{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:16:33Z","timestamp":1786115793046,"version":"build-2736575974"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017956","name":"Health Commission of Gansu Province","doi-asserted-by":"publisher","award":["GSWSHL2023-01"],"award-info":[{"award-number":["GSWSHL2023-01"]}],"id":[{"id":"10.13039\/100017956","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examines the dynamic trajectories of resilience, depression, and anxiety during novice nurses' three-year role transition, with particular attention to the phase-dependent reversals in the resilience\u2013depression and resilience\u2013anxiety relationships, to inform temporally differentiated psychological interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective longitudinal cohort study, 118 newly employed nurses were recruited at baseline (T0) from a tertiary grade A hospital in Lanzhou, China (2019\u20132021), and 102 (86.4%) completed assessments at T0 and at the end of Years 1\u20133 (T1\u2013T3). Resilience, depression, and anxiety were measured using the CD-RISC, SDS, and SAS, respectively. Data were analyzed using linear mixed-effects models, Pearson correlation with Steiger's Z-tests, group-based trajectory modeling (GBTM), and hierarchical regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Resilience increased steadily across the 3 years (64.65\u201381.01,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). Depression followed a U-shaped trajectory, reaching its nadir at T2 (50.49) before rebounding at T3 (55.64,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). In contrast to depression's U-shaped trajectory, anxiety exhibited chronic stability with only a late-stage increase from T2 to T3 (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004). The resilience\u2013depression association reversed over time: negative at T0 (\n                      <jats:italic>r<\/jats:italic>\n                      = \u22120.264,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.007), non-significant at T1\u2013T2, and positive at T3 (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.377,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001); Steiger's\n                      <jats:italic>Z<\/jats:italic>\n                      -test confirmed this reversal was statistically significant (\n                      <jats:italic>Z<\/jats:italic>\n                      = \u22125.720,\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001). GBTM identified three latent trajectory classes for depression, including a low-fluctuating class (32.35%) exhibiting U-shaped recovery then rebound. Hierarchical regression revealed that explanatory power was highest at T0 \u2192 T1 and became non-significant at T2 \u2192 T3.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The resilience\u2013depression association shifted from negative to positive over the role transition. The depression rebound at T2 marks a critical intervention window. Anxiety demonstrated chronic stability, necessitating strategies distinct from depression-focused approaches. A staged mental health monitoring system is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1915462","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T05:32:11Z","timestamp":1785994331000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health trajectories during new nurses' role transition: staged reversal of the resilience\u2013depression and resilience\u2013anxiety relationship"],"prefix":"10.3389","volume":"14","author":[{"given":"Yanfei","family":"Hu","sequence":"first","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolu","family":"Wei","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Shao","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Su","sequence":"additional","affiliation":[{"name":"School of Nursing, Lanzhou University","place":["Lanzhou, Gansu, China"]},{"name":"Department of Spinal Surgery, Gansu Provincial Hospital","place":["Lanzhou, Gansu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1177\/17449871241311543","article-title":"The professional competence of newly graduated nurses in the transition phase as assessed by nurse managers: a descriptive cross-sectional multi-national study","volume":"30","author":"Kukkonen","year":"2025","journal-title":"J Res Nurs."},{"key":"B2","doi-asserted-by":"publisher","first-page":"105780","DOI":"10.1016\/j.nedt.2023.105780","article-title":"Han, L. The mediating effect of clinical teching behavior on transition shock career identity among new nurses: a cross-sectional study","volume":"125","author":"Su","year":"2023","journal-title":"Nurse Educ Today."},{"key":"B3","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.nedt.2022.105702","article-title":"Role transition of newly graduated nurses from nursing students to registered nurses: a qualitative systematic review","author":"See","year":"2023","journal-title":"Nurs Educ. Today"},{"key":"B4","doi-asserted-by":"publisher","first-page":"174","DOI":"10.5005\/jp-journals-10071-24119","article-title":"Mental health outcomes of perceived stress, anxiety, fear insomnia, the resilience among frontline nurses caring for critical COVID-19 patients in intensive care units","volume":"26","author":"Jose","year":"2022","journal-title":"Indian J Crit Care Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1080\/13651501.2022.2101927","article-title":"Health care workers' mental health in the face of COVID-19: a systematic review meta-analysis","volume":"27","author":"Ghahramani","year":"2023","journal-title":"Int J Psychiatr Clin Prac."},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.27204\/d.cnki.glzhu.2023.002108","author":"Wu","year":"2023","journal-title":"A longitudinal study on occupational stress and mental health among new nurses (Master's thesis)"},{"key":"B7","doi-asserted-by":"publisher","first-page":"131","DOI":"10.3969\/j.issn.1672-1993.2025.04.029","article-title":"Research progress on resilience of HIV\/AIDS patients","volume":"34","author":"Liu","year":"2025","journal-title":"Chin J Hum Sex"},{"key":"B8","doi-asserted-by":"publisher","first-page":"759","DOI":"10.3969\/j.issn.1671-315x.2022.10.013","article-title":"Study on the current situation and influencing factors of new nurses' workplace adaptability","volume":"22","author":"Ji","year":"2022","journal-title":"J Nurs Adm"},{"key":"B9","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.ijnurstu.2022.104177","article-title":"Introducing the international journal of nursing studies\u2014advances","author":"Norman","year":"2022","journal-title":"Int J Nurs Stud."},{"key":"B10","doi-asserted-by":"publisher","first-page":"135","DOI":"10.20037\/j.issn.1671-1246.2025.03.35","article-title":"The mediating effect between the transition shock of new nurses and job readiness in psychological resilience","volume":"43","author":"Zheng","year":"2025","journal-title":"Health Vocat Educ"},{"key":"B11","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/NNA.0000000000001279","article-title":"Evaluating burnout resiliency in new graduate nurses","volume":"53","author":"Catarelli","year":"2023","journal-title":"JONA: J Nurs Adm."},{"key":"B12","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1016\/1054-139X(93)90196-V","article-title":"Resilience: some conceptual considerations","volume":"631","author":"Rutter","year":"1993","journal-title":"J Adolesc Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s44202-025-00345-4","article-title":"et al. The buffering role of resilience on burnout, depression, anxiety, stress among healthcare workers in Sri Lanka","author":"Baminiwatta","year":"2025","journal-title":"Discov Psychol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"236","DOI":"10.13342\/j.cnki.cjhp.2021.02.016","article-title":"The mediating and moderating effects of resilience on transition shock and depersonalization of new nurses","volume":"29","author":"Guo","year":"2021","journal-title":"Chin J Health Psychol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1070","DOI":"10.1111\/jonm.13033","article-title":"Transition shock newly graduated nurses' job outcomes select patient outcomes: a cross-sectional study","volume":"28","author":"Labrague","year":"2020","journal-title":"J Nurs Manag."},{"key":"B16","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1002\/da.10113","article-title":"Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC)","volume":"18","author":"Connor","year":"2003","journal-title":"Depress Anxiety"},{"key":"B17","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1186\/s40359-022-00921-6","article-title":"Personality occupational correlates of anxiety depression in nurses: the contribution of role conflict, core self-evaluations, negative affect bullying","volume":"10","author":"Hosseini","year":"2022","journal-title":"BMC Psychol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.apnu.2024.10.015","article-title":"Workplace violence nurses' psychological well-being: the mediating role of burnout the moderating role of psychological resilience","volume":"53","author":"Kolutek","year":"2024","journal-title":"Arch Psychiatr Nurs."},{"key":"B19","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1186\/s12888-023-04936-0","article-title":"The role of sleep quality perceived stress on depressive symptoms among tertiary hospital nurses: a cross-sectional study","volume":"23","author":"Zhou","year":"2023","journal-title":"BMC Psychiatr."},{"key":"B20","doi-asserted-by":"publisher","first-page":"1098","DOI":"10.13342\/j.cnki.cjhp.2025.07.027","article-title":"Influence of psychological intervention based on the three-in-one concept of \u201ccognition, behavior and humanism\u201d on psychological resilience and post-traumatic growth in patients with vascular malformation surgery","volume":"33","author":"Li","year":"2025","journal-title":"Chin J Health Psychol"},{"key":"B21","doi-asserted-by":"publisher","first-page":"382","DOI":"10.13342\/j.cnki.cjhp.2025.03.012","article-title":"Effect of psychological intervention on mental health and quality of life of patients with shoulder pain","volume":"33","author":"Hai","year":"2025","journal-title":"Chin J Health Psychol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1310","DOI":"10.13699\/j.cnki.1001-6821.2025.09.019","article-title":"Investigation and analysis of the mental state of healthy volunteers in the first phase of clinical research of new drugs","volume":"41","author":"Yu","year":"2025","journal-title":"Chin J Clin Pharmacol"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1915462\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T05:32:21Z","timestamp":1785994341000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1915462\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":22,"alternative-id":["10.3389\/fpubh.2026.1915462"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1915462","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"article-number":"1915462"}}