{"title":"Severity of insomnia and stress perception as a chained mediator between perceived social support and somatic symptoms in Chinese's nurses","authors":"Xiaoyan Qi , Qian Zhao , Wenru Wang","doi":"10.1016/j.apnr.2025.151940","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.</div></div><div><h3>Methods</h3><div>We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.</div></div><div><h3>Results</h3><div>Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.</div></div><div><h3>Conclusion</h3><div>Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151940"},"PeriodicalIF":2.7000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0897189725000424","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.
Methods
We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.
Results
Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.
Conclusion
Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.
期刊介绍:
Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.