Work-Family Conflict, Psychological Distress and Sleep Deficiency Among Patient Care Workers
Published Date:Jul 2014
Source:Workplace Health Saf. 62(7):282-291.
Pubmed Central ID:PMC4430726
Funding:U19 OH008861/OH/NIOSH CDC HHS/United States
HL R01HL107240/HL/NHLBI NIH HHS/United States
UL1 RR025758/RR/NCRR NIH HHS/United States
R01 HL107240/HL/NHLBI NIH HHS/United States
UL1 RR025758-04/RR/NCRR NIH HHS/United States
There is a well-established link between psychological distress, work-related stress and sleep. The aim of this study was to test the hypothesis that work-family conflict was associated with sleep deficiency both cross-sectionally and longitudinally while controlling for potential covariates.
In this two-phase study, a workplace health survey was collected from a cohort of patient care workers (n=1,572) at two large hospitals. Follow-up was collected nearly two years later in a subsample (n=102). Self-reported measures included work-family conflict, socio-demographics, workplace factors, psychological distress, and outcomes of sleep duration, sleep insufficiency, and sleep maintenance. Bivariate associations (P<0.2) from the baseline sample were used to build multivariable logistic regression models.
The participants were 90 % women with a mean age of 41 (±11.7) years. At baseline, after adjusting for covariates, higher levels of work-family conflict were significantly associated with sleep deficiency, short sleep duration and perceived sleep insufficiency, but not with sleep maintenance problems. Higher levels of work-family conflict also predicted sleep insufficiency at follow-up nearly two years later. None of the other variables were associated with sleep outcomes longitudinally.
This is the first study to determine the predictive and cross-sectional associations of work-family conflict on sleep deficiency, also controlling for other measures of job stress and psychological distress. The results indicate that future interventions on sleep deficiency in patient care workers should include a specific focus on work-family conflict.
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