ArticleFrontiers in psychiatry2024
The mediating effect of resilience and COVID-19 anxiety on the relationship between social support and insomnia among healthcare workers: a cross-sectional study.
Article in Frontiers in psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Prevalence and Factors Associated with Insomnia Among Healthcare Workers in Kazakhstan During the COVID-19 Pandemic: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2026Article
- The association between anxiety symptoms and sleep quality in people living with HIV/AIDS: the mediating effect of social support, psychological resilience and coping strategies.Frontiers in psychiatry · 2026Article
- Network analysis of social support, resilience, quality of life, and insomnia under pandemic control measures.Frontiers in public health · 2026Article
- The Swahili version of the CD-RISC 10 resilience scale: psychometric properties and factors associated with resilience among healthcare workers in Tanzania.BMC nursing · 2025Article
- Relationship between transition shock, resilience, career calling, and retention intention among new nurses: a moderated mediation model.BMC nursing · 2024Article
- Article
- Factors associated with cognitive impairment and the quality-of-life among COVID-19 survivors working as healthcare workers.Narra J · 2024Article
- Influence of social support and coping strategies on psychological stress among frontline medical personnel during the Yangbi Earthquake: a cross-sectional analysis.Frontiers in psychiatry · 2024Article
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Authors and funding
12 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Insomnia in healthcare workers has become a topic of concern in the health system. The high infectivity and longevity of the COVID-19 pandemic have resulted in great pressure and a high incidence of insomnia among healthcare workers. Insomnia among healthcare workers has a negative impact on high-quality healthcare services in addition to their health. Thus, it's necessary to explore insomnia's underlying mechanisms. Object: The present research's aims were threefold: explored the association between social support, resilience, COVID-19 anxiety, and insomnia among healthcare workers during the pandemic, elucidated the underlying mechanism of insomnia, and offered recommendations for improving the health of these workers. Materials and methods: A cross-sectional design was adopted. From May 20 to 30, 2022, 1038 healthcare workers were selected to fill out the Oslo 3-item Social Support Scale, the eight-item Athens Insomnia Scale, the Coronavirus Anxiety Scale, and the Brief Resilience Scale. Descriptive statistics and correlations were analyzed by SPSS 25.0. Mediation analysis was conducted by Mplus 8.3 using 5000 bootstrap samples. Results: Of the participating 1038 healthcare workers, the prevalence of insomnia was 41.62% (432/1038). Significant associations were found involving insomnia, resilience, COVID-19 anxiety, and social support. Insomnia was directly affected by social support. Moreover, three indirect pathways explain how social support affected insomnia: resilience's mediating role, COVID-19 anxiety's mediating role, and the chain-mediation role of resilience and COVID-19 anxiety. Conclusion: The results validated our hypotheses and supported the opinion of Spielman et al. 's three-factor model of insomnia. Social support of healthcare workers has an indirect impact on insomnia in addition to its direct one via independent and chain-mediation effects of resilience and COVID-19 anxiety.
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