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Sleep disturbances, work stress and work hours: a cross-sectional study
T Akerstedt1, A Knutsson, P Westerholm
1National Institute for Psychosocial Factors and Health Departments of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. torbjorn.akerstedt@ipm.ki.se
Journal of Psychosomatic Research
|September 10, 2002
Summary
Work stress, including high demands and inability to stop thinking about work, significantly increases the risk of disturbed sleep. High social support, however, reduces this risk in employed adults.
Area of Science:
- Occupational Health
- Sleep Medicine
- Psychology
Background:
- Disturbed sleep is a prevalent issue affecting employed individuals.
- Work-related factors and lifestyle choices are potential contributors to sleep disturbances.
Purpose of the Study:
- To investigate the multivariate relationship between disturbed sleep and various work-related, background, and lifestyle factors.
- To identify specific risk and protective factors associated with disturbed sleep, not feeling well rested, and difficulties awakening.
Main Methods:
- A cross-sectional study involving 5720 healthy employed men and women in Stockholm.
- Factor analysis identified "disturbed sleep" as a primary factor.
- Multiple logistic regression analysis was used to assess predictors of sleep disturbances.
Main Results:
- High work demands (OR=2.15), physical effort (OR=1.94), and inability to stop thinking about work (OR=3.20) were significant risk factors for disturbed sleep.
- High social support (OR=0.44), older age (45+), female gender, higher BMI, and exercise were associated with reduced risk.
- Specific predictors varied for not feeling well rested and difficulties awakening, with factors like night work, marital status, smoking, and gender playing roles.
Conclusions:
- Work-related stress and social dynamics are strongly linked to disturbed sleep and impaired awakening.
- Gender and age can modify the impact of work factors on sleep.
- Inability to disengage from work thoughts during free time appears to be a key mediator between stress and sleep problems.