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Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study

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  • Charles Lung-Cheng Huang
  • Ming-Ping Wu
  • Chung-Han Ho
  • Jhi-Joung Wang

Abstract

The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88–0.95), 0.59 (95% CI, 0.55–0.63), and 1.43 (95% CI, 1.38–1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.

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  • Charles Lung-Cheng Huang & Ming-Ping Wu & Chung-Han Ho & Jhi-Joung Wang, 2018. "Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.
    • Handle: RePEc:plo:pone00:0204224
    DOI: 10.1371/journal.pone.0204224
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    References listed on IDEAS

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    1. Tzu‐Ching Lin & Huey‐Shyan Lin & Su‐Fen Cheng & Li‐Min Wu & Mei‐Chen Ou‐Yang, 2016. "Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 1120-1130, April.
    2. Chiang, Yu-Mei & Chang, Yuhsuan, 2012. "Stress, depression, and intention to leave among nurses in different medical units: Implications for healthcare management/nursing practice," Health Policy, Elsevier, vol. 108(2), pages 149-157.
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    2. Sajed Faisal Ghawadra & Khatijah Lim Abdullah & Wan Yuen Choo & Cheng Kar Phang, 2019. "Psychological distress and its association with job satisfaction among nurses in a teaching hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 4087-4097, November.
    3. María del Carmen Pérez-Fuentes & María del Mar Molero Jurado & María del Mar Simón Márquez & Ana Belén Barragán Martín & José Jesús Gázquez Linares, 2019. "Emotional Effects of the Duration, Efficiency, and Subjective Quality of Sleep in Healthcare Personnel," IJERPH, MDPI, vol. 16(19), pages 1-13, September.

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