Associations Between Night Shifts and Comorbid Depressive-Anxiety Symptoms Among Chinese Nurses: Indirect Associations via Sleep Quality and Duration.

ABSTRACT:

Objectives

Irregular sleep, frequently resulting from night shifts, is associated with various mental health issues. However, the specific associations among these factors remain unclear. This study aimed to investigate the associations of night shift frequency with depressive, anxiety, and comorbid depressive-anxiety symptoms and to estimate the indirect associations through sleep quality and sleep duration.

Methods

A cross-sectional study was conducted among nurses in seven hospitals in Zhejiang Province in 2023. A self-administered questionnaire was utilized to collect sociodemographic, work-related, lifestyle, and mental health information. Multivariable logistic regression models were used to examine the associations of night shift frequency, sleep duration, sleep quali

SUBMITTER: Zhang C 

PROVIDER: S-EPMC12932965 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature