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昼夜不停工作:中年成年人的轮班工作、睡眠健康与抑郁症状之间的关联

Working Around the Clock: The Association between Shift Work, Sleep Health, and Depressive Symptoms among Midlife Adults.

作者信息

Frazier Cleothia

机构信息

Duke University, Durham, NC, USA.

出版信息

Soc Ment Health. 2023 Jul;13(2):97-110. doi: 10.1177/21568693231156452. Epub 2023 Mar 18.

Abstract

Shift work is an integral part of living in a 24-hour society. However, shift work can disrupt circadian rhythms, negatively impacting health. Guided by the Stress Process Model (SPM), this study examines the association between shift work and depressive symptoms and investigates whether sleep health (duration, quality, and latency) mediates this relationship among midlife adults. Utilizing data from the National Longitudinal Survey of Youth 1979 cohort ( = 6,372), findings show that working evening, night, and irregular shifts is associated with increased depressive symptoms. The results also show that part of the association between shift work and depressive symptoms among night and irregular shift workers, is indirect, operating through short sleep during the week and on the weekend. Although shift work can negatively affect mental health, getting more restorative sleep may mitigate part of the harmful mental health consequences of non-standard work schedules.

摘要

轮班工作是24小时社会生活中不可或缺的一部分。然而,轮班工作会扰乱昼夜节律,对健康产生负面影响。本研究以压力过程模型(SPM)为指导,考察轮班工作与抑郁症状之间的关联,并调查睡眠健康(时长、质量和潜伏期)是否在中年成年人中调节这种关系。利用1979年全国青年纵向调查队列(n = 6372)的数据,研究结果表明,从事晚班、夜班和不规则轮班工作与抑郁症状增加有关。结果还表明,夜班和不规则轮班工人中,轮班工作与抑郁症状之间的部分关联是间接的,通过工作日和周末的短睡眠起作用。尽管轮班工作会对心理健康产生负面影响,但获得更多恢复性睡眠可能会减轻非标准工作时间表对心理健康造成的部分有害后果。

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