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轮班工作对睡眠质量和执行功能的影响。

The Influence of Shift Work on the Quality of Sleep and Executive Functions.

作者信息

Elhami Athar Mojtaba, Atef-Vahid Mohammad-Kazem, Ashouri Ahmad

机构信息

School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, IR.

出版信息

J Circadian Rhythms. 2020 Jun 24;18:4. doi: 10.5334/jcr.194.

Abstract

Shift work is an inconsistent and atypical work schedule. This study aimed to investigate the influence of shift work on the Quality of Sleep (QOS) and Executive Functions (EF). Thirty shift workers and thirty day workers first completed a demographic questionnaire. They then were tested using the Pittsburgh Sleep Quality Index (PSQI) and EF tests, including the Corsi Block-Tapping Task (CBTT), Berg's Card Sorting Task (BCST), and the Continuous Performance Task (CPT). Results were subjected to non-parametric Chi-Square Tests, the Mann-Whitney U Test, and Independent T-Tests. Shift workers had significantly poorer sleep quality than day workers, which was shown in PSQI global scale ( = 0.001), sleep duration ( = 0.042), habitual sleep efficiency ( = 0.021), and sleep disturbance ( = 0.021). Concerning EF tests, shift workers performed significantly poorer on CBTT ( = 0.019) and BCST ( = 0.015, 0.047) compared with day workers. Significant differences were also observed between shift workers and day workers in terms of variables of omission errors ( = 0.037) and commission errors ( = 0.041) on CPT, but no significant difference was found between shift workers and day workers in reaction time ( = 0.561). Shift work impaired EF. These findings are related to shift workers' poorer sleep and its detrimental effects on areas of the brain, which are critical for EF, such as the prefrontal area. Our results suggest the evaluation and implication of practices and policies to assuage the consequences of working in shifts.

摘要

轮班工作是一种不规律且非典型的工作时间表。本研究旨在调查轮班工作对睡眠质量(QOS)和执行功能(EF)的影响。30名轮班工人和30名日班工人首先完成了一份人口统计学调查问卷。然后他们使用匹兹堡睡眠质量指数(PSQI)和执行功能测试进行测试,包括科西块点击任务(CBTT)、伯格卡片分类任务(BCST)和连续性能任务(CPT)。结果进行了非参数卡方检验、曼-惠特尼U检验和独立t检验。轮班工人的睡眠质量明显比日班工人差,这在PSQI总体评分(=0.001)、睡眠时间(=0.042)、习惯性睡眠效率(=0.021)和睡眠障碍(=0.021)方面表现出来。关于执行功能测试,与日班工人相比,轮班工人在CBTT(=0.019)和BCST(=0.015,0.047)上的表现明显更差。在CPT的遗漏错误(=0.037)和误判错误(=0.041)变量方面,轮班工人和日班工人之间也观察到显著差异,但轮班工人和日班工人在反应时间上没有显著差异(=0.561)。轮班工作损害了执行功能。这些发现与轮班工人较差的睡眠及其对大脑区域的有害影响有关,这些区域对执行功能至关重要,如前额叶区域。我们的结果表明需要评估并实施相关实践和政策,以减轻轮班工作的后果。

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