Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, USA.
Department of Occupational Therapy, A. T. Still University, Mesa, AZ, USA.
Int J Behav Med. 2021 Feb;28(1):39-47. doi: 10.1007/s12529-020-09874-9.
Workplace stress and unemployment are each associated with disturbances in sleep. However, a substantial gap exists in what we know about the type of workplace stress preceding job loss and the lasting effect workplace stressors may have on long-term health outcomes. We hypothesized that a specific type of workplace stress, hindrance stress, would be a stronger predictor of current insomnia disorder, compared to challenge stress.
Cross-sectional data were analyzed from 191 recently unemployed individuals participating in the ongoing Assessing Daily Patterns through occupational Transitions (ADAPT) study. Participants were administered the Cavanaugh et al. (J Appl Psychol. 85(1):65, 2000) self-reported work stress scale regarding their previous job and the Duke Sleep Interview (DSI-SD), a semi-structured interview assessing ICSD-3 insomnia disorder (chronic and acute).
Results from logistic regression analyses indicated that hindrance work stress was associated with an increased likelihood of current overall, chronic, and acute insomnia disorder, when controlling for challenge stress and significant demographic factors. Challenge stress was associated with an increased likelihood of chronic insomnia disorder when controlling for hindrance stress and covariates. The association between challenge stress and acute insomnia differed as a function of sex.
Hindrance work stressors were associated with increased odds of current insomnia disorder, even after employment ended. Across each of the tested models, hindrance stress had stronger effects on insomnia than challenge stress. These findings support and extend both the challenge-hindrance framework of work-related stress and the 3 P model of insomnia.
工作场所压力和失业都与睡眠障碍有关。然而,我们对于失业前的工作场所压力类型以及工作压力源对长期健康结果的持久影响知之甚少。我们假设,与挑战压力相比,一种特定类型的工作场所压力,即阻碍压力,更能预测当前的失眠症。
对正在进行的通过职业转型评估日常模式(ADAPT)研究中的 191 名最近失业的参与者进行了横断面数据分析。参与者完成了 Cavanaugh 等人(J Appl Psychol. 85(1):65, 2000)的自我报告工作压力量表,评估他们之前的工作和杜克睡眠访谈(DSI-SD),这是一个半结构化访谈,评估 ICSD-3 失眠症(慢性和急性)。
逻辑回归分析的结果表明,在控制挑战压力和重要人口统计学因素后,阻碍性工作压力与当前总体、慢性和急性失眠症的发生几率增加有关。在控制阻碍性压力和协变量后,挑战性压力与慢性失眠症的发生几率增加有关。在控制了阻碍性压力和协变量后,挑战性压力与急性失眠症的关联因性别而异。
即使在就业结束后,阻碍性工作压力源也与当前失眠症的发生几率增加有关。在每个测试的模型中,阻碍性压力对失眠的影响都比挑战性压力更强。这些发现支持并扩展了与工作相关压力的挑战-阻碍框架以及失眠的 3P 模型。