警务人员的睡眠障碍,健康和安全
Shantha M W Rajaratnam1, Laura K Barger, Steven W Lockley
1Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
JAMA
|December 22, 2011
概括
睡眠障碍在警察中很常见,并与严重的健康,安全和绩效问题有关. 早期诊断和治疗对于军官的福祉和公共安全至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 公共安全公众安全.
背景情况:
- 睡眠障碍经常未被诊断,影响警察的健康,安全和公共安全.
- 执法部门未经治疗的睡眠障碍对官员和他们所服务的社区都构成风险.
研究的目的:
- 评估北美警察中睡眠障碍的流行程度.
- 在这个人群中量化睡眠障碍风险与自我报告的健康,安全和绩效结果之间的关联.
主要方法:
- 一项涉及4957名北美警察的横截面和前性队列研究.
- 数据通过在线/现场查和两个年间 (2005年7月至2007年12月) 每月的后续调查收集.
- 评估并发症的健康状况,表现和安全结果.
主要成果:
- 40.4%的军官检测出至少一种睡眠障碍,往往没有被诊断出来.
- 对睡眠障碍的积极查与身体/精神健康状况 (例如糖尿病,抑郁症,心血管疾病) 的患病率增加相关.
- 阳性睡眠障碍查的警官报告了更高的严重错误率,在驾驶时入睡,与疲劳相关的安全违规,缺勤和愤怒问题.
结论:
- 睡眠障碍在北美警察中很普遍.
- 在这一群体中,睡眠障碍与不利的健康,绩效和安全结果之间存在显著的关联.
- 调查结果强调了在执法部门解决睡眠障碍的重要性,以提高福祉和运营效率.
相关概念视频
Insufficient Sleep and Sleep Deprivation
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
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Nightmares and Night Terrors
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Nightmares often...
Substance Use Disorders Affecting Sleep
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Sleepwalking and Sleep Talking
Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Sleep-Wake Cycles
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Sleep Apnea
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
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