https://m2.mtmt.hu/ hun 2026-05-01 00:03 JournalArticle 36402348 VALIDATED true Funding Agency and Grant Number: Research Fund of the University of Pcs (Pcsi Tudomnyegyetem Kutatsi Alap Plyzat) [015_2024_PTE_RK/20] Funding text: This research was supported by the Research Fund of the University of Pecs (Pecsi Tudomanyegyetem Kutatasi Alap Palyazat), grant number 015_2024_PTE_RK/20. 0 false 2026-04-27T09:12:13.598+0000 2026-03-30T09:41:45.167+0000 2025-10-28T09:17:36.047+0000 true 10022617 Fusz Katalin /api/author/10022617 Author true 10022617 2026-04-24T05:27:46.011+0000 2026-04-24T05:27:46.011+0000 2025-11-03T15:20:00.749+0000 true 10039043 Milánkovics Róbert /api/admin/10039043 Admin true 10039043 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Fusz, Katalin Chronotype, Night Shift Work, and Diurnal Salivary Cortisol Rhythms Among Healthcare Professionals true true /api/journal/10017543 REVIEWED true false 10017543 false 10017543 true 2077-0383 Journal FOREIGN 14 21 7630 7630 16 2025 Background: Chronotype is a determinant of tolerance to shift work; however, its physiological and psychological correlates remain insufficiently explored in healthcare workers. This study investigated associations between chronotype, perceived stress, sleep quality, and health behaviours in a large cohort of shift-working nurses and physicians. Additionally, diurnal salivary cortisol patterns were characterised in a physiological subsample. Methods: A cross-sectional study was conducted with 451 participants (77% female; mean age 42 ± 11 years) completing validated instruments, including the Perceived Stress Scale (PSS), Athens Insomnia Scale (AIS), Patient Health Questionnaire Somatic Symptom Scale (PHQ-15), and reduced Morningness–Eveningness Questionnaire (rMEQ). In addition, a prospective pilot substudy was performed in a physiological subsample of nurses (n = 40), in which salivary cortisol was measured at three time points during both day and night shifts. Results: Evening chronotype exhibited a higher prevalence of insomnia (70%) and elevated AIS scores (8.2 ± 4.2, p < 0.001). In the physiological subsample, evening types demonstrated a significantly attenuated cortisol awakening response (6.5 ± 5.1 nmol/L, p = 0.02) and a flatter diurnal cortisol slope during day shifts (p = 0.01). Logistic regression indicated that increased age, somatic symptom burden, and perceived stress were significant risk factors for insomnia, whereas morningness was protective (OR = 0.89, p = 0.003). Conclusions: Evening chronotype among healthcare professionals is associated with altered hypothalamic–pituitary–adrenal axis regulation and impaired sleep quality. These findings highlight the potential utility of chronotype-based scheduling and behavioural interventions targeting circadian misalignment to improve occupational health outcomes in shift-working populations. true 2025 true true true false true false GOLD 2026-04-27 true https://doi.org/10.3390/jcm14217630 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 0 5 5 Folyóiratcikk Journal Article 24 1 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2026 0 1 1 1 1 Q2 false 10022617 false false false 2025-10-29T14:41:54.646+0000 Immunológiai és Biotechnológiai Intézet (PTE / ÁOK); Sürgősségi Klinika (PTE / ÁOK); Ápolástudományi Tanszék (PTE / ETK / SEÁI); Élettani Intézet (PTE / ÁOK) 6 27 4 9 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 128292937 /api/authorship/128292937 1 0.111 true false true Author 10022617 /api/author/10022617 Fusz Katalin true 10022617 true Fusz Katalin true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292938 /api/authorship/128292938 2 0.11111111 false false false Author 10073986 /api/author/10073986 Deák András Sándor true true Deák András true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292939 /api/authorship/128292939 3 0.11111111 false false false Závodi Péter true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292940 /api/authorship/128292940 4 0.11111111 false false false Suszter Gergely true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292941 /api/authorship/128292941 5 0.11111111 false false false Author 10070352 /api/author/10070352 Böröcz Katalin true true Böröcz Katalin true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292942 /api/authorship/128292942 6 0.11111111 false false false Author 10090952 /api/author/10090952 Szinger Dávid true true Szinger Dávid true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292943 /api/authorship/128292943 7 0.11111111 false false false le Roux Alain true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292944 /api/authorship/128292944 8 0.111 false false false Author 10068613 /api/author/10068613 Rozmann Nóra true true Rozmann Nóra true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 128292945 /api/authorship/128292945 9 0.11111111 false true false Author 10026634 /api/author/10026634 Kanizsai Péter László true 10026634 true Kanizsai Peter L. true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 30065485 /api/publicationidentifier/30065485 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true GOLD true IDENTICAL 10.3390/jcm14217630 https://doi.org/10.3390/jcm14217630 false true PublicationIdentifier 30459305 /api/publicationidentifier/30459305 PlainSource 1 /api/publicationsource/1 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 001615181000001 https://www.webofscience.com/wos/woscc/full-record/001615181000001 false true PublicationIdentifier 30223680 /api/publicationidentifier/30223680 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105021538616 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105021538616 true true PublicationIdentifier 30169821 /api/publicationidentifier/30169821 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 41227026 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=41227026&dopt=Abstract false true Keyword 5931 /api/keyword/5931 true 5931 true Keyword 6276 /api/keyword/6276 true 6276 true Keyword 1058442 /api/keyword/1058442 true 1058442 true Keyword 1313046 /api/keyword/1313046 true 1313046 true Keyword 1445019 /api/keyword/1445019 true 1445019 true Keyword 1528359 /api/keyword/1528359 true true SjrRating 11603577 /api/sjrrating/11603577 636 0.49 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2701 /api/classificationexternal/2701 true 2701 true Q2 DIRECT true true /api/publication/36402348 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10022617"><a href="/gui2/?type=authors&mode=browse&sel=10022617" target="_blank">Fusz Katalin ✉ (<span class="authorship-author-name">Fusz Katalin</span> <span class="authorAux-mtmt"> Élettan</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Élettani Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10073986"><a href="/gui2/?type=authors&mode=browse&sel=10073986" target="_blank">Deák András (<span class="authorship-author-name">Deák András Sándor</span> <span class="authorAux-mtmt"> Sürgősségi</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Sürgősségi Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Závodi Péter </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Suszter Gergely </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10070352"><a href="/gui2/?type=authors&mode=browse&sel=10070352" target="_blank">Böröcz Katalin (<span class="authorship-author-name">Böröcz Katalin</span> <span class="authorAux-mtmt"> Immunológia és biotechnológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Immunológiai és Biotechnológiai Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10090952"><a href="/gui2/?type=authors&mode=browse&sel=10090952" target="_blank">Szinger Dávid (<span class="authorship-author-name">Szinger Dávid</span> <span class="authorAux-mtmt"> Biotechnológia, immunológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Immunológiai és Biotechnológiai Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >le Roux Alain </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10068613"><a href="/gui2/?type=authors&mode=browse&sel=10068613" target="_blank">Rozmann Nóra (<span class="authorship-author-name">Rozmann Nóra</span> <span class="authorAux-mtmt"> ápolástudomány</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Egészségtudományi Kar">ETK</span>/<span title="Sürgősségi, Egészségpedagógiai és Ápolástudományi Intézet">SEÁI</span>/Ápolástudományi Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026634"><a href="/gui2/?type=authors&mode=browse&sel=10026634" target="_blank">Kanizsai Peter L. (<span class="authorship-author-name">Kanizsai Péter László</span> <span class="authorAux-mtmt"> Aneszteziológia-Oxiológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Sürgősségi Klinika</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36402348" target="_blank">Chronotype, Night Shift Work, and Diurnal Salivary Cortisol Rhythms Among Healthcare Professionals</a></div> <div> <span class="journal-title">JOURNAL OF CLINICAL MEDICINE</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2077-0383">2077-0383</a>)</span>: <span class="journal-volume">14</span> <span class="journal-issue">21</span> <span class="page"> Paper 7630. 16 p. </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.3390/jcm14217630" target="_blank" href="https://doi.org/10.3390/jcm14217630"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001615181000001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001615181000001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105021538616" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105021538616"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="41227026" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=41227026&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 1</span> | Független: 1 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 1 | Scopus jelölt:&nbsp;1 | WoS/Scopus jelölt:&nbsp;1 | DOI jelölt:&nbsp;1 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36402348&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 5 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36402348</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">RIS-Egyéb</span> </div> <div class="lastModified">Utolsó módosítás: 2026.03.30. 11:41 Heronyányi Zsolt (PTE ÁOK admin 5) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Funding Agency and Grant Number: Research Fund of the University of Pcs (Pcsi Tudomnyegyetem Kutatsi Alap Plyzat) [015_2024_PTE_RK/20] Funding text: This research was supported by the Research Fund of the University of Pecs (Pecsi Tudomanyegyetem Kutatasi Alap Palyazat), grant number 015_2024_PTE_RK/20.</pre> </div></div>