Inadequate Sleep and Exercise Associated with Burnout and Depression Among Medical Students

Wolf, Megan; Rosenstock, Jason

doi:10.1007/s40596-016-0526-y

Cited by 174 publications

(167 citation statements)

References 23 publications

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“…In the current study we found sleep deficit also increases risk of burnout. Firefighters with daytime sleepiness were at 2.5‐, 2.1‐ and 1.2‐fold risk of high EE, high DP and low PA, respectively, which is consistent with medical students (Wolf & Rosenstock, ). A similar association between sleepiness and burnout was found in patients with OSA, but only for EE and DP (Guglielmi, Jurado‐Gamez, Gude, & Buela‐Casal, ).…”

Section: Discussionsupporting

confidence: 78%

“…Firefighters are sometimes permitted to sleep while on-duty overnight, but these sleep opportunities are often disrupted, especially in personnel with sleep disorders (Jay, Smith, Windler, Dorrian, & Ferguson, 2016) or mental health conditions (Hom et al, 2016). Sleep and mental health conditions have been associated with burnout in occupations involving night work (Katsavouni et al, 2016;Kousloglou et al, 2014;Rajaratnam et al, 2011;Wolf & Rosenstock, 2017), and incomplete recovery from work demands, potentially in the form of short sleep, has been identified as a possible mediating factor in the development of burnout (Gluschkoff et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross‐sectional study

Wolkow

Barger

O’Brien

et al. 2019

Journal of Sleep Research

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This study investigated whether sleep disorder risk and mental health outcomes in firefighters were associated with burnout, particularly emotional exhaustion, and examined the mediating role of sleep at work in these relationships. A secondary aim was to investigate associations between habitual sleep characteristics and burnout. North American firefighters (n = 6,307) completed the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment), and were screened for sleep disorders and self‐reported current mental health conditions and sleep characteristics. Multiple logistic regression analyses examined associations between sleep, mental health outcomes and burnout. Firefighters screening positive for a sleep disorder, particularly insomnia, had increased risk of emotional exhaustion (adjusted odds ratio 3.78, 95% confidence interval 2.97–4.79). Firefighters self‐reporting a current mental health condition were at greater risk of emotional exhaustion (adjusted odds ratio 3.45, 95% confidence interval 2.79–4.27). Sleep during overnight work mediated the impact of having a sleep disorder and mental health condition on high burnout. Sleepiness and sleep deficit (difference between required and actual sleep), even in firefighters without sleep disorder risk, were associated with depersonalisation (adjusted odds ratio 1.65, 95% confidence interval 1.34–2.03 and adjusted odds ratio 1.29, 95% confidence interval 1.06–1.57, respectively) and low personal accomplishment (adjusted odds ratio 1.25, 95% confidence interval 1.07–1.47 and adjusted odds ratio 1.17, 95% confidence interval 1.01–1.35, respectively). Sleep and mental health problems were associated with increased risk of burnout in firefighters, and sleep during overnight work mediated these relationships. The results suggest the need to examine the effectiveness of occupational interventions that improve the opportunity for sleep, together with screening for and treating sleep disorders, to reduce burnout risk.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross‐sectional study

Wolkow

Barger

O’Brien

et al. 2019

Journal of Sleep Research

View full text Add to dashboard Cite

show abstract

“…4,[15][16][17][18] Clinicians working rotating shifts, night shifts, or shifts of more than 12 hours may experience diminished cognitive and physical functioning, 8 decreased job satisfaction, 20,21 and poorer quality of life, 8,22 and they are at an increased risk for professional burnout. 23,24 These clinicians also report experiencing chronic fatigue, 21,22 cardiac symptoms, 21 decreased motor skills, 8 and negative psychological symptoms such as depression. 22 Personal well-being and client safety are negatively affected because of poorer clinician sleep quality and quantity, 21 as poor sleep is associated with higher risks of medical errors, 25,26 motor vehicle accidents, 8,22 and needlestick injuries.…”

Section: Introductionmentioning

confidence: 99%

Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

Arbour

Tanner

Hensley

et al. 2019

J Midwife Womens Health

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Introduction Excessive daytime sleepiness is defined as difficulty maintaining wakefulness and alertness during normal waking hours. Excessive daytime sleepiness can lead to clinical errors in health care workers and is associated with dangerous driving. Little is known about the level of daytime sleepiness in midwives in the United States. The purposes of this study, conducted by the American College of Nurse‐Midwives (ACNM) Sleep and Safety Taskforce, were first to identify the sleepiness level of US certified nurse‐midwives (CNMs) and certified midwives (CMs) by calculating Epworth Sleepiness Scale scores for CNM/CMs in full‐scope practice, and then to determine factors that significantly contribute to elevated Epworth Sleepiness Scale scores (>10). Methods Participants in this descriptive, correlational survey study were active ACNM members in full‐scope midwifery practice. Descriptive statistics, bivariate analysis, and logistic regression were used for data analysis. Surveys were emailed to all active members of ACNM (N = 4358). Results A total of 753 (17.3%) survey responses were returned, of which 639 (14.7%) were eligible for analysis. Within this group, 639 (84.9%) self‐identified as being in full‐scope midwifery practice, and one‐fourth (n = 164; 25.7%) had elevated Epworth Sleepiness Scale scores. Duration of work shifts was the only variable found to significantly contribute to differences in Epworth Sleepiness Scale scores, with midwives working shifts longer than 12 hours having higher rates of excessive daytime sleepiness compared with midwives who worked shifts of 12 hours or less. Discussion Midwives, midwifery services, and maternity care centers can work together to ensure that clinicians obtain adequate sleep. Reducing excessive sleepiness will contribute to increased safety for midwives, women, newborns, and the general public.

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“…On the basis of the survey answers by the residents, the authors articulated potential interventions (e.g., more time for work-life balance) that remain to be tested empirically. Similarly, Wolf and Rosenstock [5] surveyed medical students online, assessing sleep and exercise and administering Maslach burnout inventory assessments. Burnout correlated with Epworth sleepiness scale's "pathological sleepiness," less than 7 h of sleep per night, and a positive depression screen.…”

mentioning

confidence: 99%

“Physician Wellness” as Published in Academic Psychiatry

et al. 2017

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Inadequate Sleep and Exercise Associated with Burnout and Depression Among Medical Students

Abstract: Sleep habits, exercise, and a positive depression screen were associated with burnout risk within the medical student population.

Cited by 174 publications

References 23 publications

Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross‐sectional study

Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross‐sectional study

Factors That Contribute to Excessive Sleepiness in Midwives Practicing in the United States

“Physician Wellness” as Published in Academic Psychiatry

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