The relationship between sleep quality and psychological distress and job burnout among Chinese psychiatric nurses

Wang, Bin; Lu, Qi; Sun, Feifei; Zhang, Rui

doi:10.2486/indhealth.2020-0249

Cited by 19 publications

(18 citation statements)

References 34 publications

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“…For example, neurobiological changes (e.g, increased cerebral blood volume and/or flow) and changes in peripheral biomarkers (e.g, increase in circulating growth factors, and anti-inflammatory markers) have been reported before in those being more physically active [ 32 , 33 ], while from a psychosocial perspective there is evidence that physical activity provides an opportunity for social interaction [ 34 ], and increases mastery in the physical domain (e.g, self-perceived fitness, self-esteem, self-efficacy) [ 35 , 36 ]. In contrast to what was hypothesized, and what has been observed recently in Chinese mental health nurses using similar assessment tools [ 37 ], we did not find any associations between poor sleep quality and psychological distress. While in the current study, 75.9% reported poor sleep quality and 92.6% psychological stress, among 812 Chinese mental health nurses working in a psychiatric hospital this was 53.1% used the PSQI and 46.9% used the K-10 instead of K-6 respectively.…”

Section: Discussioncontrasting

confidence: 99%

Mental health and lifestyle in mental health nurses: a cross-sectional, nation-wide study from Uganda during COVID-19 times

Vancampfort¹,

Mugisha²

2022

Pan Afr Med J

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Introduction mental health nurses (MHNs) work in potentially high-stress settings, in particular in low-income countries during the COVID-19 pandemic the risk might be high. This multi-centre, cross-sectional study explored the prevalence of psychological distress and post-traumatic stress disorder (PTSD) symptoms among Ugandan MHNs and investigated associations between these mental health outcomes and lifestyle factors. Methods in this cross-sectional study, participants completed the Kessler-6 (K-6), PTSD checklist for DSM-5 (PCL-5), simple physical activity questionnaire (SIMPAQ), physical activity (PA) vital sign (PAVS), Pittsburgh sleep quality index (PSQI, and alcohol use disorder identification test-concise (AUDIT-C). Spearman Rho correlations and Mann Whitney U tests were applied. Results of 108 included MHNs (age =34.8±10.0 years; 55.6% female) 92.6% had psychological distress (K-6≥13), 44.4% elevated PTSD symptoms (PCL-%≥41), 74.1% was physically inactive (less than 150min/week on PAVS), 75.9% reported poor sleep quality (PSQI>-5) and 24.4% harmful drinking (AUDIT-C≥3 for women and -≥4 for men). SIMPAQ exercise correlated with K-6 (rho =-0.36, P<0.001) and PCL-5 (rho=-0.24, P=0.013), SIMPAQ walking with PCL-5 (rho =-0.31, P<0.001). Mental health nurses meeting the PA guidelines reported lower PCL-5 scores than those who did not (P<0.005). Conclusion in Uganda, the mental health burden is high during the COVID-19 pandemic among MHNs and associated with an unhealthy lifestyle. The effectiveness and efficacy of resilience programs for MHNs focusing on unhealthy lifestyle patterns should be explored.

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Section: Discussioncontrasting

confidence: 99%

Mental health and lifestyle in mental health nurses: a cross-sectional, nation-wide study from Uganda during COVID-19 times

Vancampfort¹,

Mugisha²

2022

Pan Afr Med J

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“…A positive relationship between exhaustion and insomnia has been already observed in healthcare professionals already in March and April 2020 during the COVID-19 pandemic ( 48 ). Sleep quality can be influenced by high psychological distress, high emotional exhaustion, low depersonalization, and low personal accomplishment ( 49 ). Furthermore, sleep disturbances have been linked to psychological distress in healthcare workers during the COVID-19 pandemic ( 50 ).…”

Section: Discussionmentioning

confidence: 99%

Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

et al. 2022

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IntroductionThe objective of this study was to investigate the psychosocial and cardiovascular markers in healthcare professionals during the COVID-19 pandemic.MethodsThis was a STROBE compliant, blended exploratory study. Residents, staff physicians, nurses, and auxiliary healthcare professionals from both inpatient and outpatient medicine services were recruited using a planned random probability sample. The Maslach Burnout Inventory (MBI), Fuster-BEWAT score (FBS), and socio-demographic factors, as well as sleep quality, were studied. The correlations between burnout severity and cardiovascular risk were examined using multivariable linear regression models adjusted for confounding variables, such as sociodemographic and anthropometric characteristics.ResultsThe regression analysis with FBS as the outcome showed a negative association between cardiovascular health and emotional exhaustion [Coef.(95%CI): −0.029 (−0.048, −0.01), p = 0.002]. The higher the emotional exhaustion the lower the cardiovascular health. Further, the model showed a positive association between personal accomplishment and cardiovascular health [Coef.(95%CI): 0.045 (0.007, 0.082), p = 0.02]. Emotional exhaustion was significantly positive correlated with REM sleep and light average (Spearman’s rank correlation: 0.37 and 0.35, respectively, with P < 0.05).ConclusionThe data from this study show that healthcare practitioners who are with burnout and emotional exhaustion have an elevated cardiovascular risk, however, causality cannot be determined. As an adaptive response to stressful situations, REM sleep increases. The findings of this study may be relevant in creating preventive strategies for burnout and cardiovascular risk reduction or prevention.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT04422418].

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“…In addition, the relationship between emotional exhaustion and sleep quality in healthcare professionals during the COVID-19 pandemic has already been studied [ 22 , 42 , 43 , 44 ]. Sleep quality can be influenced by high psychological distress, high emotional exhaustion, depersonalization, and low personal accomplishment [ 45 ]. Short sleep durations and poor sleep are increasingly being linked to the development of CVDs [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular Risk Factors in Hospital Workers during the COVID-19 Pandemic: A Hospital-Based Repeated Measures Study

Liao

Lai

Lin

2022

IJERPH

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Although many studies have investigated burnout, stress, and mental health issues among health care workers (HCWs) during the COVID-19 pandemic, few have linked these relationships to chronic physiological illnesses such as cardiovascular diseases. This study assessed changes in cardiovascular risk factors in HCWs and other hospital workers during the COVID-19 pandemic and identified vulnerable groups at a higher risk of increased adverse cardiovascular conditions. Five hundred and fourteen hospital employees ≥ 20 years of age underwent physical examinations and laboratory testing once before and once after the first wave of the pandemic in Taiwan during 2020 and 2021. Their sociodemographic characteristics and cardiovascular risk factors, including blood pressure, blood biochemical parameters, and body mass index, were collected. The differences between pre- and post-pandemic measurements of their biophysical and blood biochemical parameters were analyzed using pairwise tests. The post-pandemic increases in their parameter levels and cardiovascular risk as a function of underlying factors were estimated from multivariate regressions. HCWs showed significant increases in levels and abnormal rates of BMI, blood pressure, plasma glucose, and total cholesterol after the pandemic. Post-pandemic increases in BMI, waist circumference, and blood pressure were higher in females than in males. Workers with higher levels of education or longer job tenure had greater increases in BMI, triglyceride, and total cholesterol levels than other workers. Females had a higher incidence of abnormal BMI and hypertension than males (adjusted odds ratios [AORs] of 8.3 and 2.9, respectively). Older workers’ incidence of hypertension was higher than younger workers’ (AOR = 3.5). Preventive strategies should be implemented for HCWs susceptible to cardiovascular diseases during emerging infectious disease outbreaks.

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The relationship between sleep quality and psychological distress and job burnout among Chinese psychiatric nurses

Abstract: Bin WANG, was in charge of the data analysis and writing.Feifei SUN, was in charge of the data collection and analysis.Qinghua LU, was in charge of study design and essential help.Rui ZHANG, was in charge of writing.

Cited by 19 publications

References 34 publications

Mental health and lifestyle in mental health nurses: a cross-sectional, nation-wide study from Uganda during COVID-19 times

Mental health and lifestyle in mental health nurses: a cross-sectional, nation-wide study from Uganda during COVID-19 times

Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

Cardiovascular Risk Factors in Hospital Workers during the COVID-19 Pandemic: A Hospital-Based Repeated Measures Study

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