ArticleBMC nursing2025
Caring hands, heavy minds: prevalence and associated factors of depression, anxiety, and stress symptoms among nurses in Mogadishu, Somalia.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Distribution of social anxiety symptoms and associated factors among undergraduate medical students in Mogadishu, Somalia: a cross-sectional study.BMC medical education · 2026Article
- Network Analysis of Sleep Quality and Psychiatric Symptoms Among ICU Nursing Staff.Journal of nursing management · 2026Article
- Restless nights, demanding days: assessment of the prevalence and associated factors of poor sleep quality among medical students in Mogadishu, Somalia.BMC medical education · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNurses are the foundation of healthcare systems, providing clinical care, emotional support, health education, and patient advocacy. Their frontline role and dedication significantly enhance patient outcomes and healthcare system efficiency. However, the high-pressure nature of nursing exposes them to increased risk of mental health disorders, particularly depression, anxiety, and stress, which can undermine both personal well-being and the quality of patient care. Despite global recognition of this issue, data from resource-limited and conflict-affected settings, such as Somalia, remain scarce. This study therefore aimed to assess the prevalence of depression, anxiety, and stress symptoms and to identify associated factors among nurses in Mogadishu, Somalia.
methodsA multicenter, cross-sectional study was conducted between November and December 2024 among 372 nurses across four hospitals in Mogadishu. Data were collected using self-administered online questionnaires comprising a demographic section, the 21-item Depression, Anxiety, and Stress Scale, the Pittsburgh Sleep Quality Index, and the Oslo Social Support Scale-3. Statistical analysis was performed using SPSS version 26, including descriptive statistics, bivariate analyses, and multivariable logistic regression. Statistical significance was set at p < 0.05.
resultsThe prevalence of depression, anxiety, and stress symptoms among participants was 29% (95% CI: 24.5-33.9%), 32.5% (95% CI: 27.8-37.5%), and 15.1% (95% CI: 11.6-19.1%), respectively. Female was significantly associated with depression (AOR = 1.72; 95% CI: 1.01-2.92; p = 0.045) and anxiety (AOR = 1.69; 95% CI: 1.03-2.80; p = 0.040), while being over 30 years old was linked to anxiety (AOR = 2.59; 95% CI: 1.34-5.01; p = 0.005) and stress (AOR = 2.34; 95% CI: 1.09-5.02; p = 0.029). Stress was further associated with physical inactivity (AOR = 2.00; 95% CI: 1.02-3.81; p = 0.044) and ICU work assignments (AOR = 3.39; 95% CI: 1.08-10.65; p = 0.036). Notably, poor sleep quality and limited social support consistently were strongly associated with all outcomes, with adjusted odds ratios ranging from 4.60 to 8.18 for sleep and 2.46 to 3.86 for social support.
conclusionsThe findings underscore a critical mental health burden among nurses in Mogadishu, driven by both occupational and personal factors. High-risk groups such as ICU staff and female nurses appear particularly vulnerable. Urgent institutional responses including regular mental health screenings, support programs (e.g., peer-support groups or employee assistance programs), workload management, and wellness promotion are essential to safeguard nurse well-being and ensure the delivery of high-quality patient care.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.