title: Healthcare-Related Regret among Nurses and Physicians Is Associated with Self-Rated Insomnia Severity: A Cross-Sectional Study.
abstract: To examine the association between healthcare-related regrets and sleep difficulties among nurses and physicians, we surveyed 240 nurses and 220 physicians at the University Hospitals of Geneva. Regret intensity and regret coping were measured using validated scales. Sleep difficulties were measured using the Insomnia Severity Index (ISI), and an additional question assessed the frequency of sleeping pill use. After controlling for sex, profession, years of experience, rate of employment, and depression as well as for all other regret-related variables, the following variables remained significantly associated with self-rated severity of insomnia: regret intensity (slope = 1.32, p = 0.007, 95%CI: [0.36; 2.29], std. coefficient = 0.16) and maladaptive (e.g., rumination) emotion-focused coping (slope = 1.57, p = 0.002, 95%CI: [0.60; 2.55], std. coefficient = 0.17) remained significant predictors of self-rated insomnia severity. If these cross-sectional associations represent causal effects, the development of regret-management programs may represent a promising approach to mitigating sleep difficulties of healthcare professionals.
authors.affiliation: Department of psychology, University of Geneva, Geneva, Switzerland.
authors.forename: Ralph E
authors.initials: RE
authors.lastname: Schmidt
authors.affiliation: Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.
authors.forename: Stephane
authors.initials: S
authors.lastname: Cullati
authors.affiliation: Cardiovascular Epidemiology Research Unit, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, United States of America.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mostofsky
authors.affiliation: Department of Anesthesiology, Pharmacology, Intensive Care, Geneva University Hospitals, Geneva, Switzerland.
authors.forename: Guy
authors.initials: G
authors.lastname: Haller
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Thomas
authors.initials: T
authors.lastname: Agoritsas
authors.affiliation: Cardiovascular Epidemiology Research Unit, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, United States of America.
authors.forename: Murray A
authors.initials: MA
authors.lastname: Mittleman
authors.affiliation: Division of Clinical Epidemiology, University Hospitals of Geneva, Geneva, Switzerland.
authors.forename: Thomas V
authors.initials: TV
authors.lastname: Perneger
authors.affiliation: Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland; Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, United States of America.
authors.forename: Delphine S
authors.initials: DS
authors.lastname: Courvoisier
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002492:Central Nervous System Depressants / Q000008:administration & dosage; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications; D004644:Emotions; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009726:Nurses / Q000523:psychology*; D016017:Odds Ratio; D010820:Physicians / Q000523:psychology*; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D011795:Surveys and Questionnaires
chemical_list: D002492:Central Nervous System Depressants