ArticleJournal of contextual behavioral science2021
Occupational stressors, mental health, and sleep difficulty among nurses during the COVID-19 pandemic: The mediating roles of cognitive fusion and cognitive reappraisal.
Article in Journal of contextual behavioral science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- The Psychological Impact of COVID-19 on Front Line Nurses: A Synthesis of Qualitative Evidence.International journal of environmental research and public health · 2021Pooled it
- Cognitive fusion and psychological distress as serial mediators between childhood trauma and maladaptive daydreaming.BMC psychology · 2026Article
- Mobile Phone Addiction and Sleep Quality Among Children and Adolescents: Unraveling the Health Consequences.Cureus · 2026Review
- From Anxiety to Hopelessness: Examining Influential Psychological Processes Affecting Mental Health Status of Spanish Nurses During the COVID-19 Pandemic.Medicina (Kaunas, Lithuania) · 2025Article
- Article
- Anxiety Evolution among Healthcare Workers-A Prospective Study Two Years after the Onset of the COVID-19 Pandemic Including Occupational and Psychoemotional Variables.Medicina (Kaunas, Lithuania) · 2024Article
- Headache and Associated Psychological Variables in Intensive Care Unit Nurses during the COVID-19 Pandemic: A Prospective Study.Journal of clinical medicine · 2024Article
- Article
- Work-related psychosocial challenges and coping strategies among nursing workforce during the COVID-19 pandemic: a scoping review.BMC nursing · 2023Article
- Psychological resilience and cognitive reappraisal mediate the effects of coping style on the mental health of children.Frontiers in psychology · 2023Article
- Comparison of Death Anxiety, Death Obsession, and Humor in Nurses and Medical Emergency Personnel in COVID-19 Pandemic.Journal of emergency nursing · 2022Article
- Professional Self-Concept and Self-Confidence for Nurses Dealing with COVID-19 Patients.Journal of personalized medicine · 2022Article
- The influence of college students' academic stressors on mental health during COVID-19: The mediating effect of social support, social well-being, and self-identity.Frontiers in public health · 2022Article
- Three Mental Health Symptoms of Frontline Medical Staff Associated With Occupational Stressors During the COVID-19 Peak Outbreak in China: The Mediation of Perceived Stress and the Moderation of Social Support.Frontiers in psychology · 2022Article
- Effects of COVID-19-related psychological distress and anxiety on quality of sleep and life in healthcare workers in Iran and three European countries.Frontiers in public health · 2022Article
- Introduction to the special issue on COVID-19.Journal of contextual behavioral science · 2021Article
- The Health Behaviour of German Outpatient Caregivers in Relation to the COVID-19 Pandemic: A Mixed-Methods Study.International journal of environmental research and public health · 2021Article
- Predictors of Depression and Anxiety Symptoms in Brazil during COVID-19.International journal of environmental research and public health · 2021Article
- Acceptance and commitment therapy for nurses' sleep, rumination, psychological flexibility, and it's neural mechanism: A randomized controlled fNIRS study.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study aimed to examine the relationships between occupational stressors, mental health problems, and sleep difficulty, and the mediating roles of cognitive fusion and cognitive reappraisal on the relationships in Chinese nurses. A total of 323 nurses (mean age = 32.11 ± 6.75 years) from 25 hospitals in China participated a cross-sectional online survey. Participants were asked to refer to the period during the severest time of the COVID-19 pandemic in China (January to March 2020) when assessing the psychological variables. The direct links from occupational stressors to cognitive fusion, cognitive reappraisal, mental health and sleep difficulty were significant. Cognitive fusion and cognitive reappraisal mediated the links from occupational stressors to mental health problems, while cognitive fusion and mental health problems mediated the links from occupational stressors to sleep difficulty. The sequential mediation via cognitive fusion and mental health problems as well as via cognitive reappraisal and mental health problems on the links from occupational stressors to sleep difficulty were also significant. Findings from the current study indicate that intervention strategies focusing on the reduction of cognitive fusion and improvement of cognitive reappraisal could help better prepare nurses to alleviate mental health problems and sleep difficulties that are related to COVID-19 and potentially similar pandemics in the future.
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Registered trials
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