ArticleBMJ open2026
Mental health and the knowledge and attitude towards insomnia among medical staff in China: a cross-sectional study.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Long-term night shift work and cardiometabolic health in healthcare workers: a review of mechanisms and precision intervention strategies.Frontiers in public health · 2026Pooled it
- Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff.Frontiers in public health · 2026Article
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Authors and funding
10 authors.
Funding
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Abstract
objectivesTo assess Chinese medical staff's knowledge and attitudes towards insomnia and explore their association with mental health status.
designA multicentre cross-sectional survey conducted across hospitals in China using convenience sampling.
settingMultiple hospitals across different regions of China; level of care primarily secondary.
participantsA total of 654 medical staff enrolled from 23 hospitals between April and June 2023, with 420 (64.22%) nurses. Inclusion criteria encompassed hospital staff involved in patient care; exclusion criteria included those on leave or unwilling to participate. Data on sex and ethnicity were collected but not specified in the abstract. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes included insomnia knowledge and attitudes, assessed by a structured questionnaire. Secondary outcomes encompassed mental health status, measured via the Depression-Anxiety-Stress Scale (DASS)-21 (stress, anxiety and depression). The interactions between these variables were analysed using structural equation modelling (SEM).
resultsOf the participants, 392 (59.94%) reported insomnia symptoms. The median scores for insomnia knowledge and attitudes were 16.0 (range 0-24) and 27.0 (range 7-35), respectively. The median DASS-21 score was 30.0; 189 (28.90%) experienced stress, 400 (61.16%) anxiety and 302 (46.18%) depression. SEM analysis indicated that night shift work (β=-0.101, p=0.024) and job satisfaction (β=-0.258, p<0.001) had direct effects on mental health outcomes.
conclusionsMedical staff showed limited understanding of insomnia and a high prevalence of stress, anxiety and depression. Targeted education, optimised shift scheduling and accessible mental health support are recommended to promote staff well-being and improve care quality. Nevertheless, the findings should be interpreted with caution because of the cross-sectional design and convenience sampling method.
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