Job stress, burnout, and job satisfaction in sleep apnea patients

Guglielmi, Ottavia; Jurado-Gámez, Bernabé; Gudé, Francisco; Buela-Casal, Gualberto

doi:10.1016/j.sleep.2014.05.015

Cited by 20 publications

(19 citation statements)

References 41 publications

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“…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, 2017). 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, 2014). Sleepiness and related symptoms (e.g.…”

Section: Discussionsupporting

confidence: 76%

“…Sleepiness and related symptoms (e.g. fatigue, non‐restorative sleep) are common in OSA (Guglielmi et al., ), as well as specific insomnia phenotypes (Pillai, Roth, & Drake, ) and other sleep disorders (SWD, RLS; Allen et al., ; Wright, Bogan, & Wyatt, ) prevalent among firefighters (Barger et al., ). When removing firefighters in the current study who screened positive for a sleep disorder, however, sleepiness, sleep deficit and short sleep (during and after a shift) were still associated with burnout.…”

Section: Discussionmentioning

confidence: 99%

“…Sleepiness and related symptoms (e.g. fatigue, non-restorative sleep) are common in OSA (Guglielmi et al, 2014), as well as specific insomnia phenotypes (Pillai, Roth, & Drake, 2015) Table S10. Adjusted for age, gender, body mass index, cigarette smoking, alcohol consumption, second job and mean weekly work hours.…”

Section: Discussionmentioning

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: 76%

Section: Discussionmentioning

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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“…The effect on the latter outcome was also greater in those studies that included sleep hygiene as a component of the intervention. This finding may be essential considering that EDS entails impaired daytime functioning and so is a major‐risk factor for workplace and road accidents in patients with OSA. Concerning the inclusion of psychological/coaching support in the interventions, although not statistically significant, our results indicated a beneficial effect of this type of support for weight loss and lifestyle change in patients with OSA.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Weight loss and lifestyle interventions for obstructive sleep apnoea in adults: Systematic review and meta‐analysis

et al. 2019

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Summary Lifestyle interventions addressing diet, exercise‐training, sleep hygiene, and/or tobacco/alcohol cessation are recommended in the management of obstructive sleep apnoea (OSA). Yet their effectiveness on this condition still requires further research. This systematic review and meta‐analysis was aimed at establishing (a) the effectiveness of lifestyle interventions on apnoea‐hypopnoea index (AHI), oxygen desaturation index (ODI), excessive daytime sleepiness (EDS), and secondary OSA measures among adults, and (b) which intervention characteristics may drive the greatest improvements. A systematic search of studies was conducted using CINAHL, ProQuest, Psicodoc, Scopus, and Web of Science, from inception to April 2018. Standardized mean differences were calculated using the inverse variance method and random‐effects models. The meta‐analyses of 13 randomized controlled trials and 22 uncontrolled before‐and‐after studies (1420 participants) revealed significant reductions on AHI (d = −0.61 and −0.46, respectively), ODI (d = −0.61 and −0.46) and EDS (d = −0.41 and −0.49). Secondary OSA outcomes were also improved after interventions. However, effectiveness of interventions differed depending on their components, OSA severity, and gender. Thus, until future research further supports the differential effectiveness among lifestyle interventions on OSA, those addressing weight loss through diet and exercise‐training may be the most effective treatments for male patients with moderate‐severe OSA.

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Sleep, Work, and Well‐Being

Carleton¹,

Barling²

2017

The Handbook of Stress and Health

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Job stress, burnout, and job satisfaction in sleep apnea patients

Cited by 20 publications

References 41 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

Weight loss and lifestyle interventions for obstructive sleep apnoea in adults: Systematic review and meta‐analysis

Sleep, Work, and Well‐Being

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