Chronobiology and Sleep Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre- RS, Brazil.
Psychiatry and Behavior Sciences Post-Graduation Program, Universidade Federal do Rio Grande do Sul, Porto Alegre- RS, Brazil.
PLoS One. 2018 Apr 6;13(4):e0195078. doi: 10.1371/journal.pone.0195078. eCollection 2018.
Well-being is a useful screening method for the detection of mood disorders. Evidence associating psychological well-being with sleep-wake patterns exists, as well as associations with sleep-wake patterns, work-related parameters, and perceived self-efficacy. Despite the growing research regarding the relationship between these factors and mental health, there are few studies that analyze them together.
To investigate if the association between sleep-wake patterns and psychological well-being is mediated or moderated by perceived self-efficacy, work flexibility and work routines.
This cohort study was performed in southern Brazil. A sample of 987 individuals was analyzed (66.9% women; mean age = 43.9 years). Work routines parameters and work schedule flexibility were evaluated, most participants were farmers (46%) and most worked 7 days a week (69.1%). Munich Chronotype Questionnaire (MCTQ) was administered for evaluation of sleep-wake patterns, General Self-Efficacy Scale (GSE) for assessment the participants' beliefs about how they coped with daily hassles, and World Health Organization Five-item Well-being Index (WHO-5) for evaluation of psychological well-being levels. Moderation and mediation models were tested.
The moderation model showed influences of work end time on the relationship between sleep onset time and psychological well-being (R2 = 0.147; F = 24.16; p<0.001). The final regression model showed an association of psychological well-being with sex (Beta = -0.086; p = 0.004), sleep onset time (Beta = -0.086; p = 0.006), and self-efficacy (Beta = 0.316; p<0.001); the work end time showed association in the interaction with sleep onset time (Beta = -0.075; p = 0.016).
The findings support the direct association of psychological well-being with sleep-wake patterns and self-efficacy, and show an interaction between work routines and sleep-wake patterns. Our results draw attention to the importance of the interplay between individual and social rhythms in relation to psychological well-being.
幸福感是一种用于检测情绪障碍的有用筛查方法。有证据表明,心理健康与睡眠-觉醒模式之间存在关联,与睡眠-觉醒模式、与工作相关的参数以及感知自我效能之间也存在关联。尽管越来越多的研究关注这些因素与心理健康之间的关系,但很少有研究同时分析这些因素。
调查睡眠-觉醒模式与心理健康之间的关联是否受到感知自我效能、工作灵活性和工作常规的中介或调节。
本队列研究在巴西南部进行。分析了 987 名个体(66.9%为女性;平均年龄为 43.9 岁)的样本。评估了工作常规参数和工作时间表灵活性,大多数参与者是农民(46%),大多数人每周工作 7 天(69.1%)。使用慕尼黑昼夜节律问卷(MCTQ)评估睡眠-觉醒模式,使用一般自我效能感量表(GSE)评估参与者对日常困扰的应对信念,使用世界卫生组织五维度健康量表(WHO-5)评估心理健康水平。测试了调节和中介模型。
调节模型显示工作结束时间对睡眠开始时间与心理健康之间的关系有影响(R2 = 0.147;F = 24.16;p<0.001)。最终回归模型显示,心理健康与性别(Beta = -0.086;p = 0.004)、睡眠开始时间(Beta = -0.086;p = 0.006)和自我效能(Beta = 0.316;p<0.001)呈关联;工作结束时间与睡眠开始时间的相互作用呈关联(Beta = -0.075;p = 0.016)。
研究结果支持心理健康与睡眠-觉醒模式和自我效能之间的直接关联,并显示工作常规与睡眠-觉醒模式之间存在相互作用。我们的结果提醒人们注意个体和社会节律之间相互作用与心理健康之间的重要性。