ReviewHealthcare (Basel, Switzerland)2023
The Relationship between Working Night Shifts and Depression among Nurses: A Systematic Review and Meta-Analysis.
Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- The effect of internet-based acceptance and commitment therapy on sleep quality and insomnia in adults: a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Non-pharmacological therapies for sleep and occupational stress regulation among nightshift nurses: a systematic review and Bayesian network meta-analysis based on randomized controlled trials.Frontiers in public health · 2026Pooled it
- Time matters: circadian genetics and the molecular logic of human health and disease.Nature reviews. Genetics · 2026Review
- Quality of Life and Job Satisfaction Among Nurses and Physicians in Greek Public Hospitals: Associations with Protocol-Based Work and Workplace Characteristics.Healthcare (Basel, Switzerland) · 2026Article
- Associations of chronotype and social jetlag with depressive symptoms in shift nurses: a cross-sectional study.BMC nursing · 2026Article
- Intensive care unit nurses' perceptions of night-work-related chronic fatigue and cognitive function: a cross-sectional survey.Frontiers in public health · 2026Article
- Circadian Rhythm Traits Matter More Than Shift Work Demands in the Sleep-Depression-Safety Behavior Pathway Among Shift-Working Nurses.Journal of nursing management · 2026Article
- Shift work, sociodemographic factors, and sleep quality among nurses working in rotating and day shifts: a cross-sectional analysis.Frontiers in psychiatry · 2026Article
- Self-worth, emotional labor, work engagement, and anxiety among nurses: a latent profile and mediation analysis.Frontiers in public health · 2026Article
- How sleep quality and depressive symptoms shape safety behavior in rotating-shift nurses: Insights from mediation and network analyses.PLOS global public health · 2026Article
- Psychosocial health risks among nursing staff working in shifts.Frontiers in public health · 2026Article
- Nurses' needs for digital mental health support: an analysis based on the Kano model.Frontiers in public health · 2026Article
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- Article
- Adverse childhood experiences are associated with job burnout in nursing interns: the mediation role of sleep duration.BMC nursing · 2025Article
- Psychological Wellbeing and Predictors of Early Help-Seeking Behaviours of International Students of Undergraduate Nursing Programs: A Scoping Review.Nursing open · 2025Article
- Article
- Night shift and occupational fatigue among nurses who work 12 hours in Jeddah.Journal of education and health promotion · 2025Review
- The impact of night shift workload on nurses' depressive symptoms: a chain mediation analysis of sleep disturbances, social avoidance and fear of missing out.Frontiers in public health · 2025Article
- Circadian rhythm types and shift work demands shape sleep quality and depressive symptoms in shift-working nurses.Frontiers in public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor many years, occupational physicians have debated whether there is a link between working the night shift and depression and other co-occurring mental health issues, with an emphasis on work-related, biological, individual, and environmental factors. We performed this systematic review and meta-analysis to estimate the overall association between sleep deprivation and depression among nurses working night shifts.
methodsA systematic search was carried out across the electronic databases PubMed, Scopus, and Web of Science from inception to 30 September 2022, for studies that reported a relationship between estimated night shift work and depression in nurses. The outcomes were measured using the odds ratio (OR) and matching 95% confidence interval (CI). The I
resultsA total of 20 studies were included in the systematic review. Furthermore, 8 studies were included in the meta-analysis due to their common use of the OR as an effect measure. The 8 studies gave an overall estimate indicating a statistically significant association between night shift work and depression among nurses (OR = 1.49 95% CI: 1.26, 1.76). The prediction interval for the overall estimate was (0.995, 2.231). This implies that the true OR in a future study would most likely fall within this range, with a 95% certainty.
conclusionsThe outcome of this systematic review and meta-analysis showed a significant association between night shift work, the circadian and sleep disruption it causes, and the risk of depression in nurses. This demonstrates that nurses who work night shifts are at risk of developing depression.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.