Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study

Abstract

The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88–0.95), 0.59 (95% CI, 0.55–0.63), and 1.43 (95% CI, 1.38–1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.

Emotional Effects of the Duration, Efficiency, and Subjective Quality of Sleep in Healthcare Personnel

“…Thus, according to the first hypothesis (H1), a short sleep pattern involved the deterioration of subjective quality and the perceived effectiveness of sleep. This result is in line with the poor quality of sleep reported among people suffering from insomnia [17]. In turn, and according to previous studies [44,45], the alteration of the components of sleep quality had a negative effect on the components of emotional intelligence stress management and mood.…”

“…Studies [14,15] have shown that lack of sleep is a common problem among nurses and that the duration of sleep varies with age [16]. In recent years, the prevalence of insomnia, which is the most important sleep-related disorder [17], and other sleep complaints have increased among healthcare personnel thus affecting the subjective quality of sleep [18]. Some studies have mentioned that the subjective quality of sleep is not related to working in shifts [19,20].…”

Psychological distress and its association with job satisfaction among nurses in a teaching hospital

“…Likewise, Khalid, Irfan, Sheikh, and Faisal (2010), they found that nurses from 25 to 29 years of age had the highest prevalence of depression than nurses in other ages. In contrast to Huang, Wu, Ho, and Wang (2018), they found the age above 30 years have higher level of depression. The possible explanation for having higher level of depression in the age of 26-30 years was because the nurses in this age supposed to settle down emotionally and to establish a family.…”

Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: A cross‐sectional survey

“…Because of the particularity of their occupation, nurses have a great responsibility, a heavy workload, huge pressure and the need to work in shifts, so they are more likely to suffer from insomnia (Huang, Wu, Ho, & Wang, 2018). The incidence of insomnia among nurses in a certain region of Poland was 47.8% (Zdanowicz, Turowski, Celej‐Szuster, Lorencowicz, & Przychodzka, 2020).…”