Sleep problems: a predictor of long-term work disability?

Abstract

Aims: This study investigates sleep problems as a predictor of long-term work disability. Methods: Data from a community-based four-year prospective study were used. In 1990, all inhabitants of the municipality of Ullensaker, Norway, belonging to six age cohorts (20-22, 30-32, 40-42, 50-52, 60-62, and 70-72 years), were mailed a questionnaire .Of the 1,788 responders who were working and not older than 62 years, 1,426 ( 80%) returned a second questionnaire four years later ( 1994) . Results: Reporting mediocre or poor sleep ( in contrast to good) in 1990 was significantly related to long-term work disability ( > 8 weeks) during the previous 12 months in 1994 ( odds ratio=2.16; 95% confidence interval=1.26-3.72) , after adjustments for age, gender, civil status, body mass index, emotional symptoms, musculoskeletal pain, self-evaluated health, smoking, physical exercise, job satisfaction, and work characteristics .Conclusion: The study indicates that sleep problems are a predictor of long-term work disability.

Keywords

insomnia sickness absence sleep disorder work disability.

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References

Walsh J. , Ustun TB Prevalence and health consequences of insomnia. Sleep 1999; 22 Suppl 3: s427-36.

Stoller MK Economic effects of insomnia. Clin Ther 1994 ; 16: 873-97.

Addison RG , Thorpy MJ , Roehrs TA , Roth T. Sleep/ wake complaints in the general population . Sleep Res 1991; 20: 112.

Ford DE , Kamerow DB

Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?

JAMA 1989; 262: 1479-84.

Livingston G. , Blizard B. , Mann A. Does sleep disturbance predict depression in elderly people? A study in inner London. Br J Gen Pract 1993; 43: 445-8.

Breslau N. , Roth T. , Rosenthal L. , Andreski P. Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry 1996 ; 39: 411-18.

Giles DE , Harrett RB , Roffwarg HP , Rush AJ Reduced REM latency: a predictor of recurrence in depression. Neuropsychopharmacology 1988; 1: 33-9.

Kupfer DJ , Frank E. , McEachran A. , Grochocinski V. Delta sleep ratio: a biological correlate of early recurrence in unipolar affective disorder. Arch Gen Psychiatry 1989 ; 47: 1100-5.

Broman JE , Lundh LG , Hetta J. Insufficient sleep in the general population. Neurophysiol Clin 1996; 26: 30-9.

10.

Zammit GK Subjective ratings of the characteristics and sequelae of good and poor sleep in normals. J Clin Psychol 1988; 44: 123-30.

11.

Ohayon MM , Caulet M. , Philip P. , Guilleminault C. , Priest RG How sleep and mental disorders are related to complaints of daytime sleepiness . Arch Intern Med 1997; 157: 2645-52.

12.

Thase ME Depression, sleep, and antidepressants. J Clin Psychiatry 1998; 59 Suppl 4: 55-65.

13.

Stocchi F. , Barbato L. , Nordera G. , Berardelli A. , Ruggieri S. Sleep disorders in Parkinson's disease. J Neurol 1998; 245 Suppl 1: s15-8.

14.

Gillin JC

Are sleep disturbances risk factors for anxiety, depressive and addictive disorders?

Acta Psychiatr Scand 1998; Suppl. 393: 39-43.

15.

Lamberg L. Chronic pain linked with poor sleep; exploration of causes and treatment . JAMA 1999; 281: 691-2.

16.

Pilcher JJ , Huffcutt AI Effects of sleep deprivation on performance .Sleep 1996; 19: 318- 26.

17.

Kupperman M. , Lubeck DP , Mazonson PD , et al. Sleep problems and their correlates in a working population. J Gen Intern Med 1995; 10: 25- 32.

18.

Johnson LC , Spinweber CL Good and poor sleepers differ in navy performance .Military Med 1983; 148: 727-31.

19.

Leigh JP Employee and job attributes as predictors of absenteeism in a national sample of workers: the importance of health and dangerous working conditions. Soc Sci Med 1991; 33: 127-37.

20.

Jacquinet-Salord MC , Lang T. , Fouriaud C. , Nicoulet I. , Bingham A. , Group of Occupational Physicians of APSAT. Sleeping tablet consumption, self-reported quality of sleep, and working conditions. J Epidemiol Community Health 1993; 47: 64-8.

21.

Ingemarsson AH , Nordholm L. , Sivik T. Risk of long-term disability among patients with back pain. Scand J Rehab Med 1997; 29: 205- 12.

22.

Natvig B. , Nessiøy I. , Bruusgaard D. , Rutle O. Musculoskeletal symptoms in a local community. Eur J Gen Practice 1995; 1: 25- 8.

23.

Goldberg D. , Williams P. A user's guide to the general Health Questionnaire. Windsor , NFER-Nelson, 1988.

24.

Kuorinka I. , Jonsson B. , Kilbom A. , et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18: 233-7.

25.

Burdorf A. , Post W. , Bruggeling T. Reliability of a questionnaire on sickness absence with specific attention to absence due to back pain and respiratory complaints. Occup Environ Med 1996; 53: 58- 62.

26.

Hyyppä MT , Kronholm E. , Alanen E. Quality of sleep during economic recession in Finland: a longitudinal cohort study. Soc Sci Med 1997; 45: 731-8.

27.

Angst J. , Vollrath M. , Koch R. , Dobler-Mikola A. The Zurich study. VII: Insomnia: symptoms, classification and prevalence .Eur Arch Psychiatr Neurol Sci 1989; 238: 285- 93.

28.

Lack L. , Miller W. , Turner D. A survey of sleeping difficulties in an Australian population. Community Health Stud 1988; XII: 200- 7.

29.

Weyerer S. , Dilling H. Prevalence and treatment of insomnia in the community: results from the Upper Bavarian Field Study. Sleep 1991; 14: 392-8.

30.

Karasek R. , Theorell T. Healthy work. Stress, productivity, and the reconstruction of working life . New York, Basic Books, 1990: 80.

31.

Kristensen TS Sickness absence and work strain among Danish slaughterhouse workers: an analysis of absence from work regarded as coping behaviour. Soc Sci Med 1991; 32: 15- 27.

32.

Brage S. , Nygård JF , Tellnes G. The gender gap in musculoskeletal-related long-term sickness absence in Norway . Scand J Soc Med 1998; 26: 34-43.

33.

Feeney A. , North F. , Head J. , Canner R. , Marmot M. Socioeconomic and sex differences in reason for sickness absence from the Whitehall II study. Occup Environ Med 1998 ; 55: 91-8.

34.

Kaprio J. , Sarna S. , Fogelholm M. , Koskenvuo M. Total and occupationally active life expectancies in relation to social class and marital status in men classified as healthy at 20 in Finland. J Epidemiol Community Health 1996; 50: 653-60.

35.

Castaneda R. , Sussman N. , Levy R. , O'Malley M. , Westreich L. A review of the effects of moderate alcohol intake on psychiatric and sleep disorders. Recent Dev Alcohol 1998; 14: 197-226.

36.

Marmot MG , North F. , Feeney A. , Head J. Alcohol consumption and sickness absence: from the Whitehall II study. Addiction 1993; 88: 369-82.

37.

Armenian HK , Pratt LA , Gallo J. , Eaton WW Psychopathology as a predictor of disability: a population-based follow-up study in Baltimore, Maryland. Am J Epidemiol 1998; 148: 269-75.