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ORIGINAL RESEARCH

Anxiety and Insomnia Mediate the Association of Fear of Infection and Fatigue: A Cross-Sectional Survey of Nurses Deployed to a COVID-19 Epicenter in China

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Pages 2439-2448 | Received 01 Jun 2023, Accepted 11 Aug 2023, Published online: 24 Aug 2023

References

  • Jarrahi A, Ahluwalia M, Khodadadi H, et al. Neurological consequences of COVID-19: what have we learned and where do we go from here? J Neuroinflammation. 2020;17(1):1–12. doi:10.1186/s12974-020-01957-4
  • Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider burnout and fatigue during the COVID-19 pandemic: lessons learned from a high-volume intensive care unit. Anesth Analg. 2020;131(1):106–111. doi:10.1213/ANE.0000000000004866
  • Tan YQ, Wang Z, Yap QV, et al. Psychological health of surgeons in a time of COVID-19: a global survey. Ann Surg. 2023;277(1):50. doi:10.1097/SLA.0000000000004775
  • Le XTT, Nguyen QT, Onyango B, et al. Perception toward exposure risk of COVID-19 among health workers in Vietnam: status and correlated factors. Front Public Health. 2021;9:589317. doi:10.3389/fpubh.2021.589317
  • Azoulay E, Cariou A, Bruneel F, et al. Symptoms of anxiety, depression, and peritraumatic dissociation in critical care clinicians managing patients with COVID-19. A cross-sectional study. Am J Respir Crit Care Med. 2020;202(10):1388–1398. doi:10.1164/rccm.202006-2568OC
  • Stedman T. Stedman’s Medical Dictionary. Dalcassian publishing company; 1920.
  • Labrague LJ. Pandemic fatigue and clinical nurses’ mental health, sleep quality and job contentment during the covid‐19 pandemic: the mediating role of resilience. J Nurs Manag. 2021;29:1992–2001. doi:10.1111/jonm.13383
  • Thiffault P, Bergeron J. Fatigue and individual differences in monotonous simulated driving. Pers Individ Dif. 2003;34:159–176. doi:10.1016/S0191-8869(02)00119-8
  • Sikaras C, Ilias I, Tselebis A, et al. Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece. AIMS Public Health. 2021;9:94–105. doi:10.3934/publichealth.2022008
  • Rogers AE. The effects of fatigue and sleepiness on nurse performance and patient safety. In: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. US: Agency for Healthcare Research and Quality; 2008.
  • Meisenhelder JB, LaCharite CL. Fear of contagion: a stress response to acquired immunodeficiency syndrome. Adv Nurs Sci. 1989;11(2):29–38. doi:10.1097/00012272-198901000-00007
  • Kish-Gephart JJ, Detert JR, Treviño LK, Edmondson AC. Silenced by fear: the nature, sources, and consequences of fear at work. Res Organ Behav. 2009;29:163–193. doi:10.1016/j.riob.2009.07.002
  • Fitzpatrick KM, Harris C, Drawve G. Fear of COVID-19 and the mental health consequences in America. Psychol Trauma. 2020;12:S17. doi:10.1037/tra0000924
  • Mulyadi M, Dedi B, Hou W-L, Huang I-C, Lee B-O. Nurses’ experiences of emergency department triage during the COVID‐19 pandemic in Indonesia. J Nurs Scholarsh. 2022;54:15–23. doi:10.1111/jnu.12709
  • Becerra-Medina LT, Meneses-La-Riva ME, Ruíz-Ruíz MT, Marcilla-Félix A, Suyo-Vega JA, Fernández-Bedoya VH. Mental health impacts of nurses caring for patients with COVID-19 in Peru: fear of contagion, generalized anxiety, and physical-cognitive fatigue. Front Psychol. 2022;13:917302. doi:10.3389/fpsyg.2022.917302
  • Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020;288:112936. doi:10.1016/j.psychres.2020.112936
  • Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse reports of stressful situations during the COVID-19 pandemic: qualitative analysis of survey responses. Int J Environ Res Public Health. 2020;17(21):8126. doi:10.3390/ijerph17218126
  • Gallop RM, Lancee WJ, Taerk G, Coates RA, Fanning M. Fear of contagion and AIDS: nurses’ perception of risk. AIDS Care. 1992;4(1):103–109. doi:10.1080/09540129208251624
  • Dugas MJ, Laugesen N, Bukowski WM. Intolerance of uncertainty, fear of anxiety, and adolescent worry. J Abnorm Child Psychol. 2012;40:863–870. doi:10.1007/s10802-012-9611-1
  • Dymecka J, Machnik-Czerwik A, Filipkowski J. Fear of COVID-19, risk perception and stress level in Polish nurses during COVID-19 outbreak. J Neurol Neurosurg Nurs. 2021;10:3–9.
  • Salari N, Khazaie H, Hosseinian-Far A, et al. The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: a systematic review and meta-analysis. Global Health. 2020;16(1):92. doi:10.1186/s12992-020-00620-0
  • Piper BF, Lindsey AM, Dodd MJ. Fatigue mechanisms in cancer patients: developing nursing theory. Oncol Nurs Forum. 1987;14(6):17–23.
  • Zhan Y, Liu Y, Liu H, et al. Factors associated with insomnia among Chinese front‐line nurses fighting against COVID‐19 in Wuhan: a cross‐sectional survey. J Nurs Manag. 2020;28:1525–1535. doi:10.1111/jonm.13094
  • Sun N, Wei L, Shi S, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592–598. doi:10.1016/j.ajic.2020.03.018
  • Jansson-Fröjmark M, Lindblom K. A bidirectional relationship between anxiety and depression, and insomnia? A prospective study in the general population. J Psychosom Res. 2008;64(4):443–449. doi:10.1016/j.jpsychores.2007.10.016
  • Papadimitriou GN, Linkowski P. Sleep disturbance in anxiety disorders. Int Rev Psychiatry. 2005;17(4):229–236. doi:10.1080/09540260500104524
  • Akbarpour S, Nakhostin-Ansari A, Haghighi KS, et al. COVID-19 fear association with depression, anxiety, and insomnia: a national web-based survey on the general population. Iran J Psychiatry. 2022;17:24. doi:10.18502/ijps.v17i1.8046
  • Harvey AG. A cognitive model of insomnia. Behav Res Ther. 2002;40(8):869–893. doi:10.1016/S0005-7967(01)00061-4
  • Smets EMA, Garssen B, de Bonke B, De Haes J. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res. 1995;39(3):315–325. doi:10.1016/0022-3999(94)00125-O
  • Saremi M, Fallah MR. Subjective fatigue and medical errors among nurses in an educational hospital. Iran Occup Health. 2013;10:1–8.
  • Bazazan A, Dianat I, Mombeini Z, Aynehchi A, Jafarabadi MA. Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses. Accid Anal Prev. 2019;126:31–36. doi:10.1016/j.aap.2018.01.042
  • Miao Y, Liu X, Liu W, Xie H, Deng G. Initial revision of the Chinese version of multidimensional fatigue inventory-20 in medical staff of military basic level. Chine Ment Health J. 2008;22:658–661. Chinese.
  • Heutte N, Flechtner HH, Mounier N, et al. Quality of life after successful treatment of early-stage Hodgkin’s lymphoma: 10-year follow-up of the EORTC–GELA H8 randomised controlled trial. Lancet Oncol. 2009;10(12):1160–1170. doi:10.1016/S1470-2045(09)70258-X
  • Bastien CH, Vallières A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307. doi:10.1016/S1389-9457(00)00065-4
  • Yang CM, Hsu SC, Lin SC, Chou YY, Chen YM. Reliability and validity of the Chinese version of insomnia severity index. Arch Clin Psychol. 2009;4:95–104. Chinese.
  • Agameel MM, Mohsen SAA-E, Dyab NA, Abdelwahed AY, Fakieh RA. Perceived stress, anxiety and insomnia among nursing staff in Saudi Arabia during the 2019 novel coronavirus disease pandemic. OJN. 2022;12(01):1–11. doi:10.4236/ojn.2022.121001
  • Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092. doi:10.1001/archinte.166.10.1092
  • Qian J, Bian C, Cui H, Wu W, Li C. Comparative study of reliability and validity between several screening scales for anxiety. J Int Med Concepts Pract. 2011;6:176–179. Chinese.
  • Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3:e203976. doi:10.1001/jamanetworkopen.2020.3976
  • Zhan Y, Zhao S, Yuan J, et al. Prevalence and influencing factors on fatigue of first-line nurses combating with COVID-19 in China: a descriptive cross-sectional study. Curr Med Sci. 2020;40(4):625–635. doi:10.1007/s11596-020-2226-9
  • Aloweni F, Bouchoucha SL, Hutchinson A, et al. Health care workers’ experience of personal protective equipment use and associated adverse effects during the COVID‐19 pandemic response in Singapore. J Adv Nurs. 2022;78(8):2383–2396. doi:10.1111/jan.15164
  • Kaur M, Kumar A, Kaur S, et al. Adverse effects of personal protective equipment and their self-practiced preventive strategies among the Covid-19 frontline health care workers. Hosp Top. 2022:1–12. doi:10.1080/00185868.2022.2112523
  • Ünver S, Yildirim M, Yenigun SC. Personal protective equipment related skin changes among nurses working in pandemic intensive care unit: a qualitative study. J Tissue Viability. 2022;31:221–230. doi:10.1016/j.jtv.2022.01.007
  • Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. Guilford publications; 2017.
  • Wang J, Li D, Bai X, et al. The physical and mental health of the medical staff in Wuhan huoshenshan hospital during COVID-19 epidemic: a structural equation modeling approach. Eur J Integr Med. 2021;44:101323. doi:10.1016/j.eujim.2021.101323
  • Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care. 2010;19(1):28–34. doi:10.4037/ajcc2010651
  • Çakıcı N, Avşar G, Çalışkan N. The challenges of nurses who care for COVID-19 patients: a Qualitative Study. Holist Nurs Pract. 2021;35(6):315. doi:10.1097/HNP.0000000000000480
  • Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiatry. 2020;20(1):489. doi:10.1186/s12888-020-02898-1
  • Chen H, Eyoun K. Do mindfulness and perceived organizational support work? Fear of COVID-19 on restaurant frontline employees’ job insecurity and emotional exhaustion. Int J Hosp Manag. 2021;94:102850. doi:10.1016/j.ijhm.2020.102850
  • Çalışkan E, Kargın M. The relationship between coronavirus 19 fear and occupational fatigue, burnout and recovery levels in healthcare professionals in Turkey. Arch Environ Occup Health. 2022;77(9):711–720. doi:10.1080/19338244.2021.2002796
  • Schwartz T, Pines E. Coping with fatigue, fear, and panic during a crisis. Harv Bus Rev. 2020;2020;3.
  • Yıldırım M, Solmaz F. COVID-19 burnout, COVID-19 stress and resilience: initial psychometric properties of COVID-19 burnout scale. Death Stud. 2022;46(3):524–532. doi:10.1080/07481187.2020.1818885
  • Sun T, Huang X-H, Zhang S-E, et al. Fatigue as a cause of professional dissatisfaction among Chinese nurses in intensive care unit during COVID-19 pandemic. Risk Manag Healthc Policy. 2023;Volume 16:817–831. doi:10.2147/RMHP.S391336
  • Ruggiero JS. Correlates of fatigue in critical care nurses. Res Nurs Health. 2003;26(6):434–444. doi:10.1002/nur.10106
  • Fang J, Kunaviktikul W, Olson K, Chontawan R, Kaewthummanukul T. Factors influencing fatigue in Chinese nurses. Nurs Health Sci. 2008;10(4):291–299. doi:10.1111/j.1442-2018.2008.00407.x
  • Yıldırım M, Arslan G, Özaslan A. Perceived risk and mental health problems among healthcare professionals during COVID-19 pandemic: exploring the mediating effects of resilience and coronavirus fear. Int J Ment Health Addict. 2022;20(2):1035–1045. doi:10.1007/s11469-020-00424-8
  • Porcelli P. Fear, anxiety and health-related consequences after the COVID-19 epidemic. Clin Neuropsychiatry. 2020;17:103. doi:10.36131/CN20200215
  • De Clercq D, Haq IU, Azeem MU, Khalid S. The link between fear about COVID-19 and insomnia: mediated by economic concerns and psychological distress, moderated by mindfulness. J Manag Organ. 2023;29:445–463. doi:10.1017/jmo.2021.3
  • Toker S, Laurence GA, Fried Y. Fear of terror and increased job burnout over time: examining the mediating role of insomnia and the moderating role of work support: fear of terror, insomnia, and job burnout. J Organiz Behav. 2015;36:272–291. doi:10.1002/job.1980
  • Roth T, Roehrs T. Insomnia: epidemiology, characteristics, and consequences. Clin Cornerstone. 2003;5(3):5–15. doi:10.1016/S1098-3597(03)90031-7
  • Stein MB, McCarthy MJ, Chen C-Y, et al. Genome-wide analysis of insomnia disorder. Mol Psychiatry. 2018;23(11):2238–2250. doi:10.1038/s41380-018-0033-5
  • Ho Park J, An H, Sook jang E, Chung S. The influence of personality and dysfunctional sleep-related cognitions on the severity of insomnia. Psychiatry Res. 2012;197(3):275–279. doi:10.1016/j.psychres.2011.09.018
  • Perogamvros L, Castelnovo A, Samson D, Dang-Vu TT. Failure of fear extinction in insomnia: an evolutionary perspective. Sleep Med Rev. 2020;51:101277. doi:10.1016/j.smrv.2020.101277
  • Wong TW, Yau JK, Chan CL, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med. 2005;12:13–18. doi:10.1097/00063110-200502000-00005
  • Van Dis EA, Van Veen SC, Hagenaars MA, et al. Long-term outcomes of cognitive behavioral therapy for anxiety-related disorders: a systematic review and meta-analysis. JAMA psychiatry. 2020;77:265–273. doi:10.1001/jamapsychiatry.2019.3986
  • Soh HL, Ho RC, Ho CS, Tam WW. Efficacy of digital cognitive behavioural therapy for insomnia: a meta-analysis of randomised controlled trials. Sleep Med. 2020;75:315–325. doi:10.1016/j.sleep.2020.08.020
  • Zhang MW, Ho R. Moodle: the cost effective solution for internet cognitive behavioral therapy (I-CBT) interventions. Technol Health Care. 2017;25:163–165. doi:10.3233/THC-161261
  • Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singapore. 2020;49:1–3.
  • Goetzel RZ, Roemer EC, Holingue C, et al. Mental health in the workplace: a call to action proceedings from the mental health in the workplace: public health summit. J Occup Environ Med. 2018;60:322. doi:10.1097/JOM.0000000000001271