The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak
Abstract Background The COVID-19 pandemic has led to increased depressive symptoms and diminished sleep quality among nurses. This study explores the relationships among social support, sleep quality, and depressive symptoms among Chinese nurses during the COVID-19 outbreak, with a focus on the medi...
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2024-12-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-024-06326-6 |
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| author | Yingying Gu Pinglang Hu Huanzeng Ren Caijun Dai Xuejiao He Weizhen Cheng Lihua Yu Achang Fang Xiaoling Meng Meiyang Lou Youying Chen Danli Chi Huasu Zhou Qiaoge Chen Shuhong Ni Qiqi Huang |
| author_facet | Yingying Gu Pinglang Hu Huanzeng Ren Caijun Dai Xuejiao He Weizhen Cheng Lihua Yu Achang Fang Xiaoling Meng Meiyang Lou Youying Chen Danli Chi Huasu Zhou Qiaoge Chen Shuhong Ni Qiqi Huang |
| author_sort | Yingying Gu |
| collection | DOAJ |
| description | Abstract Background The COVID-19 pandemic has led to increased depressive symptoms and diminished sleep quality among nurses. This study explores the relationships among social support, sleep quality, and depressive symptoms among Chinese nurses during the COVID-19 outbreak, with a focus on the mediating role of sleep quality. Methods A cross-sectional study involving 2140 nurses was conducted from August to September 2022. The participants completed the Social Support Rating Scale, the Hospital Anxiety and Depression Scale, and the Pittsburgh Sleep Quality Index. The data were analyzed via serial multiple mediation analysis with the PROCESS macro in SPSS. Results Depressive symptoms affected an estimated 40.4% of the participants, with 69.2% reporting poor sleep quality. The present study revealed a significant negative correlation between social support and sleep quality and depressive symptoms (r = -0.229, p < 0.001; r = -0.322, p < 0.001, respectively). Furthermore, a substantial positive correlation was observed between sleep quality and depressive symptoms (r = 0.514, p < 0.001). Additionally, social support had a significant indirect effect on depressive symptoms through sleep quality (standardized effect = -0.0535, 95% CI = [-0.0648, -0.0424]). Sleep quality was found to mediate the relationship between social support and depressive symptoms in all subgroups, with variations based on years of experience, education levels, and hospital type. Conclusion Depressive symptoms were inversely associated with social support, which was moderated by sleep quality. Interventions targeting social support provision and sleep quality promotion are suggested for managing depressive symptoms among nurses during the COVID-19 pandemic. |
| format | Article |
| id | doaj-art-9c974fc171a14912bb0681f4cd0df951 |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-9c974fc171a14912bb0681f4cd0df9512024-12-22T12:40:00ZengBMCBMC Psychiatry1471-244X2024-12-0124111010.1186/s12888-024-06326-6The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreakYingying Gu0Pinglang Hu1Huanzeng Ren2Caijun Dai3Xuejiao He4Weizhen Cheng5Lihua Yu6Achang Fang7Xiaoling Meng8Meiyang Lou9Youying Chen10Danli Chi11Huasu Zhou12Qiaoge Chen13Shuhong Ni14Qiqi Huang15Department of Psychiatry, The First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical UniversitySchool of Nursing, Wenzhou Medical UniversityDepartment of Pulmonary and Critical Care Medicine, Jinhua Municipal Central HospitalDepartment of Nursing, Zhejiang Jinhua Guangfu tumor HospitalDepartment of Nursing, Jinhua Hospital of Traditional Chinese MedicineDepartment of Nursing, Jinhua Municipal People’s HospitalDepartment of Nursing, Pujiang County People’s HospitalDepartment of Nursing, Pan’an County People’s HospitalDepartment of Nursing, Jinhua City Fifth HospitalDepartment of Nursing, The Second Hospital of PujiangDepartment of Nursing, Wucheng People’s HospitalDepartment of Nursing, Pan’an County People’s HospitalDepartment of Nursing, Jinhua City Maternal and Child Health Care HospitalDepartment of Nursing, Jinhua Municipal Central HospitalDepartment of Pediatrics, The First Affiliated Hospital of Wenzhou Medical UniversityAbstract Background The COVID-19 pandemic has led to increased depressive symptoms and diminished sleep quality among nurses. This study explores the relationships among social support, sleep quality, and depressive symptoms among Chinese nurses during the COVID-19 outbreak, with a focus on the mediating role of sleep quality. Methods A cross-sectional study involving 2140 nurses was conducted from August to September 2022. The participants completed the Social Support Rating Scale, the Hospital Anxiety and Depression Scale, and the Pittsburgh Sleep Quality Index. The data were analyzed via serial multiple mediation analysis with the PROCESS macro in SPSS. Results Depressive symptoms affected an estimated 40.4% of the participants, with 69.2% reporting poor sleep quality. The present study revealed a significant negative correlation between social support and sleep quality and depressive symptoms (r = -0.229, p < 0.001; r = -0.322, p < 0.001, respectively). Furthermore, a substantial positive correlation was observed between sleep quality and depressive symptoms (r = 0.514, p < 0.001). Additionally, social support had a significant indirect effect on depressive symptoms through sleep quality (standardized effect = -0.0535, 95% CI = [-0.0648, -0.0424]). Sleep quality was found to mediate the relationship between social support and depressive symptoms in all subgroups, with variations based on years of experience, education levels, and hospital type. Conclusion Depressive symptoms were inversely associated with social support, which was moderated by sleep quality. Interventions targeting social support provision and sleep quality promotion are suggested for managing depressive symptoms among nurses during the COVID-19 pandemic.https://doi.org/10.1186/s12888-024-06326-6Depressive symptomsSocial supportSleep qualityNurseCOVID-19 |
| spellingShingle | Yingying Gu Pinglang Hu Huanzeng Ren Caijun Dai Xuejiao He Weizhen Cheng Lihua Yu Achang Fang Xiaoling Meng Meiyang Lou Youying Chen Danli Chi Huasu Zhou Qiaoge Chen Shuhong Ni Qiqi Huang The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak BMC Psychiatry Depressive symptoms Social support Sleep quality Nurse COVID-19 |
| title | The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak |
| title_full | The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak |
| title_fullStr | The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak |
| title_full_unstemmed | The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak |
| title_short | The mediating effect of sleep quality on the relationship between social support and depressive symptoms among Chinese nurses during the omicron outbreak |
| title_sort | mediating effect of sleep quality on the relationship between social support and depressive symptoms among chinese nurses during the omicron outbreak |
| topic | Depressive symptoms Social support Sleep quality Nurse COVID-19 |
| url | https://doi.org/10.1186/s12888-024-06326-6 |
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