Circadian Disruption and Its Consequences: Mental Health Challenges Faced by Night Shift Nurses in Selected Hospitals in Quezon City

Authors

  • Judee T. Sajul The School of Graduate Studies, Dr. Carlos S. Lanting College, Quezon City, Philippines

DOI:

https://doi.org/10.5281/zenodo.19484183

Keywords:

Circadian rhythm disruption, mental health, night shift nurses, depression, anxiety, stress

Abstract

Night shift work disrupts the circadian rhythm of nurses, potentially affecting their mental health. This study investigated the relationship between circadian rhythm disruption and mental health outcomes specifically depression, anxiety, and stress, among 107-night shift nurses in selected public and private hospitals in Quezon City, Philippines. Using a quantitative correlational design, data were collected through standardized questionnaires and analyzed using Pearson correlation. Results revealed a weak but statistically significant positive relationship between circadian disruption and mental health outcomes (r = 0.217, p = 0.025), indicating that increased circadian misalignment was associated with higher levels of psychological distress. Further analysis showed that younger nurses reported greater mental health strain compared with older nurses, suggesting that age may moderate the effects of night shift work on emotional well-being. These findings highlight the occupational health importance of addressing sleep irregularities and circadian misalignment in the nursing workforce. Interventions such as structured schedules, sleep hygiene education, and supportive workplace strategies are recommended to mitigate the mental health risks associated with night shift work. The study provides locally relevant evidence that contributes to global research on shift work, circadian disruption, and occupational mental health.

References

Booker, L. A., Sletten, T. L., Alvaro, P. K., Barnes, M., Collins, A., & Lockley, S. W. (2018). Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. Sleep, 41(12), zsy197. https://doi.org/10.1093/sleep/zsy197

Booker, L., Dorrian, J., & Sletten, T. (2020). Sleep and fatigue in hospital nurses: A review of literature and implications for patient care. International Journal of Nursing Studies, 102, 103486. https://doi.org/10.1016/j.ijnurstu.2019.103486

Caruso, C. C. (2014). Negative impacts of shiftwork and long work hours. Rehabilitation Nursing, 39(1), 16–25. https://doi.org/10.1002/rnj.107

Czeisler, C. A., Duffy, J. F., Shanahan, T. L., Brown, E. N., Mitchell, J. F., Rimmer, D. W., ... & Kronauer, R. E. (2016). Stability, precision, and near-24-hour period of the human circadian pacemaker. Science, 284(5423), 2177–2181. https://doi.org/10.1126/science.284.5423.2177

Dall’Ora, C., Ball, J., Recio-Saucedo, A., & Griffiths, P. (2020). Characteristics of nurses’ work hours and the risk of burnout and sleep disturbance. Journal of Advanced Nursing, 76(5), 1232–1244. https://doi.org/10.1111/jan.14298

Del Prado-Lu, J. (2020). Work-related stress and coping mechanisms of Filipino nurses in hospital settings: A systematic review. Philippine Journal of Nursing, 90(2), 45–58.

Dong, H., Li, Y., Hu, R., Wang, L., & Zhang, W. (2017). Relationship between shift work and mental health among Chinese nurses: A cross-sectional study. BMC Psychiatry, 17, 209. https://doi.org/10.1186/s12888-017-1377-1

Ferri, P., Guadi, M., Marcheselli, L., Balduzzi, S., Magnani, D., & Di Lorenzo, R. (2016). The impact of shift work on the psychological and physical health of nurses in a general hospital: A comparison between rotating night shifts and day shifts. Risk Management and Healthcare Policy, 9, 203–211. https://doi.org/10.2147/RMHP.S115326

Flo, E., Pallesen, S., Magerøy, N., Moen, B. E., Grønstad, E., & Bjorvatn, B. (2012). Shift work disorder in nurses—assessment, prevalence, and related health problems. PLoS ONE, 7(4), e33981. https://doi.org/10.1371/journal.pone.0033981

Geiger-Brown, J., & Trinkoff, A. M. (2010). Is it time to pull the plug on 12-hour shifts? Part 1. The evidence. Journal of Nursing Administration, 40(3), 100–102. https://doi.org/10.1097/NNA.0b013e3181ce3c25

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Published

2026-06-04

How to Cite

Sajul, J. (2026). Circadian Disruption and Its Consequences: Mental Health Challenges Faced by Night Shift Nurses in Selected Hospitals in Quezon City. International Journal of Research on Multidisciplinary Studies, 1(3), 84–90. https://doi.org/10.5281/zenodo.19484183

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