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Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study

BACKGROUND: Research predominantly suggests that nurses are at high risk of developing psychopathology. The empirical data show that the occurrence rate of problem-related sleep quality among clinical nurses is high. Therefore, this study was conducted to address the lack of information on the relat...

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Autores principales: Nazari, Nabi, Sadeghi, Masoud, Samusenkov, Vadim, Aligholipour, Akram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763304/
https://www.ncbi.nlm.nih.gov/pubmed/35038999
http://dx.doi.org/10.1186/s12888-022-03690-z
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author Nazari, Nabi
Sadeghi, Masoud
Samusenkov, Vadim
Aligholipour, Akram
author_facet Nazari, Nabi
Sadeghi, Masoud
Samusenkov, Vadim
Aligholipour, Akram
author_sort Nazari, Nabi
collection PubMed
description BACKGROUND: Research predominantly suggests that nurses are at high risk of developing psychopathology. The empirical data show that the occurrence rate of problem-related sleep quality among clinical nurses is high. Therefore, this study was conducted to address the lack of information on the relationship between the coronavirus disease 2019 (COVID-19) pandemic and insomnia. METHODS: A convenience sample of nurses (n = 680) completed an online survey that included the Insomnia severity index, the COVID-19-related psychological distress scale, the general health questionnaire, neuroticism, dysfunctional beliefs, attitudes about sleep scale, and difficulties in emotion regulation scale. RESULTS: The results showed that 35.8% (n = 253) of nurses were classified as individuals with moderate to severe clinical insomnia. The results showed that the psychological distress generated by COVID-19 predicted insomnia (β = .47, SE = 0.02, P < .001, t = 13.27, 95% CI 0.31–0.46). Additionally, the association is mediated by psychopathology vulnerabilities, emotion dysregulation, dysfunctional beliefs about sleep, and neuroticism. Moreover, female nurses exhibited higher levels of insomnia (Cohen’s d = .37), neuroticism (Cohen’s d = 30), psychopathology vulnerability (Cohen’s d = .26), and COVID-19-related psychological distress (Cohen’s d = .23). CONCLUSION: The present study’s findings help to explain how pandemic consequences can be associated with insomnia. Additionally, the findings make a significant contribution to better understanding the role of neuroticism, emotion dysregulation, beliefs, and psychopathology vulnerability in the development of insomnia among nurses. The findings suggest the potential influence of cognitive behavioral therapy for insomnia (CBT-I) and transdiagnostic integrated therapies that could be incorporated into therapeutic programs designed to develop as a way of inhibiting or preventing insomnia among clinical nurses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03690-z.
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spelling pubmed-87633042022-01-18 Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study Nazari, Nabi Sadeghi, Masoud Samusenkov, Vadim Aligholipour, Akram BMC Psychiatry Research BACKGROUND: Research predominantly suggests that nurses are at high risk of developing psychopathology. The empirical data show that the occurrence rate of problem-related sleep quality among clinical nurses is high. Therefore, this study was conducted to address the lack of information on the relationship between the coronavirus disease 2019 (COVID-19) pandemic and insomnia. METHODS: A convenience sample of nurses (n = 680) completed an online survey that included the Insomnia severity index, the COVID-19-related psychological distress scale, the general health questionnaire, neuroticism, dysfunctional beliefs, attitudes about sleep scale, and difficulties in emotion regulation scale. RESULTS: The results showed that 35.8% (n = 253) of nurses were classified as individuals with moderate to severe clinical insomnia. The results showed that the psychological distress generated by COVID-19 predicted insomnia (β = .47, SE = 0.02, P < .001, t = 13.27, 95% CI 0.31–0.46). Additionally, the association is mediated by psychopathology vulnerabilities, emotion dysregulation, dysfunctional beliefs about sleep, and neuroticism. Moreover, female nurses exhibited higher levels of insomnia (Cohen’s d = .37), neuroticism (Cohen’s d = 30), psychopathology vulnerability (Cohen’s d = .26), and COVID-19-related psychological distress (Cohen’s d = .23). CONCLUSION: The present study’s findings help to explain how pandemic consequences can be associated with insomnia. Additionally, the findings make a significant contribution to better understanding the role of neuroticism, emotion dysregulation, beliefs, and psychopathology vulnerability in the development of insomnia among nurses. The findings suggest the potential influence of cognitive behavioral therapy for insomnia (CBT-I) and transdiagnostic integrated therapies that could be incorporated into therapeutic programs designed to develop as a way of inhibiting or preventing insomnia among clinical nurses. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03690-z. BioMed Central 2022-01-17 /pmc/articles/PMC8763304/ /pubmed/35038999 http://dx.doi.org/10.1186/s12888-022-03690-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Nazari, Nabi
Sadeghi, Masoud
Samusenkov, Vadim
Aligholipour, Akram
Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title_full Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title_fullStr Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title_full_unstemmed Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title_short Factors associated with insomnia among frontline nurses during COVID-19: a cross-sectional survey study
title_sort factors associated with insomnia among frontline nurses during covid-19: a cross-sectional survey study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8763304/
https://www.ncbi.nlm.nih.gov/pubmed/35038999
http://dx.doi.org/10.1186/s12888-022-03690-z
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