Disturbed sleep and fatigue in occupational burnout

Ekstedt, Mirjam; Söderström, Marie; Åkerstedt, Torbjörn; Nilsson, Josefin; Söndergaard, Hans Peter; Perski, Aleksander

doi:10.5271/sjweh.987

Cited by 176 publications

(130 citation statements)

References 64 publications

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“…As far as we know, no empirical evidence is available on this matter. We do know, however, that sleep problems and poor recovery appear to affect burnt-out individuals independently of depressed mood (16,19), and regardless of comorbid major depression (19,20). This situation suggests that sleep problems are an independent concurring symptom in burnout, despite the strong relationship between burnout and depression (21).…”

Section: Role Of Sleepmentioning

confidence: 91%

See 1 more Smart Citation

Influence of sleep on symptom improvement and return to work in clinical burnout

Sonnenschein¹,

Sorbi²,

Verbraak³

et al. 2008

Scand J Work Environ Health

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Section: Role Of Sleepmentioning

confidence: 91%

“…Sleep problems are reported both in the early (13)(14)(15)(16)(17) and end stages (18)(19)(20) of the burnout process, as assessed subjectively (19) and objectively (16,20). Trouble falling asleep and nonrefreshing sleep are reported in particular (15,16,19).…”

Section: Role Of Sleepmentioning

confidence: 99%

Influence of sleep on symptom improvement and return to work in clinical burnout

Sonnenschein¹,

Sorbi²,

Verbraak³

et al. 2008

Scand J Work Environ Health

View full text Add to dashboard Cite

“…In previous studies of dayworkers 42) , high mental distress frequently was associated with reduced sleep efficiency. However, in study of shift workers, the shortened sleep of shift workers was often compensated for by high sleep efficiency 43) .The sleep efficiencies in this study were above 85% which is an indication of a consolidated sleep.…”

Section: Discussionmentioning

confidence: 99%

Job Strain, Sleep and Alertness in Shift Working Health Care Professionals —A Field Study

et al. 2013

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Abstract:We explored the associations of job strain with sleep and alertness of shift working female nurses and nursing assistants. Participants (n=95) were recruited from the Finnish Public Sector Study, from hospital wards that belonged to the top or bottom quartiles on job strain. Participants' own job strain was at least as high in high-strain group or low in low-strain group as the ward's average. The study included three-week measurements with sleep diary and actigraphy. Psychomotor Vigilance Test (PVT) was performed during one pre-selected morning and night shift and a day off. Sleep efficiency before morning shifts was lower in the high-strain than low-strain group (p=0.03). Low-strain group took more often (72 vs. 45%; p<0.01) and longer naps (62 vs. 35 min; p=0.01) before the first night shift than high-strain group. Difficulties initiating sleep were more common in high-strain group, especially after evening shifts (p<0.01). High-strain group had more often at least one lapse in PVT during the night shift (p=0.02). Average sleep duration (06:49h) and efficiency (89%) did not differ between these groups. In conclusion, high job strain is associated with difficulties initiating sleep and reduced psychomotor vigilance in night shifts. Shift working contributed to impaired sleep in both high and low job strain group. Individual and organization-based actions are needed to promote sufficient sleep in shift working nurses, especially with high job strain.

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“…(Differences in group sizes were taken into account when calculating Cohen's d.) Thus, it is possible that the remaining symptoms at 10 months follow-up still have implications in everyday life for the patients. Other studies have also found remaining symptom levels (within a variety of symptoms) above normal at the end of follow-up (4,56,58). It is currently unclear whether the decline in symptoms will continue after the first phase of recovery.…”

Section: Discussionmentioning

confidence: 98%

Changes in self-reported sleep and cognitive failures: a randomized controlled trial of a stress management intervention

Dalgaard¹,

Eskildsen²,

Carstensen³

et al. 2014

Scand J Work Environ Health

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Changes in self-reported sleep and cognitive failures: a randomized controlled trial of a stress management intervention by Dalgaard L, Eskildsen A, Carstensen O, Willert MV, Andersen JH, Glasscock DJ This is the first RCT study of a stress management intervention testing the efficacy of individual cognitive behavior therapy (CBT) in combination with a brief workplace intervention on sleep problems and cognitive failures. Knowledge about these outcomes and their development over time is highly relevant in the treatment of patients on sick leave due to work stress. Objectives This study evaluated the effectiveness of a stress management intervention combining individual cognitive behavioral therapy (CBT) with a brief workplace intervention on self-reported measures of sleep and cognitive functioning among patients on sick leave due to work-related stress complaints. AffiliationMethods Participants were patients referred to the regional Department of Occupational Medicine. Inclusion criteria were (i) sick leave due to work-related stress complaints and (ii) a diagnosis of adjustment disorder/ reactions to stress or mild depression. Participants (N=137) were randomized to either an intervention (N=57) or control (N=80) group. The intervention comprised six sessions with a psychologist and the offer of a small workplace intervention. Questionnaires were answered at baseline and after 4, and 10 months.Results Symptoms were significantly reduced over time in both groups but there was no significant treatment effect on sleep or cognitive outcomes at any time point. From 0-4 months, there was a tendency for larger improvements in the intervention group with regards to sleep and cognitive failures in distraction. Although neither was significant, the results came close to significance depicting a small effect size (Cohen's d) on sleep complaints and distractions (but not memory). ConclusionsThe specific intervention was not superior to the control condition in reducing symptoms of sleep problems and cognitive difficulties at any time point during the 10-month follow-up period. Substantial improvements in symptoms over time were seen in both groups.

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Disturbed sleep and fatigue in occupational burnout

Cited by 176 publications

References 64 publications

Influence of sleep on symptom improvement and return to work in clinical burnout

Influence of sleep on symptom improvement and return to work in clinical burnout

Job Strain, Sleep and Alertness in Shift Working Health Care Professionals —A Field Study

Changes in self-reported sleep and cognitive failures: a randomized controlled trial of a stress management intervention

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