ArticleNature and science of sleep2022
Insomnia Partially Mediates the Relationship of Occupational Stress with Mental Health Among Shift Working Nurses and Midwives in Polish Hospitals.
Article in Nature and science of sleep, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- A systematic review and meta-analysis of depressive symptoms and work-ralated psychoacial factors among healthcare workers.Discover mental health · 2026Review
- Buffering the effects of work stress on anxiety and depression: a moderated mediation model of physical activity enjoyment and sleep disturbance in China.BMC psychology · 2026Article
- The Mediating Role of Dietary Behavior Among Rural Middle-Aged and Young People in the Relationship Between Self-Efficacy and Health-Related Quality of Life: The Moderating Effect of Social Support-A Cross-Sectional Study.Health science reports · 2025Article
- Ethical Leadership of Head Nurses as Perceived by Nurses and Its Relationship With Nurses' Organisational Justice.Nursing open · 2025Article
- The sleep quality and influencing factors among midwives in China: a cross-sectional study.Frontiers in public health · 2025Article
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Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Insufficient sleep increases sensitivity to chronic stress and may be a precursor to the deterioration of mental health and the development of burnout. The aim of our study was to verify whether symptoms of insomnia mediate the relationship of occupational stress with mental health among nurses who work shifts. Materials and Methods: The analyses included 117 female nurses and midwives who work shifts. They filled in the 16-item Effort-Reward Imbalance Questionnaire (ERIQ) assessing occupational stress, the Insomnia Severity Index (ISI), the Patient Health Questionnaire (PHQ-9, the question about sleep was excluded from the analyses), the Generalized Anxiety Disorder Assessment (GAD-7), and the 16-item Oldenburg Burnout Inventory (OLBI) consisting of two scales - Disengagement and Exhaustion (OLBI-D and OLBI-E). Results: Insomnia partially mediated the association of the effort-reward imbalance ratio with depression, anxiety and the exhaustion dimension of burnout. We found no association of insomnia symptoms with the depersonalization dimension of burnout, but the effort-reward imbalance ratio was associated with the depersonalization scale. Conclusion: The results showed that occupational stress has varying degrees of influence on mental health, partly depending on the severity of insomnia symptoms among nurses and midwives who work shifts.
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