Sonnenschein Mieke, Sorbi Marjolijn J, van Doornen Lorenz J P, Schaufeli Wilmar B, Maas Cora J M
Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.
J Psychosom Res. 2007 Apr;62(4):487-94. doi: 10.1016/j.jpsychores.2006.11.011.
This article examines recovery through sleep in relation to sleep quality, exhaustion, and depression in clinical burnout. We focus on actual recovery per night, given its relevance to burnout improvement.
Sixty clinically burned-out participants and 40 healthy controls recorded symptoms with an electronic diary for 2 weeks at random times per day. Recovery through sleep was defined as the difference in fatigue between late evening and the next morning.
In clinical burnout, sleep quality and recovery are impaired, and depression is elevated. Poor recovery through sleep is associated with poor same-night sleep quality, clarifying the mechanisms underlying poor recovery. Individual differences in recovery though sleep were related to differences in refreshed awakening, but not to other sleep problems. Impaired recovery was also related to severity of exhaustion, but not to severity of depressive mood, indicating that, in burnout, nonprofit from sleep is a symptom of energy depletion, not a sign of depression.
Impaired recovery through sleep may hamper recovery from burnout independently of the influence of depression.
本文探讨临床倦怠中通过睡眠恢复与睡眠质量、疲惫和抑郁之间的关系。鉴于其与倦怠改善的相关性，我们关注每晚的实际恢复情况。
60名临床倦怠参与者和40名健康对照者使用电子日记，每天在随机时间记录症状，持续2周。通过睡眠恢复被定义为傍晚和次日早晨之间疲劳程度的差异。
在临床倦怠中，睡眠质量和恢复受损，抑郁加剧。睡眠恢复不佳与当晚睡眠质量差有关，阐明了恢复不佳的潜在机制。通过睡眠恢复的个体差异与清醒时的精神恢复差异有关，但与其他睡眠问题无关。恢复受损也与疲惫严重程度有关，但与抑郁情绪严重程度无关，这表明在倦怠中，睡眠无法恢复是能量消耗的症状，而非抑郁的迹象。
睡眠恢复受损可能会独立于抑郁的影响而阻碍从倦怠中恢复。
