Shift work, clinically significant sleep disorders and mental health in a representative, cross-sectional sample of young working adults.

Autor: Reynolds AC; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia. amy.reynolds@flinders.edu.au., Lechat B; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia., Melaku YA; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia., Sansom K; Department of Pulmonary Physiology and Sleep Medicine, West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, Perth, WA, Australia.; School of Human Sciences, Centre for Sleep Science, The University of Western Australia, Perth, WA, Australia., Brown BWJ; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia., Crowther ME; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia.; Appleton Institute, CQ University Australia, Adelaide, South Australia, Australia., Wanstall S; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia., Maddison KJ; Department of Pulmonary Physiology and Sleep Medicine, West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, Perth, WA, Australia.; School of Human Sciences, Centre for Sleep Science, The University of Western Australia, Perth, WA, Australia., Walsh JH; Department of Pulmonary Physiology and Sleep Medicine, West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, Perth, WA, Australia.; School of Human Sciences, Centre for Sleep Science, The University of Western Australia, Perth, WA, Australia., Straker L; School of Allied Health, Curtin University, Perth, WA, Australia., Adams RJT; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia., McArdle N; Department of Pulmonary Physiology and Sleep Medicine, West Australian Sleep Disorders Research Institute, Sir Charles Gairdner Hospital, Perth, WA, Australia.; School of Human Sciences, Centre for Sleep Science, The University of Western Australia, Perth, WA, Australia., Eastwood PR; Flinders Health and Medical Research Institute (Sleep Health), Flinders University, Mark Oliphant Building, 5 Laffer Drive, Bedford Park, Adelaide, South Australia, 5039, Australia.; Flinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, Australia.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 Sep 28; Vol. 12 (1), pp. 16255. Date of Electronic Publication: 2022 Sep 28.
DOI: 10.1038/s41598-022-20308-2
Abstrakt: Mental health conditions confer considerable global disease burden in young adults, who are also the highest demographic to work shifts, and of whom 20% meet criteria for a sleep disorder. We aimed to establish the relationship between the combined effect of shift work and sleep disorders, and mental health. The Raine Study is the only longitudinal, population-based birth cohort in the world with gold-standard, Level 1 measurement of sleep (polysomnography, PSG) collected in early adulthood. Participants (aged 22y) underwent in-laboratory PSG and completed detailed sleep questionnaires. Multivariable adjusted robust linear regression models were conducted to explore associations with anxiety (GAD7) and depression (PHQ9), adjusted for sex, health comorbidities, and work hours/week. Data were from 660 employed young adults (27.3% shift workers). At least one clinically significant sleep disorder was present in 18% of shift workers (day, evening and night shifts) and 21% of non-shift workers (p = 0.51); 80% were undiagnosed. Scores for anxiety and depression were not different between shift and non-shift workers (p = 0.29 and p = 0.82); but were higher in those with a sleep disorder than those without (Md(IQR) anxiety: 7.0(4.0-10.0) vs 4.0(1.0-6.0)), and depression: (9.0(5.0-13.0) vs 4.0(2.0-6.0)). Considering evening and night shift workers only (i.e. excluding day shift workers) revealed an interaction between shift work and sleep disorder status for anxiety (p = 0.021), but not depression (p = 0.96), with anxiety scores being highest in those shift workers with a sleep disorder (Md(IQR) 8.5(4.0-12.2). We have shown that clinical sleep disorders are common in young workers and are largely undiagnosed. Measures of mental health do not appear be different between shift and non-shift workers. These findings indicate that the identification and treatment of clinical sleep disorders should be prioritised for young workers as these sleep disorders, rather than shift work per se, are associated with poorer mental health. These negative mental health effects appear to be greatest in those who work evening and/or night shift and have a sleep disorder.
(© 2022. The Author(s).)
Databáze: MEDLINE
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