Mental Health Consequences of Shift Work: An Updated Review

Brown, Jessica; Martin, Destiny; Nagaria, Zain; Verceles, Avelino C.; Jobe, Sophia L; Wickwire, Emerson M.

doi:10.1007/s11920-020-1131-z

Cited by 135 publications

(119 citation statements)

References 41 publications

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“…Syntheses of longitudinal studies suggested sleep quality were bidirectionally related to anxiety [30]. There were large data investigating the effect of sleep quality on the anxiety symptom in other populations such as shiftworkers, re ghters, paramedics, pregnant women, older adults, poor sleep quality had higher odds of anxiety symptoms, greater anxiety were associate with poorer sleep quality [31][32][33][34][35]. Similarly, anxiety affects sleep quality because anxious people nd it hard to fall asleep and wake up frequently [30].…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

Dai

Wang

Jiang

et al. 2020

Preprint

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Background The COVID-19 pandemic is a major health crisis has led to adverse mental health consequences in the general public, medical staff, and individual in self isolation. In order to stop transmission of the virus and save lives, Fangcang shelter hospitals were developed and used for the first time in China. However, there is no research on mental health problems in Fangcang shelter hospitals patients during the COVID-19 outbreak. The aim of this study was to survey the prevalence and major influencing factors of anxiety, depression among the hospitalized Coronavirus Disease 2019 (COVID-19) cases in Fangcang shelter hospital. Methods From February 23rd, 2020, to February 26th, 2020, we obtained the information of demographic data, clinical symptoms, and assessed the mental health status, sleep quality by using an online questionnaire including self-rating anxiety scale (SAS), self-rating depressive scale (SDS) and pittsburgh sleep quality index (PSQI) at Jianghan Fangcang shelter hospital. We assessed the prevalence of anxiety, depression symptoms and poor sleep quality via the scores of SAS, SDS and PSQI. We explored the influencing factors of anxiety and depression in COVID-19 patients using multivariable logistic regression models. Results We collected data from 307 COVID-19 patients in Jianghan Fangcang shelter hospital. The prevalence of anxiety, depression symptoms were 18.6% and 13.4%, respectively. Poor Sleep quality, number of current physical symptoms ≥ 2 were independent risk factors for anxiety symptoms (P < 0.05); female, family member confirmed COVID-19, number of current physical symptoms ≥ 2 were independent risk factors for depression symptoms (P < 0.05). PSQI scores were significant positively associate with SAS scores and SDS scores (P ༜ 0.05). Conclusions Anxiety and depression are common among the COVID-19 patients in Fangcang shelter hospital. Those with more current physical symptoms, poor sleep quality are more likely to have anxiety. Females, those with their family members diagnosed with COVID-19, more current physical symptoms are more vulnerable to depression symptom. Our findings can be used to formulate targeted psychological interventions to reduce adverse psychological impacts in Fangcang shelter hospital during the outbreak of epidemic disease in the future.

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Section: Discussionmentioning

confidence: 99%

Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

Dai

Wang

Jiang

et al. 2020

Preprint

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“…First, in the current research, greater stress related to shift work was associated with lower duration and quality of sleep; however, shift work was not objectively assessed. PSP generally engage in shift work [66]; nevertheless, how the patterns of shift work may have influenced our results remains unclear. Future research should empirically assess PSP work schedules to investigate which shift work characteristics are more robustly associated with sleep and mental health disturbances.…”

Section: Discussionmentioning

confidence: 90%

“…Rates of insomnia endorsed by PSP were more than double those previously reported in the general population. The results highlight the importance of considering sleep management in populations such as PSP who are regularly exposed to both challenging workplace schedules and stressful workplace demands [66]. Workplace policy and initiatives that mandate basic psychoeducation on sleep hygiene while working shift work may prove fruitful in improving sleep quantity and quality for PSP and reducing the risk of PSP mental disorders.…”

Section: Discussionmentioning

confidence: 95%

“…Sleep quality should be an imperative consideration in treatment settings and workplace policy, particularly regarding the impact of shift work on sleep patterns. Policies restricting the frequency or combination of particularly lengthy shifts (e.g., exceeding 10 h), night shifts, and rotating shift patterns may help mitigate health and performance consequences [24][25][26]66]. A dose-response association between length of shift and sleep disturbances has previously been reported [25]; as such, policies restricting shift duration may increase the safety of PSP and the public.…”

Section: Discussionmentioning

confidence: 99%

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Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel

Angehrn

Sapach

Ricciardelli

et al. 2020

IJERPH

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Poor sleep quality is associated with numerous mental health concerns and poorer overall physical health. Sleep disturbances are commonly reported by public safety personnel (PSP) and may contribute to the risk of developing mental disorders or exacerbate mental disorder symptoms. The current investigation was designed to provide estimates of sleep disturbances among PSP and explore the relationship between sleep quality and mental health status. PSP completed screening measures for sleep quality and diverse mental disorders through an online survey. Respondents (5813) were grouped into six categories: communications officials, correctional workers, firefighters, paramedics, police officers, and Royal Canadian Mounted Police (RCMP). Many PSP in each category reported symptoms consistent with clinical insomnia (49-60%). Rates of sleep disturbances differed among PSP categories (p < 0.001, ω = 0.08). Sleep quality was correlated with screening measures for post-traumatic stress disorder (PTSD), depression, anxiety, social anxiety disorder, panic disorder, and alcohol use disorder for all PSP categories (r = 0.18-0.70, p < 0.001). PSP who screened positive for insomnia were 3.43-6.96 times more likely to screen positive for a mental disorder. All PSP reported varying degrees of sleep quality, with the lowest disturbances found among firefighters and municipal/provincial police. Sleep appears to be a potentially important factor for PSP mental health.

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“…Most epidemiological data show that shift workers are at a higher risk for depression 4 – 7 (but not in 8 , 9 ), such that night shift work is associated with increased psychological strain in the short-term, and in the long-term it may increase the risk of mental illnesses, particularly depression 4 , 10 . Night shift work can adversely affect mental health though behavioral risk factors, including sedentarism, disturbed sleep, smoking, unhealthy diet, among others 7 , 11 (Fig. 1 ).…”

Section: Introductionmentioning

confidence: 99%

Circadian misalignment increases mood vulnerability in simulated shift work

Chellappa

Morris

Scheer

2020

Sci Rep

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Night shift work can associate with an increased risk for depression. As night workers experience a ‘misalignment’ between their circadian system and daily sleep–wake behaviors, with negative health consequences, we investigated whether exposure to circadian misalignment underpins mood vulnerability in simulated shift work. We performed randomized within-subject crossover laboratory studies in non-shift workers and shift workers. Simulated night shifts were used to induce a misalignment between the endogenous circadian pacemaker and sleep/wake cycles (circadian misalignment), while environmental conditions and food intake were controlled. Circadian misalignment adversely impacted emotional state, such that mood and well-being levels were significantly decreased throughout 4 days of continuous exposure to circadian misalignment in non-shift workers, as compared to when they were under circadian alignment (interaction of “circadian alignment condition” vs. “day”, mood: p < 0.001; well-being: p < 0.001; adjusted p-values). Similarly, in shift workers, mood and well-being levels were significantly reduced throughout days of misalignment, as compared to circadian alignment (interaction of “circadian alignment condition” vs. “day”, mood: p = 0.002; well-being: p = 0.002; adjusted p-values). Our findings indicate that circadian misalignment is an important biological component for mood vulnerability, and that individuals who engage in shift work are susceptible to its deleterious mood effects.

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Mental Health Consequences of Shift Work: An Updated Review

Cited by 135 publications

References 41 publications

Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel

Circadian misalignment increases mood vulnerability in simulated shift work

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