Heloísa Theodoro, Janaína Cristina da Silva, Karina Giane Mendes, Gabriela Hermann Cibeira, Julia Cigana Schenkel, Anderson Garcez, Diego Garcia Bassani, Maria Teresa Anselmo Olinto
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引用次数: 0
Abstract
This study investigated the association between common mental disorders (CMD) and sleep parameters measured objectively through actigraphy, as well as using self-reported data, among female shift workers in southern Brazil. This cross-sectional study involved 450 female participants, with 278 undergoing actigraphy. CMD was assessed using a Self-Reporting Questionnaire (SRQ-20), while self-reported sleep disturbance was measured using the Pittsburgh Sleep Quality Index (PSQI) scale. Actigraphy was utilized to measure sleep quality over a consecutive 48-h period. The odds ratios (OR) and 95% confidence intervals (CI) were estimated using multinomial logistic regression. The prevalence of sleep disturbance was 9.7% (95% CI 7.2-12.9) according to the PSQI, while CMD prevalence was 47.3% (95% CI 42.6-52.1) in the entire sample. Sleep disturbance was significantly associated with positive CMD screening (OR = 20.03; 95% CI 7.22-55.54) as well as with night shift work (OR = 5.38; 95% CI 1.75-16.52). CMD did not exhibit a statistically significant association with objective sleep quality parameters measured using actigraphy. However, adjusted analysis of sleep efficiency revealed that women on the afternoon (OR = 3.09; 95% CI 1.53-6.25) or night shifts (OR = 3.43; 95% CI 1.60-7.35) had a higher prevalence of 10 or more awakenings during sleep compared to those working morning shifts. This study highlights the high prevalence of CMD among female shift workers. Furthermore, CMD demonstrated a statistically significant association with self-reported sleep disorders within this population group. However, this association was not observed when compared with objective data collected by actigraphy.
本研究调查了常见精神障碍(CMD)和睡眠参数之间的关系,通过活动记录仪客观测量,并使用自我报告的数据,在巴西南部的女性轮班工人中。这项横断面研究涉及450名女性参与者,其中278人接受了活动描记术。CMD使用自我报告问卷(SRQ-20)进行评估,而自我报告的睡眠障碍使用匹兹堡睡眠质量指数(PSQI)量表进行测量。活动描记术用于测量连续48小时的睡眠质量。比值比(OR)和95%置信区间(CI)采用多项逻辑回归估计。根据PSQI,睡眠障碍的患病率为9.7% (95% CI 7.2-12.9),而整个样本的CMD患病率为47.3% (95% CI 42.6-52.1)。睡眠障碍与CMD筛查阳性显著相关(OR = 20.03;95% CI 7.22-55.54)以及夜班工作(OR = 5.38;95% ci 1.75-16.52)。CMD与使用活动描记仪测量的客观睡眠质量参数没有统计学上的显著关联。然而,对睡眠效率的调整分析显示,女性在下午(OR = 3.09;95% CI 1.53-6.25)或夜班(or = 3.43;(95%可信区间1.60-7.35)与早班相比,在睡眠中醒来10次或10次以上的患病率更高。本研究强调了女性轮班工作者中CMD的高患病率。此外,在这一人群中,CMD显示出与自我报告的睡眠障碍有统计学意义的关联。然而,与活动记录仪收集的客观数据相比,没有观察到这种关联。
期刊介绍:
Sleep and Biological Rhythms is a quarterly peer-reviewed publication dealing with medical treatments relating to sleep. The journal publishies original articles, short papers, commentaries and the occasional reviews. In scope the journal covers mechanisms of sleep and wakefullness from the ranging perspectives of basic science, medicine, dentistry, pharmacology, psychology, engineering, public health and related branches of the social sciences