Insomnia symptoms and their association with workplace productivity: cross-sectional and pre-post intervention analyses from a large multinational manufacturing company

被引:44
作者
Espie, Colin A. [1 ,2 ]
Pawlecki, Brent [3 ]
Waterfield, Dickon [2 ]
Fitton, Kit [2 ]
Radocchia, Michael [2 ]
Luik, Annemarie I. [1 ,2 ]
机构
[1] Univ Oxford, Nuffield Dept Clin Neurosci, Sleep & Circadian Neurosci Inst, South Parks Rd, Oxford OX1 3RE, England
[2] Big Hlth Inc, San Francisco, CA USA
[3] Goodyear Tire & Rubber Co, Akron, OH 44316 USA
关键词
Sleep; Insomnia; Occupational health; Work productivity; COGNITIVE-BEHAVIORAL THERAPY; PLACEBO-CONTROLLED TRIAL; PERCEIVED STRESS SCALE; SLEEP RESTRICTION; WORK PRODUCTIVITY; HEALTH; PERFORMANCE; DISORDER; BENEFITS; INDEX;
D O I
10.1016/j.sleh.2018.03.003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Symptoms of insomnia are common and might impact work productivity. We investigated the relationship between insomnia symptoms and workplace productivity in a global manufacturing company. Methods: Within an uncontrolled, cross-sectional study, employees from a US-based company were invited to participate in an online evaluation comprising the Sleep Condition Indicator (SCI) measuring symptoms of insomnia (high score indicating better sleep), 2 items of the Work Productivity and Impairment Index (WPAI) measuring 'presenteeism' and 'absenteeism' (high score indicating loss of work productivity) and 1 item of the Perceived Stress Scale (PSS) from January 2015 onwards. Pre-post, within-subject data were collected to preliminary test effects of 'sleep tips' and digital cognitive behavioral therapy (dCBT). Results: In 2798 employees [72% male; mean age 46.3(SD11.8) yrs] sleep was poorest in plant staff [SCI = 3.70(2.73)], then retail staff [4.34(3.02)], then office staff [4.95(2.83): overall F(2,2786)= 43.7, P < .0001]. More insomnia symptoms were associated with WPAI presenteeism (r = -.489, P b.0001; R-2 = 23.9%). Insomnia symptoms also were the strongest predictor of work-related productivity, with stress only contributing a further 9%. A regression model for 'absenteeism' was statistically significant but of limited predictive value (R-2 = 3.4%). In a sample of 214 employees with pre- and post-intervention data, the SCI of those exposed to sleep tips significantly increased from 5.36(3.28) to 6.01(3.22), [t(123) = -3.02, P = .003] and from 3.08(2.24) to 6.03(2.97) for those who accessed dCBT [t(89) = -8.40, P < .001). Conclusion: Symptoms of insomnia are associated with poor work productivity. Additionally, targeted insomnia interventions may offer potential to improve sleep and work productivity. (c) 2018 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:307 / 312
页数:6
相关论文
共 44 条
[31]   Insomnia, Comorbidity, and Risk of Injury Among Insured Americans: Results from the America Insomnia Survey [J].
Kessler, Ronald C. ;
Berglund, Patricia A. ;
Coulouvrat, Catherine ;
Fitzgerald, Timothy ;
Hajak, Goeran ;
Roth, Thomas ;
Shahly, Victoria ;
Shillington, Alicia C. ;
Stephenson, Judith J. ;
Walsh, James K. .
SLEEP, 2012, 35 (06) :825-834
[32]   Insomnia and the Performance of US Workers: Results from the America Insomnia Survey [J].
Kessler, Ronald C. ;
Berglund, Patricia A. ;
Coulouvrat, Catherine ;
Hajak, Goeran ;
Roth, Thomas ;
Shahly, Victoria ;
Shillington, Alicia C. ;
Stephenson, Judith J. ;
Walsh, James K. .
SLEEP, 2011, 34 (09) :1161-1171
[33]  
Léger D, 2006, SLEEP, V29, P171
[34]   Sleep deprivation and vigilant attention [J].
Lim, Julian ;
Dinges, David F. .
MOLECULAR AND BIOPHYSICAL MECHANISMS OF AROUSAL, ALERTNESS, AND ATTENTION, 2008, 1129 :305-322
[35]   Sleep: A Health Imperative [J].
Luyster, Faith S. ;
Strollo, Patrick J., Jr. ;
Zee, Phyllis C. ;
Walsh, James K. .
SLEEP, 2012, 35 (06) :727-734
[36]  
McGrath ER, 2016, AM J HYPERTENS, V30
[37]  
Pillai V., 2015, J. Sleep Med. Disord, V2, P1017
[38]   THE VALIDITY AND REPRODUCIBILITY OF A WORK PRODUCTIVITY AND ACTIVITY IMPAIRMENT INSTRUMENT [J].
REILLY, MC ;
ZBROZEK, AS ;
DUKES, EM .
PHARMACOECONOMICS, 1993, 4 (05) :353-365
[39]   The effectiveness of community day-long CBT-I workshops for participants with insomnia symptoms: a randomised controlled trial [J].
Swift, Naomi ;
Stewart, Robert ;
Andiappan, Manoharan ;
Smith, Anna ;
Espie, Colin A. ;
Brown, June S. L. .
JOURNAL OF SLEEP RESEARCH, 2012, 21 (03) :270-280
[40]   Sleep and the Price of Plasticity: From Synaptic and Cellular Homeostasis to Memory Consolidation and Integration [J].
Tononi, Giulio ;
Cirelli, Chiara .
NEURON, 2014, 81 (01) :12-34