Effects of Psychological and Social Factors in Shiftwork on Symptoms of Anxiety and Depression in Nurses

Abstract

Whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.

Night Work and the Risk of Depression

“…Out of 3 publications based on the same cohort of Norwegian nurses, only the publication with the longest followup period was included in this analysis, representing all 3 (21). The findings of the other 2 (24,25) are in line with those of the included publication. Another study reports a correlation between shift work and reduced depressive symptoms in a subgroup of workers who stated that they had more autonomy in their schedule planning (26).…”

“…In 3 studies, the findings regarding the effect of shift work on depression did not change after adjustment for psychosocial working conditions (16,19,25). In contrast, in 3 other studies the correlation did change when the following working conditions were adjusted for (17,20,26) that so few studies could be included, and by the great variation between them in terms of case number, length of observation period, occupation, country, and measurement of target parameters.…”

“…The shift workers and daytime workers included in these studies differed from each other in terms of a number of characteristics, only some of which are shown explicitly: in particular, there are statistically significant differences regarding age (20,22,23), sex (20,26), school and occupational education (23,27), weekly working hours (23,26), family situation (22,26), baseline psychological wellbeing (20,26), psychosocial working conditions (20,25,26), and professional position (23). However, differences in these characteristics that themselves affect mental health and might therefore lead to bias were adjusted for in all the studies (Table 1, extended version in eTable 2).…”

“…The finding that there is no such association among nurses is essentially based on 2 studies conducted in Norway (21,24,25) and Denmark (26). It can be speculated that favorable working conditions in these countries, such as opportunities to determine one's own shift plan (26), reduce the damaging effects of shift work.…”

Decrease in Stress Response and Related Factors After Transition to Consecutive Day Shift from Day and Night Shift: A Motor Assembly Factory Case

“…주간졸림증은 Epworth sleepiness scale 한국어판을 사용하였다 (Cho et al, 2011 (Norder et al, 2015). 또한 1년 동안 간호사들 을 대상으로 관찰한 연구에서도 다른 사회심리적 요 인의 영향을 보정하였을 때, 교대제는 정신건강과 관 련이 없었다 (Berthelsen et al, 2015). …”