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International Archives of Occupational and Environmental Health

Published in:

01-08-2016 | Original Article

The role of poor sleep in the relation between workplace bullying/unwanted sexual attention and long-term sickness absence

Authors: Kirsten Nabe-Nielsen, Matias Brødsgaard Grynderup, Theis Lange, Johan Hviid Andersen, Jens Peter Bonde, Paul Maurice Conway, Anne Helene Garde, Annie Høgh, Linda Kaerlev, Reiner Rugulies, Åse Marie Hansen

Published in: International Archives of Occupational and Environmental Health | Issue 6/2016

Abstract

Purpose

While exposure to bullying and unwanted sexual attention was previously found to increase the risk of sickness absence, the underlying mechanisms are largely unknown. Poor sleep can be a consequence of stressful exposures and a cause of poor health, and poor sleep is also a determinant of insufficient recovery. Therefore, the present study investigated whether poor sleep mediates and/or moderates the association between bullying and unwanted sexual attention, on the one hand, and long-term sickness absence (LTSA), on the other hand.

Methods

We used questionnaire data from 7650 individuals contributing with 15,040 2-year observation periods. Workplace bullying, unwanted sexual attention, disturbed sleep, and difficulties awakening were measured at three time points, and participants were followed in registers to measure the occurrence of LTSA, defined as ≥30 consecutive days of sickness absence during the subsequent 2 years.

Results

The odds of LTSA were significantly increased by workplace bullying (OR 1.77; 95 % CI 1.50–2.12) and unwanted sexual attention (OR 1.55; 95 % CI 1.06–2.29). Together, disturbed sleep and difficulties awakening mediated 12.8 % (95 % CI 8.1–19.8) of the association between bullying and long-term sickness absence, and 8.5 % (95 % CI −0.45 to 37.1) of the association between unwanted sexual attention and long-term sickness absence in the fully adjusted model. Neither disturbed sleep nor difficulties awakening moderated these associations.

Conclusion

As expected, bullying and unwanted sexual attention were prospectively associated with long-term sickness absence. Only a small part of this association was mediated by poor sleep.

Affleck G, Urrows S, Tennen H, Higgins P, Abeles M (1996) Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia. Pain 68:363–368CrossRef

Åkerstedt T (2006) Psychosocial stress and impaired sleep. Scand J Work Environ Health 32:493–501CrossRef

Åkerstedt T, Knutsson A, Westerholm P, Theorell T, Alfredsson L, Kecklund G (2002) Sleep disturbances, work stress and work hours: a cross-sectional study. J Psychosom Res 53:741–748CrossRef

Barber LK, Munz DC, Bagsby PG, Powell ED (2010) Sleep consistency and sufficiency: are both necessary for less psychological strain? Stress Health 26:186–193CrossRef

Bech P, Rasmussen NA, Olsen LR, Noerholm V, Abildgaard W (2001) The sensitivity and specificity of the Major Depression Inventory, using the Present State Examination as the index of diagnostic validity. J Affect Disord 66:159–164CrossRef

Cappuccio FP, D’Elia L, Strazzlillo P, Miller MA (2010) Quantity and quality of sleep and incidence of type 2 diabetes—a systematic review and meta-analysis. Diabetes Care 33:414–420CrossRef

Christensen KS, Fink P, Toft T, Frostholm L, Ornbol E, Olesen F (2005) A brief case-finding questionnaire for common mental disorders: the CMDQ. Fam Pract 22:448–457CrossRef

Clausen T, Hogh A, Borg V (2012) Acts of offensive behaviour and risk of long-term sickness absence in the Danish elder-care services: a prospective analysis of register-based outcomes. Int Arch Occup Environ Health 85:381–387CrossRef

Eurofound (2012) Fifth European Working Condition Survey. Publications Office of the European Union, Luxenbourg

Fitzgerald LF, Gelfand MJ, Drasgow F (1995) Measuring sexual harassment: theoretical and psychometric advances. Basic Appl Soc Psychol 17:425–445CrossRef

Garde AH, Albertsen K, Persson R, Hansen ÅM, Rugulies R (2012) Bi-directional associations between psychological arousal, cortisol, and sleep. Behav Sleep Med 10:28–40CrossRef

Geurts SAE, Sonnentag S (2006) Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment. Scand J Work Environ Health 32:482–492CrossRef

Grynderup MB, Nabe-Nielsen K, Lange T, Conway PM, Bonde JP, Francioli L, Garde AH, Kaerlev L, Rugulies R, Vammen MA, Hogh A, Hansen ÅM (2016) Does perceived stress mediate the association between workplace bullying and long-term sickness absence. J Occup Environ Med

Gullander M, Hogh A, Hansen AM, Persson R, Rugulies R, Kolstad HA, Thomsen JF, Willert MV, Grynderup M, Mors O, Bonde JP (2014) Exposure to workplace bullying and risk of depression. J Occup Environ Med 56:1258–1265CrossRef

Hamilton NA, Catley D, Karlson C (2007) Sleep and the affective response to stress and pain. Health Psychol 26:288–295CrossRef

Hansen AM, Hogh A, Garde AH, Persson R (2014) Workplace bullying and sleep difficulties: a 2-year follow-up study. Int Arch Occup Environ Health 87:285–294CrossRef

Hobföll SE (1989) Conservation of resources—a new attempt at conceptualizing stress. Am Psychol 44:513–524CrossRef

Hoevenaar-Blom MP, Spijkerman AMW, Kromhout D, van den Berg JF, Verschuren WMM (2011) Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN Study. Sleep 34:1487–1492

Janssens H, Clays E, De Clercq B, Casini A, De Bacquer D, Kittel F, Braeckman L (2014) The relation between psychosocial risk factors and cause-specific long-term sickness absence. Eur J Public Health 24:428–433CrossRef

Kolstad HA, Hansen AM, Kaergaard A, Thomsen JF, Kaerlev L, Mikkelsen S, Grynderup MB, Mors O, Rugulies R, Kristensen AS, Andersen JH, Bonde JP (2011) Job strain and the risk of depression: is reporting biased? Am J Epidemiol 173:94–102CrossRef

Lallukka T, Rahkonen O, Lahelma E (2011) Workplace bullying and subsequent sleep problems—the Helsinki Health Study. Scand J Work Environ Health 37:204–212CrossRef

Lallukka T, Haaramo P, Rahkonen O, Sivertsen B (2013) Joint associations of sleep duration and insomnia symptoms with subsequent sickness absence: The Helsinki Health Study. Scand J Public Health 41:516–523CrossRef

Lallukka T, Kaikkonen R, Harkanen T, Kronholm E, Partonen T, Rahkonen O, Koskinen S (2014) Sleep and sickness absence: a nationally representative register-based follow-up study. Sleep 37:1413-U222

Lange T, Rasmussen M, Thygesen LC (2014) Assessing natural direct and indirect effects through multiple pathways. Am J Epidemiol 179:513–518CrossRef

Lesuffleur T, Chastang JF, Sandret N, Niedhammer I (2014) Psychosocial factors at work and sickness absence: results from the French National SUMER Survey. Am J Ind Med 57:695–708CrossRef

McEwen BS (1998) Protective and damaging effects of stress mediators. N Engl J Med 338:171–179CrossRef

McEwen BS (2008) Central effects of stress hormones in health and disease: understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol 583:174–185CrossRef

Niedhammer I, Chastang JF, Sultan-Taieb H, Vermeylen G, Parent-Thirion A (2013) Psychosocial work factors and sickness absence in 31 countries in Europe. Eur J Public Health 23:622–629CrossRef

Nielsen MB, Matthiesen SB, Einarsen S (2010) The impact of methodological moderators on prevalence rates of workplace bullying. A meta-analysis. J Occup Organ Psychol 83:955–979CrossRef

Nielsen MB, Mageroy N, Gjerstad J, Einarsen S (2014) Workplace bullying and subsequent health problems. Tidsskrift for den Norske lageforening: tidsskrift for praktisk medicin, ny rakke 134:1233–1238CrossRef

Notelaers G, Vermunt JK, Baillien E, Einarsen S, De Witte H (2011) Exploring risk groups workplace bullying with categorical data. Ind Health 49:73–88CrossRef

O’Donohue W, Downs K, Yeater EA (1998) Sexual harassment: a review of the literature. Aggress Violent Behav 3:111–128CrossRef

Ortega A, Hogh A, Pejtersen JH, Olsen O (2009) Prevalence of workplace bullying and risk groups: a representative population study. Int Arch Occup Environ Health 82:417–426CrossRef

Ortega A, Christensen KB, Hogh A, Rugulies R, Borg V (2011) One-year prospective study on the effect of workplace bullying on long-term sickness absence. J Nurs Manag 19:752–759CrossRef

Park JB, Nakata A, Swanson NG, Chun H (2013) Organizational factors associated with work-related sleep problems in a nationally representative sample of Korean workers. Int Arch Occup Environ Health 86:211–222CrossRef

Pedersen J, Villadsen E, Burr H, Martin M, Nielsen MBD, Meinertz L (2011) The Danish Register of Sickness absence compensation benefits and social transfer payments—RSS: linkage of DREAM and the KMD register of sickness absence compensation and maternity pay. The National Research Centre for the Working Environment, Copenhagen

Pi-Sunyer FX, Becker DM, Bouchard C, Carleton RA, Colditz GA, Dietz WH, Foreyt JP, Garrison RJ, Grundy SM, Hansen BC, Higgins M, Hill JO, Howard BV, Kuczmarski RJ, Kumanyika S, Legako RD, Prewitt TE, Rocchini AP, Smith PL, Snetselaar LG, Sowers JR, Weintraub M, Williamson DF, Wilson GT (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Am J Clin Nutr 68:899–917

Puhl RM, King KM (2013) Weight discrimination and bullying. Best Pract Res Clin Endocrinol Metab 27:117–127CrossRef

Rugulies R, Aust B, Pejtersen JH (2010) Do psychosocial work environment factors measured with scales from the Copenhagen Psychosocial Questionnaire predict register-based sickness absence of 3 weeks or more in Denmark? Scand J Public Health 38:42–50CrossRef

Samnani AK, Singh P (2012) 20 Years of workplace bullying research: a review of the antecedents and consequences of bullying in the workplace. Aggress Violent Behav 17:581–589CrossRef

Schrimpf M, Liegl G, Boeckle M, Leitner A, Geisler P, Pieh C (2015) The effect of sleep deprivation on pain perception in healthy subjects: a meta-analysis. Sleep Med 16:1313–1320CrossRef

Slany C, Schutte S, Chastang JF, Parent-Thirion A, Vermeylen G, Niedhammer I (2014) Psychosocial work factors and long sickness absence in Europe. Int J Occup Environ Health 20:16–25CrossRef

Strømholm T, Pape K, Ose SO, Krokstad S, Bjorngaard JH (2015) Psychosocial working conditions and sickness absence in a general population a cohort study of 21,834 workers in Norway (The HUNT Study). J Occup Environ Med 57:386–392CrossRef

Sundelin T (2015) The face of sleep loss. Stockholm University, Faculty of Social Sciences, Department of Psychology, Stockholm, Sweden. ISBN:978-91-7649-133-1

Sundhedsstyrelsen (2015) Sundhedsstyrelsens nye udmelding vedrørende alkohol (The Health Authorities new announcement on alcohol)

Ursin H, Eriksen HR (2010) Cognitive activation theory of stress (CATS). Neurosci Biobehav Rev 34:877–881CrossRef

Willness CR, Steel P, Lee K (2007) A meta-analysis of the antecedents and consequences of workplace sexual harassment. Pers Psychol 60:127–162CrossRef

Zhai L, Zhang H, Zhang DF (2015) Sleep duration and depression among adults: a meta-analysis of prospective studies. Depress Anxiety 32:664–670CrossRef

Ziegler A (2011) Generalized estimating equations. Springer, New YorkCrossRef

Title: The role of poor sleep in the relation between workplace bullying/unwanted sexual attention and long-term sickness absence
Authors: Kirsten Nabe-Nielsen
Matias Brødsgaard Grynderup
Theis Lange
Johan Hviid Andersen
Jens Peter Bonde
Paul Maurice Conway
Anne Helene Garde
Annie Høgh
Linda Kaerlev
Reiner Rugulies
Åse Marie Hansen
Publication date: 01-08-2016
Publisher: Springer Berlin Heidelberg
Published in: International Archives of Occupational and Environmental Health / Issue 6/2016
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-016-1136-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The role of poor sleep in the relation between workplace bullying/unwanted sexual attention and long-term sickness absence

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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