AUTHOR=Mao Xiaofei , Lin Xueru , Liu Peng , Zhang Jianguo , Deng Wenxi , Li Ziqiang , Hou Tianya , Dong Wei 

TITLE=Impact of Insomnia on Burnout Among Chinese Nurses Under the Regular COVID-19 Epidemic Prevention and Control: Parallel Mediating Effects of Anxiety and Depression

JOURNAL=International Journal of Public Health

VOLUME=68

YEAR=2023

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1605688

DOI=10.3389/ijph.2023.1605688

ISSN=1661-8564

ABSTRACT=<p><bold>Objective:</bold> To investigate the mediating effects of anxiety and depression in the relationship between insomnia and burnout among Chinese nurses under the regular COVID-19 epidemic prevention and control.</p><p><bold>Methods:</bold> Convenience sampling was applied to recruit 784 nurses in Jiangsu Province, China. The respondents completed the survey <italic>via</italic> mobile devices. Demographic questionnaire, Insomnia Severity Index, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9 and Maslach Burnout Inventory were used to assess demographic information, insomnia, anxiety, depression, and burnout, respectively. Hayes PROCESS macro was employed to examine the mediation model.</p><p><bold>Results:</bold> Insomnia, anxiety, depression and burnout were positively and significantly associated with each other. Anxiety and depression played partial mediation effects between insomnia and burnout with the mediation effect of anxiety and depression accounting for 28.87% and 31.69% of the total effect, respectively.</p><p><bold>Conclusion:</bold> Insomnia may lead to burnout through the parallel mediating effects of anxiety and depression in Chinese nurses. Interventions on sleep, anxiety and depression from the hospital management were essential to ameliorate nurses’ burnout status under the regular COVID-19 epidemic prevention and control.</p>