Change in Job Strain as a Predictor of Change in Insomnia Symptoms: Analyzing Observational Data as a Non-randomized Pseudo-Trial

被引:30
作者
Halonen, Jaana I. [1 ]
Lallukka, Tea [1 ,2 ]
Pentti, Jaana [1 ]
Stenholm, Sari [3 ]
Rod, Naja H. [4 ,5 ]
Virtanen, Marianna [1 ]
Salo, Paula [1 ,6 ]
Kivimaki, Mika [1 ,7 ,8 ]
Vahtera, Jussi [3 ,9 ]
机构
[1] Finnish Inst Occupat Hlth, Work Disabil Prevent, Helsinki, Finland
[2] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland
[3] Univ Turku, Dept Publ Hlth, Turku, Finland
[4] Univ Copenhagen, Sect Social Med, Dept Publ Hlth, Copenhagen, Denmark
[5] Univ Copenhagen, Copenhagen Stress Res Ctr, Copenhagen, Denmark
[6] Univ Turku, Dept Psychol, Turku, Finland
[7] UCL, Dept Epidemiol & Publ Hlth, London, England
[8] Univ Helsinki, Clinicum, Fac Med, Helsinki, Finland
[9] Turku Univ Hosp, Turku, Finland
基金
芬兰科学院; 英国医学研究理事会; 英国经济与社会研究理事会;
关键词
cohort study; epidemiology; insomnia symptoms; sleep; job strain; PSYCHOSOCIAL WORK FACTORS; CORONARY-HEART-DISEASE; SLEEP DISTURBANCES; RISK-FACTOR; STRESS; HEALTH; METAANALYSIS; DEMANDS; ENVIRONMENT; DISABILITY;
D O I
10.1093/sleep/zsw007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study objectives: To examine whether change in job strain leads to change in insomnia symptoms. Methods: Among 24873 adults (82% women, mean age 44 years) who participated in a minimum of three consecutive study waves (2000- 2012), job strain was assessed at the first and second wave and insomnia symptoms at all three waves. We analyzed observational data as a "pseudo-trial" including participants with no job strain in the first wave and no insomnia symptoms in the first and second wave (n = 7354) to examine whether the onset of job strain between the first and second waves predicted the onset of insomnia symptoms in the third wave. We used a corresponding approach, including those with job strain in the first wave and insomnia symptoms in the first and second wave (n = 2332), to examine whether the disappearance of job strain between the first two waves predicted remission of insomnia symptoms in the third wave. Results: The onset of job strain predicted the onset of subsequent insomnia symptoms after adjustment for sex, age, marital status, education, smoking, physical activity, alcohol consumption, body mass index, and comorbidities (odds ratio compared to no onset of job strain 1.32, 95% CI 1.16- 1.51). The disappearance of job strain was associated with lower odds of repeated insomnia symptoms (odds ratio compared to no disappearance of job strain 0.78, 95% CI 0.65-0.94). Further adjustment for shift work or sleep apnea did not change these associations. Conclusions: These results suggest that job strain is a modifiable risk factor for insomnia symptoms.
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页数:8
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