Factors Associated With Healthcare Workers' Insomnia Symptoms and Fatigue in the Fight Against COVID-19, and the Role of Organizational Support
Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia a...
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| Published in | Frontiers in psychiatry Vol. 12; p. 652717 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Switzerland
Frontiers Media S.A
26.03.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1664-0640 1664-0640 |
| DOI | 10.3389/fpsyt.2021.652717 |
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| Abstract | Background:
Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms.
Methods:
This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors.
Results:
This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs.
Conclusion:
Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries. |
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| AbstractList | Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms.
This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors.
This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs.
Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries. Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms. Methods: This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors. Results: This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs. Conclusion: Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries. Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms.Methods: This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors.Results: This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs.Conclusion: Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries. Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms. Methods: This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors. Results: This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs. Conclusion: Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries.Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms. Methods: This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors. Results: This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs. Conclusion: Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries. |
| Author | Zhou, Fenfen Yang, Yuan Li, Jie Chen, Wen Liu, Shaokun Ling, Li Zou, Xia Ye, Jiali |
| AuthorAffiliation | 2 Department of Information, Sun Yat-sen University Cancer Center, Sun Yat-sen University , Guangzhou , China 3 Department of Medical Statistics, School of Public Health, Sun Yat-sen University , Guangzhou , China 1 Global Health Research Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences , Guangzhou , China |
| AuthorAffiliation_xml | – name: 2 Department of Information, Sun Yat-sen University Cancer Center, Sun Yat-sen University , Guangzhou , China – name: 1 Global Health Research Center, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences , Guangzhou , China – name: 3 Department of Medical Statistics, School of Public Health, Sun Yat-sen University , Guangzhou , China |
| Author_xml | – sequence: 1 givenname: Xia surname: Zou fullname: Zou, Xia – sequence: 2 givenname: Shaokun surname: Liu fullname: Liu, Shaokun – sequence: 3 givenname: Jie surname: Li fullname: Li, Jie – sequence: 4 givenname: Wen surname: Chen fullname: Chen, Wen – sequence: 5 givenname: Jiali surname: Ye fullname: Ye, Jiali – sequence: 6 givenname: Yuan surname: Yang fullname: Yang, Yuan – sequence: 7 givenname: Fenfen surname: Zhou fullname: Zhou, Fenfen – sequence: 8 givenname: Li surname: Ling fullname: Ling, Li |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33841214$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3390/jcm9020575 10.1017/S0033291797006466 10.5271/sjweh.2985 10.4103/2249-4863.201153 10.1007/s00127-005-0858-5 10.1016/S0165-0327(02)00072-1 10.1080/15402002.2016.1276019 10.1016/S0022-3999(00)00095-7 10.1016/j.eurpsy.2019.05.004 10.1007/s11920-009-0066-1 10.1111/jocn.15566 10.1001/jamanetworkopen.2020.3976 10.1016/S0140-6736(20)31637-8 10.1007/s11596-020-2226-9 10.1177/070674370705200406 10.1177/1559827609334681 10.1080/09291016.2017.1413766 10.1159/000507639 10.1016/j.genhosppsych.2010.12.003 10.1016/S2215-0366(20)30078-X 10.1093/sleep/32.8.1027 10.1093/sleep/14.5.386 10.1093/sleep/29.6.751 10.1016/S2215-0366(20)30047-X 10.1016/S2215-0366(20)30046-8 10.7150/ijbs.45120 10.1016/j.socscimed.2004.02.002 10.1016/j.nut.2016.04.005 10.1016/S0163-8343(97)00056-X 10.1136/bmj.l1476 10.3760/cma.j.issn.0253-9624.2020.03.003 10.1016/j.jpsychires.2019.06.021 10.1016/S0022-3999(02)00604-9 10.1038/s41386-019-0411-y 10.1016/j.jpsychires.2005.12.006 10.1016/j.smrv.2018.10.004 10.1080/15402002.2017.1363043 10.1007/s11325-018-1682-y 10.1186/s13054-020-2832-8 10.1111/sjop.12448 10.1016/S0022-3956(02)00052-3 |
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| Copyright | Copyright © 2021 Zou, Liu, Li, Chen, Ye, Yang, Zhou and Ling. Copyright © 2021 Zou, Liu, Li, Chen, Ye, Yang, Zhou and Ling. 2021 Zou, Liu, Li, Chen, Ye, Yang, Zhou and Ling |
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| Keywords | COVID-19 fatigue healthcare workers organizational support insomnia |
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| References | B42 Soldatos (B23) 2003; 55 Chaudhary (B40) 2016; 32 Levis (B24) 2019; 365 Su (B8) 2007; 41 Lovato (B12) 2019; 43 Williamson (B19) 2005; 40 Manber (B34) 2009; 11 Kang (B2) 2020; 7 Zhang (B25) 2020; 89 Yang (B37) 2018; 22 Sagherian (B39) 2020 Lai (B7) 2020; 3 Kokras (B21) 2011; 33 Tucker (B17) 2010; 36 Weissman (B30) 1997; 19 Xiang (B3) 2020; 7 Theorell-Haglöw (B36) 2006; 29 Soldatos (B20) 2000; 48 Gao (B28) 2019; 60 Zhan (B38) 2020; 40 Chen (B4) 2020; 54 Kim (B9) 2019; 117 Kim (B14) 2019; 17 Leblanc (B18) 2009; 32 Deng (B27) 2020; 9 Bos (B11) 2018; 50 Kamen (B13) 2019; 17 Quera-Salva (B29) 1991; 14 Chen (B44) 2020; 7 McAlonan (B26) 2007; 52 Ohayon (B33) 2003; 37 Bhaskar (B22) 2016; 5 (B41) 2020; 396 Riemann (B31) 2003; 76 B1 Alcover (B16) 2018; 59 B6 Marcks (B10) 2009; 3 Wang (B43) 2020; 24 Li (B5) 2020; 16 Riemann (B35) 2020; 45 Van Londen (B32) 1998; 28 Nakata (B15) 2004; 59 |
| References_xml | – volume: 9 start-page: 575 year: 2020 ident: B27 article-title: Characteristics of and public health responses to the coronavirus disease 2019 outbreak in China publication-title: J Clin Med. doi: 10.3390/jcm9020575 – volume: 28 start-page: 731 year: 1998 ident: B32 article-title: Three- to 5-year prospective follow-up of outcome in major depression publication-title: Psychol Med. doi: 10.1017/S0033291797006466 – volume: 36 start-page: 458 year: 2010 ident: B17 article-title: The impact of junior doctors' worktime arrangements on their fatigue and well-being publication-title: Scand J Work Environ Health. doi: 10.5271/sjweh.2985 – volume: 5 start-page: 780 year: 2016 ident: B22 article-title: Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities publication-title: J Family Med Prim Care. doi: 10.4103/2249-4863.201153 – volume: 40 start-page: 126 year: 2005 ident: B19 article-title: The relationship of fatigue to mental and physical health in a community sample publication-title: Soc Psychiatry Psychiatr Epidemiol. doi: 10.1007/s00127-005-0858-5 – volume: 76 start-page: 255 year: 2003 ident: B31 article-title: Primary insomnia: a risk factor to develop depression? publication-title: J Affect Disord. doi: 10.1016/S0165-0327(02)00072-1 – volume: 17 start-page: 70 year: 2019 ident: B13 article-title: Social support, insomnia, and adherence to cognitive behavioral therapy for insomnia after cancer treatment publication-title: Behav Sleep Med. doi: 10.1080/15402002.2016.1276019 – volume: 48 start-page: 555 year: 2000 ident: B20 article-title: Athens insomnia scale: validation of an instrument based on ICD-10 criteria publication-title: J Psychosom Res. doi: 10.1016/S0022-3999(00)00095-7 – ident: B1 – volume: 60 start-page: 79 year: 2019 ident: B28 article-title: The bidirectional causal relationships of insomnia with five major psychiatric disorders: a Mendelian randomization study publication-title: Eur Psychiatry. doi: 10.1016/j.eurpsy.2019.05.004 – volume: 11 start-page: 437 year: 2009 ident: B34 article-title: Insomnia and depression: a multifaceted interplay publication-title: Curr Psychiatry Rep. doi: 10.1007/s11920-009-0066-1 – year: 2020 ident: B39 article-title: Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: a cross-sectional survey of hospital nursing staff in the United States publication-title: J Clin Nurs. doi: 10.1111/jocn.15566 – volume: 3 start-page: e203976 year: 2020 ident: B7 article-title: Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019 publication-title: JAMA Netw Open. doi: 10.1001/jamanetworkopen.2020.3976 – volume: 396 start-page: 213 year: 2020 ident: B41 article-title: COVID-19 and China: lessons and the way forward publication-title: Lancet. doi: 10.1016/S0140-6736(20)31637-8 – volume: 40 start-page: 625 year: 2020 ident: B38 article-title: Prevalence and influencing factors on fatigue of first-line nurses combating with COVID-19 in China: a descriptive cross-sectional study publication-title: Curr Med Sci. doi: 10.1007/s11596-020-2226-9 – volume: 52 start-page: 241 year: 2007 ident: B26 article-title: Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers publication-title: Can J Psychiatry. doi: 10.1177/070674370705200406 – volume: 3 start-page: 300 year: 2009 ident: B10 article-title: Co-occurrence of insomnia and anxiety disorders: a review of the literature publication-title: Am J Lifestyle Med. doi: 10.1177/1559827609334681 – volume: 50 start-page: 94 year: 2018 ident: B11 article-title: Literature review on insomnia (2010–2016) publication-title: Biol Rhythm Res. doi: 10.1080/09291016.2017.1413766 – volume: 89 start-page: 242 year: 2020 ident: B25 article-title: Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China publication-title: Psychother Psychosom. doi: 10.1159/000507639 – volume: 33 start-page: 78 year: 2011 ident: B21 article-title: Predicting insomnia in medical wards: the effect of anxiety, depression and admission diagnosis publication-title: Gen Hosp Psychiatry. doi: 10.1016/j.genhosppsych.2010.12.003 – volume: 7 start-page: e15 year: 2020 ident: B44 article-title: Mental health care for medical staff in China during the COVID-19 outbreak publication-title: Lancet Psychiatry. doi: 10.1016/S2215-0366(20)30078-X – volume: 32 start-page: 1027 year: 2009 ident: B18 article-title: Incidence and risk factors of insomnia in a population-based sample publication-title: Sleep. doi: 10.1093/sleep/32.8.1027 – volume: 14 start-page: 386 year: 1991 ident: B29 article-title: Insomnia and use of hypnotics: study of a french population publication-title: Sleep. doi: 10.1093/sleep/14.5.386 – volume: 29 start-page: 751 year: 2006 ident: B36 article-title: What are the important risk factors for daytime sleepiness and fatigue in women? publication-title: Sleep. doi: 10.1093/sleep/29.6.751 – volume: 7 start-page: e14 year: 2020 ident: B2 article-title: The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus publication-title: Lancet Psychiatry. doi: 10.1016/S2215-0366(20)30047-X – volume: 7 start-page: 228 year: 2020 ident: B3 article-title: Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed publication-title: Lancet Psychiatry. doi: 10.1016/S2215-0366(20)30046-8 – ident: B42 – volume: 16 start-page: 1732 year: 2020 ident: B5 article-title: Progression of mental health services during the COVID-19 outbreak in China publication-title: Int J Biol Sci. doi: 10.7150/ijbs.45120 – volume: 59 start-page: 1719 year: 2004 ident: B15 article-title: Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers publication-title: Soc Sci Med. doi: 10.1016/j.socscimed.2004.02.002 – volume: 32 start-page: 1193 year: 2016 ident: B40 article-title: Caffeine consumption, insomnia, and sleep duration: results from a nationally representative sample publication-title: Nutrition. doi: 10.1016/j.nut.2016.04.005 – volume: 19 start-page: 245 year: 1997 ident: B30 article-title: The morbidity of insomnia uncomplicated by psychiatric disorders publication-title: Gen Hosp Psychiatry. doi: 10.1016/S0163-8343(97)00056-X – ident: B6 – volume: 365 start-page: l1476 year: 2019 ident: B24 article-title: Accuracy of patient health questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis publication-title: BMJ. doi: 10.1136/bmj.l1476 – volume: 54 start-page: 239 year: 2020 ident: B4 article-title: Early containment strategies and core measures for prevention and control of novel coronavirus pneumonia in China publication-title: Zhonghua Yu Fang Yi Xue Za Zhi. doi: 10.3760/cma.j.issn.0253-9624.2020.03.003 – volume: 117 start-page: 24 year: 2019 ident: B9 article-title: Factors associated with fatigue in patients with insomnia publication-title: J Psychiatr Res. doi: 10.1016/j.jpsychires.2019.06.021 – volume: 55 start-page: 263 year: 2003 ident: B23 article-title: The diagnostic validity of the athens insomnia scale publication-title: J Psychosom Res. doi: 10.1016/S0022-3999(02)00604-9 – volume: 45 start-page: 74 year: 2020 ident: B35 article-title: Sleep, insomnia, and depression publication-title: Neuropsychopharmacology. doi: 10.1038/s41386-019-0411-y – volume: 41 start-page: 119 year: 2007 ident: B8 article-title: Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan publication-title: J Psychiatr Res. doi: 10.1016/j.jpsychires.2005.12.006 – volume: 43 start-page: 71 year: 2019 ident: B12 article-title: Insomnia and mortality: a meta-analysis publication-title: Sleep Med Rev. doi: 10.1016/j.smrv.2018.10.004 – volume: 17 start-page: 379 year: 2019 ident: B14 article-title: Social support as a mediator between insomnia and depression in female undergraduate students publication-title: Behav Sleep Med. doi: 10.1080/15402002.2017.1363043 – volume: 22 start-page: 1221 year: 2018 ident: B37 article-title: Association between insomnia and job stress: a meta-analysis publication-title: Sleep Breath. doi: 10.1007/s11325-018-1682-y – volume: 24 start-page: 107 year: 2020 ident: B43 article-title: COVID-19 infection epidemic: the medical management strategies in heilongjiang province, China publication-title: Critical Care. doi: 10.1186/s13054-020-2832-8 – volume: 59 start-page: 451 year: 2018 ident: B16 article-title: Perceived organizational support-burnout-satisfaction relationship in workers with disabilities: the moderation of family support publication-title: Scand J Psychol. doi: 10.1111/sjop.12448 – volume: 37 start-page: 9 year: 2003 ident: B33 article-title: Place of chronic insomnia in the course of depressive and anxiety disorders publication-title: J Psychiatr Res. doi: 10.1016/S0022-3956(02)00052-3 |
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Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify... Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk... Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify... |
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| SubjectTerms | COVID-19 fatigue healthcare workers insomnia organizational support Psychiatry |
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| Title | Factors Associated With Healthcare Workers' Insomnia Symptoms and Fatigue in the Fight Against COVID-19, and the Role of Organizational Support |
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