The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis
The coronavirus pandemic (COVID-19) is a global health crisis with a particular emotional and physical impact on health professionals, especially nurses. The aim of this study was to investigate the prevalence of anxiety, depression and fatigue and their possible relationships among nurses during th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/3/367 |
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| author | Christos Sikaras Sofia Zyga Maria Tsironi Athanasios Tselebis Argyro Pachi Ioannis Ilias Aspasia Panagiotou |
| author_facet | Christos Sikaras Sofia Zyga Maria Tsironi Athanasios Tselebis Argyro Pachi Ioannis Ilias Aspasia Panagiotou |
| author_sort | Christos Sikaras |
| collection | DOAJ |
| description | The coronavirus pandemic (COVID-19) is a global health crisis with a particular emotional and physical impact on health professionals, especially nurses. The aim of this study was to investigate the prevalence of anxiety, depression and fatigue and their possible relationships among nurses during the pandemic. The study population consisted of nurses from five tertiary-level public hospitals in Athens who completed the Fatigue Assessment Scale (FAS), Beck Depression Inventory (BDI) and State–Trait Anxiety Inventory (STAI) questionnaires. Gender, age and years of work experience were recorded. The study was conducted from mid-November to mid-December 2021. The sample included 404 nurses (69 males and 335 females) with a mean age of 42.88 years (SD = 10.90) and 17.96 (SD = 12.00) years of work experience. Symptoms of fatigue were noted in 60.4% of participants, while 39.7% had symptoms of depression, 60.1% had abnormal scores on state anxiety and 46.8% on trait anxiety, with females showing higher scores on all scales (<i>p</i> < 0.05). High positive correlations (<i>p</i> < 0.01) were found between the FAS, BDI, State Anxiety and Trait Anxiety scales. Regression analysis showed that 51.7% of the variance in FAS scores can be explained by trait anxiety, an additional 6.2% by the BDI and 1.2% by state anxiety. Mediation analysis showed that state anxiety and BDI mediate the relationship between trait anxiety and FAS. Finally, BDI was found to exert a moderating role in the relationship between trait anxiety and fatigue. In conclusion, our study showed that nurses continue to experience high rates of anxiety, depression and fatigue. The variation in fatigue appears to be significantly dependent on trait anxiety. Depressive symptomatology and state anxiety exert a parallel positive mediation on the relationship between trait anxiety and fatigue, with depression exhibiting a moderating role in this relationship. |
| first_indexed | 2024-03-11T09:44:31Z |
| format | Article |
| id | doaj.art-ef43f6fd987b403887d1c10c56349c4c |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T09:44:31Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ef43f6fd987b403887d1c10c56349c4c2023-11-16T16:44:19ZengMDPI AGHealthcare2227-90322023-01-0111336710.3390/healthcare11030367The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic CrisisChristos Sikaras0Sofia Zyga1Maria Tsironi2Athanasios Tselebis3Argyro Pachi4Ioannis Ilias5Aspasia Panagiotou6Nursing Department, “Sotiria” General Hospital of Thoracic Diseases, 11527 Athens, GreeceDepartment of Nursing, University of Peloponnese, 22100 Tripoli, GreeceDepartment of Nursing, University of Peloponnese, 22100 Tripoli, GreecePsychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, GreecePsychiatric Department, “Sotiria” General Hospital of Chest Diseases, 11527 Athens, GreeceDepartment of Endocrinology, “Elena Venizelou” Hospital, 11521 Athens, GreeceDepartment of Nursing, University of Peloponnese, 22100 Tripoli, GreeceThe coronavirus pandemic (COVID-19) is a global health crisis with a particular emotional and physical impact on health professionals, especially nurses. The aim of this study was to investigate the prevalence of anxiety, depression and fatigue and their possible relationships among nurses during the pandemic. The study population consisted of nurses from five tertiary-level public hospitals in Athens who completed the Fatigue Assessment Scale (FAS), Beck Depression Inventory (BDI) and State–Trait Anxiety Inventory (STAI) questionnaires. Gender, age and years of work experience were recorded. The study was conducted from mid-November to mid-December 2021. The sample included 404 nurses (69 males and 335 females) with a mean age of 42.88 years (SD = 10.90) and 17.96 (SD = 12.00) years of work experience. Symptoms of fatigue were noted in 60.4% of participants, while 39.7% had symptoms of depression, 60.1% had abnormal scores on state anxiety and 46.8% on trait anxiety, with females showing higher scores on all scales (<i>p</i> < 0.05). High positive correlations (<i>p</i> < 0.01) were found between the FAS, BDI, State Anxiety and Trait Anxiety scales. Regression analysis showed that 51.7% of the variance in FAS scores can be explained by trait anxiety, an additional 6.2% by the BDI and 1.2% by state anxiety. Mediation analysis showed that state anxiety and BDI mediate the relationship between trait anxiety and FAS. Finally, BDI was found to exert a moderating role in the relationship between trait anxiety and fatigue. In conclusion, our study showed that nurses continue to experience high rates of anxiety, depression and fatigue. The variation in fatigue appears to be significantly dependent on trait anxiety. Depressive symptomatology and state anxiety exert a parallel positive mediation on the relationship between trait anxiety and fatigue, with depression exhibiting a moderating role in this relationship.https://www.mdpi.com/2227-9032/11/3/367depressionanxietyfatigueCOVID-19nursesmediation |
| spellingShingle | Christos Sikaras Sofia Zyga Maria Tsironi Athanasios Tselebis Argyro Pachi Ioannis Ilias Aspasia Panagiotou The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis Healthcare depression anxiety fatigue COVID-19 nurses mediation |
| title | The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis |
| title_full | The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis |
| title_fullStr | The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis |
| title_full_unstemmed | The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis |
| title_short | The Mediating Role of Depression and of State Anxiety οn the Relationship between Trait Anxiety and Fatigue in Nurses during the Pandemic Crisis |
| title_sort | mediating role of depression and of state anxiety οn the relationship between trait anxiety and fatigue in nurses during the pandemic crisis |
| topic | depression anxiety fatigue COVID-19 nurses mediation |
| url | https://www.mdpi.com/2227-9032/11/3/367 |
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