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失眠的心理社会工作压力源:一项针对在职人群中50至60岁成年人的前瞻性研究。

Psychosocial work stressors for insomnia: a prospective study on 50-60-year-old adults in the working population.

作者信息

Jansson-Fröjmark Markus, Lundqvist Daniel, Lundqvist Nina, Linton Steven J

机构信息

Department of Behavioral, Social, and Legal Sciences, Orebro University, Orebro, Sweden.

出版信息

Int J Behav Med. 2007;14(4):222-8. doi: 10.1007/BF03002996.

Abstract

BACKGROUND

Work-related stressors are often viewed as being a source for disturbed sleep.

PURPOSE

This prospective study aimed to examine whether psychosocial work stressors were related to the development and maintenance of insomnia.

METHOD

From a randomly selected sample from the general population (N = 3,600), 1,873 participants aged 50-60 years old in the workforce filled out a baseline and 1-year follow-up questionnaire. Stepwise logistic regressions were used to investigate whether work stressors were related to the development and maintenance of insomnia over 1 year.

RESULTS

The results showed that among individuals with no insomnia at baseline, high work demands increased the risk of developing insomnia 1 year later (4% of the variance). Among participants with insomnia at baseline, work stressors did not influence the course of insomnia over 1 year. Finally, low influence over decisions, high professional compromise, and high work demands were related to the maintenance of insomnia (9% of the variance).

CONCLUSION

The findings indicate that perceived work stressors are, although rather weakly, associated with the development and maintenance of insomnia. This might have implications for how insomnia is conceptualized as it places work stressors in the model and for how interventions at different stages of insomnia is implemented.

摘要

背景

与工作相关的压力源通常被视为睡眠障碍的一个来源。

目的

这项前瞻性研究旨在检验心理社会工作压力源是否与失眠的发生和持续存在有关。

方法

从一般人群中随机抽取的样本(N = 3600)中,1873名年龄在50 - 60岁的在职参与者填写了一份基线问卷和一份1年随访问卷。采用逐步逻辑回归分析来研究工作压力源是否与1年内失眠的发生和持续存在有关。

结果

结果显示,在基线时无失眠的个体中,高工作要求增加了1年后发生失眠的风险(方差的4%)。在基线时有失眠的参与者中,工作压力源在1年内并未影响失眠的病程。最后,低决策影响力、高职业妥协度和高工作要求与失眠的持续存在有关(方差的9%)。

结论

研究结果表明,尽管关联较弱,但感知到的工作压力源与失眠的发生和持续存在有关。这可能对失眠的概念化方式(因为它将工作压力源纳入模型)以及失眠不同阶段的干预实施方式产生影响。

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