Pain complaints are associated with quick returns and insomnia among Norwegian nurses, but do not differ between shift workers and day only workers

Matre, Dagfinn; Nilsen, Kristian Bernhard; Katsifaraki, Maria; Waage, Siri; Pallesen, Ståle; Bjorvatn, Bjørn

doi:10.1007/s00420-019-01481-w

Cited by 12 publications

(17 citation statements)

References 37 publications

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“…With regards to the association between shift work and musculoskeletal pain, the present results are in line with a recent cross‐sectional study, which found that pain complaints did not differ between shift workers and day only workers (Matre et al 2020 ). However, at least two longitudinal studies support the hypothesis that shift workers are at higher risk for developing low back pain (Zhao et al 2012 ), or for developing pain in the neck, shoulder or back (Trinkoff et al 2006 ).…”

Section: Discussionsupporting

confidence: 92%

“…The current study investigated chronic pain. This should be kept firmly in mind, as the possibility remains that transitory pain is affected by shift work (Matre et al 2020 ). Episodic and recurring pain may represent considerable health problems for the individual and high costs for society even when criteria for chronic pain are not satisfied.…”

Section: Discussionmentioning

confidence: 99%

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Shift work, low-grade inflammation, and chronic pain: a 7-year prospective study

Christensen

Nilsen

Hopstock

et al. 2021

Int Arch Occup Environ Health

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Objectives We investigated prospective associations of shift work with chronic pain and C‐reactive protein (CRP), an indicator of inflammation. Furthermore, we elucidated CRP as a possible mediator and/or moderator of effects of shift work on pain. Methods Data from a 7 years follow‐up study were analyzed (N = 2323). Shift work and chronic pain of “neck/shoulder”, “arm/hand”, “upper back”, “low back”, “hip/leg/feet”, and “other regions” were measured by questionnaires. “Chronic widespread pain”, “number of chronic pain sites”, and “any chronic pain” were computed. CRP was measured in serum samples. Logistic and Poisson regressions were conducted. Mediation was assessed by casual mediation analyses and moderation by the Relative Excess Risk due to Interaction (RERI). Results Shift work was not associated with any chronic pain variable and no mediation was detected. CRP was associated with low back pain, hip/leg pain, and “number of pain sites”, and also with the combination of shift work and CRP of 1–2.99 mg/L (compared to: no shiftwork and CRP < 1). Additionally, shiftwork and CRP 1–2.99 mg/L was associated with risk of “any chronic pain” (OR: 1.76, 95% CI: 1.12, 2.85), which was not associated with CRP alone. Moderation analyses suggested the risks for “any chronic pain” and “number of pain regions” increased when individuals with elevated CRP worked shifts—beyond what the separate effects of CRP and shift would suggest. Conclusions We found no evidence of shift work in general affecting CRP or chronic pain. However, shift work and elevated CRP combined may influence chronic pain.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Shift work, low-grade inflammation, and chronic pain: a 7-year prospective study

Christensen

Nilsen

Hopstock

et al. 2021

Int Arch Occup Environ Health

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“…This is in the range of insomnia disorder prevalence among nurses with different work schedules (daytime, rotating shift work, night work) (47% to 66%) using the same insomnia scale (Bergen Insomnia Scale). 33 The prevalence is somewhat higher than in a Norwegian study among the general population (HUNT4), which compared questionnaire-based insomnia disorder based on the DSM-5 criteria 34 with a face-to-face interview, reporting a 33% prevalence. 35 The relatively high prevalence of insomnia may relate to different diagnostic criteria, 36 but is in any respect significant.…”

Section: Discussionmentioning

confidence: 86%

Extended Work Shifts Increase Subjective Pain Complaints Among Cabin Crewmembers, but Not Among Airline Pilots or Healthcare Workers

Matre

Goffeng²,

Nordby³

et al. 2022

Journal of Occupational &Amp; Environmental Medicine

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“…37 A recent cross-sectional study on nurses found that QRs the previous year were positively associated with number of pain sites. 31 These studies were not diary studies. So, our finding that QRs did not seem to influence next day's pain can be regarded as a novel finding.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have reported that shift work or night shift is associated with pain, 24–30 although contradicting studies also exist. 31 32 In cross-sectional and longitudinal studies, participants are typically asked about their pain complaints retrospectively for a week, month or year (eg, ‘please rate the pain that you experienced during the previous week/month/year’). Recall bias is a known limitation in such study designs.…”

Section: Discussionmentioning

confidence: 99%

Pain complaints after consecutive nights and quick returns in Norwegian nurses working three-shift rotation: an observational study

et al. 2020

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ObjectivesTo determine whether nurses working consecutive night shifts, or short transitions between shifts (quick returns (QRs)), yielded higher risk for pain complaints when compared with regular morning shifts. Sleep duration was tested as a potential mediator.DesignObservational diary study.SettingRandom hospitals.ParticipantsNurses with three-shift rotation (morning, evening and night), n=679, 22–63 years old.Outcomes measuresDaily ratings of working hours, sleep and subjective pain complaints in six anatomical regions (head, neck/shoulder/upper back, upper extremity, low back, lower extremity and abdomen) for 28 days. In addition, we assessed demographics, habitual sleep and pain complaints, work and lifestyle factors. It was tested (1) whether the risk for pain complaints was higher after workday 3 versus after workday 2, and whether the difference was larger for consecutive night shifts versus consecutive morning shifts, and (2) whether the risk for pain complaints was higher after QRs versus after two morning shifts. Risk for pain complaints refers to combined increased risk for any pain and risk for increased intensity.ResultsAdjusted analyses showed no shift type by workday interaction for pain complaints in the neck/shoulder/upper back, upper extremities, low back, lower extremities or abdomen. For headache, a strong trend indicated that the risk was higher on workday 3 compared with workday 2 for night shifts (OR 1.13, 95% CI 0.99 to 1.28). The risk was lowered if sleep duration was taken into account (OR 0.37, 95% CI 0.17 to 0.81). No conclusive support was found for the risk for pain complaints being higher after QRs, compared with after morning shifts.ConclusionsFor five of six pain complaints, the hypotheses were not supported by the current data. For headache, we found potential support for a sleep-relieving effect on headache after working several nights in a row. Pain complaints were not instigated or exacerbated by an evening-to-morning transition between shifts.

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Pain complaints are associated with quick returns and insomnia among Norwegian nurses, but do not differ between shift workers and day only workers

Abstract: Pain complaints are associated with quick returns and insomnia among Norwegian nurses, but do not differ between shift workers and day only workers

Cited by 12 publications

References 37 publications

Shift work, low-grade inflammation, and chronic pain: a 7-year prospective study

Shift work, low-grade inflammation, and chronic pain: a 7-year prospective study

Extended Work Shifts Increase Subjective Pain Complaints Among Cabin Crewmembers, but Not Among Airline Pilots or Healthcare Workers

Pain complaints after consecutive nights and quick returns in Norwegian nurses working three-shift rotation: an observational study

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