Research Square (Research Square),
Journal Year:
2021,
Volume and Issue:
unknown
Published: June 29, 2021
Abstract
Background:
Many
shift
workers
suffer
from
sleep
issues,
which
negatively
affect
quality
of
life
and
performance.
Scientifically
evaluated,
structured
programs
for
prevention
treatment
are
scarce.
We
developed
an
anonymous
online
cognitive
behavioral
therapy
insomnia
(CBT-I)
program.
After
successful
completion
a
feasibility
study,
we
now
start
this
prospective,
randomized,
controlled
superiority
trial
to
compare
outcomes
two
parallel
groups,
namely
intervention
group
waiting-list
control-group.
Additionally,
will
these
those
face-to-face
CBT-I
outpatient
sample.
Methods:
Collaborating
companies
offer
our
their
shift-working
employees.
Company
physicians
counseling
services
screen
interested
inclusion
exclusion
criteria.
Participants
receive
access
service,
where
they
complete
psychometric
assessment
random
assignment
either
the
or
control
group.
providers
be
aware
assignment.
aim
allocate
at
least
N
=
60
participants
trial.
The
consists
psychoeducation,
restriction,
stimulus
control,
relaxation
techniques,
individual
feedback
delivered
via
four
e-mail
contacts.
During
intervention,
as
well
during
waiting
period,
fill
out
weekly
diaries.
Immediately
after
program,
post-intervention
takes
place.
in
able
participate
program
all
study
assessments.
To
recruit
additional
sample,
collaborating
clinics
provide
six
sessions
standard
ad-hoc
sample
working
patients.
expect
both
interventions
have
beneficial
effects
compared
on
following
primary
outcomes:
self-reported
symptoms
depression
insomnia,
quality,
daytime
sleepiness.
Conclusions:
allows
follow
independently
schedule
location.
Forthcoming
results
might
contribute
further
improvement
issues
workers.
Canadian Medical Association Journal,
Journal Year:
2024,
Volume and Issue:
196(10), P. E327 - E340
Published: March 17, 2024
Background:
Cognitive
behavioural
therapy
(CBT)
has
been
shown
to
be
effective
for
several
psychiatric
and
somatic
conditions;
however,
most
randomized
controlled
trials
(RCTs)
have
administered
treatment
in
person
whether
remote
delivery
is
similarly
remains
uncertain.
We
sought
compare
the
effectiveness
of
therapist-guided
CBT
in-person
CBT.
Methods:
systematically
searched
MEDLINE,
Embase,
PsycINFO,
CINAHL,
Cochrane
Central
Register
Controlled
Trials
from
inception
July
4,
2023,
RCTs
that
enrolled
adults
(aged
≥
18
yr)
presenting
with
any
clinical
condition
participants
either
(e.g.,
teleconference,
videoconference)
or
Paired
reviewers
assessed
risk
bias
extracted
data
independently
duplicate.
performed
random-effects
model
meta-analyses
pool
patient-important
primary
outcomes
across
eligible
as
standardized
mean
differences
(SMDs).
used
Grading
Recommendations
Assessment,
Development
Evaluation
(GRADE)
guidance
assess
certainty
evidence
Instrument
Assess
Credibility
Effect
Modification
Analyses
(ICEMAN)
rate
credibility
subgroup
effects.
Results:
included
54
a
total
5463
patients.
Seventeen
studies
focused
on
anxiety
related
disorders,
14
depressive
symptoms,
7
insomnia,
6
chronic
pain
fatigue
syndromes,
5
body
image
eating
3
tinnitus,
1
alcohol
use
disorder,
mood
disorders.
Moderate-certainty
showed
little
no
difference
(SMD
−0.02,
95%
confidence
interval
−0.12
0.07).
Interpretation:
range
mental
health
suggesting
potential
facilitate
greater
access
evidence-based
care.
Systematic
review
registration:
Open
Science
Framework
(https://osf.io/7asrc)
Journal of Sleep Research,
Journal Year:
2024,
Volume and Issue:
33(6)
Published: March 14, 2024
Summary
Insomnia
is
a
primary
symptom
of
shift
work
disorder,
yet
it
remains
undertreated.
This
randomised‐controlled
pilot
trial
examined
the
efficacy
digital,
guided
cognitive
behavioural
therapy
for
insomnia
adapted
to
(SleepCare)
in
nurses
with
disorder.
The
hypothesis
was
that
SleepCare
reduces
severity
compared
waitlist
control
condition.
A
total
46
unmedicated
suffering
from
disorder
(age:
39.7
±
12.1
years;
80.4%
female)
were
randomised
group
or
group.
outcome
measure
Severity
Index.
Other
questionnaires
on
sleep,
mental
health
and
occupational
functioning,
sleep
diary
data
actigraphy
analysed
as
secondary
outcomes.
Assessments
conducted
before
(T0),
after
intervention/waitlist
period
(T1),
6
months
treatment
completion
(T2).
showed
significant
reduction
T0
T1
condition
(β
=
−4.73,
SE
1.12,
p
<
0.001).
Significant
improvements
observed
sleepiness,
dysfunctional
beliefs
about
pre‐sleep
arousal,
effort,
self‐reported
efficiency
onset
latency.
No
effect
found
data.
Depressive
anxiety
symptoms,
irritation
ability
improved
significantly.
Overall,
satisfaction
engagement
intervention
high.
severity,
functioning.
first
investigating
digital
population
insomnia.
Future
research
should
further
explore
these
effects
larger
sample
sizes
active
conditions.
Journal of Sleep Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 5, 2024
Summary
The
present
study
evaluates
the
efficacy
of
behavioural
therapy
adapted
for
shift
work
disorder
with
a
randomised
control
design
in
healthcare
population.
Forty‐three
night
workers
(m.
age:
34
years;
77%
women)
experiencing
were
to
either
(BT‐SWD)
or
waiting‐list
group
offered
after
waiting
period.
Participants
completed
questionnaires
on
insomnia,
sleepiness
and
mental
health
pre‐
post‐treatment,
post‐waiting,
at
follow‐up,
sleep
diary.
As
alternate
between
sleeping
during
day
their
shifts
transitioning
nighttime
days
off,
insomnia
severity
variables
analysed
daytime
sleep.
BT‐SWD
involved
restriction
therapy,
stimulus
fixed
periods
dark.
Statistical
analyses
performed
under
intent‐to‐treat
per‐protocol
approaches.
Repeated‐measures
two‐way
ANCOVA
analysis,
controlling
age,
sex
pre‐treatment
total
time,
was
Bonferroni
corrections,
between‐group
effect
sizes
computed.
Fourteen
participants
dropped
out
randomisation.
Under
had
significant
greater
decrease
an
increase
time
post‐treatment
than
group,
large
(−1.25
0.89).
These
corresponding
results
also
analysis.
Sleepiness,
anxiety
depression
levels
improved
maintained
follow‐up
when
treated
controls
added
group.
can
be
used
improve
workers.
Frontiers in Sleep,
Journal Year:
2024,
Volume and Issue:
3
Published: Feb. 8, 2024
Introduction
Shift
work
can
lead
to
sleep
disturbances
and
insomnia
during
the
sleeping
period,
as
well
excessive
sleepiness
fatigue
waking
period.
While
Cognitive
Behavioral
Therapy
(CBT-i)
is
recommended
first
line
of
treatment
for
insomnia,
key
elements
CBT-i,
such
maintaining
a
consistent
schedule,
be
challenging
shift
workers,
highlighting
need
tailored
interventions.
This
mini
review
provides
narrative
synthesis
non-pharmacological
interventions
workers
informs
development
preventative,
multicomponent
management
programme.
Method
An
informal
was
conducted
in
with
Phase
1
Framework
Development
Evaluation
Complex
Interventions.
Results
A
variety
strategies
have
been
employed
help
manage
impacts
on
sleep,
including:
adjusting
schedules,
controlled
light
exposure,
hygiene
education,
planned
napping,
caffeine
consumption,
mind-body
(e.g.,
yogic
relaxation).
Discussion
Recommendations,
limitations,
directions
future
research
are
discussed;
notably,
role
family,
commute
from
workplace,
eating
behaviors
employees
appear
overlooked
current
intervention
efforts.
Digital
CBT-i
platforms
could
provide
an
effective,
scalable,
low-cost
method
reducing
workers.
Clocks & Sleep,
Journal Year:
2025,
Volume and Issue:
7(2), P. 24 - 24
Published: May 9, 2025
Shift
workers
are
at
increased
risk
of
insomnia.
The
standard
treatment
(cognitive
behavioral
therapy
for
insomnia)
poses
significant
challenges
this
demographic
due
to
irregular
work
and
sleep
schedules.
New
approaches
still
considered
insufficient
high
attrition
or
effectiveness.
Our
preliminary
study
identified
sleep-relevant
state
trait
factors
(see
secondary
outcomes)
incorporation
into
an
innovative
manual
that
addresses
in
implicit
manner.
objective
was
reduce
the
focus
on
insomnia
replace
regularity-based
interventions.
With
a
sample
55
insomniacs
(67.74%
male,
mean
age
41.62
years),
customized
treatments
were
compared
using
pre-treatment,
post-treatment,
three-month
follow-up
measurements
(RCT,
self-assessment
data).
linear
mixed
models
revealed
main
effects
measurement
point
primary
(insomnia
severity,
quality,
onset
latency,
total
time,
daytime
sleepiness)
outcomes
(selection:
anxiety/depression,
dysfunctional
beliefs,
arousal,
emotional
stability,
concern).
No
condition
interaction
identified.
Non-inferiority
equivalence
tests
demonstrated
is
equivalent
therapy,
which
favorable
outcome
light
approach.
Consequently,
approach
warrants
further
exploration,
incorporating
present
results.
Occupational and Environmental Medicine,
Journal Year:
2022,
Volume and Issue:
79(7), P. 460 - 468
Published: Jan. 24, 2022
Objectives
To
examine
if
a
proactive
recovery
intervention
for
newly
graduated
registered
nurses
(RNs)
could
prevent
the
development
of
sleep
problems,
burn-out,
fatigue
or
somatic
symptoms.
Methods
The
study
was
randomised
control
trial
with
parallel
design.
Newly
RNs
less
than
12
months’
work
experience
were
eligible
to
participate.
461
from
8
hospitals
in
Sweden
invited,
which
207
signed
up.
These
either
groups.
After
adjustments,
99
included
group
(mean
age
27.5
years,
84.7%
women)
and
108
27.0
90.7%
women).
82
attended
group-administered
programme,
involving
three
sessions
2
weeks
between
each
session,
focusing
on
strategies
relation
stress
shift
work.
Effects
sleep,
symptoms
measured
by
questionnaires
at
baseline,
postintervention
6
months
follow-up.
Results
Preventive
effect
seen
group.
Also,
showed
burn-out
postintervention.
However,
these
latter
effects
did
not
persist
Participants
used
many
programme.
Conclusions
A
proactive,
programme
be
helpful
strengthening
preventing
negative
health
consequences
RNs.
Trial
registration
number
NCT04246736
.
International Journal of Environmental Research and Public Health,
Journal Year:
2020,
Volume and Issue:
17(17), P. 6401 - 6401
Published: Sept. 2, 2020
The
aim
of
this
systematic
review
and
meta-analysis
was
to
identify
evaluate
the
impact
interventions
improve
or
reduce
insomnia
in
workforce
through
randomized
clinical
trials.
Following
recommendations
PRISMA
MARS
statement,
a
literature
search
carried
out
on
PubMed,
Web
Science,
CINHAL,
PsycINFO
databases,
with
no
restrictions
language
publication
date.
For
meta-analysis,
random-effects
model
Insomnia
Severity
Index
were
used
as
outcome
measures.
To
assess
risk
bias
quality
evidence,
Cochrane
Collaboration
tool
GRADE
method
used,
respectively.
Twenty-two
studies
included
12
making
total
14
intervention
groups
sample
827
workers.
Cognitive
behavioral
therapy
most
widely
intervention.
According
estimated
difference
between
means,
moderate
effect
for
reduction
symptoms
after
(MD
−2.08,
CI
95%:
[−2.68,
−1.47])
non-significant
degree
heterogeneity
obtained
(p
=
0.64;
I2
0%).
evidence
moderate.
results
suggest
that
workplace
are
effective
improving
workers’
health,
improvements
sleep
decrease
produced,
thanks
an
increase
weekly
sleeping
hours
latency
at
onset.
As
regards
work,
they
also
led
productivity,
presenteeism,
job
burnout.
BMC Psychiatry,
Journal Year:
2022,
Volume and Issue:
22(1)
Published: Jan. 17, 2022
Abstract
Background
Research
predominantly
suggests
that
nurses
are
at
high
risk
of
developing
psychopathology.
The
empirical
data
show
the
occurrence
rate
problem-related
sleep
quality
among
clinical
is
high.
Therefore,
this
study
was
conducted
to
address
lack
information
on
relationship
between
coronavirus
disease
2019
(COVID-19)
pandemic
and
insomnia.
Methods
A
convenience
sample
(
n
=
680)
completed
an
online
survey
included
Insomnia
severity
index,
COVID-19-related
psychological
distress
scale,
general
health
questionnaire,
neuroticism,
dysfunctional
beliefs,
attitudes
about
difficulties
in
emotion
regulation
scale.
Results
results
showed
35.8%
253)
were
classified
as
individuals
with
moderate
severe
generated
by
COVID-19
predicted
insomnia
β
.47,
SE
0.02,
P
<
.001,
t
13.27,
95%
CI
0.31–0.46).
Additionally,
association
mediated
psychopathology
vulnerabilities,
dysregulation,
beliefs
sleep,
neuroticism.
Moreover,
female
exhibited
higher
levels
(Cohen’s
d
.37),
neuroticism
30),
vulnerability
.26),
.23).
Conclusion
present
study’s
findings
help
explain
how
consequences
can
be
associated
make
a
significant
contribution
better
understanding
role
development
nurses.
suggest
potential
influence
cognitive
behavioral
therapy
for
(CBT-I)
transdiagnostic
integrated
therapies
could
incorporated
into
therapeutic
programs
designed
develop
way
inhibiting
or
preventing
