ArticleBMC psychiatry2023
The role of sleep quality and perceived stress on depressive symptoms among tertiary hospital nurses: a cross-sectional study.
Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The relationship between thriving at work and decent work in nurses: the mediating role of occupational calling and latent profile analysis.BMC nursing · 2026Article
- The association between perceived mortality exposure and nurses' depressive symptomes, through life satisfaction, and sleep quality.Frontiers in public health · 2026Article
- Latent profile analysis of sleep quality and its association with psychological resilience among emergency department nurses.Frontiers in psychology · 2026Article
- From Occupational Hazard to Public Health Concern: A Bibliometric and Knowledge-Mapping Analysis of Sleep Disorders Among Nurses Worldwide (1985-2025).Journal of nursing management · 2026Review
- The protective association of mindfulness non-reactivity with depression among clinical nurses: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Mental health trajectories during new nurses' role transition: staged reversal of the resilience-depression and resilience-anxiety relationship.Frontiers in public health · 2026Article
- Latent profile analysis of sleep quality and associated factors on sleep patterns in night-shift nurses: a cross-sectional study.Frontiers in public health · 2026Article
- Career stage variations in mental and somatic health symptoms among nursing professionals in China: a cross-sectional study.BMC nursing · 2025Article
- Latent profile analysis of factors influencing sleep quality in ICU nurses cross-sectional study.Scientific reports · 2025Article
- Associations of fruit and vegetable intake with sleep quality and stress among Hong Kong female nurses with different working status: a cross-sectional study.BMC nursing · 2025Article
- 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
- Violence suffered by nurses in risk classification and suspicion of common mental disorders.Revista brasileira de enfermagem · 2025Article
- Mapping Connection and Direction Among Symptoms of Sleep Disturbance and Perceived Stress in Firefighters: Embracing the Network Analysis Perspective.Nature and science of sleep · 2025Article
- Correlates of Sleep Health among Older-Age People with and without HIV in Uganda.AIDS and behavior · 2024Article
- Workplace violence and depressive symptoms: the mediating role of fear of future workplace violence and burnout among Chinese nurses.BMC psychiatry · 2024Article
- Coping strategies and correlations with depressive symptoms among female nurses working in Japanese general hospitals.Frontiers in public health · 2024Article
- Characterising Potential Subtypes and Influencing Factors of Sleep Quality in Psychiatric Nurses by Latent Profile Analysis.Journal of nursing management · 2024Article
- Sleep Quality and Its Relationship to Anxiety and Hardiness in a Cohort of Frontline Italian Nurses during the First Wave of the COVID-19 Pandemic.Nursing reports (Pavia, Italy) · 2023Article
- Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression.Frontiers in public health · 2023Article
- Effect of depressive symptoms on quality of work life in female nurses: a cross-sectional study using propensity score matching.Frontiers in psychiatry · 2023Article
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10 authors.
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Abstract
backgroundNurses in tertiary hospitals are at high risk for depression. Understanding sleep quality and perceived stress may contribute to nurses' mental health and health-related nursing productivity. The aim of this study was to investigate the role of sleep quality and perceived stress on depressive symptoms among nurses in tertiary hospitals.
methodsA total of 2,780 nurses (overall response rate = 91.1%) were recruited through a cross-sectional survey in 23 tertiary hospitals in China. Questionnaires included the Self-Rating Depression Scale, the Pittsburgh Sleep Quality Index, and the Chinese Perceived Stress Scale. Variables that were significant in Chi-square tests were further entered into binary logistic stepwise regression.
resultsThe prevalence of depressive symptoms was 60.3% (n = 1,676), of which 97.4% (n = 1,633) were female, and 77.8% were younger than 35 years (n = 1,304). Nurses who had moderate, poor, severe sleep quality and poor perceived pressure were more likely to be depressed. Master's degree, 6-10 years of work, and physical activity were protective factors, while the opposite was the case for shift work and high dissatisfaction.
conclusionsMore than half of nurses working in tertiary care hospitals reported depressive symptoms, and lower sleep quality and higher perceived stress were more associated with this. Perceived stress is an interesting concept, which may provide a new entry point for the well-known idea that there is a relationship between poor sleep quality and depression. It is possible to reduce depressive symptoms among public hospital nurses by providing information on sleep health and stress relief.
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