Atypical work schedules are associated with poor sleep quality and mental health in Taiwan female nurses
Abstract
Purpose To investigate the effects of shift work schedules on sleep quality and mental health in female nurses in south Taiwan.Methods This study recruited 1,360 female registered nurses in the Kaohsiung area for the first survey, and among them, 769 nurses had a rotation shift schedule. Among the 769 rotation shift work nurses, 407 completed another second survey 6-10 months later. Data collection included demographic variables, work status, shift work schedule, sleep quality (Pittsburgh Sleep Quality Index), and mental health (Chinese Health Questionnaire-12).Results Nurses on rotation shift had the poor sleep quality and mental health compared to nurses on day shift. The nurses on rotation shift had a relatively higher OR of reporting poor sleep quality and poor mental health (OR, 2.26; 95% CI, 1.57-3.28; and OR, 1.91; 95% CI, 1.39-2.63, respectively). Additionally, rotation shift nurses who had ≥2 days off after their most recent night shifts showed significantly improved sleep quality and mental health (PSQI decreased of 1.23 and CHQ-12 decreased of 0.86, respectively). Comparison of sleep quality between the first and second surveys showed aggravated sleep quality only in nurses who had an increased frequency of night shifts.Conclusion Female nurses who have a rotation shift work schedule tend to experience poor sleep quality and mental health, but their sleep quality and mental health improve if they have ≥2 days off after their most recent night shifts. This empirical information is useful for optimizing work schedules for nurses.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Shift work is very frequently associated with abbreviated or otherwise disturbed sleep.
“shift work is very frequently associated with abbreviated or otherwise disturbed sleep (Ferguson et al., 2012; Lin et al., 2012; Machi et al., 2012; Mahan et al., 1990; Roach et al., 2012).”
From Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? (2014) · cites this paper as Lin et al., 2012
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
Tsai, P.-S., Wang, S., Wang, M.-Y., Su, C.-T., Yang, T.-T., Huang, C.-J., & Fang, S. (2005) · Quality of Life Research · doi:10.1007/s11136-005-4346-x · Cited by 1,254 · see citing works
Shift Work Sleep Disorder: Prevalence and Consequences Beyond that of Symptomatic Day Workers
Drake, C. L., Roehrs, T., Richardson, G., Walsh, J. K., & Roth, T. (2004) · Sleep · doi:10.1093/sleep/27.8.1453 · Cited by 860 · see citing works
Physiological effects of melatonin: Role of melatonin receptors and signal transduction pathways
Pandi-Perumal, S. R., Trakht, I. N., SRINIVASAN, V., SPENCE, D., Maestroni, G. J. M., Zisapel, N., & Cardinali, D. P. (2008) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2008.04.001 · Cited by 799 · see citing works
Shift work and occupational medicine: an overview
Costa, G. (2003) · Occupational Medicine · doi:10.1093/occmed/kqg045 · Cited by 556 · see citing works
Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.
Gold, D. R., Rogacz, S., Bock, N., Tosteson, T. D., Baum, T., Speizer, F. E., & Czeisler, C. A. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.7.1011 · Cited by 516 · see citing works
Cheng, T.-A., & Williams, P. R. (1986) · Psychological Medicine · doi:10.1017/s0033291700009247 · Cited by 299 · see citing works
Working shifts and mental health – findings from the British Household Panel Survey (1995–2005)
Bara, A.-C., & Arber, S. (2009) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1344 · Cited by 226 · see citing works
Mental Health Status, Shift Work, and Occupational Accidents among Hospital Nurses in Japan
Suzuki, K., Ohida, T., Kaneita, Y., Yokoyama, E., Miyake, T., Harano, S., Yagi, Y., Ibuka, E., Kaneko, A., Tsutsui, T., et al. (2004) · Journal of Occupational Health · doi:10.1539/joh.46.448 · Cited by 224 · see citing works
Chong, M., & Wilkinson, G. (1989) · Psychological Medicine · doi:10.1017/s0033291700012526 · Cited by 217 · see citing works
Epidemiology of Urinary Melatonin in Women and Its Relation to Other Hormones and Night Work
Schernhammer, E. S., ROSNER, B. A., Willett, W. C., Laden, F., Colditz, G. A., & Hankinson, S. E. (2004) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.936.13.6 · Cited by 214 · see citing works
Preventive and compensatory measures for shift workers
Knauth, P. (2003) · Occupational Medicine · doi:10.1093/occmed/kqg049 · Cited by 208 · see citing works
Impact of Shift Work on the Health and Safety of Nurses and Patients
Berger, A. M., & Hobbs, B. (2006) · Clinical journal of oncology nursing · doi:10.1188/06.cjon.465-471 · Cited by 191 · see citing works
Epidemiology of Uriniary Melatonin in Women and Its Relation to Other Hormones and Night Work
Stevens, R. G. (2005) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-04-0420 · Cited by 184 · see citing works
Disturbed Sleep in Shift Workers, Day Workers, and Insomniacs
Åkerstedt, T., Ingre, M., Broman, J., & Kecklund, G. (2008) · Chronobiology International · doi:10.1080/07420520802113922 · Cited by 180 · see citing works
Health, Work Variables, and Job Satisfaction Among Nurses
Ruggiero, J. S. (2005) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200505000-00009 · Cited by 158 · see citing works
Pathophysiology of depression: Role of sleep and the melatonergic system
Srinivasan, V., Pandi-Perumal, S. R., Trakht, I., Spence, D. W., Hardeland, R., Pöeggeler, B., & Cardinali, D. P. (2009) · Psychiatry Research · doi:10.1016/j.psychres.2007.11.020 · Cited by 150 · see citing works
Bolton, A. (1999) · Springer eBooks · doi:10.1007/978-1-4615-6091-3_7 · Cited by 140 · see citing works
Conway, P. M., Campanini, P., Sartori, S., Dotti, R., & Costa, G. (2008) · Applied Ergonomics · doi:10.1016/j.apergo.2008.01.007 · Cited by 119 · see citing works
The impact of shift patterns on healthcare professionals
Wilson, J. L. (2002) · Journal of Nursing Management · doi:10.1046/j.1365-2834.2002.00308.x · Cited by 109 · see citing works
Sleep, Mental Health Status, and Medical Errors among Hospital Nurses in Japan
有村, 真., Imai, M., Okawa, M., Fujimura, T., & Yamada, N. (2010) · Industrial Health · doi:10.2486/indhealth.ms1093 · Cited by 105 · see citing works
The impact of a week of simulated night work on sleep, circadian phase, and performance
Lamond, N., Dorrian, J., Roach, G. D., McCulloch, K. M., Holmes, A. L., Burgess, H. J., Fletcher, A., & Dawson, D. E. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.11.e13 · Cited by 101 · see citing works
Work–family conflict of nurses in Japan
藤本, 哲., Kotani, S., & Suzuki, R. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2008.02643.x · Cited by 74 · see citing works
The impact of shift work induced chronic circadian disruption on IL-6 and TNF-α immune responses
van Mark, A., Weiler, S. W., Schröder, M., Otto, A., Jauch‐Chara, K., Groneberg, D. A., Spallek, M., Kessel, R., & Kalsdorf, B. (2010) · Journal of Occupational Medicine and Toxicology · doi:10.1186/1745-6673-5-18 · Cited by 67 · see citing works
Tanabe, A., & Nomura, S. (1963) · JAMA · doi:10.1001/jama.1963.03710090093097 · Cited by 23 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Shift work and poor mental health: a meta-analysis of longitudinal studies
Torquati, L., Mielke, G. I., Brown, W. J., Burton, N. W., & Kolbe-Alexander, T. L. (2019) · American Journal of Public Health · doi:10.2105/ajph.2019.305278 · Cited by 410 · see citing works
Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease?
Grandner, M. A. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.911148 · Cited by 88 · see citing works
“Also, sleep disturbances have been described in other chronic diseases as well, such as pain syndromes (Besteiro Gonzalez et al., 2011; Landis, 2011; Lindstrom et al., 2012; Perlis et al., 1997; Wagner et al., 2012), dementias (Jaussent et al., 2012; Jirong et al., 2013; Zhou et al., 2012), human…”
Background
- Authors
- Lin, P.-C., Chen, C.-H., Pan, S.-M., Pan, C.-H., Chen, C.-J., Chen, Y.-M., Hung, H.-C., & Wu, M.-T.
- Affiliations
- Kaohsiung Medical University (TW)
- Kaohsiung Medical University Chung-Ho Memorial Hospital (TW)
- Institute of Labor, Occupational Safety And Health, Ministry of Labor (TW)
- Meiho University (TW)
- Corresponding author
- Hung, Hsin-Chia
- Wu, Ming-Tsang
- Venue
- International Archives of Occupational and Environmental Health
- Published
- 2011-12-30
- Volume
- 85
- Issue
- 8
- Pages
- 877-884
- ISSN
- 0340-0131 (ISSN-L)
- 1432-1246
- OpenAlex
- W2152400637
- Cited by
- 108
- References
- 25
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 11 · 2022: 9 · 2021: 14 · 2020: 13 · 2019: 10 · 2018: 8 · 2017: 8 · 2016: 9 · 2015: 7 · 2014: 4 · 2013: 4
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Archives of Occupational and Environmental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- shift work, night shift work, sleep quality, mental health, female nurses, occupational health
- MeSH terms
- Adult, Fatigue, Female, Health Surveys, Humans, Mental Health, Middle Aged, Nursing, Personnel Staffing and Scheduling, Sleep, Taiwan, Work Schedule Tolerance, Confidence Intervals, Odds Ratio, Occupational Health, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
