睡眠和冲动性对轮班和非轮班工人的自杀倾向的影响
Jihyo Seo1, Somi Lee1, Jooyoung Lee1
1Department of Psychiatry, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Republic of Korea.
Journal of affective disorders
|July 2, 2023
概括
轮班工作者因睡眠不足和冲动性而面临更高的自杀风险. 这些因素,以及睡眠质量,在轮班和非轮班工人中显著影响自杀倾向.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
背景情况:
- 轮班工作与增加自杀风险有关,睡眠障碍和冲动性是导致因素.
- 了解轮班工人睡眠,冲动和自杀之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 调查睡眠不足和冲动性对轮班工人与非轮班工人的自杀倾向的影响.
- 检查睡眠参数和冲动性在不同工作时间表中对自杀倾向的调节作用.
主要方法:
- 一项在线调查评估了4572名轮班工人和2093名非轮班工人.
- 经过验证的尺度测量了自杀倾向 (自杀行为问卷),睡眠质量 (匹兹堡睡眠质量指数),失眠 (失眠严重程度指数),白天嗜睡 (爱普沃思嗜睡量表),抑郁症 (CES-D量表) 和冲动性 (UPPS-P).
主要成果:
- 与非轮班工人相比,轮班工人报告睡眠质量较差,冲动性更高,自杀倾向更高.
- 冲动性,睡眠时间,睡眠质量和失眠是自杀倾向的重要预测因素,独立于抑郁症.
- 睡眠质量调节了所有工人的冲动性-自杀性联系;睡眠时间和过度白天嗜睡 (EDS) 影响是非轮班工人的特征,而失眠的影响是轮班工人的特征.
结论:
- 轮班工作,睡眠障碍和冲动性共同提高了自杀风险.
- 失眠,EDS,冲动性和自杀倾向之间的复杂关系在轮班和非轮班工人之间有所不同,需要定制的预防策略.
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