1
|
Yu S, Zhao M, Li Y, Liu C, Fu Y, Jiang Y, Guan S. The interaction of occupational stress and job burnout on depressive symptoms in railway workers in Fuzhou city. BMC Public Health 2024; 24:1432. [PMID: 38811897 PMCID: PMC11134703 DOI: 10.1186/s12889-024-18902-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 05/21/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND To explore the relationship between occupational stress, burnout and depressive symptoms among railroad workers in Fuzhou, and to analyze the interaction of burnout and occupational stress on depressive symptoms. METHODS In this study, 861 railway employees of Fuzhou railway bureau were randomly selected from January to April, 2022. Occupational stress inventory revised edition (OSI-R), China job burnout inventory (CMBI) and Symptom Checklist-90 (SCL-90) were used to investigate the occupational stress, job burnout and depressive symptoms of railway workers. Interactions associated with depressive symptoms were assessed by linear hierarchical regression analysis and SPSS macros (PROCESS). RESULTS Occupational stress, job burnout and depressive symptoms accounted for 50.58%, 93.47%, and 11.19% of the study population, respectively. There were intergroup differences between age, marriage status, and length of service (P < 0.05). Occupational stress and job burnout are the main risk factors for depressive symptoms (OR: 2.01, 95% CI: 1.17-3.45; 1.94, 1.69-2.23, respectively). More importantly, further analysis of the interaction between occupational stress and job burnout showed that those with high levels of job burnout had a high-risk effect on depressive symptoms at high levels of occupational stress. CONCLUSION Occupational stress and job burnout are risk factors for depressive symptoms among railroad workers in Fuzhou City. The interaction of job burnout and occupational stress increases the risk of depressive symptoms.
Collapse
Affiliation(s)
- Shuangjie Yu
- School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
| | - Min Zhao
- Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, 350122, China
| | - Ye Li
- School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
| | - Can Liu
- School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
| | - Youjuan Fu
- School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
| | - Yu Jiang
- Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, 350122, China.
| | - Suzhen Guan
- School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China.
| |
Collapse
|
2
|
Zhang J, Li X, Tang Z, Xiang S, Tang Y, Hu W, Tan C, Wang X. Effects of stress on sleep quality: multiple mediating effects of rumination and social anxiety. PSICOLOGIA-REFLEXAO E CRITICA 2024; 37:10. [PMID: 38498281 PMCID: PMC10948653 DOI: 10.1186/s41155-024-00294-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 03/07/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND In contemporary society, with the accelerated pace of work and life, more and more people feel different degrees of stress. Long-term stress may not only lead to insomnia, but also to mental health problems (e.g., anxiety and depression), which has a significant impact on people's quality of life and mental health. OBJECTIVE This study primarily investigates the mechanism through which stress affects sleep quality among college students. METHODS We conducted research on 1653 Chinese college students using four scales with high reliability and validity: stress, the Pittsburgh Sleep Quality Index, social anxiety, and rumination. RESULTS The study found: (1) Stress can significantly and positively predict sleep quality and rumination; (2) Rumination can positively predict social anxiety; (3) Social anxiety can positively predict sleep quality; (4) Stress can affect sleep quality through social anxiety and rumination separately, and stress can also affect sleep quality through the chained mediation of rumination and social anxiety. CONCLUSION This study reveals the relationship and mechanisms between stress and sleep quality. It not only deepens the research on the impact of stress on sleep quality but also provides theoretical support and new methods for mental health professionals to help clients improve their sleep quality. In practice, in addition to using some common psychological intervention methods to help individuals reduce stress, we should pay more attention to how to help clients reduce rumination and social anxiety, This is significant in improving the quality of an individual's sleep.
Collapse
Affiliation(s)
- Jun Zhang
- Sehan University, College of Education, Jeollanam-Do, 1113 Green Road Samho Eup, Yeongam County, 650106, Republic of Korea.
- Zhejiang Tourism College, Hangzhou, 310000, China.
| | - Xiaowen Li
- Sehan University, College of Education, Jeollanam-Do, 1113 Green Road Samho Eup, Yeongam County, 650106, Republic of Korea
| | | | | | - Yin Tang
- Zhejiang Tourism College, Hangzhou, 310000, China
| | - Wenxin Hu
- School of Educational Sciences, Huangshan University, Huangshan, 245021, China
| | - Chenchen Tan
- Zhejiang Tourism College, Hangzhou, 310000, China
| | - Xin Wang
- Zhejiang Tourism College, Hangzhou, 310000, China
| |
Collapse
|
3
|
Mao Y, Raju G, Zabidi MA. Association Between Occupational Stress and Sleep Quality: A Systematic Review. Nat Sci Sleep 2023; 15:931-947. [PMID: 38021213 PMCID: PMC10656850 DOI: 10.2147/nss.s431442] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 11/07/2023] [Indexed: 12/01/2023] Open
Abstract
Occupational stress and sleep quality are prevalent issues that can impact the physical and mental well-being of adults. An association between occupational stress and sleep quality has been found. However, this association is not entirely the same across different occupational groups. Additionally, variations are present in the research design and instruments employed.This systematic review aims to investigate the association between these two factors and identify gaps and limitations in current research. Articles published between January 1, 2011, and December 31, 2022, were retrieved from the WOS, Scopus, and PubMed databases. Out of 1225 articles, 38 studies met the predetermined inclusion and exclusion criteria and were included in the review. In the study, research designs, samples, instruments, and associations between occupational stress and sleep quality were statistically analyzed.These studies encompassed a diverse range of occupations, including both blue-collar and white-collar workers. Cross-sectional study is the most common research method. The Pittsburgh Sleep Quality Index (PSQI) was the most frequently utilized tool for assessing sleep quality, while there was a wide variety of measurement tools employed to assess occupational stress. The association between occupational stress and sleep quality consistently demonstrated a negative association, although the specific dimensions varied among studies. Moreover, several other factors were identified to have direct or indirect effects on occupational stress and sleep quality. For future research in this field, we propose four recommendations: (1) Consider utilizing objective measures to assess occupational stress and sleep quality. (2) Employ controlled experiments to further validate the causal relationship between occupational stress and sleep quality. (3) Investigate occupational groups that have received less attention. (4) Take into account the potential influence of other factors on occupational stress and sleep quality.
Collapse
Affiliation(s)
- Yongchun Mao
- School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
- School of Arts and Design, Qilu University of Technology (Shandong Academy of Sciences), Jinan, People’s Republic of China
| | - Gunasunderi Raju
- School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
| | - Muhammad Azrul Zabidi
- Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Pulau Pinang, 13200, Malaysia
| |
Collapse
|
4
|
Amiri S. Sleep quality and sleep-related issues in industrial workers: a global meta-analysis. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2023; 29:154-167. [PMID: 34970939 DOI: 10.1080/10803548.2021.2024376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Objectives. Sleep-related issues are important health issues. This study aimed to investigate the global prevalence of sleep-related issues in industrial workers. Methods. A syntax of keywords was used to search the PubMed, Web of Science and Scopus databases. The search time was limited to articles published until September 2020, and the search range was in English. Events and samples were extracted for each study to calculate the prevalence. For all subgroups, events and samples were extracted to calculate the results of the subgroups. The random-effects method was used in the analysis. Heterogeneity was examined at the levels of all analyses. Results. Forty-eight articles were included in the analysis as eligible studies. Sleep-related issues have 30% prevalence in the 95% confidence interval (CI) [25, 35%]. The prevalence of sleep-related issues in men was 38%, 95% CI [31, 45%] and in women was 32%, 95% CI [14, 50%]. The prevalence of poor sleep quality, insomnia, sleep duration <7 h, snoring and sleepiness was 36, 22, 37, 29 and 10%, respectively. Conclusions. Sleep-related issues have a high prevalence in industrial workers, and the cause of these differences needs to be addressed and increasing insights provided to prevent and treat sleep disorders.
Collapse
Affiliation(s)
- Sohrab Amiri
- Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| |
Collapse
|
5
|
Wang L, Wu YX, Lin YQ, Wang L, Zeng ZN, Xie XL, Chen QY, Wei SC. Reliability and validity of the Pittsburgh Sleep Quality Index among frontline COVID-19 health care workers using classical test theory and item response theory. J Clin Sleep Med 2022; 18:541-551. [PMID: 34534069 PMCID: PMC8805004 DOI: 10.5664/jcsm.9658] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
STUDY OBJECTIVES The applicability of sleep-related scales to frontline medical staff for the COVID-19 pandemic has not been fully proved, so sleep survey results lack credibility and accuracy, creating difficulties for the guidance and treatment of frontline medical staff with sleep disorders, which is not conducive to the prevention and control of COVID-19. This study sought to analyze the reliability and validity of the Pittsburgh Sleep Quality Index (PSQI) among frontline medical staff fighting the COVID-19 pandemic. METHODS A network questionnaire survey was used to investigate the PSQI among frontline medical staff who fought COVID-19 in Wuhan, China from March 19 to April 15, 2020. Combined with classical test theory and item response theory, the content validity, internal consistency, construct validity, and other aspects of the PSQI were evaluated. RESULTS According to classical test theory, content validity, criterion validity, and construct validity of the PSQI were good. But the internal consistency was better after the deletion of the "daytime dysfunction" subscale. With regard to item response theory, difficulty, the differential item function, and the Wright map performed well. CONCLUSIONS The original PSQI showed acceptable applicability in frontline COVID-19 medical staff, and its characteristics moderately improved after the "daytime dysfunction" subscale was removed. CITATION Wang L, Wu Y-X, Lin Y-Q, et al. Reliability and validity of the Pittsburgh Sleep Quality Index among frontline COVID-19 health care workers using classical test theory and item response theory. J Clin Sleep Med. 2022;18(2):541-551.
Collapse
Affiliation(s)
- Ling Wang
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Department of Pharmacy, Fujian Provincial Hospital, Fuzhou, China
| | - Yong-Xi Wu
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Department of Sleep Center, Fujian Provincial Hospital, Fuzhou, China
| | - Yi-Qi Lin
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Department of Sleep Center, Fujian Provincial Hospital, Fuzhou, China
| | - Lin Wang
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Administrative Office, Fujian Provincial Hospital, Fuzhou, China
| | - Zhao-Nan Zeng
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Center for Experimental Research in Clinical Medicine, Fujian Provincial Hospital, Fuzhou, China
| | - Xiao-Liang Xie
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,The First Operating Room, Fujian Provincial Hospital, Fuzhou, China
| | - Qiu-Yang Chen
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,The First Operating Room, Fujian Provincial Hospital, Fuzhou, China
| | - Shi-Chao Wei
- Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.,Department of Sleep Center, Fujian Provincial Hospital, Fuzhou, China
| |
Collapse
|
6
|
Wang J, Gao X, Gao P, Liu J. A Cross-Sectional Study on the Relationship Among Cytokines, 5-HT2A Receptor Polymorphisms, and Sleep Quality of Non-manual Workers in Xinjiang, China. Front Psychiatry 2022; 13:777566. [PMID: 35463508 PMCID: PMC9019505 DOI: 10.3389/fpsyt.2022.777566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 03/18/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Studies have shown that cytokine activity changes during the sleep-wake process, suggesting that inflammatory factors may be involved in a mechanism affecting sleep quality. Furthermore, the serotonergic system is also one of the essential components of airway relaxation during sleep, especially the serotonin 2A receptor (5-HTR2A) type that plays an important role in the sleep-wake process. Therefore, this research aimed to investigate the effects of cytokines and 5-HTR2A polymorphisms on sleep quality in non-manual workers in Urumqi, Xinjiang in order to explore the relationship between the three. METHODS This study used a cluster sampling method to randomly select non-manual workers who worked in Urumqi, Xinjiang for at least 1 year. From July 2016 and December 2017, this study recruited 1,500 non-manual workers for physical examination in the First Affiliated Hospital of Xinjiang Medical University. According to the inclusion and exclusion criteria, 1,329 non-manual workers were finally included in the questionnaire study. It used the Pittsburgh Sleep Quality Index questionnaire to assess sleep quality. Moreover, another 15% of respondents were randomly selected as the experimental study group. The polymerase chain reaction restriction fragment length polymorphism was used to detect 5-HTR2A gene genotypes. Simultaneously, the cytokine (IL-1β, IL-2, IL-6, and TNF-α) content was evaluated using an enzyme-linked immunoassay. RESULTS The results showed that among the 1,329 respondents, 870 had sleep quality problems, and the detection rate was 65.46%. The distribution of -1438G/A genotypes in the 5-HTR2A gene was significantly different among different sleep quality groups (p < 0.05), with no statistical significance present when comparing to T102C (p > 0.05). Logistic regression analysis showed that the AG [odds ratio (OR) = 2.771, 95% confidence interval (CI): 1.054-7.287] and GG (OR = 4.037, 95% CI: 1.244-13.105) genotypes at -1438G/A loci were both associated with poor sleep quality and were thus considered the susceptibility genotypes for sleep problems. Furthermore, IL-1β was shown to be a protective factor for sleep quality (OR = 0.949, 95% CI: 0.925-0.974). The interaction results showed that AG × IL-1β (OR = 0.952, 95% CI: 0.918-0.987) was associated with a lower risk of sleep problems than AA × IL-1β. CONCLUSION Cytokines and 5-HTR2A polymorphisms not only have independent effects on sleep but also may have cumulative effects. Therefore, it is necessary to further explore the related mechanisms affecting sleep quality to improve the sleep quality of non-manual workers.
Collapse
Affiliation(s)
- Juan Wang
- Department of Public Health, Xinjiang Medical University, Urumqi, China
| | - Xiaoyan Gao
- Department of Public Health, Xinjiang Medical University, Urumqi, China
| | - Pengcheng Gao
- Department of Public Health, Xinjiang Medical University, Urumqi, China
| | - Jiwen Liu
- Department of Public Health, Xinjiang Medical University, Urumqi, China
| |
Collapse
|
7
|
Seo M, Park J, Kim S, Jung H, Sohn M, Kim YH. Obesity and sleep mismatch between weekends and weekdays in the Korean population according to working status. Maturitas 2020; 144:87-92. [PMID: 33358214 DOI: 10.1016/j.maturitas.2020.11.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 10/14/2020] [Accepted: 11/25/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVES To investigate whether sleep mismatch between weekends and weekdays is correlated with obesity according to working status and sex in the Korean population. STUDY DESIGN This study was conducted using data from the Korea National Health and Nutritional Examination Survey (KNHANES) in 2016. A total of 5,684 subjects (2,453 men and 3,231 women) were divided into subgroups according to age, sex and working status. Sleep mismatch was defined as the difference in sleep duration between weekdays and weekends. In this study, multivariable logistic regression analysis was applied to obtain odds ratios (ORs) for obesity in those with sleep mismatch ≥ 90 min when referenced to those with sleep mismatch < 90 min. MAIN OUTCOME MEASURES In the working group, adjusted ORs for obesity were mostly less than 1, but they were not statistically significant among any age or sex groups. However, for the non-working group, men over 60 years of age with sleep mismatch ≥ 90 min showed significantly increased ORs when referenced to those with sleep mismatch < 90 min in every model; the OR in model 4 was 2.89. Women over 60 years of age with sleep mismatch ≥ 90 min also showed higher ORs but they were not statistically significant. CONCLUSIONS Men who are not working and over 60 years of age in Korea may be at increased risk of obesity if their sleep mismatch is ≥ 90 min. Therefore, it might be possible to lower the prevalence of obesity in the elderly population by correcting sleep irregularity or through reemployment.
Collapse
Affiliation(s)
- Minhee Seo
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Jaeman Park
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Sojeong Kim
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Heewon Jung
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Minsung Sohn
- Department of Health and Care Administration, The Cyber University of Korea, Seoul, Republic of Korea
| | - Yang-Hyun Kim
- Department of Family Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
| |
Collapse
|
8
|
He M, Deng X, Zhu Y, Huan L, Niu W. The relationship between sleep duration and all-cause mortality in the older people: an updated and dose-response meta-analysis. BMC Public Health 2020; 20:1179. [PMID: 32723316 PMCID: PMC7389345 DOI: 10.1186/s12889-020-09275-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 07/19/2020] [Indexed: 01/10/2023] Open
Abstract
Background Short or long sleep duration is proposed as a potential risk factor for all-cause mortality in the older people, yet the results of published studies are not often reproducible. Methods Literature retrieval, study selection and data extraction were completed independently and in duplicate. Only prospective cohort studies were included. Effect-size estimates are expressed as hazard ratio (HR) and 95% confidence interval (CI). Results Summary data from 28 articles, involving a total of 95,259 older people, were meta-analyzed. Overall analyses revealed a remarkably significant association between long sleep duration and all-cause mortality (adjusted HR = 1.24, 95% CI: 1.16–1.33, P < .001), whereas only marginal significance was observed for short sleep duration (adjusted HR = 1.04; 95% CI: 1.00–1.09; P = .033). Funnel plots suggested no publication bias for short sleep duration (P = .392). The probability of publication bias was high for long sleep duration (P = .020), yet the trim-and-fill method strengthened its significance in predicting all-cause mortality. In subgroup analyses, the association of long sleep duration with all-cause mortality was statistically significant in both women (HR = 1.48; 95% CI: 1.18–1.86; P = .001) and men (HR = 1.31; 95% CI: 1.10–1.58; P = .003). By contrast, with regard to short sleep duration, statistical significance was observed in men (HR = 1.13; 95% CI: 1.04–1.24; P = .007), but not in women (HR = 1.00; 95% CI: 0.85–1.18; P = .999) (Two-sample Z test P = .099). Besides gender, geographic region, sleep survey method, baseline age and follow-up interval were identified as possible causes of between-study heterogeneity in subgroup analyses. Further dose-response regression analyses revealed that trend estimation was more obvious for long sleep duration (regression coefficient: 0.13; P < .001) than for short sleep duration (regression coefficient: 0.02; P = .046). Conclusions Our findings indicate a significantly increased risk of all-cause mortality associated with long sleep duration, especially in women, as well as with short sleep duration in men only.
Collapse
Affiliation(s)
- Mengyang He
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
| | - Xiangling Deng
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
| | - Yuqing Zhu
- International Medical Department, China-Japan Friendship Hospital, Beijing, China
| | - Luyao Huan
- Graduate School, Beijing University of Chinese Medicine, Beijing, China
| | - Wenquan Niu
- Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, No.2 Yinghua East Street, Chao Yang District, Beijing, 100029, China.
| |
Collapse
|