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International Journal of Behavioral Medicine

Published in:

01-08-2018

Common Sleep, Psychiatric, and Somatic Problems According to Work Schedule: an Internet Survey in an Eastern European Country

Author: Bogdan I. Voinescu

Published in: International Journal of Behavioral Medicine | Issue 4/2018

Abstract

Purpose

A wide range of health problems was investigated, aiming to identify the presence and severity of a set of self-reported and common sleep, psychiatric, and somatic health problems among working professionals in four different shift schedules (morning, evening, rotating, and day) in several cities in Romania.

Methods

A heterogeneous sample of 488 workers of different professions completed online a battery of tests, namely the Basic Nordic Sleep Questionnaire, the Parasomnia Questionnaire, the Epworth Sleepiness Scale, and the Patient Health Questionnaire, designed to identity symptoms of insomnia, sleepiness, snoring, parasomnia, as well as of depression, anxiety, eating, somatoform, and alcohol use disorders, respectively. The timing and the duration of the sleep, along with the presence of high blood pressure and type 2 diabetes mellitus were also inquired. The prevalence of the different health problems in relation to the type of shift schedule was evaluated with the Pearson Chi-square test. ANOVA was used to calculate the significance of the difference between the means, while associations with different health problems were estimated by binary logistic regression.

Results

The most common mental health problems were depression (26%), insomnia (20%), alcohol misuse (18%), and anxiety (17%). No significant differences based on the type of shift in terms of health problems were found, except for high blood pressure and symptoms of panic disorder that were more frequently reported by the workers in early morning shifts. Together with the workers in rotating shifts, they also reported increased sleepiness, poorer sleep quality, and shorter sleep duration. In contrast, the workers in evening shifts reported less severe health problems and longer sleep duration.

Conclusions

Working in early morning shifts was found to be associated with poorer health outcomes, while working in rotating and early morning shifts with more severe sleep-related problems.

Available for free from http://www.phqscreeners.com

https://phqscreeners.pfizer.edrupalgardens.com/sites/g/files/g10016261/f/201412/instructions.pdf

Adjusted p values were computed with the tool available at https://www.sdmproject.com/utilities/?show=FDR

Åkerstedt T. Shift work and disturbed sleep/wakefulness. Sleep Med Rev. 1998;2(2):117–28. https://doi.org/10.1016/S1087-0792(98)90004-1.CrossRefPubMed

Anxo D, Boulin JY, Cabrita J, Vermeylen G. Working time patterns for sustainable work. Luxembourg: Eurofound 2017.

Sallinen M, Kecklund G. Shift work, sleep, and sleepiness—differences between shift schedules and systems. Scand J Work Environ Health. 2010;36(2):121–33.CrossRefPubMed

Folkard S, Tucker P. Shift work, safety and productivity. Occup Med. 2003;53(2):95–101. https://doi.org/10.1093/occmed/kqg047.CrossRef

Wright KP Jr, Bogan RK, Wyatt JK. Shift work and the assessment and management of shift work disorder (SWD). Sleep Med Rev. 2013;17(1):41–54. https://doi.org/10.1016/j.smrv.2012.02.002.CrossRefPubMed

Kecklund G, Axelsson J. Health consequences of shift work and insufficient sleep. BMJ. 2016;355:i5210. https://doi.org/10.1136/bmj.i5210.CrossRefPubMed

Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jonsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21(9):655–79. https://doi.org/10.1016/j.euroneuro.2011.07.018.CrossRefPubMed

Schneider W. Psychosoziale Herausforderungen der Arbeitswelt in der postmodernen Gesellschaft. Psychotherapeut. 2010;56(1):8–15. https://doi.org/10.1007/s00278-010-0792-1.CrossRef

Vogel M, Braungardt T, Meyer W, Schneider W. The effects of shift work on physical and mental health. J Neural Transm (Vienna). 2012;119(10):1121–32. https://doi.org/10.1007/s00702-012-0800-4.CrossRef

10.

Aritake S, Asaoka S, Kagimura T, Shimura A, Futenma K, Komada Y, et al. Internet-based survey of factors associated with subjective feeling of insomnia, depression, and low health-related quality of life among Japanese adults with sleep difficulty. Int J Behav Med. 2015;22(2):233–8. https://doi.org/10.1007/s12529-014-9421-7.CrossRefPubMed

11.

Barger LK, Ogeil RP, Drake CL, O'Brien CS, Ng KT, Rajaratnam SM. Validation of a questionnaire to screen for shift work disorder. Sleep. 2012;35(12):1693–703. https://doi.org/10.5665/sleep.2246.CrossRefPubMedPubMedCentral

12.

Partinen M, Gislason T. Basic Nordic Sleep Questionnaire (BNSQ): a quantitated measure of subjective sleep complaints. J Sleep Res. 1995;4(S1):150–5.CrossRefPubMed

13.

Bjorvatn B, Gronli J, Pallesen S. Prevalence of different parasomnias in the general population. Sleep Med. 2010;11(10):1031–4. https://doi.org/10.1016/j.sleep.2010.07.011.CrossRefPubMed

14.

Espie CA, Kyle SD, Hames P, Gardani M, Fleming L, Cape J. The Sleep Condition Indicator: a clinical screening tool to evaluate insomnia disorder. BMJ Open. 2014;4(3):e004183. https://doi.org/10.1136/bmjopen-2013-004183.CrossRefPubMedPubMedCentral

15.

American Academy of Sleep Medicine. International classification of sleep disorders. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.

16.

Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.CrossRefPubMed

17.

Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–44.CrossRefPubMed

18.

Harvey SB, Glozier N, Henderson M, Allaway S, Litchfield P, Holland-Elliott K, et al. Depression and work performance: an ecological study using web-based screening. Occup Med. 2011;61(3):209–11. https://doi.org/10.1093/occmed/kqr020.CrossRef

19.

Lee HY, Kim MS, Kim O, Lee IH, Kim HK. Association between shift work and severity of depressive symptoms among female nurses: the Korea Nurses' health study. J Nurs Manage. 2016;24(2):192–200. https://doi.org/10.1111/jonm.12298.CrossRef

20.

Dudal P, Bracke P. Absolute and relative educational inequalities in depression in Europe. Int J Public Health. 2016;61(7):787–95. https://doi.org/10.1007/s00038-016-0837-5.CrossRefPubMed

21.

Mihai A, Ricean A, Voidazan S. No significant difference in depression rate in employed and unemployed in a pair-matched study design. Front Public Health. 2014;2:93. https://doi.org/10.3389/fpubh.2014.00093.CrossRefPubMedPubMedCentral

22.

WHO. Global Information System on Alcohol and Health (GISAH) [database on the Internet]. World Health Organization 2017. Available from: http://apps.who.int/gho/data/node.main.GISAH?showonly=GISAH. Accessed 18 Feb 2018.

23.

Grucza RA, Przybeck TR, Cloninger CR. Screening for alcohol problems: an epidemiological perspective and implications for primary care. Mo Med. 2008;105(1):67–71.PubMedPubMedCentral

24.

Ohlander J, Keskin MC, Stork J, Radon K. Shift work and hypertension: prevalence and analysis of disease pathways in a German car manufacturing company. Am J Ind Med. 2015;58(5):549–60. https://doi.org/10.1002/ajim.22437.CrossRefPubMed

25.

Dorrian J, Heath G, Sargent C, Banks S, Coates A. Alcohol use in shiftworkers. Accid Anal Prev. 2017;99(Pt B):395–400. https://doi.org/10.1016/j.aap.2015.11.011.CrossRefPubMed

26.

Hermansson U, Knutsson A, Brandt L, Huss A, Ronnberg S, Helander A. Screening for high-risk and elevated alcohol consumption in day and shift workers by use of the AUDIT and CDT. Occup Med. 2003;53(8):518–26.CrossRef

27.

Tirabassi G, Boscaro M, Arnaldi G. Harmful effects of functional hypercortisolism: a working hypothesis. Endocrine. 2014;46(3):370–86. https://doi.org/10.1007/s12020-013-0112-y.CrossRefPubMed

28.

Manenschijn L, van Kruysbergen RG, de Jong FH, Koper JW, van Rossum EF. Shift work at young age is associated with elevated long-term cortisol levels and body mass index. J Clin Endocrinol Metab. 2011;96(11):E1862–5. https://doi.org/10.1210/jc.2011-1551.CrossRefPubMed

29.

Di Milia L, Waage S, Pallesen S, Bjorvatn B. Shift work disorder in a random population sample—prevalence and comorbidities. PLoS One. 2013;8(1):e55306. https://doi.org/10.1371/journal.pone.0055306.CrossRefPubMedPubMedCentral

30.

Akerstedt T, Kecklund G, Selen J. Early morning work—prevalence and relation to sleep/wake problems: a national representative survey. Chronobiol Int. 2010;27(5):975–86. https://doi.org/10.3109/07420528.2010.489001.CrossRefPubMed

31.

Zion N, Drach-Zahavy A, Shochat T. Who is sleepier on the night shift? The influence of bio-psycho-social factors on subjective sleepiness of female nurses during the night shift. Ergonomics. 2017:1–11. https://doi.org/10.1080/00140139.2017.1418027.

32.

Kessler RC, Berglund PA, Coulouvrat C, Hajak G, Roth T, Shahly V, et al. Insomnia and the performance of US workers: results from the America insomnia survey. Sleep. 2011;34(9):1161–71. https://doi.org/10.5665/SLEEP.1230.CrossRefPubMedPubMedCentral

33.

Yong LC, Li J, Calvert GM. Sleep-related problems in the US working population: prevalence and association with shiftwork status. Occup Environ Med. 2017;74(2):93–104. https://doi.org/10.1136/oemed-2016-103638.CrossRefPubMed

34.

Vallieres A, Azaiez A, Moreau V, LeBlanc M, Morin CM. Insomnia in shift work. Sleep Med. 2014;15(12):1440–8. https://doi.org/10.1016/j.sleep.2014.06.021.CrossRefPubMed

35.

Flo E, Pallesen S, Akerstedt T, Mageroy N, Moen BE, Gronli J, et al. Shift-related sleep problems vary according to work schedule. Occup Environ Med. 2013;70(4):238–45. https://doi.org/10.1136/oemed-2012-101091.CrossRefPubMed

36.

Akerstedt T, Ingre M, Broman JE, Kecklund G. Disturbed sleep in shift workers, day workers, and insomniacs. Chronobiol Int. 2008;25(2):333–48. https://doi.org/10.1080/07420520802113922.CrossRefPubMed

37.

Bjorvatn B, Mageroy N, Moen BE, Pallesen S, Waage S. Parasomnias are more frequent in shift workers than in day workers. Chronobiol Int. 2015;32(10):1352–8. https://doi.org/10.3109/07420528.2015.1091354.CrossRefPubMed

38.

de Vroege L, Hoedeman R, Nuyen J, Sijtsma K, Van der Feltz-Cornelis CM. Validation of the PHQ-15 for somatoform disorder in the occupational health care setting. J Occup Rehabil. 2012;22(1):51–8. https://doi.org/10.1007/s10926-011-9320-6.CrossRefPubMed

39.

Proper KI, van de Langenberg D, Rodenburg W, Vermeulen RCH, van der Beek AJ, van Steeg H, et al. The relationship between shift work and metabolic risk factors: a systematic review of longitudinal studies. Am J Prev Med. 2016;50(5):e147–e57. https://doi.org/10.1016/j.amepre.2015.11.013.CrossRefPubMed

40.

Jermendy G, Nadas J, Hegyi I, Vasas I, Hidvegi T. Assessment of cardiometabolic risk among shift workers in Hungary. Health Qual Life Out. 2012;10:18. https://doi.org/10.1186/1477-7525-10-18.CrossRef

41.

Pilcher JJ, Lambert BJ, Huffcutt AI. Differential effects of permanent and rotating shifts on self-report sleep length: a meta-analytic review. Sleep. 2000;23(2):155–63.CrossRefPubMed

42.

Roach GD, Sargent C, Darwent D, Dawson D. Duty periods with early start times restrict the amount of sleep obtained by short-haul airline pilots. Accid Anal Prev. 2012;45(Suppl):22–6. https://doi.org/10.1016/j.aap.2011.09.020.CrossRefPubMed

43.

Smith L, Folkard S, Tucker P, Macdonald I. Work shift duration: a review comparing eight hour and 12 hour shift systems. Occup Environ Med. 1998;55(4):217–29.CrossRefPubMedPubMedCentral

44.

Dall OC, Griffiths P, Ball J, Simon M, Aiken LH. Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open. 2015;5(9)

45.

Burke LE, Shiffman S, Music E, Styn MA, Kriska A, Smailagic A, et al. Ecological momentary assessment in behavioral research: addressing technological and human participant challenges. J Med Internet Res. 2017;19(3):e77. https://doi.org/10.2196/jmir.7138.CrossRefPubMedPubMedCentral

Title: Common Sleep, Psychiatric, and Somatic Problems According to Work Schedule: an Internet Survey in an Eastern European Country
Author: Bogdan I. Voinescu
Publication date: 01-08-2018
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 4/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-018-9719-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Common Sleep, Psychiatric, and Somatic Problems According to Work Schedule: an Internet Survey in an Eastern European Country

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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