Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China.
Department of Psychology, University of Bath, UK.
Sleep Med. 2021 May;81:451-456. doi: 10.1016/j.sleep.2021.03.008. Epub 2021 Mar 13.
Shift work may cause insomnia and sleepiness in individuals. The present study aimed to exam shift work disorder (SWD), and to investigate their associations with individual characteristics.
A total of 1833 shift workers were assessed using the Pittsburg Sleep Quality Index, Epworth Sleepiness Scale (ESS), Composite Scale of Morningness (CSM), Circadian Type Inventory (CTI), Center for Epidemiologic Studies-Depression Scale (CES-D), Beck Anxiety Inventory (BAI) and other self-compiled socio-demographic questionnaires.
In the current sample, 17.1% shift workers have experienced insomnia symptoms, 20.9% were tested for daytime sleepiness, and 19.9% were categorized as having SWD. Logistics regressions revealed that history of mental disorders (OR = 2.04, 95% CI = 1.30-3.21), chronic physical illness (OR = 1.53, 95% CI = 1.17-1.99), CES-D scores (OR = 1.03, 95% CI = 1.02-1.05), BAI scores (OR = 1.04, 95% CI = 1.03-1.06), languid/vigorous tendencies (OR = 1.06, 95% CI = 1.03-1.10) were positively associated with the onset of SWD, while morningness (OR = 0.97, 95% CI = 0.94-0.99) decreased the odds of SWD onset.
These findings suggested that attention should be drawn to individuals with mental and chronic diseases in when scheduling work shifts. While SWD and its associates should be considered when providing psychological services to shift workers.
轮班工作可能会导致个体出现失眠和困倦。本研究旨在检查轮班工作障碍（SWD），并探讨其与个体特征的关系。
共有 1833 名轮班工人使用匹兹堡睡眠质量指数、Epworth 嗜睡量表（ESS）、综合晨间问卷（CSM）、昼夜节律类型量表（CTI）、流行病学研究中心抑郁量表（CES-D）、贝克焦虑量表（BAI）和其他自编社会人口学问卷进行评估。
在当前样本中，17.1%的轮班工人有失眠症状，20.9%的工人日间嗜睡，19.9%的工人被归类为 SWD。逻辑回归显示，精神障碍史（OR=2.04，95%CI=1.30-3.21）、慢性躯体疾病（OR=1.53，95%CI=1.17-1.99）、CES-D 评分（OR=1.03，95%CI=1.02-1.05）、BAI 评分（OR=1.04，95%CI=1.03-1.06）、倦怠/活跃倾向（OR=1.06，95%CI=1.03-1.10）与 SWD 的发生呈正相关，而晨间倾向（OR=0.97，95%CI=0.94-0.99）降低了 SWD 发生的几率。
这些发现表明，在安排轮班工作时，应注意有精神和慢性疾病的个体。而在为轮班工人提供心理服务时，应考虑 SWD 及其相关因素。
