Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, SK S4S 0A2, Canada.
Department of Sociology, Memorial University of Newfoundland, Saint John's, NL A1C 5S7, Canada.
Int J Environ Res Public Health. 2020 Apr 15;17(8):2708. doi: 10.3390/ijerph17082708.
Poor sleep quality is associated with numerous mental health concerns and poorer overall physical health. Sleep disturbances are commonly reported by public safety personnel (PSP) and may contribute to the risk of developing mental disorders or exacerbate mental disorder symptoms. The current investigation was designed to provide estimates of sleep disturbances among PSP and explore the relationship between sleep quality and mental health status. PSP completed screening measures for sleep quality and diverse mental disorders through an online survey. Respondents (5813) were grouped into six categories: communications officials, correctional workers, firefighters, paramedics, police officers, and Royal Canadian Mounted Police (RCMP). Many PSP in each category reported symptoms consistent with clinical insomnia (49-60%). Rates of sleep disturbances differed among PSP categories ( < 0.001, ω = 0.08). Sleep quality was correlated with screening measures for post-traumatic stress disorder (PTSD), depression, anxiety, social anxiety disorder, panic disorder, and alcohol use disorder for all PSP categories ( = 0.18-0.70, < 0.001). PSP who screened positive for insomnia were 3.43-6.96 times more likely to screen positive for a mental disorder. All PSP reported varying degrees of sleep quality, with the lowest disturbances found among firefighters and municipal/provincial police. Sleep appears to be a potentially important factor for PSP mental health.
睡眠质量差与许多心理健康问题和整体健康状况较差有关。睡眠障碍在公共安全人员 (PSP) 中很常见，可能会增加患精神障碍的风险或使精神障碍症状恶化。目前的调查旨在提供 PSP 睡眠障碍的估计，并探讨睡眠质量与心理健康状况之间的关系。PSP 通过在线调查完成了睡眠质量和各种精神障碍的筛选措施。受访者 (5813 人) 分为六类：通讯官员、惩教人员、消防员、护理人员、警察和加拿大皇家骑警 (RCMP)。每个类别的许多 PSP 都报告了与临床失眠一致的症状 (49-60%)。睡眠障碍的发生率在 PSP 类别之间存在差异 (<0.001，ω=0.08)。睡眠质量与所有 PSP 类别的创伤后应激障碍 (PTSD)、抑郁、焦虑、社交焦虑障碍、恐慌障碍和酒精使用障碍的筛查措施相关 (=0.18-0.70，<0.001)。筛查出失眠的 PSP 更有可能筛查出精神障碍，其可能性是未筛查出失眠的 PSP 的 3.43-6.96 倍。所有 PSP 都报告了不同程度的睡眠质量，消防员和市/省警察的睡眠障碍程度最低。睡眠似乎是 PSP 心理健康的一个潜在重要因素。
