Salivary Biomarkers and Work-Related Stress in Night Shift Workers

Briguglio, Giusi; Teodoro, Michele; Italia, Sebastiano; Verduci, Francesca; Pollicino, Manuela; Coco, Manuela; Vita, Annalisa De; Micali, Elvira; Alibrandi, Angela; Lembo, Giuseppe; Costa, Chiara; Fenga, Concettina

doi:10.3390/ijerph18063184

Cited by 22 publications

(20 citation statements)

References 37 publications

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“…In general, sleep disturbances are likely to be associated with aggressive subtypes of BC, as demonstrated by the Western New York Exposures and Breast Cancer study ( 82 ), conducted on a sample of 1,122 subjects with incident BC. This investigation also showed that sleep quality, well-known to be influenced by occupational features ( 42 ), is also linked to the state of menopause. However, no association was found between BC risk and sleep duration, sleep quality, use of sleep medication, frequency of insomnia and daytime napping in a case-controlled study conducted in China ( 65 ).…”

Section: Mechanistic Pathwayssupporting

confidence: 62%

“…This multifaceted hypothesis may explain why night workers may have a greater risk of developing BC compared to the general population ( 42 , 52 , 55 , 57 ) and why work organisations should implement a strategic procedure to prevent BC. Under these premises and also in light of the new evidence, this review aims to provide an overview of the most relevant risk factors, providing recommendations to fill gaps in risk assessment and suggest novel organisational strategies that occupational physicians should adopt in the workplace, both for the prevention and return-to-work process of female workers affected by BC.…”

Section: Introductionmentioning

confidence: 99%

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Women's health and night shift work: Potential targets for future strategies in breast cancer (Review)

et al. 2021

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Breast cancer is the leading cause of cancer-associated amongst women worldwide. Several studies have shown that individual, environmental and occupational factors can serve an important role in the onset of breast cancer; although the majority of studies have demonstrated this association, and several studies have investigated the biological pathways, it is impossible to describe with certainty the causal relationship that involve circadian rhythm disruption and melatonin dysregulation with the oncogenic processes. Over the years, due to the introduction of more effective screening tools, an increase in the incidence of breast cancer as well as a decrease in the age at diagnosis has been witnessed. Subsequently, an increasing number of individuals have obtained care at a younger age, which has meant that after surgery and chemotherapy, these workers have had to return to work. In light of these paradigmatic changes, the aim of the present review was to identify potential targets for future organisational strategies that should be adopted in the workplace by occupational physicians, both for prevention and for the return-to-work process of working women who have suffered from breast cancer.

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Section: Mechanistic Pathwayssupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Women's health and night shift work: Potential targets for future strategies in breast cancer (Review)

et al. 2021

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“…In particular, during the COVID-19 pandemic, trainees are more susceptible to suffering from mood drops because of the sudden work overload in healthcare settings, which are frequently stressful and distinguished by more strenuous shifts, fluctuating work hours, and a high-pressure atmosphere [6]. Moreover, precisely owing to these working conditions, healthcare workers are more likely to report a high prevalence of sleep disturbances with consequential psychological disorders affecting daily activities [7]. Therefore, it is possible to observe a reduction in professional performance among medical staff with severe consequences, such as mistakes due to fatigue leading to adverse clinical outcomes [8,9].…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic

Costa

Teodoro

Briguglio

et al. 2021

IJERPH

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Since the novel coronavirus (SARS-CoV-2) has spread worldwide, healthcare workers—resident physicians in particular—have been hugely involved in facing the COVID-19 pandemic, experiencing unprecedented challenges in fighting the disease. We aimed to evaluate the prevalence of poor sleep quality, daytime sleepiness, and alterations in mood state profiles in this category. This cross-sectional study, conducted in 2020, enrolled 119 subjects from a university hospital in southern Italy. Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), and Profile of Mood States (POMS) questionnaires were administered to physicians divided into four areas: anesthesiology, medicine, service, and surgery. In the overall sample, approximately 45% reported poor sleep quality, although only nine subjects (8%) reported an ESS score that suggested excessive daytime sleepiness. Alterations in mood profiles were also observed; the Vigor and Fatigue factors were the most altered. In particular, anesthesiologists seem to be the most affected category, showing a profound decrease in Vigor with a concomitant increase in Fatigue. Considering the possible consequences of the COVID-19 pandemic, preventive measures should be adopted, especially those aimed at facilitating a better turnover of physicians, optimizing the working schedule, and improving the organization of work.

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“…Though it has been demonstrated that the trend of contagion has differently affected the mental health status of HCWs working in areas with dissimilar incidences of COVID-19 cases [ 23 , 24 ], it is also true that regional differences in stress perception and coping strategies also depend on cultural factors, home/work interface, social support, and economic environment [ 25 , 26 ]. In a Chinese study, comparing subjects coming from Hubei and from non-endemic provinces, health workers in the endemic region showed lower anxiety levels about the COVID-19 epidemic [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

Italia

Costa

Briguglio

et al. 2021

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COVID-19 became a pandemic in a few months, leading to adverse health outcomes, reducing the quality of life, affecting the sleep/wake cycle, and altering coping strategies, especially among hospital personnel. Life quality, insomnia, and coping strategies were thus assessed among hospital personnel during the first wave of the COVID-19 pandemic in Italy. This cross-sectional study was conducted from May to November 2020 through an online survey. There were 558 participants (28.5% males and 71.5% females) enrolled in two different metropolitan areas (in North and South of Italy, respectively). Three standardized questionnaires were administered: European Quality of life–5 Dimensions (EQ-5D), Athens Insomnia Scale (AIS), and Brief COPE. Differences in sociodemographic characteristics and work-related factors were also investigated in order to identify possible predictors through a generalized linear model and logistic regression analysis. Results showed good perceived life quality and high insomnia prevalence. After sample stratification, the statistical analysis highlighted that personal (gender, age, educational level) and work-related factors (employment in COVID wards, remote working) played different roles in predicting quality of life, insomnia, and coping attitude. Active, Planning, and Acceptance were the most frequently adopted coping strategies. Despite women confirming their attitude in reacting to the difficulties, adopting emotion-focused coping strategies, they showed a higher probability to develop insomnia, so a gender perspective should be considered in the health protection of this working category. An integrated approach should be implemented at individual, interpersonal and organizational levels aiming to monitor psychological distress, favor regular sharing and communication between peers, and also allow conciliation of work with family life. At the organizational level, preventive and protective measures adequate to work-related risk to COVID-19 should be adopted.

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Salivary Biomarkers and Work-Related Stress in Night Shift Workers

Cited by 22 publications

References 37 publications

Women's health and night shift work: Potential targets for future strategies in breast cancer (Review)

Women's health and night shift work: Potential targets for future strategies in breast cancer (Review)

Sleep Quality and Mood State in Resident Physicians during COVID-19 Pandemic

Quality of Life, Insomnia and Coping Strategies during COVID-19 Pandemic in Hospital Workers. A Cross-Sectional Study

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