Anxiety and sleep quality among front-line nurses treating first wave COVID-19 in China: The mediating role of mindfulness.
Xinyi Liu, Yingying Xu, Huiwen Xu, Lin Jiang, Ting Wang, Chen Chen, Amanda C. Lee, Pingting Zhu
Archives of Psychiatric Nursing September 16, 2022 DOI: 10.1016/j.apnu.2022.09.007 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional survey Peer reviewed |
|---|---|
| Sample size | 118 |
| Population | Frontline nurses working in the COVID-19 response in Wuhan, China |
| Measures | Self-Anxiety Scale, Short Inventory of Mindfulness, Pittsburgh Sleep Quality Index |
| Topics | Anxiety Meditation |
| Keywords | Humans Cross-sectional studies China Covid-19 Sleep quality Front-line nurses |
| Key findings | Anxiety was positively associated with poorer sleep quality, and mindfulness was negatively associated with both anxiety and sleep quality. Mindfulness partially mediated the anxiety-sleep quality relationship, with an indirect effect of 0.136 (95% CI 0.02 to 0.26), representing 21.9% of the total effect. The authors argue that mindfulness strategies may help during periods of higher workplace anxiety, while cautioning that other factors must be considered. |
Abstract
Aim: To explore anxiety, sleep quality, and mindfulness of frontline nurses at the initial epicenter of the pandemic, to examine the mediating effects of mindfulness.
Background: COVID-19 was first identified in Wuhan, China in January 2020. Nurses were at the forefront of care and treatment across hospitals in response to the pandemic.
Methods: Single site cross-sectional survey conducted in Wuhan province (China) between March and April in 2020. Quantitative analysis of survey data from N118 nurses working in the frontline COVID response. Questionnaires included: The general information questionnaire, the Self-Anxiety Scale, the Short Inventory of Mindfulness, and the Pittsburgh Sleep Quality Index.
Results: Front-line nurses' anxiety was positively associated with sleep quality and mindfulness was negatively associated with anxiety and sleep quality. Mindfulness had a mediating role on anxiety and sleep quality, with intermediary adjustment effects (ES = 0.136, 95 % CI 0.02 to 0.26), accounting for 21.9 % of the total effect ratio.
Conclusions: Anxiety causes a reduction in sleep quality and mindfulness can help with anxiety. Mindfulness strategies may help during periods of higher anxiety in the workplace; however, other factors must be considered. Further research is required on strategies for assisting nurses during periods of extreme anxiety.
Comparable studies
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| Study | Year | Design | Participants |
|---|---|---|---|
| Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. International sample of people who reported having used a psychedelic | 2020 | Cross-sectional survey | n = 985 |
| The Challenging Experience Questionnaire: Characterization of challenging experiences with psilocybin mushrooms Internet survey respondents reporting challenging experiences with psilocybin | 2016 | Questionnaire development and validation | |
| Psychedelics and Mental Health: A Population Study Adult population in the United States | 2013 | Cross-sectional survey | n = 130,152 |
| Ecstasy/MDMA attributed problems reported by novice, moderate and heavy recreational users Ecstasy users who participated in a WWW study of recreational drug use | 2002 | Cross-sectional survey | n = 282 |
| 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT) used in a naturalistic group setting is associated with unintended improvements in depression and anxiety. Adults who used 5-MeO-DMT in a group setting with structured procedures | 2019 | Cross-sectional survey | n = 362 |
Citations in the library
Cited by 2
Cites 11
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- Short-term meditation training improves attention and self-regulation Proceedings of the National Academy of Sciences October 11, 2007
- The effect of mindfulness meditation on sleep quality: a systematic review and meta‐analysis of randomized controlled trials Annals of the New York Academy of Sciences December 21, 2018
- Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances JAMA Internal Medicine February 16, 2015
- Mindfulness‐based stress reduction for psychological distress among nurses: A systematic review Journal of Clinical Nursing July 3, 2019
and 6 more in the library