The Impact of Shiftwork on Sleep and Mental Health

Authors

  • João Bastos Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal
  • Pedro Afonso Professor Auxiliar da Clínica Universitária de Psiquiatria e Psicologia Médica da Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal

DOI:

https://doi.org/10.51338/rppsm.2020.v6.i1.101

Keywords:

Shiftwork; Sleep; Mental health; Healthcare

Abstract

Shiftwork is a key characteristic of the working environment of the XXI century. We can define this type of work schedule as any work that takes place outside the usual working hours with the goal of providing a continuity of services. Healthcare constitutes a sector where shiftwork is particularly necessary. The aim of this study is to review the current literature on the influence of shiftwork in the development of sleep and mental disturbances. The literature found on PubMed/MEDLINE from 1984 to 2017, with full text available written in English that assessed the effects of shiftwork on mental health and sleep was reviewed by searching on the keywords: shiftwork, mental health, sleep disorders, circadian rhythm. This study found that shiftwork produces important effects regarding sleep and mental health. Concerning sleep, this type of work increases excessive somnolence and insomnia. As to mental health, depression, suicide ideation, cognitive impairment and substance abuse are greatly influenced by shiftwork. Shiftwork has a significative impact in workers’ mental health, cognitive function and sleep patterns. Considering this, it is crucial to know how to identify this toll to adopt the necessary measures to minimize the effects of shiftwork on workers’ health, especially in those who are most vulnerable, as it happens in the healthcare system.

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References

Knutsson A. Methodological aspects of shift‑work research. Chronobiol Int. 2004; 21: 1037‑47.

Eurofound. Sixth European Working Conditions Survey – Overview report (2017 update). Luxembourg: Publications Office of the European Union; 2017.

Instituto Nacional de Estatística. População empregada (Série 2011 ‑ N.º) por Local de residência (NUTS ‑ 2013), Sexo e Tipo de horário de trabalho; Anual ‑ INE, Inquérito ao emprego. Lisboa: INE; 2011.

Afonso P, Fonseca M, Pires JF. Impact of working hours on sleep and mental health. Occup Med. 2017;67:377‑382. doi: 10.1093/occmed/kqx054.

Czeisler CA, Gooley JJ. Sleep and circadian rhythms in humans. Cold Spring Harb Symp Quant Biol. 2007;72:579‑97. doi: 10.1101/sqb.2007.72.064.

Culpepper Ld. Shift‑work disorder. J Fam Pract. 2010; 59: S1‑32.

Health Safety Executive. Managing shiftwork ‑ Health and safety guidance. Philadelphia; HSE books; 2006.

Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep. 1992; 15: 376‑81.

Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T. Shift work sleep disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep. 2004; 27:1453‑62.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.

Åkerstedt T. Shift work and disturbed sleep/wakefulness. Occup Med. 2003; 53: 89‑94.

Dumont M, Montplaisir J, Infante‑Rivard C. Sleep quality of former night shift workers. Int J Occup Environ Health. 1997;3:10–14.

Machi MS, Staum M, Callaway CW, Moore C, Jeong K, Suyama J, et al. The relationship between shift work, sleep, and cognition in career emergency physicians. Acad Emerg Med. 2012;19:85‑91. doi: 10.1111/j.1553‑2712.2011.01254.x.

Shao MF, Chou YC, Yeh MY, Tzeng WC. Sleep quality and quality of life in female shift‑working nurses. J Adv Nurs. 2010; 66:1565‑72.

doi: 10.1111/j.1365‑2648.2010.05300.x.

Palhares VC, Corrente JE, Matsubara BB. Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saude Publica. 2014; 48: 594‑601.

Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses’ job stress, sleep quality and self‑perceived health status. J Nurs Manag. 2014;22:604‑12. doi: 10.1111/jonm.12020.

Rouch I, Wild P, Ansiau, D, Marquié JC. Shiftwork experience, age and cognitive performance. Ergonomics. 2005; 48:1282‑93.

Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses’ job stress, sleep quality and self‑perceived health status. J Nurs Manag. 2014;22:604‑12. doi: 10.1111/jonm.12020.

Dula DJ, Dula NL, Hamrick C, Wood GC. The effect of working serial night shifts on the cognitive functioning of emergency physicians. Ann Emerg Med. 2001;38:152‑5.

Marquié JC, Tucker P, Folkard S, Gentil C, Ansiau D. Chronic effects of shift work on cognition: findings from the VISAT longitudinal study. Occup Environ Med. 2015; 72: 258‑64.

Cohen DA, Wang W, Wyatt JK, Kronauer RE, Dijk DJ, Czeisler CA, et al. Uncovering residual effects of chronic sleep loss on human performance. Sci Transl Med. 2010;2:14ra3. doi: 10.1126/scitranslmed.3000458.

Frank JR, Ovens H. Shiftwork and emergency medical practice. Can J Emerg Mede. 2002; 4: 421‑8.

Smith L, Folkard S, Poole CM. Increased injuries on night shift. Lancet. 1994; 344: 1137‑9.

Mitler MM, Carskadon MA, Czeisier CA, Dement WC, Dinges C, et al. Catastrophes, sleep, and public policy: consensus report. Sleep. 1988; 11: 100‑9.

Tucker P, Bejerot E, Kecklund G, Aronsson G, Åkerstedt T. Doctors’ Work Hours in Sweden: Their Impact on Sleep, Health, Work‑family Balance, Patient Care and Thoughts about Work. Stockholm: Stressforskningsinstitutet; 2013

Barger LK, Ayas NT, Cade BE, Cronin JW, Rosner B, Speizer FE, Czeisler CA. Impact of extended‑duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3:e487.

Ohayon MM, Roth T. Place of chronic insomnia in the course of depressive and anxiety disorders. J Psychiatr Res. 2003;37:9‑15.

Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007; 3(5 Suppl): S7‑10.

Kalia M. Assessing the economic impact of stress ‑ the modern day hidden epidemic. Metabolism. 2002;51(6 Suppl 1):49‑53.

Almondes, K. M. D., & Araújo, J. F. The impact of different shift work schedules on the levels of anxiety and stress in workers in a petrochemicals company. Estudos Psicol . 2009; 26: 15‑23.

Øyane NM, Pallesen S, Moen BE, Akerstedt T, Bjorvatn B. Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of Norwegian nurses. PLoS One. 2013;8:e70228. doi: 10.1371/journal.pone.0070228.

Lexis MA, Jansen NW, van Amelsvoort LG, van den Brandt PA, Kant I. Depressive complaints as a predictor of sickness absence among the working population. J Occup Environ Med. 2009;51:887‑95. doi: 10.1097/JOM.0b013e3181aa012a.

Scott AJ, Monk TH, Brink LL. Shiftwork as a risk factor for depression: a pilot study. Int J Occup Environ Health. 1997; 2(suppl 2):S2‑S9.

Driesen K, Jansen NW, van Amelsvoort LG, Kant I. The mutual relationship between shift work and depressive complaints—a prospective cohort study. Scand J Work Environ Health. 2011;37:402‑10. doi: 10.5271/sjweh.3158.

Driesen K, Jansen NW, Kant I, Mohren DC, van Amelsvoort LG. Depressed mood in the working population: associations with work schedules and working hours. Chronobiol Int. 2010;27:1062‑79. doi: 10.3109/07420528.2010.489877.

Yoon CG, Bae KJ, Kang MY, Yoon JH. Is suicidal ideation linked to working hours and shift work in Korea? J Occup Health. 2015;57:222‑9. doi: 10.1539/joh.14‑0237‑OA.

Hasler BP, Smith LJ, Cousins JC, Bootzin RR. Circadian rhythms, sleep, and substance abuse. Sleep Med Rev. 2012;16:67‑81. doi: 10.1016/j.smrv.2011.03.004.

Trinkoff AM, Storr CL. Work schedule characteristics and substance use in nurses. Am J Ind Med. 1998;34:266‑71.

Health and Safety Executive. Managing shiftwork‑Health and safety guidance. London: HSE; 2006.

Schwartz JR, Roth T. Shift work sleep disorder. Drugs. 2006; 66: 2357‑70.

Hansen V, Jacobsen BK, Arnesen E. Prevalence of serious psychiatricmorbidity in attenders and nonattenders to a health survey of a general population: the Tromso Health Study. Am J Epidemiol. 2001; 154: 891–4.

Driesen K, Jansen NW, van Amelsvoort LG, Kant I. The mutual relationship between shift work and depressive complaints‑‑a

prospective cohort study. Scand J Work Environ Health. 2011;37:402‑10. doi: 10.5271/sjweh.3158.

Afonso P. Work‑Family Conflict in the Medical Profession. Acta Med Port. 2018; 31: 796.

Roenneberg T, Allebrandt, KV, Merrow M, Vetter C. Social jetlag and obesity. Curr Biol. 2012; 22: 939‑43.

Published

2020-05-30

How to Cite

Bastos, J., & Afonso, P. (2020). The Impact of Shiftwork on Sleep and Mental Health. Revista Portuguesa De Psiquiatria E Saúde Mental, 6(1), 24–30. https://doi.org/10.51338/rppsm.2020.v6.i1.101

Issue

Section

Review articles