Associations Between Night Shifts and Comorbid Depressive-Anxiety Symptoms Among Chinese Nurses: Indirect Associations via Sleep Quality and Duration.

Key Points

• This study aims to explore the relationship between night shift frequency and mental health in Chinese nurses, focusing on sleep quality.
• Conducted a cross-sectional survey among Chinese nurses.
• Assessed frequency of night shifts and corresponding mental health outcomes.
• Evaluated sleep quality and sleep duration as mediating factors.
• Higher frequency of night shifts correlated with increased depressive-anxiety symptoms.
• Poor sleep quality significantly mediated the relationship between night shifts and mental health outcomes.
• Recommendations include improving shift scheduling and sleep recovery strategies.