Impact of Insomnia on Burnout Among Chinese Nurses Under the Regular COVID-19 Epidemic Prevention and Control: Parallel Mediating Effects of Anxiety and Depression

Abstract

Objective: To investigate the mediating effects of anxiety and depression in the relationship between insomnia and burnout among Chinese nurses under the regular COVID-19 epidemic prevention and control.Methods: Convenience sampling was applied to recruit 784 nurses in Jiangsu Province, China. The respondents completed the survey via mobile devices. Demographic questionnaire, Insomnia Severity Index, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and Maslach Burnout Inventory were used to assess demographic information, insomnia, anxiety, depression, and burnout, respectively. Hayes PROCESS macro was employed to examine the mediation model.Results: Insomnia, anxiety, depression and burnout were positively and significantly associated with each other. Anxiety and depression played partial mediation effects between insomnia and burnout with the mediation effect of anxiety and depression accounting for 28.87% and 31.69% of the total effect, respectively.Conclusion: Insomnia may lead to burnout through the parallel mediating effects of anxiety and depression in Chinese nurses. Interventions on sleep, anxiety and depression from the hospital management were essential to ameliorate nurses’ burnout status under the regular COVID-19 epidemic prevention and control.

Status and influencing factors of nurses’ burnout: A cross-sectional study during COVID-19 regular prevention and control in Jiangsu Province, China

“…However, opposite results were detected among PA and variables of interest. The results above were consistent with those of prior research (Yang, 2011 ; Liu et al, 2023 ; Mao et al, 2023c ). For example, Liu and colleagues found that PTSD was significantly and positively correlated with burnout, whereas social support and resilience were significantly and negatively related to burnout among medical staff two years after the COVID-19 pandemic in Wuhan, China (Liu et al, 2023 ).…”

“…For example, Liu and colleagues found that PTSD was significantly and positively correlated with burnout, whereas social support and resilience were significantly and negatively related to burnout among medical staff two years after the COVID-19 pandemic in Wuhan, China (Liu et al, 2023 ). Mao et al detected significantly and positively moderate correlations among anxiety, depression, insomnia and burnout among Chinese nurses under regular COVID-19 epidemic prevention and control (Mao et al, 2023c ). Meanwhile, self-efficacy was negatively correlated with burnout among Korean psychiatric nurses who provided care for patients with mental illnesses and infections with COVID-19 (Lim et al, 2022 ).…”

“…Each item was rated from 0 (not at all) to 4 (nearly every day). The scale has shown good validity and reliability among Chinese nursing population (Mao et al, 2023c ). In our study, coefficient of Cronbach’s alpha was 0.93.…”

“…Similarly, 0–5, 6–9 and >9 for DP and >39, 34–39 and 0–33 for reduced PA. The scale has presented good validity and reliability among Chinese nursing population (Mao et al, 2023c ). In our study, coefficient of Cronbach’s alpha was 0.90.…”

Association between nomophobia and learning performance among undergraduate students: the mediating role of depression and anxiety

“…The indirect effects as per unstandardized coefficients (b) and bias-corrected 95% confidence intervals (CIs) were computed based on 200 bootstrap replications drawn from the original 307 subjects. The presence of a mediating effect was accepted if the 95% CI did not cross zero (Mao et al, 2023). All tests were two-tailed with a significance level of α = 0.05.…”