scholarly journals Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout

Author(s):  
Hsiu-Fen Hsieh ◽  
Yi Liu ◽  
Hsin-Tien Hsu ◽  
Shu-Ching Ma ◽  
Hsiu-Hung Wang ◽  
...  

This study examines the parallel multiple mediators of quality of sleep and occupational burnout between perceived stress and depressive symptoms in psychiatric nurses. Nurses are more likely to experience depression, anxiety, decreased job satisfaction, and reduced organizational loyalty as a result of the stressful work environment and heavy workload. A total of 248 psychiatric ward (PW) nurses participated in this cross-sectional survey study. Structural equation modelling was used for data analysis. In the model of parallel multiple mediators for depressive symptoms, quality of sleep and occupational burnout played mediating roles, and these two mediators strengthened the effect of stress on depressive symptoms, with the final model showing a good fit. Stress, occupational burnout, and quality of sleep explained 46.0% of the variance in psychiatric nurses’ depressive symptoms. Stress had no significantly direct effect on psychiatric nurses’ depressive symptoms, but it had a completed mediation effect on their depressive symptoms through occupational burnout and quality of sleep. This study showed that reduction of occupational burnout and improvement of quality of sleep play important roles against depressive symptoms among PW nurses. Healthcare managers should provide PW nurses with a better environment for improving quality of sleep and reducing occupational burnout.

2020 ◽  
Vol 27 (11) ◽  
pp. 2511-2516
Author(s):  
Saleem Ullah Abro ◽  
Ghulnaz Khalid ◽  
Qurratulain Saleem ◽  
Maham Khan ◽  
Sohail Ahmed ◽  
...  

Objectives: To assess the association of body mass index and gender with sleep quality in medical students: a survey. Study Design: Descriptive Cross-sectional survey. Setting: Public Sector Medical Colleges of Karachi. Period: 1st January to 31st March 2019. Material & Methods: 350 medical students were enrolled after taking consent as per declaration of Helsinki. Data were collected from included students of this study, who had age of 18 to 24 years and all other students having history of insomnia, anorexia nervosa and metabolic disorders were excluded from study. All the enrolled participants were assessed by using Pittsburgh Sleep Quality Index (PSQI). It is used as tool for assessment of subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep medication and day-time sleepiness. Body mass index was calculated as weight (Kg)/height (m)2. Collected data was analyzed by using SPSS version 22. Results: The mean age of 20.83±1.54. Of the total, 14(3.7%) were overweight/ obese and 304(79.6%) were underweight. Overall 14 (3.7%) reported Good quality of Sleep, and remaining had poor quality of sleep 336 (96.3%) There was significant (p<0.05) association of Sleep Quality with gender but no significant (p>0.05) association between sleep quality with body mass index (BMI) in this study. Conclusion:  There was significant (p<0.05) association of Sleep Quality with gender but no significant (p>0.05) association of Sleep Quality with body mass index (BMI) in this study.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 26
Author(s):  
Piotr Jarzynkowski ◽  
Renata Piotrkowska ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Janina Książek

Introduction: Researchers’ interest in occupational burnout results primarily from the dangerous and extensive consequences of this phenomenon. The aim of the study was to analyze the level of occupational burnout among nurses and doctors in operating theaters. Materials and Methods: A cross-sectional survey study conducted on 325 nurses and doctors of seven hospitals in Poland. The Maslach Burnout Inventory (MBI) and the Areas of Worklife Survey (AWS) by Michael Leiter and Christina Maslach. Results: The mean values for the level of occupational burnout for the entire sample according to the scale from the Maslach Burnout Inventory by C. Maslach amounted to 14.35 for emotional exhaustion, 8.56 for depersonalization, and 11.90 for personal accomplishment; when compared to reference levels, they classified emotional exhaustion at a low level, depersonalization at an average level, and personal accomplishment at a high level of burnout. Areas of work life are predictors of occupational burnout. The analysis showed a relationship between three of the six variables. As the workload increased, so did the level of burnout among participants, and the categories of honesty and values. Conclusions: The conducted research has shown that occupational burnout among nurses and doctors in operating theaters occurs in all dimensions of this phenomenon (emotional exhaustion, depersonalization, job satisfaction). It was also shown that the areas of work life (workload, control, community, rewards, fairness, values) are predictors of occupational burnout among the respondents. This article shows how important the problem of burnout among operating theater medical staff is. Perhaps it will allow nurses and doctors to recognize this syndrome and encourage them make changes to their work to prevent burnout.


Partner Abuse ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 1-20
Author(s):  
Vanessa Tirone ◽  
Terasa Lillis ◽  
Jennifer Katz ◽  
Todd Moore

Research is needed to better understand risk for sexual revictimization following childhood sexual abuse (CSA). Using single and multigroup structural equation modeling (SEM) techniques, we examined (a) whether the relation between CSA and attempted or completed rape was mediated by attachment insecurity (either anxiety or avoidance) and sexual motives and (b) whether these models differed significantly by gender. Sexually active college students (920; 59% women, 84% White, 96% heterosexual) were recruited for an Internet-based self-report cross-sectional survey study. About half (49%) of individuals who experienced CSA also experienced victimization since age 14. Thirty-five percent of women and 18% of men reported rape or attempted rape since age 14. In Model 1 attachment anxiety only partially mediated revictimization for women. In Model 2 attachment avoidance did not mediate revictimization. In both models avoidance motives for sex partially mediated revictimization for women and men but this effect was stronger for men. These findings underscore the importance of conducting sexual revictimization research in mixed-gender samples. Our results suggest that rates of men's victimization may be higher than previously assumed, and evaluating gender differences with modeling techniques may help identify variables (i.e., attachment anxiety) that explain the greater prevalence of sexual assault in adulthood among women.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Po-Chi Kao

Abstract This study proposed and tested a conceptual model of academic expectation stress, sleep quality, and attention in EFL class. These variables did not receive much attention in previous studies but are considered important to medical students’ attention in EFL class. Data were collected from 496 medical students from a medical university in Taiwan. Structural Equation Modeling (SEM) technique was used to examine the path effect in the research model. The results found that (1) higher academic expectation stress leads to higher attention in EFL class; (2) higher academic stress causes poorer sleep quality; (3) poorer sleep quality leads to lower attention in EFL class. A mediator was also identified in this model: sleep quality was found to partially mediate the relationship between academic expectation stress and attention in EFL class. The results may advance the current literature in medical education and applied linguistics by moving a step closer to understand these three variables.


2015 ◽  
Vol 57 (3) ◽  
pp. 343-359 ◽  
Author(s):  
Ali Bassam Mahmoud ◽  
Bayan Khalifa

Purpose – The purpose of this paper is to confirm the factorial structure of SERVPERF based on an exploration of its dimensionality among Syrian universities’ students. It also aimed at assessing the perceived service quality offered at these universities. Design/methodology/approach – A cross-sectional survey was conducted targeting students at Syrian universities. Using a pilot sample of 40 students, the authors developed their hypotheses. Thereafter, based on a sample of 259 students, the hypotheses were tested using structural equation modeling and one-sample t-test. Findings – The findings revealed that SERVPERF in the Syrian universities’ context was a three-factor instrument consisting of the three dimensions: faculty-individualized attention, support staff helpfulness, and support staff empathy. Moreover, the findings showed that students at Syrian universities hold negative perceptions toward all of the three service quality dimensions provided by their universities. Practical implications – Given the imperative need for universities to monitor and improve the quality of their services, this study can help Syrian universities’ administrations understand the perceptions of their students toward services offered, which can help them formulate effective marketing strategies. Originality/value – This paper came to be one of the first studies that attempted to assess the perceived quality of services offered through the Syrian higher education system. Additionally, this study pioneered through drawing a factorial picture for SERVPERF at the Syrian Arab context.


2015 ◽  
Vol 27 (3) ◽  
pp. 307-310 ◽  
Author(s):  
Kazuki Hirao

Abstract Background: Internet addiction (IA) is a common disorder among adolescents throughout most of the industrialized world. The purpose of this study was to compare mental states between Japanese undergraduates with IA and those without IA. Methods: In a cross-sectional survey, 165 healthy participants were assessed for IA using the Internet Addiction Test (IAT), for the frequency and quality of flow experiences in daily life using the Flow Experience Checklist (FEC), and for depressive symptoms using the Patient Health Questionnaire (PHQ-9), Beck Depression Inventory-II (BDI-II), and Zung Self-Rating Depression Scale (SDS). Results: The results showed that the prevalence of IA in the participants of this study was 15% and the frequencies of flow experience and depressive symptoms were significantly higher in the IA group. Conclusion: The results indicate that IA affects a significant number of Japanese university students and is associated with higher rates of depressive symptoms, suggesting a need for intervention programs as part of student mental health services.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Malcolm Koo ◽  
Kai-Li Liang ◽  
Rong-San Jiang ◽  
Hsin Tsao ◽  
Yueh-Chiao Yeh

Rhinitis is a common medical condition and can seriously impact patients’ quality of life. The objective of this study was to investigate the association between disease-specific quality of life and use of complementary and alternative medicine (CAM) modalities among Taiwanese rhinitis patients. A cross-sectional survey was undertaken at the outpatient department of otolaryngology in a medical center in Taiwan. Sociodemographic information, disease-specific quality of life (Chinese version of the 31-item Rhinosinusitis Outcome Measure, CRSOM-31), and previous use of CAM modalities for treatment of rhinitis of the patients were ascertained. Factor analysis was performed to reduce the number of CAM modalities. The resulting factors were analyzed for their association with CRSOM-31 score using linear regression analyses. Results from the multiple linear regression analyses indicated that Factor 1 (traditional Chinese medicine), Factor 2 (mind-body modalities), Factor 3 (manipulative-based modalities), female sex, and smoking were significantly associated with a worse disease-specific quality of life. In conclusion, various CAM modalities, female sex, and smoking were independent predictors of a worse disease-specific quality of life in Taiwanese patients with rhinitis.


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