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Mindfulness-based interventions have the potential to improve depressive symptoms but are not effective for everyone. The current study aims to find target populations for a mindfulness-based intervention, to improve antenatal depression based on the personalized causal pathway hypothesis. This is a secondary analysis of a randomized controlled trial. A total of 168 pregnant women were randomly allocated to a mindfulness-based intervention group or a control group. Depression assessed by the Edinburgh Postnatal Depression Scale and mindfulness assessed by the Five Facet Mindfulness Questionnaire, that were collected at baseline and post-intervention, were included in the moderated mediation models. Demographic and pregnancy-related characteristics were included as moderators. Pregnant women receiving mindfulness intervention had significantly higher mindfulness scores than those in the control group (F = 5.840, P = 0.017). The intervention group predicted a decrease in depression through an increase in mindfulness compared to the control group, with an indirect effect of -0.151 and 95%CI: [-0.340, -0.007]. Moderated mediation analyses indicated that age (Index = 0.356, 95%CI: [0.001, 0.832]) and parity (Index = 0.356, 95%CI: [0.020, 0.817]) moderated this mediation path. Younger pregnant women and primiparous women gained mindfulness skills through mindfulness intervention and their depressive symptoms were relieved. The results indicate that mindfulness interventions decrease antenatal depressive symptoms among younger pregnant women and primiparous women. Future studies should further examine additional mechanisms of mindfulness interventions and more moderators can be tested to improve depression treatment efficacy. Interventions for older and multiparous pregnant women should be developed., Author(s): Yaoyao Sun [sup.1] [sup.2] , Juan Wang [sup.1] , Fangxiang Mao [sup.1] , Jiwei Sun [sup.3] , Xuan Zhang [sup.1] , Fenglin Cao [sup.1] Author Affiliations: (1) grid.27255.37, 0000 [...]

This study aims at exploring the relationships between adverse childhood experience (ACEs) and parental burnout. A total of 583 postnatal Chinese mothers were recruited in this cross-sectional study. Maternal ACEs were measured by Adverse Childhood Experience Questionnaire-Revised and parental burnout was measured by Parental Burnout Assessment. Multiple linear and binary logistic regression, and latent class analysis were used to explore the association between each type and cumulative ACEs and parental burnout. We found ACEs were associated with a higher risk of parental burnout. However, the association differed in the type of ACEs. The higher levels of physical abuse (B = 0.971 ~ 0.459, all p < 0.05) and emotional neglect (B = 1.010 ~ 1.407, all p < 0.05) in childhood were correlated with more serious parental burnout. The higher levels of self-threatened (B = 0.429 ~ 0.559, all p < 0.05) and self-deprived experience (B = 0.384 ~ 0.462, all p < 0.05), higher number of ACEs type (B = 2.909 ~ 3.918, all p < 0.05) were associated with more serious parental burnout. Results were consistent after combining four dimensions of parental burnout as a whole in LCA. This study indicated that maternal ACEs were associated with parental burnout. Women with self-deprived, self-threatened and more types of ACEs should be paid special attention. [ABSTRACT FROM AUTHOR]

Objective: Suicidal ideation and sleep problems are both common in nurses. However, few longitudinal studies are available to examine the temporal association between sleep and suicidal ideation in nurses. Method: Data from the Health Longitudinal Survey of Nurses in Shandong Province was analyzed, involving 623 female nurses who had completed data of concern in 2018 (T1) and 2019 (T2). Sleep problem was assessed by the Pittsburgh Sleep Quality Index, in which the transition patterns for global and specific sleep component and the cumulative number of sleep component problems were defined. Suicidal ideation was measured by the ninth item of the Patient Health Questionnaire. Binary logistic regression was used to explore the association between sleep and suicidal ideation. Results: Chronic and deteriorated global sleep problems is associated with a greater risk of suicidal ideation. For the specific component of sleep, sleep disturbance and short sleep duration are associated with a higher risk of suicidal ideation. The higher number of cumulative sleep component problems is associated with a higher risk of suicidal ideation. Conclusion: Findings indicate sleep disturbance and short sleep duration may be pathways to suicidal ideation. Initiatives that target at sleep problems may be important to reduce suicidal ideation in nurses. [ABSTRACT FROM AUTHOR]

Aims: The objective of this study is to explore and compare the strength of associations between work‐related potential traumatic events and burnout among operating room nurses based on three different approaches. Design: The study followed a multisite cross‐sectional design. Methods: A stratified sampling method was conducted. Cities in the Shandong Province were divided into four groups, and two tertiary hospitals were randomly selected from all tertiary hospitals in cities of each group. A total of 361 eligible operating room nurses provided valid questionnaires between June and November 2019. Work‐related potential traumatic events questionnaire and the Chinese version of the Maslach Burnout Inventory were conducted. Associations between individual, cumulative potential traumatic events, as well as latent class analysis‐derived patterns of potential traumatic experiences with burnout were examined using logistic regression analysis. Results: Specific traumatic events (e.g., patients' sudden death, bullying and ostracism from colleagues) were independently associated with an increased risk of burnout. Work‐related potential traumatic events had a cumulative effect on burnout, whereby operating room nurses exposed to cumulative potential traumatic events carried a higher risk for burnout than others. The "multiple work‐related potential traumatic events" pattern derived by latent class analysis was related to an increased risk of high depersonalization. Conclusion: Operating room nurses who reported specific or multiple work‐related potential traumatic events were at high risk for burnout. It is of great significance to provide qualified and timely counselling or support. Impact: This study is the first to focus on work‐related potential traumatic events among operating room nurses and examine their relationship with burnout based on three perspectives. The findings could help identify those operating room nurses who are at high risk of burnout in clinical practice. Hospital managers should develop targeted interventions to prevent or mitigate the harmful impact of potential traumatic events on occupational health. [ABSTRACT FROM AUTHOR]

The current study aimed to identify the main stressors inherent to caring for patients with coronavirus disease 2019 (COVID-19) and associated mental health outcomes among frontline health care workers. Data were collected via an online questionnaire from 651 frontline health care workers providing direct medical services for patients with suspected or confirmed COVID-19. Participants reported the stressors inherent to caring for patients with COVID-19, including depression, anxiety, and insomnia. Data were analyzed using descriptive statistics and multivariable logistic regression analysis. The most common stressors were "Worry about being negligent and endangering coworkers" (76.2%), "Worry about getting infected" (74.7%), and "Protective gear causing physical discomfort" (73.6%). "Conflict between duty and safety" and "Protective gear causing physical discomfort" were linked to high risk of depression, anxiety, and insomnia. Findings suggest that frontline health care workers may develop adverse mental health outcomes in the face of certain stressors, requiring targeted interventions. [Journal of Psychosocial Nursing and Mental Health Services, 60(1), 17–22.] [ABSTRACT FROM AUTHOR]

Background: During the COVID-19, community mental health care workers (CMHWs) faced much heavier workloads, which make them vulnerable to mental problems. Aim: This study aims to investigate coronavirus disease-related occupational stress and its single and cumulative effect on mental health and self-efficacy among CMHWs. Methods: A quick-response online cross-sectional survey WA conducted during the coronavirus disease outbreak. A total of 536 CMHWs were recruited in March 2020, in China. Demographics, occupational stress, depression, anxiety, positive and negative emotions, and self-efficacy were collected. Logistic regression analysis was employed to test the single and cumulative effect of occupational stress on mental health and self-efficacy. Results: CMHWs did not show high level of depression or anxiety in this study. Those who provided service for suspected people who were quarantined reported higher risk of depression and anxiety. Staying out for more than 3 days was a risk factor of depression while cleaning/sterilising streets or communities was a protective factor of depression. Those who received psychiatric training showed higher positive emotion and self-efficacy, and providing psychological assistance online increased the self-efficacy. CMHWs with two different types of work had 0.996 times more risk of depression than those with only one type of work. Conclusion: The potential cumulative effect of occupation stress suggested that reasonable job assignment and organisational support are necessary safeguards for CMHWs. [ABSTRACT FROM AUTHOR]