Nightmare distress, insomnia and resilience of nursing staff in the post-pandemic era.

Argyro Pachi, Athanasios Tselebis, Christos Sikaras, Eleni Paraskevi Sideri, Maria Ivanidou, Spyros Baras, Charalampos Milionis, Ioannis Ilias
Author Information
  1. Argyro Pachi: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  2. Athanasios Tselebis: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  3. Christos Sikaras: Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  4. Eleni Paraskevi Sideri: Emergency Department of General Hospital of Athens Korgialeneio-Benakeio Hellenic Red Cross, 11526, Athens, Greece.
  5. Maria Ivanidou: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  6. Spyros Baras: Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece.
  7. Charalampos Milionis: Department of Endocrinology, "Elena Venizelou" Hospital, 11521 Athens, Greece.
  8. Ioannis Ilias: Department of Endocrinology, "Elena Venizelou" Hospital, 11521 Athens, Greece.

Abstract

Introduction: The pandemic has led to notable psychological challenges among healthcare professionals, including nurses.
Objective: Our aims of this study were to assess insomnia and nightmare distress levels in nurses and investigate their association with mental resilience.
Methods: Nurses participated in an online survey, which included the nightmare distress Questionnaire (NDQ), Brief Resilience Scale (BRS) and Athens insomnia Scale (AIS). Demographic information, such as age, professional experience and gender, was also collected.
Results: The study included 355 female and 78 male nurses. Findings revealed that 61.4% had abnormal AIS scores, 7% had abnormal NDQ scores and 25.4% had low BRS scores. Female nurses had higher AIS and NDQ scores but lower BRS scores compared to males. BRS demonstrated negative correlations with both AIS and NDQ. Multiple regression analysis indicated that NDQ accounted for 24% of the AIS variance, with an additional 6.5% explained by the BRS. BRS acted as a mediator, attenuating the impact of nightmares on insomnia, with gender moderating this relationship.
Conclusions: Nursing staff experienced heightened sleep disturbances during the pandemic, with nightmares and insomnia being prevalent. nightmares significantly contributed to insomnia, but mental resilience played a vital role in mitigating this effect. Strategies are warranted to address the pandemic's psychological impact on nursing professionals.

Keywords

References

  1. J Pers Med. 2022 Aug 30;12(9): [PMID: 36143198]
  2. J Clin Sleep Med. 2015 Jul 15;11(7):747-50 [PMID: 25845898]
  3. AIMS Public Health. 2023 Jun 15;10(3):524-537 [PMID: 37842274]
  4. Psychiatry Res. 2018 Sep;267:409-413 [PMID: 29960938]
  5. Twin Res Hum Genet. 2008 Feb;11(1):12-27 [PMID: 18251671]
  6. Chest. 2014 Nov;146(5):1387-1394 [PMID: 25367475]
  7. Sleep Med Rev. 2007 Aug;11(4):295-310 [PMID: 17498981]
  8. Sleep Med Rev. 2010 Feb;14(1):19-31 [PMID: 19481481]
  9. Dev Psychopathol. 2012 Nov;24(4):1297-306 [PMID: 23062298]
  10. Eur Arch Psychiatry Clin Neurosci. 2003 Oct;253(5):241-7 [PMID: 14504993]
  11. J Am Coll Health. 2024 Feb-Mar;72(2):598-605 [PMID: 35324391]
  12. J Affect Disord. 2022 Dec 15;319:27-39 [PMID: 36089074]
  13. Behav Res Methods. 2009 Nov;41(4):1149-60 [PMID: 19897823]
  14. Philos Trans R Soc Lond B Biol Sci. 2016 Feb 19;371(1688):20150110 [PMID: 26833831]
  15. J Med Internet Res. 2021 May 19;23(5):e27331 [PMID: 33875414]
  16. Psychiatriki. 2013 Apr-Jun;24(2):109-16 [PMID: 24200541]
  17. Eur Psychiatry. 2021 Apr 12;64(1):e30 [PMID: 33843547]
  18. J Adv Nurs. 2021 Jun;77(6):2623-2640 [PMID: 33559262]
  19. Am J Obstet Gynecol. 1998 May;178(5):1002-9 [PMID: 9609575]
  20. Neurosci Biobehav Rev. 2021 Jul;126:252-264 [PMID: 33774085]
  21. J Sleep Res. 2019 Aug;28(4):e12820 [PMID: 30697860]
  22. J Sleep Res. 2021 Oct;30(5):e13300 [PMID: 33547703]
  23. Am J Psychol. 2014 Summer;127(2):205-13 [PMID: 24934011]
  24. J Glob Health. 2021 Apr 10;11:05009 [PMID: 33884193]
  25. J Abnorm Psychol. 1992 Aug;101(3):592-7 [PMID: 1500619]
  26. Curr Psychiatry Rep. 2019 Aug 13;21(9):80 [PMID: 31410580]
  27. JAMA. 2023 Oct 24;330(16):1512-1514 [PMID: 37792350]
  28. J Child Adolesc Trauma. 2019 Jun 18;13(2):249-256 [PMID: 32549936]
  29. J Clin Sleep Med. 2018 May 15;14(5):759-766 [PMID: 29734989]
  30. BMJ Glob Health. 2020 Jul;5(7): [PMID: 32718950]
  31. Int J Geriatr Psychiatry. 2012 Mar;27(3):262-70 [PMID: 21472780]
  32. Sleep Med Rev. 2011 Apr;15(2):115-21 [PMID: 20817509]
  33. PLoS One. 2020 Jan 9;15(1):e0227190 [PMID: 31917784]
  34. Disaster Med Public Health Prep. 2021 Jun 18;:1-7 [PMID: 34142646]
  35. Healthcare (Basel). 2022 Jun 29;10(7): [PMID: 35885746]
  36. J Clin Psychiatry. 1999 Apr;60(4):268-76; quiz 277 [PMID: 10221293]
  37. BMJ Open. 2021 Oct 12;11(10):e053440 [PMID: 34642200]
  38. J Biol Rhythms. 2019 Apr;34(2):167-177 [PMID: 30712475]
  39. J Sleep Res. 1997 Sep;6(3):179-88 [PMID: 9358396]
  40. JAMA. 2023 Jun 6;329(21):1817 [PMID: 37195734]
  41. Int J Environ Res Public Health. 2015 Sep 07;12(9):11072-100 [PMID: 26371020]
  42. J Prim Care Community Health. 2021 Jan-Dec;12:21501327211008448 [PMID: 33834900]
  43. Healthcare (Basel). 2020 Oct 26;8(4): [PMID: 33114662]
  44. Front Psychol. 2022 Sep 07;13:838451 [PMID: 36160588]
  45. Front Psychiatry. 2020 Oct 30;11:579289 [PMID: 33192719]
  46. Evid Based Nurs. 2022 Jul;25(3):104 [PMID: 34599051]
  47. Int J Psychophysiol. 2013 Aug;89(2):171-80 [PMID: 23583625]
  48. Int J Environ Res Public Health. 2021 Sep 18;18(18): [PMID: 34574784]
  49. Int J Behav Med. 2008;15(3):194-200 [PMID: 18696313]
  50. Front Psychiatry. 2020 Nov 20;11:577429 [PMID: 33329116]
  51. Healthcare (Basel). 2022 Oct 14;10(10): [PMID: 36292472]
  52. J Psychiatr Ment Health Nurs. 2016 Aug;23(6-7):455-67 [PMID: 27593204]
  53. J Psychosom Res. 2000 Jun;48(6):555-60 [PMID: 11033374]
  54. Int J Hosp Manag. 2022 May;103:103199 [PMID: 36540129]
  55. Sleep Med. 2021 May;81:20-32 [PMID: 33631710]
  56. J Nurs Manag. 2021 Nov;29(8):2329-2342 [PMID: 34182609]
  57. Healthcare (Basel). 2023 Jul 15;11(14): [PMID: 37510472]
  58. Am J Mens Health. 2020 Jul-Aug;14(4):1557988320936583 [PMID: 32703068]
  59. Eur Rev Med Pharmacol Sci. 2021 Apr;25(7):3054-3065 [PMID: 33877669]
  60. Clocks Sleep. 2021 Jul 22;3(3):403-408 [PMID: 34449575]
  61. Am J Med Genet. 1999 Aug 20;88(4):329-36 [PMID: 10402498]
  62. Clin Psychol Rev. 2017 Dec;58:86-96 [PMID: 29074230]
  63. Eur J Investig Health Psychol Educ. 2023 Oct 29;13(11):2373-2387 [PMID: 37998057]
  64. Work. 2014;47(4):561-7 [PMID: 23823210]
  65. Sleep. 2021 May 14;44(5): [PMID: 33245781]
  66. Healthcare (Basel). 2023 Jan 28;11(3): [PMID: 36766942]
  67. Healthcare (Basel). 2022 Jun 10;10(6): [PMID: 35742130]
  68. Med Clin North Am. 2004 May;88(3):705-36, ix [PMID: 15087212]
  69. Front Public Health. 2021 Jan 20;8:587374 [PMID: 33553089]
  70. J Affect Disord. 2011 Oct;133(3):560-8 [PMID: 21624683]
  71. AIMS Public Health. 2023 Apr 21;10(2):252-267 [PMID: 37304592]
  72. Diabetes Metab Syndr. 2020 Sep - Oct;14(5):779-788 [PMID: 32526627]
  73. Transl Psychiatry. 2020 Aug 20;10(1):291 [PMID: 32820171]
  74. Front Neurosci. 2021 Jan 20;14:631025 [PMID: 33551736]
  75. Nat Med. 2021 Mar;27(3):364 [PMID: 33723449]
  76. Psychol Rep. 2008 Aug;103(1):63-6 [PMID: 18982937]
  77. Psychol Rep. 2006 Aug;99(1):93-6 [PMID: 17037454]
  78. J Nurs Manag. 2021 Oct;29(7):1992-2001 [PMID: 34018270]
  79. AIMS Public Health. 2021 Nov 23;9(1):94-105 [PMID: 35071671]
  80. Asia Pac Fam Med. 2011 Apr 13;10(1):3 [PMID: 21489235]
  81. Medicina (Kaunas). 2023 Sep 28;59(10): [PMID: 37893462]
  82. Ann Gen Psychiatry. 2011 Oct 19;10(1):28 [PMID: 22011456]
  83. Multivariate Behav Res. 2015;50(1):1-22 [PMID: 26609740]
  84. Nurs Health Sci. 2001 Jun;3(2):69-71 [PMID: 11882180]
  85. J Trauma Stress. 2019 Feb;32(1):14-22 [PMID: 30702778]
  86. Chronobiol Int. 2015;32(10):1352-8 [PMID: 26540469]
  87. Cochrane Database Syst Rev. 2020 Nov 5;11:CD013779 [PMID: 33150970]
  88. Eur J Psychotraumatol. 2014 Oct 01;5: [PMID: 25317257]
  89. J Psychosom Res. 2003 Sep;55(3):263-7 [PMID: 12932801]
  90. Philos Trans R Soc Lond B Biol Sci. 2021 Jul 19;376(1829):20200265 [PMID: 34053269]
  91. BMJ. 2023 May 9;381:1041 [PMID: 37160309]
  92. AACN Clin Issues Crit Care Nurs. 1993 Aug;4(3):558-65 [PMID: 8136229]
  93. J Adolesc. 2016 Jul;50:91-102 [PMID: 27236209]
  94. Healthcare (Basel). 2022 Jan 10;10(1): [PMID: 35052297]
  95. Sleep Med Rev. 2018 Feb;37:94-104 [PMID: 28363448]
  96. J Sleep Res. 2022 Feb;31(1):e13429 [PMID: 34288197]
  97. J Clin Sleep Med. 2019 Sep 15;15(9):1209-1215 [PMID: 31538591]
  98. J Sleep Res. 2008 Jun;17(2):180-90 [PMID: 18482106]
  99. Sleep Med Rev. 2022 Apr;62:101591 [PMID: 35131664]
  100. Front Psychol. 2021 Mar 05;12:644636 [PMID: 33746860]
  101. Eur J Psychotraumatol. 2012;3: [PMID: 23050070]
  102. Nurse Lead. 2023 Apr;21(2):244-251 [PMID: 35783544]
  103. J Trauma Stress. 2007 Aug;20(4):619-23 [PMID: 17721964]
  104. Psychol Health Med. 2020 Dec;25(10):1266-1277 [PMID: 32098490]

Word Cloud

Created with Highcharts 10.0.0insomniaBRSnursesNDQAISscoresresiliencenightmarespandemicpsychologicalprofessionalsstudydistressmentalincludedNightmareScalegender4%abnormalanalysisimpactstaffnursingIntroduction:lednotablechallengesamonghealthcareincludingObjective:aimsassessnightmarelevelsinvestigateassociationMethods:NursesparticipatedonlinesurveyDistressQuestionnaireBriefResilienceAthensInsomniaDemographicinformationageprofessionalexperiencealsocollectedResults:355female78maleFindingsrevealed617%25lowFemalehigherlowercomparedmalesdemonstratednegativecorrelationsMultipleregressionindicatedaccounted24%varianceadditional65%explainedactedmediatorattenuatingmoderatingrelationshipConclusions:NursingexperiencedheightenedsleepdisturbancesprevalentNightmaressignificantlycontributedplayedvitalrolemitigatingeffectStrategieswarrantedaddresspandemic'spost-pandemiceraCOVID-19mediation

Similar Articles

Cited By (7)