Araştırma Makalesi
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Investigation of The Relationships Between Psychological Resilience, Depressive Symptoms, Sleep Quality, and Insomnia Catastrophizing Cognitions in Healthcare Workers

Yıl 2024, Cilt: 5 Sayı: 3, 88 - 93, 27.12.2024

Öz

Introduction: Healthcare workers (HCWs) often face stressful situations in their work. Evidence supports a significant relationship between sleep quality, depressive symptoms, and psychological resilience. This study aims to examine the relationships between sleep quality, depressive symptoms, and psychological resilience, as well as insomnia catastrophizing cognitions.
Materials and Methods: 78 HCWs with the same working hours included in the study completed the Resilience Scale for Adults (RSA), Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and Insomnia Catastrophizing Scale (ICS).
Results: The study findings show that BDI scores and PSQI scores positively associated with ICS scores (r=0.45, p<0.01; r=0.50, p<0.01, respectively), and negatively related to RSA-structured style (r =-0.34, p <0.01; r=-0.38, p<0.01, respectively), RSA-future perception (r=-0.45, p<0.01; r=-0.24, p<0.05, respectively), RSA-self perception (r=-0.37, p<0.01; r=-0.23, p<0.05, respectively), and RSA-social resources (r=-0.24, p<0.05; r =-0.28, p<0.05, respectively) subdimensions of psychological resilience.
Conclusion: Comprehending psychological resilience is crucial for developing interventions to prevent or promote mental health. Also, Cognitive Behavioral Therapy (CBT) is effective for treating insomnia with depression. Thus, establishing insomnia catastrophic cognitions along with sleep quality and depression may be necessary for resilience and protection of the psychological health of HCWs. Therefore, empirical evidence is provided for future studies whose goal is to promote the mental health of this population.

Etik Beyan

Ethics committee approval was received for this study (July 10th, 2023; 2023/03/17), conducted under the ethical standards in the 2013 Helsinki Declaration.

Destekleyen Kurum

none

Teşekkür

none

Kaynakça

  • 1. Yazdi Z, Sadeghniiat-Haghighi K, Loukzadeh Z, Elmizadeh K, Abbasi M. Prevalence of sleep disorders and their impacts on occupational performance: a comparison between shift workers and nonshift workers. Sleep Disord. 2014;2014(1):870320. https://doi.org/10.1155/2014/870320
  • 2. Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2021;126:252–264. https://doi.org/10.1016/j.neubiorev.2021.03.024
  • 3. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306. https://doi.org/10.3389/fpsyt.2020.00306
  • 4. Sateia MJ. International classification of sleep disorders. Chest. 2014;146(5):1387–1394. https://doi.org/10.1378/chest.14-0970
  • 5. Franzen PL, Buysse DJ. Sleep disturbances and depression: risk relationships for subsequent depression and therapeutic implications. Dialogues Clin Neurosci. 2008. https://doi.org/10.31887/DCNS.2008.10.4/plfranzen
  • 6. Paterson LM, Nutt DJ, Wilson SJ. NAPSAQ-1: national patient sleep assessment questionnaire in depression. Int J Psychiatry Clin Pract. 2009;13(1):48–58. https://doi.org/10.1080/13651500802450498
  • 7. Medic G, Wille M, Hemels ME. Short-and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017;9:151–161. https://doi.org/10.2147/NSS.S134864
  • 8. Harvey AG, Tang NK, Browning L. Cognitive approaches to insomnia. Clin Psychol Rev. 2005;25(5):593–611. https://doi.org/10.1016/j.cpr.2005.04.005
  • 9. Tan LO, Hadjistavropoulos T, MacNab YC. The catastrophic thoughts about insomnia scale (CTIS): development and validation. Cognit Ther Res. 2017;41:143–54. https://doi.org/10.1007/s10608-016-9804-y
  • 10. Jansson-Fröjmark M, Harvey AG, Flink IK. Psychometric properties of the insomnia catastrophizing scale (ICS) in a large community sample. Cogn Behav Ther. 2020;49(2):120–136. https://doi.org/10.1080/16506073.2019.1588362
  • 11. Carney CE, Edinger JD. Identifying critical beliefs about sleep in primary insomnia, 2006. https://doi.org/10.1093/sleep/29.3.342 [Corrected and republished in: Sleep. 2006;29(4):444–453. PMID: 16676777 Clinical Trial.]
  • 12. Sunnhed R, Jansson-Fröjmark M. Are changes in worry associated with treatment response in cognitive behavioral therapy for insomnia? Cogn Behav Ther. 2014;43(1):1–11. https://doi.org/10.1080/16506073.2013.846399
  • 13. Jansson-Fröjmark M, Linton SJ. The role of sleep related beliefs to improvement in early cognitive behavioral therapy for insomnia. Cogn Behav Ther. 2008;37(1):5–13. https://doi.org/10.1080/16506070801907013
  • 14. Rutter M. Resilience as a dynamic concept. Dev Psychopathol. 2012;24(2):335–344. https://doi.org/10.1017/S0954579412000028
  • 15. Serrão C, Duarte I, Castro L, Teixeira A. Burnout and depression in Portuguese healthcare workers during the covid-19 pandemic –the mediating role of psychological resilience. Int J Environ Res Public Health. 2021;18(2):636. https://doi.org/10.3390/ijerph18020636
  • 16. Xie G, Wu Q, Guo X, Zhang J, Yin D. Psychological resilience buffers the association between cell phone addiction and sleep quality among college students in Jiangsu Province, China. Front Psychiatry. 2023;14:1105840. https://doi.org/10.3389/fpsyt.2023.1105840
  • 17. Ekici E, Türkçapar MH. Dayanıklılığın artırılmasında bilişsel davranışçı öneriler. Psikiyatride Güncel. 2022;12(4):395–404.
  • 18. APA. Diagnostic and statistical manual of mental disorders: DSM-5™, 5th ed. Arlington, VA, US: American Psychiatric Publishing, Inc.; 2013. pp. xliv, 947-xliv. https://doi.org/10.1176/appi.books.9780890425596
  • 19. Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14(1):29–42. https://doi.org/10.1002/mpr.15
  • 20. Basim HN, Çetin F. Yetişkinler için psikolojik dayanıklılık ölçeği’nin güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Derg. 2011;22(2):104–114.
  • 21. Uygur ÖF, Hursitoğlu O, Uygur H, Aydın EF, Orhan FÖ. Uykusuzluğu felaketleştirme ölçeğinin Türkçe uyarlaması ve psikometrik özellikleri. Klinik Psikiyatri Derg. 2022;25:101–111. https://doi.org/10.5505/kpd.2022.54189
  • 22. Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • 23. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7(2):107–115.
  • 24. Beck A, Ward C, Mendelsohn M, Mock J, Erbaugh J. An inventory for measuring depression Arch Gen Psychiatry. 1961;4:561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • 25. Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir çalışma (A study on the validity of Beck Depression Inventory). Psikoloji Derg. 1988;6(22):118–122.
  • 26. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Met. 2007;39(2):175–191. https://doi.org/10.3758/BF03193146
  • 27. Shiel G, Cartwright F. National Assessments of Educational Achievement, vol. 4: analyzing data from a national assessment of educational achievement: US: World Bank Publications; 2015. https://doi.org/10.1596/978-0-8213-9583-7
  • 28. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–907. https://doi.org/10.1016/j.bbi.2020.05.026
  • 29. Işık Ö, Özarslan A, Bekler F. Üniversite öğrencilerinde fiziksel aktivite uyku kalitesi ve depresyon ilişkisi. Beden Eğitimi ve Spor Bilimleri Derg. 2015;9(9):65–73.
  • 30. Sullivan MJ, D’Eon JL. Relation between catastrophizing and depression in chronic pain patients. J Abnorm Psychol. 1990;99(3):260–263. https://doi. org/10.1037/0021-843X.99.3.260
  • 31. Durand-Arias S, Carmona-Huerta J, Aldana-López A, Náfate-López O, Orozco R, Cordoba G, et al. Resilience and risk factors associated to depressive symptoms in Mexican healthcare workers during the Covid-19 pandemic. Salud Publica Mex. 2022;65(1, ene-feb):54–62. https://doi.org/10.21149/14157
  • 32. Deldar K, Froutan R, Dalvand S, Gheshlagh RG, Mazloum SR. The relationship between resiliency and burnout in Iranian nurses: a systematic review and meta-analysis. Open Access Maced J Med Sci. 2018;6(11):2250. https://doi.org/10.3889/oamjms.2018.428
  • 33. Karagöl A, Kaya ZT. Healthcare workers’ burn-out, hopelessness, fear of COVID-19 and perceived social support levels. Eur J Psychiatry. 2022;36(3):200–206. https://doi.org/10.1016/j.ejpsy.2022.01.001
  • 34. Wang W, Ji X, Guo H-Y, Tao M, Jin L, Chen M, et al. Investigation on sleep-related cognition of Chinese health care workers during the first wave of COVID-19 pandemic. Front Psychiatry. 2023;14:1019837. https://doi.org/10.3389/fpsyt.2023.1019837
  • 35. McCuistion TS. The relationship between resilience and sleep quality. Digital Commons@ACU, Electronic Theses and Dissertations. Paper 9; 2016.
  • 36. Cabano EP. Posttraumatic Cognitions as a Pathway from Resilience to Sleep in First Responders. US: Seattle Pacific University; 2021. https://digitalcommons.spu.edu/cpy_etd/67

Sağlık Çalışanlarında Psikolojik Dayanıklılık, Depresif Belirtiler, Uyku Kalitesi Ve Uykusuzluğu Felaketleştirme Bilişleri Arasındaki İlişkilerin İncelenmesi

Yıl 2024, Cilt: 5 Sayı: 3, 88 - 93, 27.12.2024

Öz

Amaç: Sağlık çalışanları (SÇ) işlerinde sıklıkla stresli durumlarla karşı karşıya kalmaktadır. Kanıtlar uyku kalitesi, depresif belirtiler ve psikolojik dayanıklılık arasında anlamlı bir ilişki olduğunu desteklemektedir. Bu çalışma, uyku kalitesi, depresif belirtiler ve psikolojik dayanıklılığın yanı sıra uykusuzluğu felaketleştirici bilişler arasındaki ilişkileri incelemeyi amaçlamaktadır.
Gereç ve Yöntem: Çalışmaya dahil edilen mesai saatleri aynı 78 sağlık çalışanı, Yetişkinler İçin Dayanıklılık Ölçeği (YDÖ), Beck Depresyon Envanteri (BDE), Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Uykusuzluğu Felaketleştirme Ölçeği'ni (UFÖ) doldurdu.
Bulgular: Araştırma bulguları, BDÖ puanları ve PUKİ puanlarının UFÖ puanlarıyla pozitif (sırasıyla r=0.45, p<0.01; r=0.50, p<0.01) ve psikolojik dayanıklılığın alt boyutları olan YDÖ-yapılandırılmış stil (sırasıyla r=-0.34, p<0,01; r=-0.38, p<0.01), YDÖ-gelecek algısı (sırasıyla r=-0.45, p<0.01; r=-0.24, p<0.05), YDÖ-kendilik algısı (sırasıyla r=-0.37, p<0.01; r=-0.23, p<0.05) ve YDÖ-sosyal kaynaklar (sırasıyla r=-0.24, p<0.05; r =-0.28, p<0.05) ile negatif ilişkili olduğunu göstermektedir.
Sonuç: Psikolojik dayanıklılığın anlaşılması, ruh sağlığını korumaya veya geliştirmeye yönelik müdahalelerin geliştirilmesi açısından büyük önem taşımaktadır. Ayrıca Bilişsel Davranışçı Terapi (BDT) depresyonla birlikte uykusuzluğun tedavisinde de etkilidir. Bu nedenle, sağlık çalışanlarının dayanıklılığın ve psikolojik sağlığının korunması için uyku kalitesi ve depresyonun yanı sıra uykusuzluğu felaketleştirme bilişlerinin de saptanması gerekli olabilir. Gelecekteki araştırmalar, sağlık çalışanlarının ruh sağlığını geliştirmek için uyku kalitesi, uykusuzluğu felaketleştirme bilişleri, psikolojik dayanıklılık ve depresif belirtiler arasındaki ilişkileri incelemelidir.

Kaynakça

  • 1. Yazdi Z, Sadeghniiat-Haghighi K, Loukzadeh Z, Elmizadeh K, Abbasi M. Prevalence of sleep disorders and their impacts on occupational performance: a comparison between shift workers and nonshift workers. Sleep Disord. 2014;2014(1):870320. https://doi.org/10.1155/2014/870320
  • 2. Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2021;126:252–264. https://doi.org/10.1016/j.neubiorev.2021.03.024
  • 3. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. 2020;11:306. https://doi.org/10.3389/fpsyt.2020.00306
  • 4. Sateia MJ. International classification of sleep disorders. Chest. 2014;146(5):1387–1394. https://doi.org/10.1378/chest.14-0970
  • 5. Franzen PL, Buysse DJ. Sleep disturbances and depression: risk relationships for subsequent depression and therapeutic implications. Dialogues Clin Neurosci. 2008. https://doi.org/10.31887/DCNS.2008.10.4/plfranzen
  • 6. Paterson LM, Nutt DJ, Wilson SJ. NAPSAQ-1: national patient sleep assessment questionnaire in depression. Int J Psychiatry Clin Pract. 2009;13(1):48–58. https://doi.org/10.1080/13651500802450498
  • 7. Medic G, Wille M, Hemels ME. Short-and long-term health consequences of sleep disruption. Nat Sci Sleep. 2017;9:151–161. https://doi.org/10.2147/NSS.S134864
  • 8. Harvey AG, Tang NK, Browning L. Cognitive approaches to insomnia. Clin Psychol Rev. 2005;25(5):593–611. https://doi.org/10.1016/j.cpr.2005.04.005
  • 9. Tan LO, Hadjistavropoulos T, MacNab YC. The catastrophic thoughts about insomnia scale (CTIS): development and validation. Cognit Ther Res. 2017;41:143–54. https://doi.org/10.1007/s10608-016-9804-y
  • 10. Jansson-Fröjmark M, Harvey AG, Flink IK. Psychometric properties of the insomnia catastrophizing scale (ICS) in a large community sample. Cogn Behav Ther. 2020;49(2):120–136. https://doi.org/10.1080/16506073.2019.1588362
  • 11. Carney CE, Edinger JD. Identifying critical beliefs about sleep in primary insomnia, 2006. https://doi.org/10.1093/sleep/29.3.342 [Corrected and republished in: Sleep. 2006;29(4):444–453. PMID: 16676777 Clinical Trial.]
  • 12. Sunnhed R, Jansson-Fröjmark M. Are changes in worry associated with treatment response in cognitive behavioral therapy for insomnia? Cogn Behav Ther. 2014;43(1):1–11. https://doi.org/10.1080/16506073.2013.846399
  • 13. Jansson-Fröjmark M, Linton SJ. The role of sleep related beliefs to improvement in early cognitive behavioral therapy for insomnia. Cogn Behav Ther. 2008;37(1):5–13. https://doi.org/10.1080/16506070801907013
  • 14. Rutter M. Resilience as a dynamic concept. Dev Psychopathol. 2012;24(2):335–344. https://doi.org/10.1017/S0954579412000028
  • 15. Serrão C, Duarte I, Castro L, Teixeira A. Burnout and depression in Portuguese healthcare workers during the covid-19 pandemic –the mediating role of psychological resilience. Int J Environ Res Public Health. 2021;18(2):636. https://doi.org/10.3390/ijerph18020636
  • 16. Xie G, Wu Q, Guo X, Zhang J, Yin D. Psychological resilience buffers the association between cell phone addiction and sleep quality among college students in Jiangsu Province, China. Front Psychiatry. 2023;14:1105840. https://doi.org/10.3389/fpsyt.2023.1105840
  • 17. Ekici E, Türkçapar MH. Dayanıklılığın artırılmasında bilişsel davranışçı öneriler. Psikiyatride Güncel. 2022;12(4):395–404.
  • 18. APA. Diagnostic and statistical manual of mental disorders: DSM-5™, 5th ed. Arlington, VA, US: American Psychiatric Publishing, Inc.; 2013. pp. xliv, 947-xliv. https://doi.org/10.1176/appi.books.9780890425596
  • 19. Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14(1):29–42. https://doi.org/10.1002/mpr.15
  • 20. Basim HN, Çetin F. Yetişkinler için psikolojik dayanıklılık ölçeği’nin güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Derg. 2011;22(2):104–114.
  • 21. Uygur ÖF, Hursitoğlu O, Uygur H, Aydın EF, Orhan FÖ. Uykusuzluğu felaketleştirme ölçeğinin Türkçe uyarlaması ve psikometrik özellikleri. Klinik Psikiyatri Derg. 2022;25:101–111. https://doi.org/10.5505/kpd.2022.54189
  • 22. Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  • 23. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği. Turk Psikiyatri Derg. 1996;7(2):107–115.
  • 24. Beck A, Ward C, Mendelsohn M, Mock J, Erbaugh J. An inventory for measuring depression Arch Gen Psychiatry. 1961;4:561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • 25. Hisli N. Beck depresyon envanterinin geçerliliği üzerine bir çalışma (A study on the validity of Beck Depression Inventory). Psikoloji Derg. 1988;6(22):118–122.
  • 26. Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Met. 2007;39(2):175–191. https://doi.org/10.3758/BF03193146
  • 27. Shiel G, Cartwright F. National Assessments of Educational Achievement, vol. 4: analyzing data from a national assessment of educational achievement: US: World Bank Publications; 2015. https://doi.org/10.1596/978-0-8213-9583-7
  • 28. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–907. https://doi.org/10.1016/j.bbi.2020.05.026
  • 29. Işık Ö, Özarslan A, Bekler F. Üniversite öğrencilerinde fiziksel aktivite uyku kalitesi ve depresyon ilişkisi. Beden Eğitimi ve Spor Bilimleri Derg. 2015;9(9):65–73.
  • 30. Sullivan MJ, D’Eon JL. Relation between catastrophizing and depression in chronic pain patients. J Abnorm Psychol. 1990;99(3):260–263. https://doi. org/10.1037/0021-843X.99.3.260
  • 31. Durand-Arias S, Carmona-Huerta J, Aldana-López A, Náfate-López O, Orozco R, Cordoba G, et al. Resilience and risk factors associated to depressive symptoms in Mexican healthcare workers during the Covid-19 pandemic. Salud Publica Mex. 2022;65(1, ene-feb):54–62. https://doi.org/10.21149/14157
  • 32. Deldar K, Froutan R, Dalvand S, Gheshlagh RG, Mazloum SR. The relationship between resiliency and burnout in Iranian nurses: a systematic review and meta-analysis. Open Access Maced J Med Sci. 2018;6(11):2250. https://doi.org/10.3889/oamjms.2018.428
  • 33. Karagöl A, Kaya ZT. Healthcare workers’ burn-out, hopelessness, fear of COVID-19 and perceived social support levels. Eur J Psychiatry. 2022;36(3):200–206. https://doi.org/10.1016/j.ejpsy.2022.01.001
  • 34. Wang W, Ji X, Guo H-Y, Tao M, Jin L, Chen M, et al. Investigation on sleep-related cognition of Chinese health care workers during the first wave of COVID-19 pandemic. Front Psychiatry. 2023;14:1019837. https://doi.org/10.3389/fpsyt.2023.1019837
  • 35. McCuistion TS. The relationship between resilience and sleep quality. Digital Commons@ACU, Electronic Theses and Dissertations. Paper 9; 2016.
  • 36. Cabano EP. Posttraumatic Cognitions as a Pathway from Resilience to Sleep in First Responders. US: Seattle Pacific University; 2021. https://digitalcommons.spu.edu/cpy_etd/67
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Araştırma Makalesi
Yazarlar

Esengül Ekici 0000-0002-5227-798X

Saba Çiçek 0000-0002-1645-9487

Yayımlanma Tarihi 27 Aralık 2024
Gönderilme Tarihi 13 Mart 2024
Kabul Tarihi 23 Ekim 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 5 Sayı: 3

Kaynak Göster

AMA Ekici E, Çiçek S. Investigation of The Relationships Between Psychological Resilience, Depressive Symptoms, Sleep Quality, and Insomnia Catastrophizing Cognitions in Healthcare Workers. YIU Saglik Bil Derg. Aralık 2024;5(3):88-93.