Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study

doi:10.1371/journal.pone.0204224

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Title:	Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study
Authors:	Huang, Charles Lung-Cheng Wu, Ming-Ping Ho, Chung-Han Wang, Jhi-Joung
Contributors:	Chi Mei Med Ctr, Dept Psychiat Chia Nan Univ Pharm & Sci, Dept Social Work Chi Mei Med Ctr, Dept Obstet & Gynecol, Div Urogynecol & Pelv Floor Reconstruct Chia Nan Univ Pharm & Sci, Ctr Gen Educ Chi Mei Med Ctr, Dept Med Res Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Keywords:	Health-Care Psychiatric-Nurses Female Nurses Work Stress Shift Work Symptoms Seeking Taiwan Somatization Disorder
Date:	2018-09-25
Issue Date:	2019-11-15 15:47:34 (UTC+8)
Publisher:	PUBLIC LIBRARY SCIENCE
Abstract:	The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88-0.95), 0.59 (95% CI, 0.55-0.63), and 1.43 (95% CI, 1.38-1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.
???metadata.dc.relation.uri???:	http://dx.doi.org/10.1371/journal.pone.0204224
Relation:	Food & Function, v.13, n.9, e0204224
Appears in Collections:	[Dept. of Social Work] Periodical Articles [The Center For General Education] Periodical Articles [Dept. of Hospital and Health (including master's program)] Periodical Articles

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