Depression and daytime dysfunction centralize the fatigue–sleep cascade in island firefighters: a symptom network and Bayesian DAG study
Depression (S4) and daytime dysfunction (P7) may serve as key nodes linking sleep and affective processes; fatigue may relate to psychological distress via sleep; and tenacity (C1) could play an upstream protective role. Sleep status and shift work may reorganize network structure without necessarily altering global connectivity. Targeted interventions may consider subjective sleep perception and psychological resilience in island-based firefighters.
Authors
- Chenjing Sun (ORCID: https://orcid.org/0000-0002-6162-383X)
- Yudan Liu (ORCID: https://orcid.org/0000-0002-7496-7033)
- Rong Bai (ORCID: https://orcid.org/0000-0002-3106-7318)
- Qiong Xiang
- Jianguo Liu (ORCID: https://orcid.org/0009-0000-7639-2336)
- Zhihong Li (ORCID: https://orcid.org/0000-0002-0157-5389)
- Xue Zhang (ORCID: https://orcid.org/0000-0001-7593-6717)
Institutions
- Chinese PLA General Hospital (CN)
- 307th Hospital of Chinese People’s Liberation Army (CN)
- The 309th Hospital of Chinese People's Liberation Army (CN)
- South China University of Technology (CN)
Publication Details
- Journal
- Frontiers in Psychiatry
- Published
- 2025-10-29
- DOI
- https://doi.org/10.3389/fpsyt.2025.1663957
- Primary Topic
- Sleep and Work-Related Fatigue
- Type
- article
- Field-Weighted Citation Impact
- 0.00