Associations Between Night Work and Anxiety, Depression, Insomnia, Sleepiness and Fatigue in a Sample of Norwegian Nurses.docVIP

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Associations Between Night Work and Anxiety, Depression, Insomnia, Sleepiness and Fatigue in a Sample of Norwegian Nurses.doc

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Associations Between Night Work and Anxiety, Depression, Insomnia, Sleepiness and Fatigue in a Sample of Norwegian Nurses

AssociationsBetweenNightWorkandAnxiety, Depression,Insomnia,SleepinessandFatigueina SampleofNorwegianNurses NicolasM.F.?yane1,2*,Sta?lePallesen2,3,BenteElisabethMoen1,Torbjo¨rnAkerstedt? 4,Bj?rnBjorvatn1,2 1DepartmentofPublicHealthandPrimaryHealthCare,UniversityofBergen,Bergen,Norway,2NorwegianCompetenceCenterforSleepDisorders,HaukelandUniversity Hospital, Bergen, Norway, 3Department of Psychosocial Science, University of Bergen, Bergen, Norway, 4Department of Clinical Neuroscience, Karolinska Institutet, Stockholm,Sweden Abstract Background:Nightworkhasbeenreportedtobeassociatedwithvariousmentaldisordersandcomplaints.Weinvestigated relationshipsbetweennightworkandanxiety,depression,insomnia,sleepinessandfatigueamongNorwegiannurses. Methods:Thestudydesignwascross-sectional,basedonvalidatedself-assessmentquestionnaires.Atotalof5400nurses were invited to participate in a health survey through the Norwegian Nurses’ Organization, whereof 2059 agreed to participate(responserate38.1%).Nursescompletedaquestionnairecontainingitemsondemographicvariables(gender, age,yearsofexperienceasanurse,maritalstatusandchildrenlivingathome),workschedule,anxiety/depression(Hospital AnxietyandDepressionScale),insomnia(BergenInsomniaScale),sleepiness(EpworthSleepinessScale)andfatigue(Fatigue Questionnaire).Theywerealsoaskedtoreportnumberofnightshiftsinthelast12months(NNL).First,theparameters were compared between nurses i) never working nights, ii) currently working nights, and iii) previously working nights, usingbinarylogisticregressionanalyses.Subsequently,acumulativeapproachwasusedinvestigatingassociationsbetween NNLwiththecontinuousscoresonthesamedependentvariablesinhierarchicalmultipleregressionanalyses. Results: Nurses with current night work were more often categorized with insomnia (OR=1.48, 95% CI=1.10–1.99) and chronicfatigue(OR=1.78,95%CI=1.02–3.11)thannurseswithnonightworkexperience.Previousnightworkexperience was also associated with insomnia (OR=1.45, 95% CI