ArticleFrontiers in public health2026
Mental health trajectories during new nurses' role transition: staged reversal of the resilience-depression and resilience-anxiety relationship.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study examines the dynamic trajectories of resilience, depression, and anxiety during novice nurses' three-year role transition, with particular attention to the phase-dependent reversals in the resilience-depression and resilience-anxiety relationships, to inform temporally differentiated psychological interventions. Methods: In this prospective longitudinal cohort study, 118 newly employed nurses were recruited at baseline (T0) from a tertiary grade A hospital in Lanzhou, China (2019-2021), and 102 (86.4%) completed assessments at T0 and at the end of Years 1-3 (T1-T3). Resilience, depression, and anxiety were measured using the CD-RISC, SDS, and SAS, respectively. Data were analyzed using linear mixed-effects models, Pearson correlation with Steiger's Z-tests, group-based trajectory modeling (GBTM), and hierarchical regression. Results: Resilience increased steadily across the 3 years (64.65-81.01, Conclusion: The resilience-depression association shifted from negative to positive over the role transition. The depression rebound at T2 marks a critical intervention window. Anxiety demonstrated chronic stability, necessitating strategies distinct from depression-focused approaches. A staged mental health monitoring system is recommended.
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