Evidence map›Paper›PMID 42534344›Full record

ArticleDepression and anxiety2026

Latent Class Analysis of Shift Work Patterns Among Nurses and Its Impact on Anxiety-Depression Comorbidity: A Multicenter Cross-Sectional Study.

Chen Zhao, Xuezhi Shi, Meng Fan, Min Huang, Yajuan Yang, Yaqian Niu, Miao Zhang, Wendi Xu, Yapeng Deng, Mei Jin and 6 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Depression and anxiety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Chen ZhaoSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0005-2493-673X
Xuezhi ShiDepartment of Nursing, Lu'an People's Hospital, Lu'an, Anhui, China, layy.cn.ORCID https://orcid.org/0009-0003-2015-6328
Meng FanSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0004-4213-0863
Min HuangSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0009-3679-7481
Yajuan YangSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0007-2905-0393
Yaqian NiuDepartment of Otolaryngology-Head and Neck Surgery, Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China, gdghospital.org.cn.ORCID https://orcid.org/0009-0009-6499-1193
Miao ZhangDepartment of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0005-0945-8469
Wendi XuDepartment of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0002-5513-9053
Yapeng DengDepartment of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0001-8965-1154
Mei JinDepartment of Rehabilitation Medicine, Lu'an People's Hospital, Lu'an, Anhui, China, layy.cn.ORCID https://orcid.org/0009-0004-6274-917X
Xinyu HuDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical University, Wuhu, Anhui, China.ORCID https://orcid.org/0009-0008-3805-4422
Ying TangSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0009-0003-8355-0373
Minmin JiangDepartment of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0000-0002-2356-4584
Fangbiao TaoSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0000-0003-4807-9670
Heping WangDepartment of Nursing, The Second Affiliated Hospital of Wannan Medical University, Wuhu, Anhui, China.ORCID https://orcid.org/0009-0008-2138-3377
Xiaoyan WuSchool of Nursing, Anhui Medical University, Hefei, Anhui, China, ahmu.edu.cn.ORCID https://orcid.org/0000-0003-3247-254X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Relatively few population-based studies have explored the relationship between shift work patterns and anxiety-depression comorbidity among nurses. This study aimed to identify different patterns of nurse shift work and assess their association with anxiety-depression comorbidity. Design: This study was based on the Nurses' Environmental and Occupational Exposure and Health Nexus (NEON) cohort. A self-designed questionnaire was used to collect general demographic information and shift work details. Anxiety and depressive symptoms were evaluated using the generalized anxiety disorder-7 (GAD-7) and the patient health questionnaire-9 (PHQ-9), respectively. Latent class analysis (LCA) was performed to identify homogeneous groups of shift work. A three-step approach of LCA, involving logistic regression models, was applied to examine associations between various shift patterns and anxiety-depression comorbidity. Sleep quality served as a stratification factor for the subgroups. Results: Three latent classes were identified among 2791 shift nurses: Class 1: high-frequency, high-seniority group ( Conclusions: This study identified distinct patterns in nurses' shift work. Different patterns were significantly associated with anxiety-depression comorbidity. Targeted interventions addressing specific shift patterns may improve nurses' mental health and contribute to achieving broader health goals.

Indexed as

AnxietyAnxiety DisordersDepressionDepressive DisorderNursesShift Work ScheduleAdultComorbidityCross-Sectional StudiesFemaleGeneralized Anxiety DisorderHumansLatent Class AnalysisMaleMiddle Aged

Identifiers

PMID42534344
PMCPMC13420237

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.