30Mar 2017

SLEEP QUALITY, DAYTIME SLEEPINESS, AND DEPRESSION AMONG ER PHYSICIANS IN RIYADH?S REFERRAL HOSPITALS..

  • King Saud University, College of Medicine, Department of Family & Community Medicine, CMED 305 course 2015 ? 2016.
Crossref Cited-by Linking logo
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Objectives: To assess the prevalence of daytime sleepiness, poor sleep quality and depression among (emergency room) ER physicians in comparison to family medicine physicians. Methods: We compared 68 ER physicians with 69 family medicine physicians in an observational case control study. A self-administered questionnaire composed of the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index (PSQI) and the Beck Depression Inventory Scale (BDI). Results: The mean total ESS score of ER physicians was significantly higher than the score of family medicine physicians as 41.2% of ER physicians scored ≥ 10, while only 14.5% of family medicine physicians scored ≥ 10. Moreover, ER physicians had a higher on the PSQI (indicating poorer sleep quality), and 83.8% of them had poor sleep quality (≥ 5) in comparison to 50.7% of family medicine physicians. The BDI scores of the ER and family medicine physicians indicated that 41% and 22% suffered from some level of mood disturbance, respectively. Pearson correlation showed a positive and significant relationship between sleep quality and depression among ER physicians (P < 0.001, r = 0.437). Conclusion: Our study demonstrated that daytime sleepiness, poor sleep quality and depression are prevalent among ER physicians. Moreover, there was a strong correlation between poor sleep quality and depression.

  1. Boivin DB, Boudreau, Impacts of Shift Work on Sleep And Circadian Rhythms. Pathol Biol (Paris), 2014 Oct; 62(5):292-301. dio: 10.1016/j.patbio2014.08.001
  2. Gumenyuk V, Belcher R, Drake CL, Roth T, Differential Sleep, Sleepiness, And Neurophysiology In The Insomnia Phenotypes Of Shift Work Disorder. Sleep. 2015 Jan 1;38(1):119-26. doi: 10.5665/sleep.4336.
  3. Lajoie P, Aronson KJ, Day A, Tranmer J, A Cross-Sectional Study Of Shift Work, Sleep Quality And Cardiometabolic Risk In Female Hospital Employees. BMJ Open. 2015 Mar 10;5(3):e007320. doi: 10.1136/bmjopen-2014-007327.
  4. Ko SB, Night Shift Work, Sleep Quality, and Obesity. J Lifestyle Med, 2013 Sep;3(2)110-6. Epub 2013 Sep 30.
  5. Palhares Ved C, Corrente JE, Masubara BB, Association Between Sleep Quality and Quality of Life in Nursing Professionals Working Rotating Shifts. Rev Saude Publica, 2014 Aug;48(4):594-601.
  6. Harrington J M, Health Effects of Shift Work and Extended Hours of Work. Occup Environ Med 2001;58:68-72 doi:10.1136/oem.58.1.68.
  7. Jermendy G1, N?das J, Hegyi I, Vasas I, Hidv?gi T, Assessment of Cardiometabolic Risk Among Shifts Workers in Hungary. Health Qual Life Outcomes, 2012 Feb 1;10:18 doi: 10.1156/14777-7525-10-18.
  8. Knutsson A, Hallquist J, Reuterwall C, Therorell T, Akerstedt T, Shiftwork and Myocardial Infarction: A Case-Control Study. Occup Environ Med, 1999 Jan;56(1):46-50.
  9. Frost P, Kolstad HA, Bonde JP, Shift Work and The Risk of Ischemic Heart Disease ? A Systemic Review of The Epidemiologic Evidence. Scand J Work Environ Health, 2009 May;35(3):163-79. Epub 2009 Apr 22.
  10. Ellingsen T, Bender A, Gehani AA, Study of Shift Work and Risk of Cornonary Events. J R Soc Promot Health, 2007 Nov; 127(6):265-7.
  11. Hermansson J, Gillander G?din K, Karlsson B, Reuterwall C, Hallqvist J, Knutsson A, Case Fetality of Myocardial Infarction Among Shift Workers. Int Arch Occup Environ Health, 2015 Jul;88(5):599-605 doi:10.1007/s00420-014-z. Epub 2014 Sep 27.
  12. Brown DL, Feskanich D, S?nchez BN, Rexrode KM, Schernhammer ES, Lisabeth LD, Rotataing Night Shift Work and The Risk of Ischemic Stroke. Am J Epidemiol, 2009 Jun 1;169(11):1370-7 doi:10.1093/aje/kwp056. Epub 2009 Apr 8.
  13. Pan A, Schernhammer ES, Sun Q, Hu FB, Rotating Night Shift Work and Risk of Types 2 Diabetes; Two Prospective Cohort Studies on Women. PLoS Med, 2011 Dec;8(12):e1001141 doi:10.1371/journal.pmed.1001141. Epub 2011 Dec 6.
  14. Suwazono Y, Sakata K, Okubo Y, Harada H, Oishi M, Kobayashi E, Uetani M, Kido T, Nogawa K, Long-Term Longtidinal Study On The Relationship Between Alternating Shift Work And The Onset Of Diabetes Mellitus In Male Japanese Workers. J Occup Environ Med, 2006 May;48(5):455-61.
  15. Morikawa Y, Nakagawa H, Miura K, Soyama Y, Ishizaki M, Kido T, Naruse Y, Suwazono Y, Nogawa K, Shift Work and The Risk of Diabetes Mellitus Among Japanese Male Factory Workers. Scand J Work Environ Health, 2005 Jun;31(3):179-83.
  16. Guo Y, Liu Y, Huang X, Rong Y, He M, Wang Y, Yuan J, Wu T, Chen W, The Effects of Shift Work on Sleeping Quality, Hypertension and Diabetes in Retired Workers. PLoS One, 2013 Aug 16;8(8):e71107 doi:10.1371/journal.pone.0071107 eCollection 2013.
  17. Kroenke CH, Spiegelman D, Manson J, Schernhammer ES, Colditz GA, Kawachi I, Work Characteristics and Incidence of Type 2 Diabetes in Women. Am J Epidemiol, 2007 Jan 15;165(2):175-83. Epub 2006 Oct 27.
  18. Young J, Waclawski E, Young JA, Spencer J, Control of Type 1 Diabetes Mellitus and Shift Work. Occup Med (Lond), 2013 Jan;63(1):70-2 doi:10.1093/occmed/kqs176. Epub 2012 Sep 30.
  19. Ellingsen T, Bener A, Gehani AA, Study of Shift Work and Risk of Coronary Events. J R Soc Promot Health, 2007 Nov;127(6):265-7.
  20. Schernhammer ES, Laden F, Speizer FE, Willett WC, Hunter DJ, Kawachi I, Colditz GA, Rotating night shifts and risk of breast cancer in women participating in the nurses' health study. J Natl Cancer Inst. 2001 Oct 17;93(20):1563-8.
  21. Lajoie P, Aronson KJ, Day A, Tranmer J, A cross-sectional study of shift work, sleep quality and cardiometabolic risk in female hospital employees. BMJ Open. 2015 Mar 10;5(3):e007327. doi: 10.1136/bmjopen-2014-007327.
  22. Guo Y, Rong Y, Huang X, Lai H, Luo X, Zhang Z, Liu Y, He M, Wu T, Chen W,Shift work and the relationship with metabolic syndrome in Chinese aged workers. PLoS One. 2015 Mar 11;10(3):e0120632. doi:10.1371/journal.pone.0120632. eCollection 2015.
  23. Machi MS, Staum M, Callaway CW, Moore C, Jeong K, Suyama J, Patterson PD, Hostler D, The relationship between shift work, sleep, and cognition in career emergency physicians. Acad Emerg Med. 2012 Jan;19(1):85-91. doi: 10.1111/j.1553-2712.2011.01254.x. Epub 2012 Jan 5.
  24. Jermendy G, N?das J, Hegyi I, Vasas I, Hidv?gi T, Assessment of cardiometabolic risk among shift workers in Hungary. Health Qual Life Outcomes. 2012; 10: 18. doi:? 1186/1477-7525-10-18.
  25. Itani O, Kaneita Y, Murata A, Yokoyama E, Ohida T. Association of onset of obesity with sleep duration and shift work among Japanese adults. Sleep Med. 2011 Apr;12(4):341-5. doi: 10.1016/j.sleep.2010.09.007. Epub 2011 Mar 5.
  26. Ko SB,Night Shift Work, Sleep Quality, and Obesity. J Lifestyle Med. 2013 Sep; 3(2): 110?116.
  27. Palhares Vde C, Corrente JE, Matsubara BB, Association between sleep quality and quality of life in nursing professionals working rotating shifts. Rev Saude Publica. 2014 Aug; 48(4): 594?601. doi:? 1590/S0034-8910.2014048004939.
  28. AlMetrek M, Effect of Shift-Work on Sleeping Quality of Male Factory Workers in Saudi Arabia. Natl J Physiol Pharm Pharmacol. 2014; 4(1): 61-68. doi: 5455/njppp.2014.4.100820131.
  29. Jafari Roodbandi A, Choobineh A, Daneshvar S, Relationship between Circadian Rhythm Amplitude and Stability with Sleep Quality and Sleepiness among Shift Nurses and Health Care Workers. Int J Occup Saf Ergon. 2015;21(3):312-7. doi: 10.1080/10803548.2015.1081770.
  30. Uehli K, Miedinger D, Bingisser R, D?rr S, Holsboer-Trachsler E, Maier S, Mehta AJ, M?ller R, Schindler C, Zogg S, K?nzli N, Leuppi JD,Sleep quality and the risk of work injury: a Swiss case-control study. J Sleep Res. 2014 Oct;23(5):545-53. doi: 10.1111/jsr.12146. Epub 2014 Jun 2.
  31. Valli?res A, Azaiez A, Moreau V, LeBlanc M, Morin CM, Insomnia in shift work. Sleep Medicine, Volume 15, Issue 12, December 2014, Pages 1440?1448. doi:10.1016/j.sleep.2014.06.021.
  32. Christian Veauthier, Gunnar Gaede, Helena Radbruch, Klaus-Dieter Wernecke, and Friedemann Paul. Poor Sleep in Multiple Sclerosis Correlates with Beck Depression Inventory Values, but Not with Polysomnographic Data. 2016 Jan 18. Doi: 10.1155/2016/8378423
  33. Raniti MB, Allen NB, Schwartz O, Waloszek JM, Byrne ML, Woods MJ, Bei B, Nicholas CL, Trinder J. Sleep Duration and Sleep Quality: Associations with Depressive Symptoms Across Adolescence. Behav Sleep Med, 2016 Jan 8:1-18
  34. Wells RD, Day RC, Carney RM, Freedland KE, Duntley SP. Depression predicts Slelf-reported Sleep Quality in Patients With Obstuructive Sleep Apnea. Psychosom Med. 2004 Sep-oct;66(5):692-7
  35. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ, The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213.
  36. Johns MW , A new method for measuring daytime sleepiness: the Epworth sleepiness scale. 1991 Dec;14(6):540-5.
  37. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J, An Inventory for Measuring Depression. Arch Gen Psychiatry. 1961 Jun;4:561-71.
  38. Machi?MS, Staum M, Callaway CW, Moore C, Jeong K, Suyama J, Patterson D, Hostler D.The Relationship Between Shift Work, Sleep, and Cognition in Career Emergency Physicians. Academic Emergency Medicine, Volume 19, Issue 1,
?pages 85?91,?January 2012. DOI:?10.1111/j.1553-2712.2011.01254.x

[Ahmed Bahammam, Awad Olaish, Aseel Al-Ghonimy, Malak Al Aboudi and Rawan Al Abdullah. (2017); SLEEP QUALITY, DAYTIME SLEEPINESS, AND DEPRESSION AMONG ER PHYSICIANS IN RIYADH?S REFERRAL HOSPITALS.. Int. J. of Adv. Res. 5 (Mar). 2281-2287] (ISSN 2320-5407). www.journalijar.com

Prof. Ahmed Bahammam

DOI:

Article DOI: 10.21474/IJAR01/3753      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3753

Download Full Paper

Download PDF No. of Downloads: 14 | No. of Views: 112