ArticleFrontiers in public health2025
The impact of night shift workload on nurses' depressive symptoms: a chain mediation analysis of sleep disturbances, social avoidance and fear of missing out.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled 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
- Working against the clock: the impact of shift patterns on cognitive function, mental health, and stimulant use among healthcare workers.BMC psychiatry · 2026Article
- Association Between Shift Work and Mental Health and Sleep Outcomes in Working Adults: A Systematic Review.Cureus · 2026Review
- Night shift work exposure shapes neurobehavioral and cardiometabolic profiles in female healthcare workers: a cross-sectional study.Frontiers in public health · 2026Article
- Associations among mental health promotion, sleep concerns, fatigue, and stress in clinical nurses: network and latent profile analysis.Frontiers in public health · 2026Article
- A qualitative study on the delayed manifestation of night shift-related intrusive memories in non-shift nurses with a history of night shift work.Frontiers in public health · 2026Article
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Authors and funding
12 authors.
Funding
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Abstract
Background: Depression is highly prevalent among nursing staff and has become a globally recognized occupational health issue. Despite its significance, research exploring the complex mechanisms linking night shift work and depressive symptoms in nurses remains limited. Objective: This study aims to investigate the association of sleep disturbances, social avoidance and distress (SAD), and fear of missing out (FOMO) with night shift work and depressive symptoms among nurses. Methods: Between June and August 2025, clinical nurses from a Grade-A tertiary hospital in Haikou were recruited. Data were collected using a general-information questionnaire, the 10-item Center for Epidemiologic Studies Depression Scale, the Pittsburgh Sleep Quality Index Scale, the Social Avoidance and Distress Scale, and the Fear of Missing Out Scale. Analyses were performed with SPSS 25.0 and R Studio 4.4.1. Group comparisons were conducted using the Wilcoxon rank-sum or Kruskal-Wallis Results: A total of 614 clinical nurses were ultimately enrolled, of whom 36 (5.9%) were male and 578 (94.1%) were female. The mean depression score was 9.38 ± 5.42, corresponding to a positive screening rate of 50.81%. Mediation analyses showed that night shift workload positively predicted depressive symptoms ( Conclusion: Night shift workload positively predicts depressive symptoms among nurses, and sleep disturbance, SAD, and FOMO partially mediate this relationship. Comprehensive, multi-target interventions should therefore be implemented to lower depression risk and safeguard the mental health of nurses working night shifts.
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