied correlates SA. Network analysis interaction between disturbances. Results had significant worse than non-SA patients. Thyroid peroxidases antibody, stimulating hormone (TSH), HAMD scores, HAMA systolic blood pressure independently associated suggested that TSH hub network, exhibiting substantial associations Conclusions Our work highlights predominant role pathophysiology Regular function tests might help early detect Targeting increased may reduce

Language: Английский

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Effect of occupational stress and resilience on insomnia among nurses during COVID-19 in China: a structural equation modelling analysis

BMJ Open, Journal Year: 2024, Volume and Issue: 14(7), P. e080058 - e080058

Published: July 1, 2024

To explore the effects of occupational stress and resilience on insomnia among Chinese nurses during COVID-19 pandemic.

Language: Английский

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Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: a comprehensive network approach

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: July 15, 2024

Anxiety, depression, and sleep problems are prevalent comorbid mental disorders among university students. The World Health Organization (WHO) emphasized a health promotion objective, recommending the consideration of protective health-promoting factors in strategies aimed at preventing disorders. Integrating theoretically significant constructs (such as factors) enhances our comprehension intricate mechanisms that underpin This study employed network analysis to first identify core bridge symptoms within then explore how lifestyles (HPLs) were associated with these ultimate goal is offer recommendations enhance students' quality life.

Language: Английский

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Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under Standardized Residency Training: a network analysis

Annals of Medicine, Journal Year: 2024, Volume and Issue: 56(1)

Published: Nov. 28, 2024

Background Chinese resident physicians confront challenges such as staff shortages and heavy workloads, leading to a heightened prevalence of mental distress. This study aims investigate the symptom network stress, burnout, anxiety, depression (SBAD) adverse personal outcomes in this cohort.

Language: Английский

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Nurses' Sleep Quality and Its Influencing Factors During the First Explosive COVID‐19 Outbreak in Zhejiang, China, After the Relaxation of Epidemic Prevention and Control Measures: A Multicentre Cross‐Sectional Study

Nursing Open, Journal Year: 2025, Volume and Issue: 12(1)

Published: Jan. 1, 2025

ABSTRACT Aim To investigate the sleep quality and its influencing factors among nurses in hospitals Zhejiang, China, during first explosive COVID‐19 outbreak following relaxation of prevention control measures. Design A multicentre cross‐sectional study. Methods Between 10 January 20 2023—approximately 1 month after policy was loosened—a total 573 from tertiary community Zhejiang participated an online, self‐administered survey. The participants were recruited using convenience sampling, survey distributed via WeChat platform. included a general information form; Self‐Rating Scale Sleep (SRSS); Depression, Anxiety, Stress Scale‐21 (DASS‐21); Perceived Social Support (PSSS); Brief Resilience (BRS). Data analysis conducted SPSS version 26.0. Statistical methods employed t ‐tests, one‐way variance (ANOVA), chi‐square tests Mann–Whitney U ‐tests for comparisons between groups. Pearson correlation coefficients calculated to analyse relationship SRSS score DASS‐21, PSSS BRS scores. multiple linear stepwise regression determine independent quality. Results More than 90% infected with COVID‐19, 60.6% had disorders. revealed that anxiety, score, comorbidities, hospital grade, clinical front‐line, age infection independently predicted scores several items higher Chinese norm, especially hospitals. Patient Public Contribution No patient or public contribution.

Language: Английский

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A multicenter cross-sectional study of gambling disorder among patients with methamphetamine use disorder in drug rehabilitation centers: prevalence, correlates, and network analysis

Annals of General Psychiatry, Journal Year: 2025, Volume and Issue: 24(1)

Published: March 3, 2025

Language: Английский

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Network analysis of depression and anxiety symptoms and their associations with mobile phone addiction among Chinese medical students during the late stage of the COVID-19 pandemic

SSM - Population Health, Journal Year: 2023, Volume and Issue: 25, P. 101567 - 101567

Published: Nov. 23, 2023

Network analysis provides a novel approach to discovering associations between mental disorders at the symptom level. This study aimed examine characteristics of network depression and anxiety symptoms their with mobile phone addiction (MPA) among Chinese medical students during late stage COVID-19 pandemic. A total 553 were included. Depression MPA measured by nine-item Patient Health Questionnaire (PHQ-9), seven-item Generalized Anxiety Disorder Scale (GAD-7), Mobile Phone Addiction Index (MPAI), respectively. Central bridge identified centrality indices indices. stability was examined using case-dropping procedure. "Uncontrollable worry", "restlessness" "nervousness" central in network. "Restlessness" "motor" most linking anxiety. "Concentration", "anhedonia" "sleep" strongly associated MPA. "restlessness", "nervousness," may be for interventions target comorbid From perspective, depressive more important than

Language: Английский

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