University Clinic for Psychiatry and Psychotherapy, Paracelsus Medical University Nuremberg, Nuremberg, Germany,
University Clinic for Psychiatry and Psychotherapy, Paracelsus Medical University Nuremberg, Nuremberg, Germany.
Eur Addict Res. 2021;27(1):9-15. doi: 10.1159/000507573. Epub 2020 May 26.
Shiftwork can be a risk factor for a number of different somatic and psychological health conditions, especially sleep disorders. Shiftworkers sleep less than dayworkers, and 20-40% of them suffer from difficulties initiating and maintaining sleep, which result in reduced capacity for work and social life. A common coping strategy might be the use of alcohol, which presents a health and safety hazard as it further impairs sleep quality and exacerbates sleepiness in the workplace. This review aimed to assess the extent of such possible connections.
We performed a systematic search of the scientific literature on shiftwork and alcohol consumption in PubMed, PsycInfo, and Cochrane Library. Only original studies comparing shiftworkers with non-shiftworkers were included. The recommendations of the Preferred Reporting Items of Systematic Reviews and Meta-Analyses were followed.
Fourteen articles are included in this review. Six studies report some kind of connection between shift- or nightwork and alcohol consumption, especially as a sleep aid. Conflicting or negative results are reported by 3 studies.
Shiftwork, especially working at night and in rotation shifts, is associated with binge drinking disorder in different professions. The reasons for pathological consumption of alcohol can be self-medication of sleep problems or coping with stress and psychosocial problems typical for shiftwork. Nurses aged over 50 years represent one important risk group. These results can be important for preventive programs against sleep disorders, including measures other than drinking alcohol as a sleep aid in the workplace of shiftworkers.
轮班工作可能是许多不同躯体和心理健康状况的一个风险因素，尤其是睡眠障碍。轮班工人的睡眠时间比白班工人少，其中 20%至 40%的人存在入睡和维持睡眠困难的问题，这导致他们的工作和社交能力下降。一种常见的应对策略可能是使用酒精，这会带来健康和安全风险，因为它会进一步损害睡眠质量，并在工作场所加重嗜睡。本综述旨在评估这种可能联系的程度。
我们在 PubMed、PsycInfo 和 Cochrane Library 中对轮班工作和酒精消费的科学文献进行了系统搜索。仅纳入了比较轮班工人和非轮班工人的原始研究。本研究遵循了系统评价和荟萃分析的首选报告项目的建议。
本综述纳入了 14 篇文章。其中 6 项研究报告了轮班或夜班工作与酒精消费之间存在某种联系，尤其是作为助眠剂。有 3 项研究报告了相互矛盾或负面的结果。
轮班工作，特别是夜间和轮班工作，与不同职业中的狂欢性饮酒障碍有关。病理性饮酒的原因可能是为了治疗睡眠问题，或者是为了应对轮班工作中典型的压力和心理社会问题。50 岁以上的护士是一个重要的风险群体。这些结果对于预防睡眠障碍的计划很重要，包括在轮班工人的工作场所采取除饮酒以外的措施作为助眠剂。
