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长途卡车司机的正念、睡眠和创伤后应激。

Mindfulness, sleep, and post-traumatic stress in long-haul truck drivers.

机构信息

School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.

Johns Hopkins School of Nursing, Baltimore, MD, USA.

出版信息

Work. 2020;67(1):103-111. doi: 10.3233/WOR-203256.

Abstract

BACKGROUND

The high stress culture and demands associated with long-haul truck driving place truckers at risk for mental health and sleep disorders, and thereby, increased risk for accidents, injuries, and fatality. Hours-of-service regulations have proven insufficient as a stand-alone intervention to protect the welfare of long-haul truckers, impacting those working in the industry and those sharing our nation's roads. Interventions to increase mindfulness have been used across occupational and personal domains to improve sleep quality, mental health, awareness of the environment, and reaction time.

OBJECTIVE

The purpose of this study was to examine the relationships between sleep, mental health, health care utilization, and mindfulness in long-haul truck drivers in the United States.

METHODS

Participants (N = 140) were recruited to complete a web-based survey. Descriptive statistics, bivariate analysis, and regression analysis were used to examine variables of interest.

RESULTS

Post-traumatic Stress Disorder (PTSD) symptomology and daytime sleepiness predicted mental health care utilization in the past year. Mindfulness was inversely correlated with PTSD symptomology, however in the full regression model, mindfulness failed to predict mental health care utilization.

CONCLUSIONS

Occupational health professionals should utilize mindfulness screenings as an adjunctive component to traditional mental health screenings and refer drivers for advanced care as appropriate.

摘要

背景

长途卡车驾驶的高压文化和需求使卡车司机面临心理健康和睡眠障碍的风险,从而增加了事故、伤害和死亡的风险。事实证明,仅靠驾驶时间规定作为一种单独的干预措施不足以保护长途卡车司机的福利,这不仅影响了行业内的人员,也影响了我们国家道路上的其他人员。在职业和个人领域,已经使用了各种干预措施来提高正念,以改善睡眠质量、心理健康、对环境的意识和反应时间。

目的

本研究旨在探讨美国长途卡车司机的睡眠、心理健康、医疗保健利用和正念之间的关系。

方法

招募了 140 名参与者完成了一项基于网络的调查。使用描述性统计、双变量分析和回归分析来检查感兴趣的变量。

结果

创伤后应激障碍(PTSD)症状和日间嗜睡预测了过去一年的心理健康保健利用。正念与 PTSD 症状呈负相关,但在全回归模型中,正念未能预测心理健康保健利用。

结论

职业健康专业人员应将正念筛查作为传统心理健康筛查的辅助手段,并酌情转介司机接受高级护理。

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