Sleep and mental health in recruit paramedics: a 6-month longitudinal study.

Autor:	Nguyen E; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria 3800, Australia., Meadley B; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia.; Department of Paramedicine, Monash University, Frankston, Victoria 3199, Australia.; Ambulance Victoria, Doncaster, Victoria 3108, Australia., Harris R; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria 3800, Australia., Rajaratnam SMW; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria 3800, Australia.; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia., Williams B; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia.; Department of Paramedicine, Monash University, Frankston, Victoria 3199, Australia., Smith K; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia.; Department of Paramedicine, Monash University, Frankston, Victoria 3199, Australia.; Department of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria 3000, Australia., Bowles KA; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia.; Department of Paramedicine, Monash University, Frankston, Victoria 3199, Australia., Dobbie ML; Ambulance Victoria, Doncaster, Victoria 3108, Australia., Drummond SPA; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria 3800, Australia., Wolkow AP; Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria 3800, Australia.; Paramedic Health and Well-being Research Unit, Monash University, Frankston, Victoria 3199, Australia.
Jazyk:	angličtina
Zdroj:	Sleep [Sleep] 2023 Aug 14; Vol. 46 (8).
DOI:	10.1093/sleep/zsad050
Abstrakt:	Study Objectives: To explore potential relationships and longitudinal changes in sleep and mental health in recruit paramedics over the first 6 months of work, and whether sleep disturbances pre-emergency work predict future mental health outcomes. Methods: Participants (N = 101, 52% female, Mage = 26 years) completed questionnaires prior to (baseline), and after 6 months of emergency work to assess for symptoms of insomnia, obstructive sleep apnea, post-traumatic stress disorder (PTSD), depression, anxiety, and trauma exposure. At each timepoint, participants also completed a sleep diary and wore an actigraph for 14 days to assess sleep patterns. Correlations between baseline sleep and mental health were conducted and changes in these variables across timepoints were examined using linear mixed models. Hierarchical regressions assessed whether sleep at baseline predicted mental health at follow-up. Results: Insomnia and depression symptoms, and total sleep time increased while sleep onset latency decreased across the first 6 months of emergency work. Participants experienced an average of 1 potentially traumatic event during the 6-month period. Baseline insomnia predicted increased depression symptoms at the 6-month follow-up, while baseline wake after sleep onset predicted follow-up PTSD symptoms. Conclusion: Results highlight an increase in insomnia and depression across the initial months of emergency work, while sleep disturbances before emergency work were identified as potential risk factors for the development of depression and PTSD among paramedics in their early career. Screening and early interventions targeting poor sleep at the beginning of emergency employment may assist in reducing the risk of future mental health outcomes in this high-risk occupation. (© The Author(s) 2023. Published by Oxford University Press on behalf of Sleep Research Society.)
Databáze:	MEDLINE
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