Disturbed Sleep and Fatigue as Predictors of Return from Long-term Sickness Absence

Åkerstedt, Torbjörn; Kecklund, Göran; Selén, Jan

doi:10.2486/indhealth.48.209

Cited by 21 publications

(17 citation statements)

References 28 publications

(34 reference statements)

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“…Sleep deprivation is known to have negative effects on certain cognitive functions [37], being a trigger for depression and other psychological diseases, as well as reducing the immune defence [38, 39]. Sleep deprivation has also shown to be a trigger of hypertension, heart disease, and diabetes [40, 41], which are all serious health issues. Lack of sleep is also a contributor to sick-leave absence from work [41].…”

Section: Discussionmentioning

confidence: 99%

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Beneficial effects of treatment with sensory isolation in flotation-tank as a preventive health-care intervention – a randomized controlled pilot trial

Kjellgren

Westman

2014

BMC Complement Altern Med

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BackgroundSensory isolation in a flotation tank is a method known for inducing deep relaxation and subsequent positive health effects for patients suffering from e.g. stress or muscle tensions pains. Very few studies have investigated this method as a preventive health-care intervention. The purpose of this study was to evaluate the effects in healthy participants after receiving a series of flotation tank treatment.MethodsSixty-five participants (14 men and 51 women) who were all part of a cooperative-health project initiated by their individual companies, were randomized to either a wait-list control group or a flotation tank treatment group where they participated in a seven weeks flotation program with a total of twelve flotation sessions. Questionnaires measuring psychological and physiological variables such as stress and energy, depression and anxiety, optimism, pain, stress, sleep quality, mindfulness, and degree of altered states of consciousness were used. Data were analysed by two-way mixed MANOVA and repeated measures ANOVA.ResultsStress, depression, anxiety, and worst pain were significantly decreased whereas optimism and sleep quality significantly increased for the flotation-REST group. No significant results for the control group were seen. There was also a significant correlation between mindfulness in daily life and degree of altered states of consciousness during the relaxation in the flotation tank.ConclusionsIt was concluded that flotation-REST has beneficial effects on relatively healthy participants.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12613000483752.

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Section: Discussionmentioning

confidence: 99%

“…Sleep deprivation has also shown to be a trigger of hypertension, heart disease, and diabetes [40, 41], which are all serious health issues. Lack of sleep is also a contributor to sick-leave absence from work [41]. Being able to increase sleep quality and quantity is advantageous on an individual basis and might prevent possible sick leave.…”

Section: Discussionmentioning

confidence: 99%

Beneficial effects of treatment with sensory isolation in flotation-tank as a preventive health-care intervention – a randomized controlled pilot trial

Kjellgren

Westman

2014

BMC Complement Altern Med

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“…Recently, sleep disturbances have additionally been shown to be associated with a more severe outcome, namely, all-cause and cause-specific disability retirement (11-13), as well as a lowered likelihood of returning to work after sickness absence or disability retirement (11,14). Such work disability events are likely preceded by prolonged sickness absence.…”

Section: Scand J Work Environ Health 2012 Vol 38 Nomentioning

confidence: 99%

“…The associations were the strongest in 1999 among women and men. A Finnish study found that sickness absence days per month were significantly higher among those with sleep problems as compared to those reporting no sleep problems (10).Recently, sleep disturbances have additionally been shown to be associated with a more severe outcome, namely, all-cause and cause-specific disability retirement (11-13), as well as a lowered likelihood of returning to work after sickness absence or disability retirement (11,14). Such work disability events are likely preceded by prolonged sickness absence.…”

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confidence: 99%

Sleep problems and sickness absence among middle-aged employees

Rahkonen

Lallukka²,

Kronholm³

et al. 2011

Scand J Work Environ Health

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Objective The aim of this study was to examine whether sleep problems predict subsequent sickness absence among middle-aged public sector employees. MethodsThe data included 5391 female and 1454 male employees of the City of Helsinki from questionnaire surveys at baseline in [2000][2001][2002]. These data were prospectively linked to the employer's sickness absence register data, with a mean follow-up time of 4.1 years. Using Poisson regression analysis, we examined associations between sleep problems (none, rare, occasional, and frequent), as indicated by the Jenkins Sleep Questionnaire, and self-certified short (1-3 days) and medically confirmed intermediate (4-14 days) and long (≥15 days) sickness absence spells. Sociodemographic factors, working conditions, work-family interface, health behaviors, and health status were obtained from the baseline surveys.Result At baseline, 21% of women and 17% of men reported frequent sleep problems. Frequent sleep problems were associated with subsequent sickness absence spells irrespective of length of absence among both women and men after adjusting for age. After full adjustment for all covariates, the associations attenuated but remained for self-certified sickness absence [risk ratio (RR) for women 1.40, 95% confidence interval (95% CI) 1.25-1.56 and RR 1.59, 95% CI 1.24-2.03 for men], and medically confirmed intermediate (RR 1.34, 95% CI 1.17-1.52 and RR 1.35, 95% CI 1.02-1.77, for women and men, respectively) and long (RR 1.58, 95% CI 1.29-1.94 and RR 1.44, 95% CI 0.93-2.21, for women and men, respectively) sickness absence spells. Occasional sleep problems were also associated with sickness absence, but the associations were somewhat weaker. ConclusionIn occupational healthcare, sleep problems should be addressed to prevent their occurrence and subsequent ill-health and sickness absence.Key terms health; health behavior; obesity; prospective study; sleep problem; sickness absence; working conditions. Sleep problems consist of difficulties initiating and maintaining sleep or non-restorative sleep. The prevalence of sleep problems, referred to as insomnia symptoms, in the general population has been around 35%, with a range of 10-15% being assessed as chronic (1-4). During the past three decades, occasional sleep problems have been increasing among the working population in Finland, while prevalence of chronic sleep problems has remained relatively stable (1). It is therefore important to know whether sleep problems have consequences for health.Sickness absence is a generic indicator of overall health, functioning, and work-related disability, and it predicts future health outcomes, such as self-rated health and mortality (5, 6). However, there is only limited evidence on the association between sleep problems and sickness absence. A study from Norway reported that sleep problems predicted sickness absence and that the association of sleep problems was stronger for sickness absence spells >90 days than for spells of 15-89 days (7). In Sweden, sleep problems have also...

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“…Several studies on the association between sickness absence, which reflects work disability, and insomnia symptoms have been previously conducted [see eg, (2)]. …”

mentioning

confidence: 99%

The joint association of sleep duration and insomnia symptoms with disability retirement – a longitudinal, register-linked study

Haaramo

Rahkonen²,

Lahelma³

et al. 2012

Scand J Work Environ Health

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Disturbed Sleep and Fatigue as Predictors of Return from Long-term Sickness Absence

Cited by 21 publications

References 28 publications

Beneficial effects of treatment with sensory isolation in flotation-tank as a preventive health-care intervention – a randomized controlled pilot trial

Beneficial effects of treatment with sensory isolation in flotation-tank as a preventive health-care intervention – a randomized controlled pilot trial

Sleep problems and sickness absence among middle-aged employees

The joint association of sleep duration and insomnia symptoms with disability retirement – a longitudinal, register-linked study

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