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Screening for psychoaffective disorders in night-shift nurses : a cross sectional study

Published online by Cambridge University Press:  26 August 2025

N. Rmadi ,
A. Hrairi ,
F. Bouzid ,
A. Kchaou ,
N. Kotti ,
M. Hajjaji  and
K. Jmal Hammami
N. Rmadi*
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
A. Hrairi
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
F. Bouzid
Affiliation:
Family medicine department, University of Sfax, Sfax, Tunisia
A. Kchaou
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
N. Kotti
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
M. Hajjaji
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
K. Jmal Hammami
Affiliation:
Occupational medicine department, Hedi chaker university hospital, University of Sfax
*
*Corresponding author.

Abstract

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Introduction

Night shift work disrupts the natural circadian rhythms, leading to significant sleep disturbances that can adversely affect mental health. Nurses working these shifts often report higher levels of stress, anxiety, and depression compared to their day-shift counterparts.

Objectives

This study aims to assess the prevalence of psycho-affective disorders among night-shift nurses.

Methods

Data were collected from a cross sectional study in the university hospitals of Sfax. We used a questionnaire exploring socio-demographic, professional data and pathological history. We evaluated absenteeism based on the number of days absent over the past year. Psychoaffective disorders were screened using the validated Arabic version of the Depression, Anxiety, and Stress Scale: DASS-21.

Results

Our study included 114 nurses, with 65% being female. The mean age was 33.8 ans ± 7 years. Severe to very severe symptoms of depression, anxiety, and stress were found in 14%, 21%, and 18% of our participants, respectively. Among our workers, 58% reported being moderately satisfied at work. During the last 12 months, 68 nurses (59.6%) were absent for an average of 27.21 days ± 72.73 days. Significant associations were found between job satisfaction and severity of depression (p= 0.000), anxiety (p=0.027) and stress (p = 0.000). Absenteeism was significantly associated to depression (p=0.009, r=0.24), anxiety (p=0.014, r=0.23) and stress (p=0.35, r=0.19).

Conclusions

Psychoaffective disorders are common among paramedical staff working shifts in hospitals. It is essential to conduct screening consultations in occupational medicine to identify these disorders early on.

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S496
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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