Investigation of The Relationships Between Depressive Symptoms, Sleep Quality, Psychological Resilience, and Insomnia Catastrophizing Cognitions in Healthcare Workers

Introduction: Healthcare workers (HCWs) often face stressful situations at work. Evidence supports significant relationships between sleep quality and depressive symptoms. However, it has been observed that there is not enough study on the relationships among sleep quality, depressive symptoms, psychological resilience, and insomnia catastrophizing cognitions. We aimed to examine the relationships between sleep quality, depressive symptoms, and psychological resilience, as well as insomnia catastrophizing cognitions. Materials and Methods: 78 HCWs with the same working hours included in the study completed the Resilience Scale for Adults (RSA), Beck Depression Inventory (BDI), Insomnia Catastrophizing Scale (ICS) and Pittsburgh Sleep Quality Index (PSQI). Results: The study findings show that BDI scores and PSQI scores positively associated with ICS scores (r = 0.45, p = 0.000; r = 0.50, p = 0.000, respectively), and negatively related to RSA-structured style (r = -0.34, p = 0.002; r = -0.38, p = 0.001, respectively), RSA-future perception (r = -0.45, p = 0.000; r = -0.24, p = 0.036, respectively), RSAself perception (r = -0.37, p = 0.001; r = -0.23, p = 0.047, respectively), and RSA-social resources (r = -0.24, p = 0.034; r = -0.28, p = 0.012, respectively) subdimensions of psychological resilience. Conclusion: Comprehending psychological resilience is crucial for developing interventions to prevent or promote mental health. Also, Cognitive Behavioral Therapy (CBT) is dramatic impress for treatment of insomnia with depression. Thus, it may be necessary to detect insomnia catastrophizing cognitions, as well as resilience, depression, and sleep quality, to protect the psychological health of HCWs. Future research should examine these relationships in larger samples and prospective studies to improve the mental health of HCWs.