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Hymowitz G, Hasan F, Yerramalli G, Cervoni C. Mindfulness-Based Interventions for Surgical Patients and Impact on Postoperative Outcomes, Patient Wellbeing, and Satisfaction. Am Surg 2024; 90:947-953. [PMID: 35940585 DOI: 10.1177/00031348221117025] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Several psychosocial factors can impact surgical outcomes and overall patient wellbeing following surgery. Although advances in surgical interventions and pain management protocols can reduce surgical trauma and enhance recovery from surgery, additional intervention is warranted to optimize surgical outcomes and patient quality of life (QoL) in the short- and long-term. Research on mindfulness techniques suggests that mindfulness-based interventions (MBI) effectively promote health behaviors, reduce pain, and improve psychological wellbeing and QoL. Thus, there has been an increase in research evaluating the use of MBIs to improve postoperative outcomes and wellbeing in surgical patients. The authors provide a brief overview of psychosocial outcomes of surgery and MBIs and review the literature on the impact of MBIs on postoperative outcomes. The extant literature indicates that MBIs are feasible and acceptable for use in surgical patient populations and provides preliminary evidence of the benefits of mindfulness across a range of surgical patient populations. However, more research is needed to assess the long-term efficacy of MBIs delivered online and in-person across the perioperative continuum.
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Affiliation(s)
| | - Farah Hasan
- Stony Brook University, Stony Brook, NY, USA
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Gonzalez A, Cervoni C, Lochner M, Marangio J, Stanley C, Marriott S. Supporting health care workers during the COVID-19 pandemic: Mental health support initiatives and lessons learned from an academic medical center. ACTA ACUST UNITED AC 2020; 12:S168-S170. [DOI: 10.1037/tra0000893] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Gillan CM, Kalanthroff E, Evans M, Weingarden HM, Jacoby RJ, Gershkovich M, Snorrason I, Campeas R, Cervoni C, Crimarco NC, Sokol Y, Garnaat SL, McLaughlin NCR, Phelps EA, Pinto A, Boisseau CL, Wilhelm S, Daw ND, Simpson HB. Comparison of the Association Between Goal-Directed Planning and Self-reported Compulsivity vs Obsessive-Compulsive Disorder Diagnosis. JAMA Psychiatry 2020; 77:77-85. [PMID: 31596434 PMCID: PMC6802255 DOI: 10.1001/jamapsychiatry.2019.2998] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
IMPORTANCE Dimensional definitions of transdiagnostic mental health problems have been suggested as an alternative to categorical diagnoses, having the advantage of capturing heterogeneity within diagnostic categories and similarity across them and bridging more naturally psychological and neural substrates. OBJECTIVE To examine whether a self-reported compulsivity dimension has a stronger association with goal-directed and related higher-order cognitive deficits compared with a diagnosis of obsessive-compulsive disorder (OCD). DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study, patients with OCD and/or generalized anxiety disorder (GAD) from across the United States completed a telephone-based diagnostic interview by a trained rater, internet-based cognitive testing, and self-reported clinical assessments from October 8, 2015, to October 1, 2017. Follow-up data were collected to test for replicability. MAIN OUTCOMES AND MEASURES Performance was measured on a test of goal-directed planning and cognitive flexibility (Wisconsin Card Sorting Test [WCST]) and a test of abstract reasoning. Clinical variables included DSM-5 diagnosis of OCD and GAD and 3 psychiatric symptom dimensions (general distress, compulsivity, and obsessionality) derived from a factor analysis. RESULTS Of 285 individuals in the analysis (mean [SD] age, 32 [12] years; age range, 18-77 years; 219 [76.8%] female), 111 had OCD; 82, GAD; and 92, OCD and GAD. A diagnosis of OCD was not associated with goal-directed performance compared with GAD at baseline (β [SE], -0.02 [0.02]; P = .18). In contrast, a compulsivity dimension was negatively associated with goal-directed performance (β [SE], -0.05 [0.02]; P = .003). Results for abstract reasoning task and WCST mirrored this pattern; the compulsivity dimension was associated with abstract reasoning (β [SE], 2.99 [0.63]; P < .001) and several indicators of WCST performance (eg, categories completed: β [SE], -0.57 [0.09]; P < .001), whereas OCD diagnosis was not (abstract reasoning: β [SE], 0.39 [0.66]; P = .56; categories completed: β [SE], -0.09 [0.10]; P = .38). Other symptom dimensions relevant to OCD, obsessionality, and general distress had no reliable association with goal-directed performance, WCST, or abstract reasoning. Obsessionality had a positive association with requiring more trials to reach the first category on the WCST at baseline (β [SE], 2.92 [1.39]; P = .04), and general distress was associated with impaired goal-directed performance at baseline (β [SE],-0.04 [0.02]; P = .01). However, unlike the key results of this study, neither survived correction for multiple comparisons or was replicated at follow-up testing. CONCLUSIONS AND RELEVANCE Deficits in goal-directed planning in OCD may be more strongly associated with a compulsivity dimension than with OCD diagnosis. This result may have implications for research assessing the association between brain mechanisms and clinical manifestations and for understanding the structure of mental illness.
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Affiliation(s)
- Claire M. Gillan
- School of Psychology, Trinity College Institute of Neuroscience and Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland
| | - Eyal Kalanthroff
- Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus, Israel
| | - Michael Evans
- Department of Psychology, New York University, New York
| | - Hilary M. Weingarden
- Department of Psychiatry, Massachusetts General Hospital, Boston,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Ryan J. Jacoby
- Department of Psychiatry, Massachusetts General Hospital, Boston,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Marina Gershkovich
- Department of Psychiatry, Columbia Irving University Medical Center, New York, New York,New York State Psychiatric Institute, New York
| | - Ivar Snorrason
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts,Department of Psychiatry, Harvard Medical School, McLean Hospital, Belmont, Massachusetts
| | - Raphael Campeas
- Department of Psychiatry, Columbia Irving University Medical Center, New York, New York,New York State Psychiatric Institute, New York
| | - Cynthia Cervoni
- Department of Psychiatry, Stony Brook University, Stony Brook, New York
| | | | - Yosef Sokol
- VISN 2 Mental Illness Research Education and Clinical Centers, New York, New York,James J. Peters Veterans Affairs Medical Center, Bronx, New York,Icahn School of Medicine at Mount Sinai, New York, New York
| | - Sarah L. Garnaat
- Warren Alpert Medical School of Brown University, Providence, Rhode Island,Butler Hospital, Providence, Rhode Island
| | - Nicole C. R. McLaughlin
- Warren Alpert Medical School of Brown University, Providence, Rhode Island,Butler Hospital, Providence, Rhode Island
| | | | - Anthony Pinto
- Department of Psychiatry, Hofstra Northwell School of Medicine, Hempstead, New York
| | - Christina L. Boisseau
- Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Sabine Wilhelm
- Department of Psychiatry, Massachusetts General Hospital, Boston,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Nathaniel D. Daw
- Princeton Neuroscience Institute, Department of Psychology, Princeton University, Princeton, New Jersey
| | - H. B. Simpson
- Department of Psychiatry, Columbia Irving University Medical Center, New York, New York,New York State Psychiatric Institute, New York
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Wheaton MG, Pinto AM, Cervoni C, Crosby JM, Tifft ED, Mathes BM, Garner LE, Van Kirk N, Elias JA, Pinto A. Perfectionism in Intensive Residential Treatment of Obsessive–Compulsive Disorder. Cogn Ther Res 2019. [DOI: 10.1007/s10608-019-10047-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Pennini A, Cittadini N, Basilici Zannetti E, Cervoni C, Vellone E, D'Agostino F, Alvaro R. An experience of field work learning for healthcare providers: new perspectives between disadvantages and critical issues. Ann Ig 2017; 28:252-62. [PMID: 27479761 DOI: 10.7416/ai.2016.2104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION The learning models used in traditional education are not very effective for the continuing education of healthcare providers. Fieldwork learning is an active learning method that is feasible in the workplace and is also suitable for professionals who possess a style of experiential learning. Guardian Angel 2.0® is a fieldwork learning project designed to promote educational skills in nurses to improve the self-care and quality of life in women affected by osteoporosis. The purpose of this article is to present the Guardian Angel 2.0® project and its results. METHODS The Guardian Angel 2.0® effort lasted nine months and involved 212 nurses in the north, centre and south of Italy. A socio-demographic questionnaire, an evaluation scale of the learning process and a participants' satisfaction questionnaire were used to evaluate and monitor the fieldwork learning project. RESULTS Out of the 212 nurses who participated in the project, 119 (70%) completed it. The mean age of these participants was 48 years (± 7.98), and 83.5% were female. About half of the participants (52.0%, 55.4% and 45.0%, respectively) were good (a) at respecting deadlines, (b) at using the methodological instruments and (c) the information tools properly. Almost all nurses considered the project to be very relevant (96.4%). In regards to the project's quality, the nurses perceived it as excellent (51.0%) and very good (48.5%). Finally, the project was considered very useful or useful by 100% of nurses. CONCLUSIONS The general satisfaction of nurses was high. The fieldwork learning was relevant and useful for developing educational skills in nurses. It would therefore be appropriate to use fieldwork learning in clinical settings to improve the existing experience of healthcare providers and thereby reduce the difficulties of transforming the knowledge from a theoretical to a practical level and to promote the development of new behaviours when the existing ones become obsolete or inefficient.
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Affiliation(s)
- A Pennini
- PhD candidate in Nursing Sciences, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - N Cittadini
- PhD candidate in Nursing Sciences, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - E Basilici Zannetti
- PhD candidate in Nursing Sciences, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - C Cervoni
- RN, MSN, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - E Vellone
- RN, PhD, Assistant Professor, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - F D'Agostino
- RN, PhD, Research Fellow, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
| | - R Alvaro
- RN, MSN, Associate Professor, Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy
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Hernandez J, Cervoni C, Hymowitz G. The effects of impulsivity on food addiction and eating behaviors in a bariatric sample. Surg Obes Relat Dis 2017. [DOI: 10.1016/j.soard.2017.09.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Abstract
Migraine and obesity are each prevalent disorders involving significant personal and societal burden. Epidemiologic research demonstrates a link between migraine and obesity that is further substantiated by putative behavioral, psychosocial, and physiological mechanisms. As obesity is considered a modifiable risk factor for exacerbation of migraine, weight loss may be a particularly useful treatment option for people with comorbid migraine and obesity. Behavioral weight loss interventions complement existing behavioral treatments for migraine and offer patients evidence-based effective strategies for achieving weight loss that could help reduce frequency, severity, and impact of migraine attacks.
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Affiliation(s)
- Cynthia Cervoni
- Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Avenue, New York, 10461, NY, USA.
| | - Dale S Bond
- The Miriam Hospital and Warren Alpert Medical School of Brown University, 196 Richmond Street, Providence, RI, 02903, USA.
| | - Elizabeth K Seng
- Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Avenue, New York, 10461, NY, USA. .,Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY, 10461, USA.
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Seng EK, Cervoni C, Lawson JL, Oken T, Sheldon S, McKee MD, Bonuck KA. The Burden of Sleep Problems: A Pilot Observational Study in an Ethnically Diverse Urban Primary Care Setting. J Prim Care Community Health 2016; 7:276-80. [PMID: 27197946 DOI: 10.1177/2150131916651068] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Sleep disorders affect up to 1 in 4 adults and can adversely affect a variety of health conditions. However, little is known about detection of sleep disorders in ethnically diverse urban primary care settings. METHODS Patients in urban primary care settings completed surveys to screen for sleep problems and identify comorbid conditions. Providers were given screening results, and provided feedback regarding their clinical utility. RESULTS Participants (n = 95) were predominantly women (76.8%) and black, non-Hispanic (46.3%), or Hispanic (38.9%). High proportion of participants screened positive for insomnia (31.6%) and screened high risk for sleep apnea (42.1%). Only one-third (32.6%) of participants reported sleeping the recommended 7 to 9 hours per night. The presence of chronic pain (χ(2) = 4.97, P = .03) was associated with clinically significant insomnia. Obesity was associated with fewer hours of sleep per night, t = 2.19(87), P = .03, and risk for sleep apnea (OR = 3.11, 95% CI = 1.28-7.50). Participants were interested in receiving help for sleep issues during their primary care visits (40%), and providers found the screening at least somewhat useful (74.4%). DISCUSSION Results highlight the potentially high unmet need for screening and treatment of sleep problems in ethnically diverse urban primary care settings.
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Affiliation(s)
- Elizabeth K Seng
- Albert Einstein College of Medicine, Bronx, NY, USA Yeshiva University, Bronx, NY, USA
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Niedhammer I, David S, Degioanni S, Drummond A, Philip P, Acquarone D, Aicardi F, André-Mazeaud P, Arsento M, Astier R, Baille H, Bajon-Thery F, Barre E, Basire C, Battu JL, Baudry S, Beatini C, Beaud'huin N, Becker C, Bellezza D, Beque C, Bernstein O, Beyssier C, Blanc-Cascio F, Blanchet N, Blondel C, Boisselot R, Bordes-Dupuy G, Borrelly N, Bouhnik D, Boulanger MF, Boulard J, Bourreau P, Bourret D, Boustière AM, Breton C, Bugeon G, Buono-Michel M, Canonne JF, Capella D, Cavin-Rey M, Cervoni C, Charreton D, Charrier D, Chauvin MA, Chazal B, Cougnot C, Cuvelier G, Dalivoust G, Daumas R, Debaille A, De Bretteville L, Delaforge G, Delchambre A, Domeny L, Donati Y, Ducord-Chapelet J, Duran C, Durand-Bruguerolle D, Fabre D, Faivre A, Falleri R, Ferrando G, Ferrari-Galano J, Flutet M, Fouché JP, Fournier F, Freyder E, Galy M, Garcia A, Gazazian G, Gérard C, Girard F, Giuge M, Goyer C, Gravier C, Guyomard A, Hacquin MC, Halimi E, Ibagnes T, Icart P, Jacquin MC, Jaubert B, Joret JP, Julien JP, Kacel M, Kesmedjian E, Lacroix P, Lafon-Borelli M, Lallai S, Laudicina J, Leclercq X, Ledieu S, Leroy J, Leroyer L, Loesche F, Londi D, Longueville JM, Lotte MC, Louvain S, Lozé M, Maculet-Simon M, Magallon G, Marcelot V, Mareel MC, Martin P, Masse AM, Méric M, Milliet C, Mokhtari R, Monville AM, Muller B, Obadia G, Pelser M, Peres L, Perez E, Peyron M, Peyronnin F, Postel S, Presseq P, Pyronnet E, Quinsat C, Raulot-Lapointe H, Rigaud P, Robert F, Robert O, Roger K, Roussel A, Roux JP, Rubini-Remigy D, Sabaté N, Saccomano-Pertus C, Salengro B, Salengro-Trouillez P, Samsom E, Sendra-Gille L, Seyrig C, Stoll G, Tarpinian N, Tavernier M, Tempesta S, Terracol H, Torresani F, Triglia MF, Vandomme V, Vieillard F, Vilmot K, Vital N. Workplace bullying and psychotropic drug use: the mediating role of physical and mental health status. ACTA ACUST UNITED AC 2010; 55:152-63. [PMID: 21177264 DOI: 10.1093/annhyg/meq086] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The association between workplace bullying and psychotropic drug use is not well established. This study was aimed at exploring the association between workplace bullying, and its characteristics, and psychotropic drug use and studying the mediating role of physical and mental health. METHODS The study population consisted of a random sample of 3132 men and 4562 women of the working population in the south-east of France. Workplace bullying, evaluated using the validated instrument elaborated by Leymann, and psychotropic drug use, as well as covariates, were measured using a self-administered questionnaire. Covariates included age, marital status, presence of children, education, occupation, working hours, night work, physico-chemical exposures at work, self-reported health, and depressive symptoms. Statistical analysis was performed using logistic regression analysis and was carried out separately for men and women. RESULTS Workplace bullying was strongly associated with psychotropic drug use. Past exposure to bullying increased the risk for this use. The more frequent and the longer the exposure to bullying, the stronger the association with psychotropic drug use. Observing bullying on someone else at the workplace was associated with psychotropic drug use. Adjustment for covariates did not modify the results. Additional adjustment for self-reported health and depressive symptoms reduced the magnitude of the associations, especially for men. CONCLUSIONS The association between bullying and psychotropic drug use was found to be significant and strong and was partially mediated by physical and mental health.
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Affiliation(s)
- Isabelle Niedhammer
- INSERM, U1018, CESP Centre for research in epidemiology and population health, Epidemiology of occupational and social determinants of health team, Hôpital Paul Brousse, 94807 Villejuif, France.
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Niedhammer I, David S, Degioanni S, Drummond A, Philip P, Acquarone D, Aicardi F, André-Mazeaud P, Arsento M, Astier R, Baille H, Bajon-Thery F, Barre E, Basire C, Battu JL, Baudry S, Beatini C, Beaud'huin N, Becker C, Bellezza D, Beque C, Bernstein O, Beyssier C, Blanc-Cascio F, Blanchet N, Blondel C, Boisselot R, Bordes-Dupuy G, Borrelly N, Bouhnik D, Boulanger MF, Boulard J, Borreau P, Bourret D, Boustière AM, Breton C, Bugeon G, Buono-Michel M, Canonne JF, Capella D, Cavin-Rey M, Cervoni C, Charreton D, Charrier D, Chauvin MA, Chazal B, Cougnot C, Cuvelier G, Dalivoust G, Daumas R, Debaille A, De Bretteville L, Delaforge G, Delchambre A, Domeny L, Donati Y, Ducord-Chapelet J, Duran C, Durand-Bruguerolle D, Fabre D, Faivre A, Falleri R, Ferrando G, Ferrari-Galano J, Flutet M, Fouché JP, Fournier F, Freyder E, Galy M, Garcia A, Gazazian G, Gérard C, Girard F, Giuge M, Goyer C, Gravier C, Guyomard A, Hacquin MC, Halimi E, Ibagnes T, Icart P, Jacquin MC, Jaubert B, Joret JP, Julien JP, Kacel M, Kesmedjian E, Lacroix P, Lafon-Borelli M, Lallai S, Laudicina J, Leclercq X, Ledieu S, Leroy J, Leroyer L, Loesche F, Londi D, Longueville JM, Lotte MC, Louvain S, Lozé M, Maculet-Simon M, Magallon G, Marcelot V, Mareel MC, Martin P, Masse AM, Méric M, Milliet C, Mokhtari R, Monville AM, Muller B, Obadia G, Pelser M, Peres L, Perez E, Peyron M, Peyronnin F, Postel S, Presseq P, Pyronnet E, Quinsat C, Raulot-Lapointe H, Rigaud P, Robert F, Robert O, Roger K, Roussel A, Roux JP, Rubini-Remigy D, Sabate N, Saccomano-Pertus C, Salengro B, Salengro-Trouillez P, Samson E, Sendra-Gille L, Seyrig C, Stoll G, Tarpinian N, Tavernier M, Tempesta S, Terracol H, Torresani F, Triglia MF, Vandomme V, Vieillard F, Vilmot K, Vital N. Workplace bullying and sleep disturbances: findings from a large scale cross-sectional survey in the French working population. Sleep 2009; 32:1211-9. [PMID: 19750926 DOI: 10.1093/sleep/32.9.1211] [Citation(s) in RCA: 95] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
STUDY OBJECTIVES The purpose of this study was to explore the associations between workplace bullying, the characteristics of workplace bullying, and sleep disturbances in a large sample of employees of the French working population. DESIGN Workplace bullying, evaluated using the validated instrument developed by Leymann, and sleep disturbances, as well as covariates, were measured using a self-administered questionnaire. Covariates included age, marital status, presence of children, education, occupation, working hours, night work, physical and chemical exposures at work, self-reported health, and depressive symptoms. Statistical analysis was performed using logistic regression analysis and was carried out separately for men and women. SETTING General working population. PARTICIPANTS The study population consisted of a random sample of 3132 men and 4562 women of the working population in the southeast of France. RESULTS Workplace bullying was strongly associated with sleep disturbances. Past exposure to bullying also increased the risk for this outcome. The more frequent the exposure to bullying, the higher the risk of experiencing sleep disturbances. Observing someone else being bullied in the workplace was also associated with the outcome. Adjustment for covariates did not modify the results. Additional adjustment for self-reported health and depressive symptoms diminished the magnitude of the associations that remained significant. CONCLUSIONS The prevalence of workplace bullying (around 10%) was found to be high in this study as well was the impact of this major job-related stressor on sleep disturbances. Although no conclusion about causality could be drawn from this cross-sectional study, the findings suggest that the contribution of workplace bullying to the burden of sleep disturbances may be substantial.
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