Association between shift work and severity of depressive symptoms among female nurses: the Korea Nurses' Health Study
Abstract
AIM: To determine the prevalence of depression and the relationship between shift work and depression severity among female nurses in South Korea. BACKGROUND: Shift work has been associated with higher risks of depressive symptoms, but there is a dearth of research on nurses, particularly investigating the severity of depressive symptoms. METHODS: Quantitative data including survey response from 9789 participants were analysed. Statistical analysis included descriptive, Spearman's correlation and multivariable ordinal logistic regression. RESULTS: The numbers of nurses according to the severity of depressive symptoms were 35.2% (n = 3445), 38.0% (n = 3716), 16.1% (n = 1578), 7.6% (n = 747) and 3.1% (n = 303) for normal, mild, moderate, severely moderate and severe level of depressive symptoms, respectively. After adjusting for sociodemographic and health behavioural factors, nurses who worked shifts had 1.519-times greater odds of experiencing a higher severity of depressive symptoms (OR = 1.519, CI = 1.380-1.674, P < 0.001). CONCLUSION: This study shows a higher prevalence of depressive symptoms among nurses who worked shifts and suggests that shift work may increase the severity of depressive symptoms among female nurses in South Korea. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing professionals, managers and health policy makers need to understand the factors influencing depressive symptoms and to use appropriate interventions based on the severity and not just the onset.
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If all types of depression are combined, a clear association emerges between shift work and depression.
“If all types of depression are combined, then a clear association emerges between shift work and depression13,71–73.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [72]
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- Authors
- Lee, H. Y., Kim, M. S., Kim, O., Lee, I.-H., & Kim, H.-K.
- Affiliations
- Doowon Technical University College (KR)
- Korea University (KR)
- Ewha Womans University (KR)
- Korea Nurses' Health Study; Seoul Korea
- Corresponding author
- Kim, Mi Sun
- Venue
- Journal of Nursing Management
- Publisher
- Wiley
- Published
- 2015-05-06
- Volume
- 24
- Issue
- 2
- Pages
- 192-200
- ISSN
- 0966-0429 (ISSN-L)
- OpenAlex
- W1766023258
- Semantic Scholar
- 812af59bc6cc2827c4e403f29b6e389f91bd87f0
- Cited by
- 110
- References
- 41
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 12 · 2023: 14 · 2022: 15 · 2021: 14 · 2020: 7 · 2019: 12 · 2018: 12 · 2017: 7 · 2016: 2 · 2015: 2
- FWCI
- 11.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Nursing Management (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Korea Centers for Disease Control & Prevention (2013E6300600)
- Korea National Institute of Health
- 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, depressive symptoms, depression severity, female nurses, nurse mental health, depression prevalence
- MeSH terms
- Adult, Cross-Sectional Studies, Depression, Female, Health Surveys, Humans, Middle Aged, Nurses, Occupational Diseases, Risk Factors, Severity of Illness Index, Work Schedule Tolerance, Prevalence, Logistic Models, Republic of Korea
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