a Institute of Psychology , University of Bern , Bern , Switzerland.
b National Centre of Competence in Research, Affective Sciences , University of Geneva, CISA , Geneva , Switzerland.
Psychol Health Med. 2018 Dec;23(10):1196-1210. doi: 10.1080/13548506.2018.1479038. Epub 2018 May 24.
In a three-wave questionnaire study of 405 working participants, who were initially free of low back pain (LBP) and emotional exhaustion, sleep problems were evaluated as a potential risk factor for the development of LBP and burnout up to three years later. Prospective risk paths were compared between the sexes and between two age-groups (18 to 45 years and older than 45 years). A longitudinal structural equation model showed a good fit with empirical data (RMSEA = .04, SRMR = .06, CFI = .97). Prospective risk paths between the latent constructs showed sleep problems to significantly predict self-reported LBP (β = .15, p = .011) and burnout (β = .24, p < .001) two years later. Sleep problems also predicted the occurrence of burnout three years later (β = .18, p = .002). Sleep-related risk of burnout after two years was greater in older than younger participants (β = .42 vs. β = .13, p < .001). Sleep problems seem to precede LBP and burnout in working individuals. Health promotion initiatives should use sleep quality as an important early risk indicator, and interventions should focus on promoting better quality sleep, in an attempt to reduce the incidence of LBP and burnout.
在一项对 405 名工作参与者的三波问卷调查研究中，这些参与者最初没有腰痛 (LBP) 和情绪疲惫，睡眠问题被评估为未来三年发展为 LBP 和倦怠的潜在风险因素。前瞻性风险路径在性别和两个年龄组（18 至 45 岁和 45 岁以上）之间进行了比较。纵向结构方程模型与经验数据具有良好的拟合度（RMSEA=.04，SRMR=.06，CFI=.97）。潜在结构之间的前瞻性风险路径表明，睡眠问题显著预测两年后自我报告的 LBP（β=.15，p=.011）和倦怠（β=.24，p<.001）。睡眠问题也预测了三年后倦怠的发生（β=.18，p=.002）。两年后，年龄较大的参与者比年龄较小的参与者更容易出现与睡眠相关的倦怠风险（β=.42 对β=.13，p<.001）。睡眠问题似乎先于工作人群中的 LBP 和倦怠。健康促进计划应将睡眠质量作为一个重要的早期风险指标，干预措施应侧重于促进更好的睡眠质量，以减少 LBP 和倦怠的发生率。
