Self-reported sleep lengths ≥ 9 hours among Swedish patients with stress-related exhaustion: Associations with depression, quality of sleep and levels of fatigue

Grossi, Giorgio; Jeding, Kerstin; Söderström, Marie; Osika, Walter; Levander, Maria; Perski, Aleksander

doi:10.3109/08039488.2014.973442

Cited by 19 publications

(15 citation statements)

References 27 publications

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“…In addition, prolonged work-related stress can impair sleep through physiological arousal and increased ruminations. Impaired sleep, though, is not only a symptom of prolonged stress, but seems to maintain stress by hindering the restitution and probably also by increasing ruminations about lack of sleep (Grossi et al 2015). The results from this study are not convincing evidence for the right arrow in Figure 1 (from sleep disturbances to cognitive impairments), however, and this relationship should be further studied.…”

Section: Discussioncontrasting

confidence: 70%

Perceived stress, disturbed sleep, and cognitive impairments in patients with work-related stress complaints: a longitudinal study

Eskildsen

Fentz

Andersen

et al. 2017

Stress

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Patients on sick leave due to work-related stress often present with cognitive impairments as well as sleep disturbances. The aim of this longitudinal study was to examine the role of perceived stress and sleep disturbances in the longitudinal development in cognitive impairments in a group of patients with prolonged work-related stress (N = 60) during a period of 12 months following initial professional care-seeking. Objective cognitive impairments (neuropsychological tests) were measured on two occasions - at initial professional care-seeking and at 12-month follow-up. Questionnaires on perceived stress, sleep disturbances, and cognitive complaints were completed seven times during the 12 months which facilitated multilevel analysis with segregation of within-person (change) and between-person (baseline level) components of the time-varying predictors (perceived stress and sleep disturbances). Change in perceived stress was associated with concurrent and subsequent change in self-reported cognitive complaints over the period of 12 months and to a lesser extent the change in performance on neuropsychological tests of processing speed from baseline to 12-month follow-up. Change in sleep disturbances was also associated with concurrent and subsequent change in self-reported cognitive complaints over the 12 months but not with change on neuropsychological test performance. Although the mechanism behind the improvement in cognitive impairments in patients with work-related stress should be further explored in future studies, the results could suggest that improvement in cognitive impairments is partly mediated by decreasing levels of perceived stress and, to a lesser extent, decreasing levels of sleep disturbances. Lay summary This study examines the role of perceived stress and sleep disturbances in respect to the development of cognitive impairments (e.g. memory and concentration) in a group of patients with work-related stress. We found that change in cognitive impairments seems to be partly explained by change in perceived stress and, to a lesser extent, sleep disturbances over time. This could suggest that cognitive impairments can be reduced by stress management interventions which aim to reduce perceived stress and sleep disturbances but future studies are needed to confirm this interpretation.

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Section: Discussioncontrasting

confidence: 70%

Perceived stress, disturbed sleep, and cognitive impairments in patients with work-related stress complaints: a longitudinal study

Eskildsen

Fentz

Andersen

et al. 2017

Stress

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“…51 Sleep disturbance may increase fatigue 52 ; conversely, fatigue can cause poor quality of sleep. 53 Similarly, it is well known that fatigue and sleep disturbance symptoms cluster in cancer patients, 45,48 and cognitive-behavioral therapy, coping skill training, and meditation have been shown to have beneficial effects on both fatigue and sleep disturbance in cancer patients. 45 Moreover, because progressive relaxation exercise is effective for fatigue and sleep disturbance in COPD, 52 sleep disturbance and fatigue in COPD need to be assessed and managed together.…”

Section: Discussionmentioning

confidence: 99%

Symptom Clusters and Quality of Life in Subjects With COPD

Lim

Kim

et al. 2017

Respir Care

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COPD subjects may have specific patterns of symptom clusters. The symptom clusters are related with clinical characteristics and had a negative impact on QOL. To enhance symptom management and QOL, approaches and interventions based on symptom clusters, rather than independent intervention for each symptom, may be more effective. Understanding COPD symptom clusters may help successful symptom management, which can improve QOL for COPD patients.

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“…Besides cognitive dysfunction, also impaired sleep has been associated with burnout, both in clinical burnout [31,32] and in non-clinical populations [33]. Grossi et al conclude in their review that impaired sleep is one of the best predictors of burnout [34].…”

Section: Sleepmentioning

confidence: 99%

Cognitive functioning, sleep quality, and work performance in non-clinical burnout: The role of working memory

et al. 2020

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We investigated the relationship between cognitive functioning, work performance, and sleep in non-clinical burnout. In a working population, an online survey was conducted with additional online neuropsychological tests of varying complexity, measuring attention and different components of working memory, of which the coordinating subcomponent the 'Central Executive' is thought to be the most vulnerable to stress. Results indicate that nonclinical burnout is associated with more-though not severe-sleep problems, more depressive complaints, impaired work performance, and with both subjective and objective cognitive impairments. Compared with healthy respondents (N = 107), people with non-clinical burnout (N = 17) had a significantly poorer performance on the tests of the visuospatial sketchpad and the Central Executive of the working memory. Our study also indicates that more complex tests may be more sensitive in detecting cognitive dysfunction in non-clinical burnout. Furthermore, a relationship was found between dual-task performance and work performance. Regarding to sleep quality, in our sample of people with non-clinical burnout, there were no severe sleep problems. In the entire sample, however, insomnia was significantly related to subjective, but not objective, cognitive functioning, and also not to work performance.

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Self-reported sleep lengths ≥ 9 hours among Swedish patients with stress-related exhaustion: Associations with depression, quality of sleep and levels of fatigue

Cited by 19 publications

References 27 publications

Perceived stress, disturbed sleep, and cognitive impairments in patients with work-related stress complaints: a longitudinal study

Perceived stress, disturbed sleep, and cognitive impairments in patients with work-related stress complaints: a longitudinal study

Symptom Clusters and Quality of Life in Subjects With COPD

Cognitive functioning, sleep quality, and work performance in non-clinical burnout: The role of working memory

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