The relationship among sleep reactivity, job-related stress, and subjective cognitive dysfunction: a cross-sectional study using path analysis

Toyoshima, Kuniyoshi; Inoue, Takeshi; Shimura, Akiyoshi; Masuya, Jiro; Fujimura, Yota; Higashi, Shinji; Kusumi, Ichiro

doi:10.2486/indhealth.2020-0251

Cited by 6 publications

(4 citation statements)

References 38 publications

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“…Adequate sleep and reasonable stress relief are considered indispensable elements of health, general wellbeing, and proper daily functioning. Stress and insomnia might reduce clinicians' QOL by leading to cognitive dysfunction ( 60 ), physical discomfort ( 61 ), and job burnout ( 62 ). Further studies on the sleep patterns and stress management strategies of young front-line clinicians in high-risk areas are needed to develop strategies to prevent or alleviate problems and improve the QOL.…”

Section: Discussionmentioning

confidence: 99%

A mental health survey among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China

Suo

Zhang²,

Liu³

et al. 2022

Front. Psychiatry

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BackgroundThe sporadic coronavirus disease (COVID-19) epidemic has placed enormous psychological stress on people, especially clinicians. The objective of this study was to examine depression, anxiety, quality of life (QOL), and related social psychological factors among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China and to provide a reference for formulating reasonable countermeasures.MethodsIn this cross-sectional study, demographic information, COVID-19-related questions, anxiety (Generalized Anxiety Disorder-7, GAD-7), depression (Patient Health Questionnaire-9, PHQ-9), insomnia (Insomnia Severity Index, ISI), stress (Perceived Stress Scale-10, PSS-10), and QOL (World Health Organization Quality of Life-brief version, WHOQOL-BREF) were collected. Binary logistic regression analysis was used to test the relationships between anxiety and/or depression and other related problems. Multiple linear regression analysis was used to test the relationships among factors influencing QOL.ResultsA total of 146 young front-line clinicians were included. The prevalence rates of depression, anxiety, and anxiety-depression comorbidity were 37.7% (95% CI = 29.7–45.6%), 26.0% (95% CI = 18.8–33.2%), and 24.0% (95% CI = 17.0–31.0%), respectively. Severe stress (OR = 1.258, 95% CI = 1.098–1.442, P < 0.01) and insomnia (OR = 1.282, 95% CI = 1.135–1.447, P < 0.01) were positively correlated with depression. Severe stress (OR = 1.487, 95% CI = 1.213–1.823, P < 0.01) and insomnia (OR = 1.131, 95% CI = 1.003–1.274, P < 0.05) were positively correlated with anxiety. Severe stress (OR = 1.532, 95% CI = 1.228–1.912, P < 0.01) was positively correlated with anxiety-depression comorbidity. However, insomnia (OR = 1.081, 95% CI = 0.963–1.214, P > 0.05) was not correlated with anxiety-depression comorbidity. The belief that the vaccine will stop the COVID-19 pandemic (OR = 0.099, 95% CI = 0.014–0.715, P < 0.05) was negatively correlated with anxiety and anxiety-depression comorbidity (OR = 0.101, 95% CI = 0.014–0.744, P < 0.05). Severe stress (B = −0.068, 95% CI = −0.129 to −0.007, P < 0.05) and insomnia (B = −0.127, 95% CI = −0.188 to −0.067, P < 0.01) were negatively correlated with QOL. The belief that the vaccine could provide protection (B = 1.442, 95% CI = 0.253–2.631, P < 0.05) was positively correlated with QOL.ConclusionsThe prevalence of depression, anxiety, and even anxiety-depression comorbidity was high among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China. Various biological and psychological factors as well as COVID-19-related factors were associated with mental health issues and QOL. Psychological intervention should evaluate these related factors and formulate measures for these high-risk groups.

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Section: Discussionmentioning

confidence: 99%

A mental health survey among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China

Suo

Zhang²,

Liu³

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Sleep reactivity, i.e., the extent of which sleep disruption occurs due to stress exposure, is another element of sleep satisfaction where difficulty of falling and staying asleep are affected [43]. A recent cross-sectional study, which also implemented the BJSQ, concluded that sleep reactivity could affect occupational stress, specifically stress reaction [44]. Conversely, there is a consensus that stress disrupts sleep on multiple levels, including sleep efficiency and sleep depth [45].…”

Section: Discussionmentioning

confidence: 99%

Sleep Satisfaction May Modify the Association between Metabolic Syndrome and BMI, Respectively, and Occupational Stress in Japanese Office Workers

Pham

Svensson

Chung

et al. 2022

IJERPH

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The association between obesity and psychological stress is ambiguous. The aim is to investigate the association between metabolic syndrome (MetS) and body mass index (BMI), respectively, with occupational stress among Japanese office workers. The study is a secondary analysis of the intervention group from a randomized controlled trial. There are 167 participants included in the analysis. Occupational stress is self-reported using the Brief Job Stress Questionnaire (BJSQ). BMI and the classification of MetS/pre-MetS was based on the participants’ annual health check-up data. The primary exposure is divided into three groups: no MetS, pre-MetS, and MetS in accordance with Japanese guidelines. The secondary exposure, BMI, remains as a continuous variable. Multiple linear regression is implemented. Sensitivity analyses are stratified by sleep satisfaction. Pre-MetS is significantly associated with occupational stress (7.84 points; 95% CI: 0.17, 15.51). Among participants with low sleep satisfaction, pre-MetS (14.09 points; 95% CI: 1.71, 26.48), MetS (14.72 points; 95% CI: 0.93, 28.51), and BMI (2.54 points; 95% CI: 0.05, 4.99) are all significantly associated with occupational stress. No significant associations are observed in participants with high sleep satisfaction. The findings of this study indicate that sleep satisfaction may modify the association between MetS and BMI, respectively, and occupational stress.

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“…In addition, sleep/insomnia/circadian rhythm (n = 11) were frequently investigated for their association with job stressors. Toyoshima et al [55] examined interrelationships among sleep reactivity, job-related stress, and subjective cognitive dysfunction and indicated that sleep reactivity significantly influenced subjective cognitive dysfunction directly and indirectly via job stressors and stress responses. Takahashi et al [46] conducted a one-year longitudinal study to examine how a change in work time control was associated with sleep and health.…”

Section: Used Subscales and Other Measurementsmentioning

confidence: 99%

Usage of the Brief Job Stress Questionnaire: A Systematic Review of a Comprehensive Job Stress Questionnaire in Japan from 2003 to 2021

Watanabe

Imamura

Eguchi

et al. 2023

IJERPH

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The Brief Job Stress Questionnaire (BJSQ) is used widely in occupational health studies and practice. Summarizing scientific production based on measurement is crucial. This study aimed to systematically review observational studies that used the BJSQ and the New BJSQ to show their usability. A systematic search was conducted for studies investigating relationships between the BJSQ or the New BJSQ subscales and other validated measurements on 13 September 2021, in various literature databases. The BJSQ subscales, scoring methods, and other validated measurements in the studies were qualitatively summarized. In total, 145 published reports between 2003 and 2021 were included. Among the BJSQ subscales, job stressors (n = 95) such as quantitative job overload (n = 65) and job control (n = 64) were most often used. The subscales were utilized to investigate the relationships with several other measurements. Five reports used subscales from the New BJSQ. In the last two decades, the BJSQ and the New BJSQ help measure psychosocial factors (PF) at work and contribute to the publication of scientific papers in the occupational health field. This study would encourage the utilization of the questionnaires for future research and practice.

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The relationship among sleep reactivity, job-related stress, and subjective cognitive dysfunction: a cross-sectional study using path analysis

Cited by 6 publications

References 38 publications

A mental health survey among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China

A mental health survey among young front-line clinicians in high-risk areas during the COVID-19 sporadic epidemic in China

Sleep Satisfaction May Modify the Association between Metabolic Syndrome and BMI, Respectively, and Occupational Stress in Japanese Office Workers

Usage of the Brief Job Stress Questionnaire: A Systematic Review of a Comprehensive Job Stress Questionnaire in Japan from 2003 to 2021

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