scholarly journals Do sleep disturbances mediate the association between work-family conflict and depressive symptoms among nurses? A cross-sectional study

2017 ◽  
Vol 24 (8) ◽  
pp. 620-628 ◽  
Author(s):  
Y. Zhang ◽  
J. F. Duffy ◽  
E. Ronan De Castillero
Author(s):  
Ratnaprabha G. K. ◽  
Sindhu P. ◽  
Aswin Kumar ◽  
Prakash R. Kengnal ◽  
Ashok kumar M. S.

Background: Work and family are the most important responsibilities of an adult. The last two decades have been marked by striking changes in the world of work and nature of the family. Work schedules, work orientation, marriage, children and spouse employment patterns may all produce pressures to effectively exhibit ones work role or the family role, which are interdependent. The objectives of the study were to assess work family conflict (WFC) among the working population in a city in Karnataka, and its determinants.Methods: A community based cross sectional study was carried out during August-September 2015 among 400 adult working population of Davangere city, working in different sectors (hospitals, schools, colleges, banks and police department). A pretested structured self-administered questionnaire consisting of socio-demographic details, Carlson’s Work-Family Conflict Scale was used. Data was analyzed using SPSS 10 for frequencies, Chi square test, student’s T test and ANOVA. Results: Out of 400 study participants, 62% were men. Mean scores of work to family conflict was 27.28±5.68 and that of family to work conflict was 25.37±5.61. Time based work to family conflict was more compared to strain and behaviour based. Conflict scores were higher for females, >45 years age, employees who had children, especially child under 5 years of age. WFC was found to be highest among doctors, police and nurses. Conclusions: Work to family conflict was higher than family to work conflict, especially time based. 


2020 ◽  
Vol 68 (7) ◽  
pp. 346-354 ◽  
Author(s):  
Yuan Zhang ◽  
Mazen ElGhaziri ◽  
Sarah Nasuti ◽  
Jeanne F. Duffy

Background: Musculoskeletal disorders (MSDs) are the leading cause of pain and disability among nurses and are frequently accompanied by depression. However, the association between the comorbidity of MSDs and depression and working conditions has not been studied, which was the aim of this study. Methods: In 2015, all nurses ( n = 1,102) employed at a community hospital in the Northeast United States were invited to participate in this cross-sectional study. A survey was distributed in which participants were asked to report on MSDs, depressive symptoms, as well as subjective working conditions assessed including physical demands, psychological demands, decision authority, social support, and work–family conflict. Findings: 397 nurses responded (36%), and the prevalence of the comorbidity of MSDs and depression was 14.5%. Poisson regression (PR) models suggested that work–family conflict was associated with increased risk of the comorbidity (PR = 2.18; 95% confidence interval [CI] = 1.33–3.58), as was 8-hour night shift (PR = 2.77; 95% CI = [1.22, 6.31]) or 12-hour day shift (PR = 2.20; 95% CI = [1.07, 4.50]). Other working conditions were not directly associated with the comorbidity. Conclusions/Application to Practice: The comorbidity of MSDs and depression is prevalent among hospital nurses, and work–family conflict and working night shift or longer shifts were significantly associated with this. Effective workplace programs are needed to address nurses’ working conditions to reduce their work–family conflict, thereby improving their musculoskeletal and mental health.


2019 ◽  
Vol 2 (2) ◽  
pp. 201-210 ◽  
Author(s):  
Konstantinos Argyropoulos ◽  
Evangelia Machini

AbstractObjectivesThe purpose of the present study was to estimate the prevalence of depression later in life in an urban area and to investigate the associations between possible risk and protective factors including adherence to a Mediterranean diet.MethodsA cross-sectional study was conducted among the active members of the open day-care centres for older people, in East-Attica, Greece. An anonymous questionnaire was developed to collect basic demographic and medical data, the Geriatric Depression Scale (GDS-15) was applied to screen the elderly for depressive symptoms, the Athens Insomnia Scale (AIS) was used to quantify sleep disturbances and adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Score (MDS). Statistics was processed with SPSS 24.0.Results154 older adults took part in the study. According to GDS-15, 24.7% (21.4% moderate and 3.2% severe type) screened positive for depressive symptoms. 29.9% of the participants reported inadequate sleep, based on AIS. Depression and insomnia in older participants were more frequent in women than in men, in lower educated, in participants with lower monthly income and in older people with comorbidity (p < 0.05).MDS revealed that adherence to a Mediterranean diet was moderate for 64.3% of the participants, and it was high for 34.4%. Depression diagnosed by a physician, was strongly associated with MDS (p = 0.035) and AIS (p = 0.001). Logistic regression analysis results revealed a diet higher in vegetables and lower in poultry and alcohol was associated with decreased likelihood of developing symptoms of depression later in life.ConclusionsOur results support that depression in older adults is common and strongly associated with several risk factors. Adherence to a Mediterranean diet may protect against the development of depressive symptoms in older age. Moreover, not only diet but also sleep-deficiency might contribute to the depression later in life.


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