Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis
Abstract Background Stress is significantly associated with depressed mood in nurses. However, it remains unclear whether the mechanisms by which two types of stress—childhood adversity and perceived stress—affect depression are identical. This study aims to investigate the relationship between stre...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-024-02565-w |
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| author | Ping-Zhen Lin Li-Hui Yang Jing Su Jiao-Mei Xue |
| author_facet | Ping-Zhen Lin Li-Hui Yang Jing Su Jiao-Mei Xue |
| author_sort | Ping-Zhen Lin |
| collection | DOAJ |
| description | Abstract Background Stress is significantly associated with depressed mood in nurses. However, it remains unclear whether the mechanisms by which two types of stress—childhood adversity and perceived stress—affect depression are identical. This study aims to investigate the relationship between stress (including childhood adversity and perceived stress) and depression, as well as the mediating role of coping profiles. Methods A survey was conducted among 737 nurses in a tertiary hospital in China using the Revised Adverse Childhood Experiences Questionnaire, the Perceived Stress Scale, the Trait Coping Styles Questionnaire, and the Patient Health Questionnaire-9. Latent profile analyses were performed using Mplus, and mediation analyses were conducted using R software. Results Coping profiles were categorized into four groups: “Low Coping” (9.9%), “Inadequate Coping” (39.5%), “Emotional Suppression” (32.0%), and “Active Coping” (18.6%). Both childhood adversity and perceived stress were positively associated with depression levels in nurses. The “Emotional Suppression” profiles played a mediating role in the relationship between childhood adversity and depression. “Emotional Suppression” and “Low Coping” profiles played mediating roles in the relationship between perceived stress and depression. Conclusions Stress and coping profiles are established risk factors of depression among nurses. Reducing stress levels and improving coping profiles among nurses can have a substantial impact on the prevention and alleviation of depression. |
| format | Article |
| id | doaj-art-9c1a2dbc87234e08adf5b9619d4fec30 |
| institution | OA Journals |
| issn | 1472-6955 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-9c1a2dbc87234e08adf5b9619d4fec302025-08-20T02:20:45ZengBMCBMC Nursing1472-69552024-12-0123111110.1186/s12912-024-02565-wStress, coping profiles, and depression among nurses: a latent profile and mediation analysisPing-Zhen Lin0Li-Hui Yang1Jing Su2Jiao-Mei Xue3Department of Nursing, Quanzhou First HospitalShandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical SciencesSchool of Nursing, Shandong First Medical University & Shandong Academy of Medical SciencesSchool of Society and Law (School of Health and Aging), Shandong Women’s UniversityAbstract Background Stress is significantly associated with depressed mood in nurses. However, it remains unclear whether the mechanisms by which two types of stress—childhood adversity and perceived stress—affect depression are identical. This study aims to investigate the relationship between stress (including childhood adversity and perceived stress) and depression, as well as the mediating role of coping profiles. Methods A survey was conducted among 737 nurses in a tertiary hospital in China using the Revised Adverse Childhood Experiences Questionnaire, the Perceived Stress Scale, the Trait Coping Styles Questionnaire, and the Patient Health Questionnaire-9. Latent profile analyses were performed using Mplus, and mediation analyses were conducted using R software. Results Coping profiles were categorized into four groups: “Low Coping” (9.9%), “Inadequate Coping” (39.5%), “Emotional Suppression” (32.0%), and “Active Coping” (18.6%). Both childhood adversity and perceived stress were positively associated with depression levels in nurses. The “Emotional Suppression” profiles played a mediating role in the relationship between childhood adversity and depression. “Emotional Suppression” and “Low Coping” profiles played mediating roles in the relationship between perceived stress and depression. Conclusions Stress and coping profiles are established risk factors of depression among nurses. Reducing stress levels and improving coping profiles among nurses can have a substantial impact on the prevention and alleviation of depression.https://doi.org/10.1186/s12912-024-02565-wDepressionChildhood adversityPerceived stressCoping profilesNurse |
| spellingShingle | Ping-Zhen Lin Li-Hui Yang Jing Su Jiao-Mei Xue Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis BMC Nursing Depression Childhood adversity Perceived stress Coping profiles Nurse |
| title | Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis |
| title_full | Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis |
| title_fullStr | Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis |
| title_full_unstemmed | Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis |
| title_short | Stress, coping profiles, and depression among nurses: a latent profile and mediation analysis |
| title_sort | stress coping profiles and depression among nurses a latent profile and mediation analysis |
| topic | Depression Childhood adversity Perceived stress Coping profiles Nurse |
| url | https://doi.org/10.1186/s12912-024-02565-w |
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