scholarly journals Stress Perception, Sleep Quality and Work Engagement of German Outpatient Nurses during the COVID-19 Pandemic

Author(s):  
Monika Bernburg ◽  
Mara Shirin Hetzmann ◽  
Natascha Mojtahedzadeh ◽  
Felix Alexander Neumann ◽  
Matthias Augustin ◽  
...  

Since the outbreak of the COVID-19 pandemic, outpatient nurses have been exposed to a double burden of already known occupational and new pandemic-related stressors. Recent studies suggest that increased pandemic-related stress can affect mental health and promote the development of negative mental health outcomes for nurses. This includes a decrease in sleep quality and work engagement. In addition, certain groups appear to be particularly vulnerable to pandemic-related stress. The aim of this study was to investigate the stress perception of German outpatient nurses during the COVID-19 pandemic. The aim was to determine associations between their pandemic-related stress and variables such as sleep quality, work engagement, pandemic-related worries and concerns. For this purpose, a questionnaire was developed based on well-established measurement instruments such as the 10-item Perceived Stress Scale, the Pittsburgh Sleep Quality Index and the Copenhagen Psychosocial Questionnaire to conduct a cross-sectional online survey among outpatient nurses from Germany. Participants (n = 166) showed rather moderate overall pandemic-related stress levels, good sleep quality, high work engagement, and moderate pandemic-related worries and concerns. Pandemic-related stress proved to be a predictor of decreased sleep quality and work engagement of outpatient nurses with weak effect sizes. Despite the surprisingly moderate stress levels, the effects of pandemic-related stress on selected aspects of participants’ mental health could be demonstrated. Therefore, behavioural and organisational health promotion measures are recommended to support outpatient nurses during the pandemic. However, further research is needed to determine the causal relationships and long-term effects of pandemic-related stress on the mental health of outpatient caregivers.

2021 ◽  
Vol 9 ◽  
Author(s):  
Ricarda Schleupner ◽  
Jana Kühnel

With the current study, we investigate mechanisms linking sleep quality with work engagement. Work engagement is an affective-motivational state of feeling vigorous, absorbed, and dedicated while working. Drawing from both the effort-recovery model and the job demands-resources framework, we hypothesize that sleep quality should be positively related to work engagement via the replenishment of personal resources that become apparent in mental health and physical health. Because personal resources should gain salience especially in the face of job demands, we hypothesize that overtime as an indicator for job demands should strengthen the positive relationship between mental health and work engagement. We gathered data from 152 employees from diverse industries via an online survey. Results showed that sleep quality was positively related to work engagement (r = 0.20, p < 0.05), and that mental health mediated this relationship (indirect effect: β = 0.23, lower limit confidence interval = 0.13, upper limit confidence interval = 0.34). However, physical health did not serve as a mediator. Overtime turned out to be significantly and positively related to work engagement (r = 0.22, p < 0.01), replicating previous findings, but did not significantly interact with mental health or physical health in predicting work engagement. Overall, the study highlights the significance of sleep quality for employees' mental health and work engagement.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarah De Pue ◽  
Céline Gillebert ◽  
Eva Dierckx ◽  
Marie-Anne Vanderhasselt ◽  
Rudi De Raedt ◽  
...  

AbstractCOVID-19 took a heavy toll on older adults. In Belgium, by the end of August, 93% of deaths due to COVID-19 were aged 65 or older. Similar trends were observed in other countries. As a consequence, older adults were identified as a group at risk, and strict governmental restrictions were imposed on them. This has caused concerns about their mental health. Using an online survey, this study established the impact of the COVID-19 pandemic on adults aged 65 years or older, and which factors moderate this impact. Participants reported a significant decrease in activity level, sleep quality and wellbeing during the COVID-19 pandemic. Depression was strongly related to reported declines in activity level, sleep quality, wellbeing and cognitive functioning. Our study shows that the COVID-19 pandemic had a severe impact on the mental health of older adults. This implies that this group at risk requires attention of governments and healthcare.


2013 ◽  
Vol 41 (9) ◽  
pp. 1457-1468 ◽  
Author(s):  
Gemma P. Geslani ◽  
Claude J. Gaebelein

We conducted an online survey to assess stress levels, stressors, coping strategies, and mental distress among first year professional Doctor of Pharmacy students at St. Louis College of Pharmacy. We used the Perceived Stress Scale (PSS10) to measure perceived stress and the Health-related Quality of Life Scale (HRQOL-14) to assess physical and mental health. Self-reported stress levels among our respondents were elevated, significantly higher than among other populations as reported in previous studies, and exceeded the threshold benchmarked as being unhealthy. Mental health scores were negatively correlated with stress levels, exceeded the threshold for frequent mental distress, and were significantly higher than in comparison groups as reported in previous studies. Examinations were ranked the most stressful events and spending time with family ranked as the most effective stress reliever. Further specific investigation is needed to identify probable contributors to distress and to solicit recommendations to help students alleviate their stress and strengthen their mental health.


2021 ◽  
Vol 9 ◽  
Author(s):  
Anna Eleftheriou ◽  
Aikaterini Rokou ◽  
Aikaterini Arvaniti ◽  
Evangelia Nena ◽  
Paschalis Steiropoulos

Background-Aim: Medical students have been greatly affected by the COVID-19 pandemic due to their educational program, which comprises theoretical knowledge and also clinical duties, making them vulnerable to viral exposures and possibly affecting their everyday life. The aim of this study was to explore changes in sleep and mental health parameters among medical students in Greece during the second year of the pandemic.Methods: This cross-sectional study comprised students of all medical schools in Greece (n = 7), using an anonymous online survey. Participants completed the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), Fatigue Severity Scale (FSS), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9). Statistical analysis was conducted with the use of SPSS v.26 (IBM SPSS, Armonk NY, USA).Results: Out of the 562 received responses, 559 met the inclusion criteria. The largest proportion of the respondents came from 4th-year (27.8%) and the majority of the sample were females (69.8%). Only 5.9% of the participants reported having been infected by SARS-COV-2. Most of the respondents experienced insomnia (65.9%, mean AIS score: 7.59 ± 4.24), poor sleep quality (52.4%, mean PSQI score: 6.6 ± 3.25) and increased fatigue (48.5%, mean 35.82 ± 11.74). Moderate to severe symptoms of anxiety (mean 9.04 ± 5.66) and depression (mean 9.36 ± 6.15) were noted. Suicidal ideation was found in 16.7% of the sample, while use of sleeping pills in the previous month was reported by 8.8% (n = 47). Further analysis revealed independent associations between sleep and mental health parameters. Higher AIS score was associated with greater FSS score; higher PSQI scores with higher GAD-7 and PHQ-9 scores. Additionally, female students were found to be significantly more affected than males by the COVID-19 pandemic, displaying higher levels of insomnia, sleep disturbances, anxiety and depression. In addition, those with a history of COVID-19 infection or in close proximity with a positive case reported significantly more significant post-traumatic symptoms in IES-COVID-19 questionnaire.Conclusions: In the aftermath of the COVID-19 pandemic, prevalence of sleep and mental health disorders among Greek medical students is significant, highlighting the need for better surveillance of students' wellbeing and subsequent counseling, with special focus on female students and other affected groups.


2018 ◽  
Author(s):  
Ray Norbury

Poor quality sleep is related to mental health and there is increasing interest in student wellbeing and mental health. The aim of the current study was to evaluate sleep quality, daytime dozing, anxiety proneness, chronotype and preferred start time in a sample of university students. A total of 546 university students (age range, 18-55) from two university located in South East England were included and completed an online survey. Participants’ self-reported age, gender, year and field of study. Sleep quality, anxiety, daytime dozing, coffee/caffeine/tobacco use (coded as binary variables), preferred start time and chronotype were also recorded. Data were analysed using independent samples t¬-tests, chi-square, simple mediation-analyses and Analysis of Variance. Across the entire sample 46% percent of participants rated their sleep as fairly bad or very bad. Poor quality sleep was associated with significantly higher levels of anxiety which was not mediated by chronotype. Poor quality sleep is more prevalent in the first year of university and our sample endorsed a start time for university activities approximately 2 hours later than currently timetabled. The current findings demonstrate that a large proportion of students are chronically sleep deprived, obtaining, on average, less than 7 hours sleep per night on week days and this was more marked in first year students. In addition, we show that poor sleep is associated with increased anxiety. Based on the current evidence the authors suggest a review of current university timetabling and examination scheduling merits immediate consideration by policy makers and educators.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mimma Tabassum ◽  
Md Iftakhar Parvej ◽  
Firoz Ahmed ◽  
Farzana Zafreen ◽  
Samina Sultana

Purpose COVID-19 pandemic has caused serious threat to peoples’ physical and mental health because of its high death toll all over the world within a very short period. As a result, people may be psychologically stressed, which can affect their quality of life. The main purpose of this study is to quantify the level of stress among the adults (age 18 and above) including all gender, religions and races of Bangladesh during this devastating pandemic. Design/methodology/approach This online survey-based study collected demographic data and the Perceived Stress Scale (PSS-10) to determine stress levels over past one month. The total numbers of respondents are 1,148 from May 29, 2020 to June 12, 2020; using the PSS to assess stress levels and to identify the potential variables having association with level of psychological stress, multinomial logistic regression analysis was performed. Findings A scary proportion (81%) of respondents suffered from substantial amount psychological stress during this COVID-19 pandemic. It is an undeniable signal for us that, every 4 out of 5 respondents in our study is suffering from different level of psychological stress during this time. Comparing the level of stress, this study finds that elderly (60 and above), women, front-line workers (doctor and other health-care professionals) and second-line workers (public service holders, police and defense and banks or financial institutes) have high psychological stress compared to the other respondents. Originality/value This study will help policymakers to provide relevant mental health intervention strategies to cope with this challenge efficiently.


Author(s):  
Sarah F Allen ◽  
Umair Akram ◽  
Jason G Ellis

Abstract Background Sleep health is a relatively new multidimensional concept, however, there is no consensus on its underlying dimensions. A previous study examined potential indicators of sleep health using an aggregated sleep health measure. However, the psychometric properties are yet to be determined. The primary aim was to assess the factor structure, reliability and validity of this measure. A secondary aim was to explore the relationships with perceived stress, and physical and mental health. Methods A cross-sectional online survey was conducted with 257 adults from the UK aged 18–65 (78.4% female, mean age = 29.39 [SD = 11.37]). Participants completed 13 Sleep health items, the Pittsburgh Sleep Quality Inventory, Insomnia Severity Scale, Epworth Sleepiness Scale, Perceived Stress Scale and SF-12 Health Survey. Results The measure exhibited good internal consistency (α = 0.785) and construct validity as determined by associations with existing measures. Principle components analysis produced four factors e; sleep quality (α = 0.818), sleep adaptability (α = 0.917), sleep wellness (α = 0.621) and daytime functioning (α = 0.582). Adaptability (β = −241) was strongest predictor of perceived stress, and daytime functioning was strongest predictor of physical (β = 0.322) and mental health (β = 0.312). Conclusions Sleep health is a multidimensional construct comprising four distinct but related dimensions. The importance of sleep health in terms of perceived stress and mental and physical health is highlighted.


Author(s):  
Tae-In Hwang ◽  
A-Lum Han

The aims of this study were as follows: to investigate the association between metabolic dysfunction-associated fatty liver disease (MAFLD) and health-related quality of life (HRQoL), to evaluate whether stress perception and mental health among patients with MAFLD affect HRQoL, and to identify the underrated burden on MAFLD patients. Nationwide data from the 5th Korean National Health and Nutrition Examination Survey (KNHANES V, 2010 to 2012) were used. MAFLD was defined by a fatty liver index (FLI) of ≥60, and the EuroQol-5D (EQ-5D) was used to assess HRQoL. Logistic regression analysis and odds ratios (ORs) were used to determine the associations of MAFLD with stress, mental health, and HRQoL. Previous suicidal impulse was not found to be significantly associated with HRQoL. The risk of MAFLD increased 1.265-fold with an increase in stress levels based on the stress perception rate (confidence index (CI): 1.046–1.530; p < 0.05), while it increased 1.091-fold with a 1-point decrease in the EQ-5D score (CI: 1.019–1.169; p < 0.05). HRQoL impairment and stress levels are associated with MAFLD. It is important to evaluate stress levels among MAFLD patients and implement stress management and HRQoL improvement strategies.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qimeng Sun ◽  
Qingsong Qin ◽  
Maria Basta ◽  
Baixin Chen ◽  
Yun Li

Abstract Background The 2019 coronavirus disease (COVID-19) has disrupted millions of lives and commerce. We investigated psychological reactions and insomnia during the COVID-19 outbreak in adults with mental health disorders (MDs). Methods A self-reported psychological and sleep online survey was conducted in China between February 5th to 19th, 2020. A total of 244 adults with MDs and 1116 controls matched for age, gender and sites were included. Worsened symptoms of anxiety, depressive and insomnia were defined when severity levels shifted to a more severe category compared to pre-COVID-19. Results During the COVID-19 outbreak, we found significantly increased prevalence of anxiety (MDs: 54.9% vs. 49.6%, controls: 25.5% vs. 14.3%), depression (MDs: 63.9% vs. 61.5%, controls: 29.9% vs. 21.2%) and insomnia (MDs: 66.0% vs. 57.8%, controls: 31.5% vs. 24.8%) compared to pre-COVID-19 period (all P-value < 0.001). Furthermore, adults with MDs had higher odds for developing COVID-19-related stress (OR = 3.41, 95% CI 2.49 ~ 4.67), worsened anxiety (OR = 1.95, 95% CI 1.38 ~ 2.76), depression (OR = 2.04, 95% CI 1.43 ~ 2.93) and insomnia (OR = 2.22, 95% CI 1.53 ~ 3.21) during the COVID-19 outbreak compared to controls. Moreover, higher COVID-19-related stress and lower levels of pre-COVID-19 anxiety, depressive and insomnia symptoms were predictors for worsened anxiety, depression and insomnia in adults with MDs, respectively. Conclusions Our findings suggest that adverse psychological reactions and insomnia are more pronounced in adults with mental health disorders during the COVID-19 outbreak, thus more attention need to be provided.


2021 ◽  
pp. 1-23
Author(s):  
Rebecca L. Hagedorn ◽  
Melissa D. Olfert ◽  
Lillian MacNell ◽  
Bailey Houghtaling ◽  
Lanae B. Hood ◽  
...  

Abstract Objective: To assess the relationship between food insecurity, sleep quality, and days with mental and physical health issues among college students. Design: An online survey was administered. Food insecurity was assessed using the 10-item Adult Food Security Survey Module. Sleep was measured using the 19-item Pittsburgh Sleep Quality Index (PSQI). Mental health and physical health were measured using three items from the Healthy Days Core Module. Multivariate logistic regression was conducted to assess the relationship between food insecurity, sleep quality, and days with poor mental and physical health. Setting: Twenty-two higher education institutions. Participants: College students (n=17,686) enrolled at one of 22 participating universities. Results: Compared to food secure students, those classified as food insecure (43.4%) had higher PSQI scores indicating poorer sleep quality (p<.0001) and reported more days with poor mental (p<.0001) and physical (p<.0001) health as well as days when mental and physical health prevented them from completing daily activities (p<.0001). Food insecure students had higher adjusted odds of having poor sleep quality (adjusted odds ratio [AOR]:1.13, 95% confidence interval [CI]: 1.12-1.14), days with poor physical health (AOR: 1.01, 95% CI: 1.01-1.02), days with poor mental health (AOR: 1.03, 95% CI: 1.02-1.03), and days when poor mental or physical health prevented them from completing daily activities (AOR: 1.03, 95% CI: 1.02-1.04). Conclusions: College students report high food insecurity which is associated with poor mental and physical health and sleep quality. Multi-level policy changes and campus wellness programs are needed to prevent food insecurity and improve student health-related outcomes.


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