The Association of Sleep Duration and Sleep Quality With Depression and Anxiety Among Chinese Commercial Pilots

被引：0

作者：

Chen, Pan ^{[1
,2
]}

Sun, He-Li ^{[1
,2
]}

Feng, Yuan ^{[3
,4
]}

Zhang, Qinge ^{[3
,4
]}

Si, Tong Leong ^{[1
,2
]}

Su, Zhaohui ^{[5
]}

Cheung, Teris ^{[6
]}

Ungvari, Gabor S. ^{[7
,8
]}

Zhang, Erliang ^{[9
]}

Chen, Minzhi ^{[9
]}

Zhang, Jie ^{[9
]}

Zhang, Lin ^{[10
]}

Ren, Bin ^{[10
]}

Jin, Qingqing ^{[10
]}

Smith, Robert D. ^{[1
,2
]}

Xiang, Mi ^{[11
]}

Xiang, Yu-Tao ^{[1
,2
]}

机构：

[1] Univ Macau, Inst Translat Med, Fac Hlth Sci, Unit Psychiat,Dept Publ Hlth & Med Adm, Macau, Peoples R China

[2] Univ Macau, Ctr Cognit & Brain Sci, Macau, Peoples R China

[3] Capital Med Univ, Beijing Anding Hosp, Natl Clin Res Ctr Mental Disorders, Beijing Key Lab Mental Disorders, Beijing, Peoples R China

[4] Capital Med Univ, Beijing Anding Hosp, Natl Ctr Mental Disorders, Beijing, Peoples R China

[5] Southeast Univ, Sch Publ Hlth, Nanjing, Peoples R China

[6] Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China

[7] Univ Notre Dame Australia, Sect Psychiat, Fremantle, Australia

[8] Univ Western Australia, Sch Med, Div Psychiat, Perth, Australia

[9] Shanghai Jiao Tong Univ, Sch Publ Hlth, Shanghai, Peoples R China

[10] CAAC East China Aviat Personnel Med Appraisal Ctr, Shanghai 200336, Peoples R China

[11] Shanghai Jiao Tong Univ, Shanghai Childrens Med Ctr, Sch Med, Sanya & Sch Publ Hlth,Hainan Branch, Shanghai, Peoples R China

来源：

DEPRESSION AND ANXIETY | 2024年 / 2024卷

基金：

中国国家自然科学基金;

关键词：

anxiety; commercial pilots; depression; sleep duration; sleep quality; AIRLINE PILOTS; MENTAL-HEALTH; SYMPTOMS; INSOMNIA; ADULTS; TIME; INTERVENTION; CONSEQUENCES; METAANALYSIS; DISORDER;

D O I：

10.1155/da/9920975

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: Sleep problems are known as risk factors for depression and anxiety, but research on this subject with commercial pilots is limited. This study aimed to explore the effects of sleep problems on depressive and anxiety symptoms among Chinese commercial pilots. Methods: Adults who participated in the baseline assessment of the Civil Aviation Health Cohort of China between December 2022 and March 2023 formed the study sample. Depressive and anxiety symptoms and sleep quality were assessed using standardized scales. Sleep duration was measured with standardized questions. Logistic regression and restricted cubic splines (RCSs) were used to analyze the association between sleep problems and depression/anxiety symptoms. Results: A total of 7055 pilots were included in this study. The overall prevalence of depression and anxiety among pilots was 23.3% (n = 1642; 95% confidence interval [CI] = 22.3%-24.3%) and 17.0% (n = 1196; 95% CI = 16.1-17.8%), respectively. Logistic regression analyses revealed that short sleep duration (<7 h) was significantly associated with a higher risk of depression (odds ratio [OR] = 2.491; p <0.001) and anxiety (OR = 2.555; p <0.001), while poor sleep quality was also associated with a higher risk of depression (OR = 7.297; p <0.001) and anxiety (OR = 7.469; p <0.001). After adjusting for confounders, there was an inverse, J-shaped nonlinear relationship between sleep duration and both depression (inflection point: 7.64 h) and anxiety (inflection point: 7.48 h). Similarly, a J-shaped nonlinear relationship was found between sleep quality and depression/anxiety with an inflection point of Pittsburgh Sleep Quality Index (PSQI) = 4 points for both. The major limitation of the study was that causal relationships between variables could not be inferred due to the cross-sectional study design. Conclusion: This study found that depression and anxiety were common among Chinese commercial pilots. Insufficient length and poor quality of sleep were associated with an increased risk of depression and anxiety. Implementing targeted strategies to improve sleep patterns is crucial for reducing the risk of depression and anxiety in this population.

引用

页数：11

共 91 条

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