Sleep Disturbances and Disability Following Work-Related Injury and Illness: Examining Longitudinal Relationships Across Three Follow-Up Waves
Public Domain
Peer Reviewed
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2021/06/01
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Personal Author:
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Description:Despite the high burden of sleep disturbances among the general population, there is limited information on prevalence and impact of poor sleep among injured workers. This study: (a) estimated the prevalence of sleep disturbance following work-related injury; and (b) examined the longitudinal association between sleep disturbances and disability/functioning, accounting for reciprocal relationships and mental illness. Longitudinal survey data were collected from workers' compensation claimants with a time-loss claim in Victoria, Australia (N = 700). Surveys were conducted at baseline, 6 months and 12 months. Sleep disturbance was measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. Disability/functioning was based on self-reported activity limitations, participation restrictions and emotional functioning. Path models examined the association between disability/functioning and sleep. Mean sleep disturbance T-scores were 55.2 (SD 11.4) at 6 months, with 36.4% of the sample having a T-score of 60+. Longitudinal relationships were observed between disability (specifically, emotional functioning) and sleep disturbances across successive follow-up waves. For example, each unit increase in T2 emotional functioning (five-point scale) was associated with a 1.1 unit increase in T3 sleep disturbance (approximately 29-76 scale). Cross-lagged path models found evidence of a reciprocal relationship between disability and sleep, although adjustment for mental illness attenuated the estimates to the null. In conclusion, sleep disturbances are common among workers' compensation claimants with work injuries/illnesses. Given the links between some dimensions of disability, mental health and sleep disturbances, the findings have implications for the development of interventions that target the high prevalence of sleep problems among working populations. Description provided by NIOSH
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Subjects:
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Keywords:
- Sleep
- Sleep deprivation
- Workers
- Worker health
- Injuries
- Disabled workers
- Longitudinal study
- Workers Compensation
- Health surveys
- Questionnaires
- Activity levels
- Psychological processes
- Psychological factors
- Mental illness
- Models
- Emotional stress
- Intervention
- Author Keywords: cross-lagged path model
- disability
- longitudinal
- sleep disturbances
- work injury
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ISSN:0962-1105
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Volume:30
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Issue:3
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NIOSHTIC Number:nn:20060271
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Citation:J Sleep Res 2021 Jun; 30(3):e13124
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Contact Point Address:Jonathan K. Fan, Institute for Work & Health, 481 University Avenue, Suite 800, Toronto, ON M5G 2E9, Canada
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Email:jfan@iwh.on.ca
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Federal Fiscal Year:2021
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NORA Priority Area:
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Peer Reviewed:True
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Source Full Name:Journal of Sleep Research
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Main Document Checksum:urn:sha-512:1426bbc9df4b47183d42b94545bdf5cc8c1bbdbdfb55c01036f169f120b8d4c3140e994058e047ebe53d85816181115d7c432f1066581c634fa42ed19b455a30
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