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Original Research

Open Access

Relationship among anxiety, depression, social and self-efficacy in night-shift nurses

  • Hui-Xiu Liao1
  • Hai Zou2
  • Jie Pang3
  • Hua-Hua Liu4

1Department of Neurology, Xinyu People's Hospital, 338025 Xinyu, Jiangxi, China

2Department of Anaesthesia, Critical Care and Pain Medicine, Fudan University Shanghai Cancer Center, 200032 Shanghai, China

3Department of Cardiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, 310014 Hangzhou, Zhejiang, China

4Department of Respiratory, Huashan Hospital, Fudan University, 200032 Shanghai, China

DOI: 10.22514/sv.2021.135

Submitted: 06 June 2021 Accepted: 16 July 2021

Online publish date: 10 August 2021

*Corresponding Author(s): Jie Pang E-mail:
*Corresponding Author(s): Hua-Hua Liu E-mail:


Night shift disturbs normal circadian rhythm, thus leads to several psychological problems. We aim to investigate the anxiety, depression, social support and self-efficacy of night-shift nurses compared with day-shift nurses and explore the association between emotional status and social support as well as the combined influence of social support and self-efficacy on emotional status. We conducted this quantitative comparative study in a hospital from January 1, 2019 to August 31, 2020, using the Hospital Anxiety and Depression Scale (HADS), Perceived Social Support Scale (PSSS), and General Self-Efficacy Scale (GSES). The HADS-A and HADS-D scores were higher for the night-shift nurses than for the day-shift nurses (7.38 ± 3.228 vs. 5.81 ± 3.180 and 6.79 ± 3.444 vs. 5.43 ± 3.155, respectively, P < 0.01). The family support, friend support, other support and total social support scores were lower for the night-shift nurses than for the day-shift nurses. In both groups, these scores were lower for nurses with suspected anxiety than for those without anxiety (61.16 ± 12.208 vs. 66.35 ± 9.976, P < 0.01) and were lower for nurses with suspected depression than for those without depression (59.91± 11.606 vs. 66.77 ± 10.320, P < 0.01). The item scores, total scores and total mean score for the night-shift nurses were significantly lower than those for the day-shift nurses (P < 0.01). Social support and self-efficacy had noticeable regression effects on nurses’ anxiety and depression, and both variables had significant negative effects on anxiety and depression. This study suggests that night-shift nurses may have higher anxiety and depression than day-shift nurses. Nurses with suspected anxiety and depression nurses may have lower social support than those without anxiety and depression.


Nurses; Anxiety; Depression; Social support; Self-efficacy

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Hui-Xiu Liao,Hai Zou,Jie Pang,Hua-Hua Liu. Relationship among anxiety, depression, social and self-efficacy in night-shift nurses. Signa Vitae. 2021.doi:10.22514/sv.2021.135.


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