Sleep, Well-Being, and Cognition in Medical Interns on a Float or Overnight Call Schedule DOI Creative Commons
Stijn A.A. Massar, Xin Yu Chua, Ruth L.F. Leong

и другие.

JAMA Network Open, Год журнала: 2024, Номер 7(10), С. e2438350 - e2438350

Опубликована: Окт. 11, 2024

Importance Extended work hours and night shifts are essential in health care, but negatively affect physician sleep, well-being, patient care. Alternative schedules with shorter and/or reduced irregularity might mitigate these issues. Objective To compare cognition between interns working irregular, extended (call schedule), those a more regular schedule restricted (float schedule). Design, Setting, Participants In this observational longitudinal cohort study, Singapore-based teaching hospital were studied for 8 weeks from January 2022 to July 2023. Data analyzed 2023 2024. Exposure worked either approximately 10-hour workdays, interspersed 24 hour or overnight calls 4 5 times month, float schedule, which included 7 consecutive 12-hour every 2 months. was based on departmental training operational needs. Main Outcomes Measures Sleep measured wearable sleep trackers an electronic diary. Day-to-day well-being cognitive assessments collected through smartphone application. Assessments the Regularity Index (SRI; determines probability of individual being same state [sleep wake] at any time points apart, 0 indicating highly random patterns 100 denoting perfect regularity) Pittsburgh Quality Inventory (PSQI; scores ranges 21, higher poorer sleep; score greater than suggests significant difficulties). Results (mean [SD] age, 24.7 [1.1] years; 57 female participants [59.4%]; 41 call [42.7%]; 55 [57.3%]) provided 4808 nights (84.2%) 3390 days (59.3%) assessments. had SRI score, 69.4 [6.16]) better quality (PSQI mean 5.4 [2.3]), (SRI 56.1 [11.3]; t 91 = 6.81; difference, 13.3; 95% CI, 9.40 17.22; P < .001; PSQI 6.5 [2.3]; 79 2.16; 0.09 2.15; .03). Overnight shifts, not associated mood (−13%; β −6.79; −9.32 −4.27; .001), motivation (−21%; −10.09; −12.55 −7.63; sleepiness ratings (29%; 15.96; 13.01 18.90; .001) impaired vigilance (21 ms slower; 20.68; 15.89 25.47; compared day shifts. Night naps (16 faster; −15.72; −28.27 −3.17; .01) without naps. Conclusions relevance 24-hour outcomes schedules. Naps during benefited both

Язык: Английский

Sleep Irregularity and Circadian Rhythmicity: Implications for Health and Well-Being DOI
Lauren E. Hartstein, Michael A. Grandner, Cecilia Diniz Behn

и другие.

Current Sleep Medicine Reports, Год журнала: 2025, Номер 11(1)

Опубликована: Янв. 28, 2025

Язык: Английский

Процитировано

1
Associations between intraindividual variability in weekday-weekend sleep timing and duration and eating disorder pathology DOI
Kara A. Christensen, Francis Kim, Angeline R. Bottera

и другие.

Eating Behaviors, Год журнала: 2025, Номер 57, С. 101959 - 101959

Опубликована: Фев. 16, 2025

Язык: Английский

Процитировано

1
Between the biological and social clock: Exploring the association between social jetlag and wellbeing DOI Creative Commons
Anne Landvreugd, Michel G. Nivard, Meike Bartels

и другие.

Personality and Individual Differences, Год журнала: 2025, Номер 237, С. 113054 - 113054

Опубликована: Янв. 24, 2025

Язык: Английский

Процитировано

0
Factors of depression according to actigraphy in the fall season DOI
Denis Gubin,

Yu. V. Boldyreva,

Sergey Kolomeichuk

и другие.

S S Korsakov Journal of Neurology and Psychiatry, Год журнала: 2025, Номер 125(5), С. 27 - 27

Опубликована: Май 15, 2025

Objective. To evaluate the relationship between sleep parameters, physical activity, and illumination obtained by weekly actigraphy depression symptoms measured Beck Depression Inventory (BDI-II) in young adults fall season. Material methods. The crossover study, conducted during one month, included 122 (mean age 24.40 years, 76.6% females) from Tyumen (Russia). Participants were monitored for seven days using completed Russian version of BDI-II questionnaire to assess depressive symptoms. Actigraphy data analyzed quantitative qualitative dynamic illumination, circadian rhythm motor activity. Both mean values regularity indicators recorded. Statistical analysis was performed linear multiple regression methods, Benjamini—Hochberg procedure control incidence false correlations associated with testing. Results. showed significant various actigraphic level according BDI-II. In particular, integral score significantly a decrease amplitude activity (PIM A: –0.258; p=0.005), high instability efficiency (SL_EFF SD: –0.323; p=0.0003), standard deviation moment awakening (WT inter-day stability (IS: –0.260; p=0.004), lower light hygiene index (NA_bl: –0.193; p=0.036). After comparison adjustments, low PIM A, reduced (IS), increased WT SD, SL_EFF SD remained predictors age-, sex-, body mass (BMI)-adjusted regression, (β=–0.258; p=0.006), (β=–0.302; p=0.0006), IS (β=–0.225; p=0.013) factors. Conclusion. indicate complex dynamics mental health context They emphasize critical importance parameters that as markers biological clock synchrony increase informative value improve interpretation wearable devices.

Язык: Английский

Процитировано

0
Sleep, Well-Being, and Cognition in Medical Interns on a Float or Overnight Call Schedule DOI Creative Commons
Stijn A.A. Massar, Xin Yu Chua, Ruth L.F. Leong

и другие.

JAMA Network Open, Год журнала: 2024, Номер 7(10), С. e2438350 - e2438350

Опубликована: Окт. 11, 2024

Importance Extended work hours and night shifts are essential in health care, but negatively affect physician sleep, well-being, patient care. Alternative schedules with shorter and/or reduced irregularity might mitigate these issues. Objective To compare cognition between interns working irregular, extended (call schedule), those a more regular schedule restricted (float schedule). Design, Setting, Participants In this observational longitudinal cohort study, Singapore-based teaching hospital were studied for 8 weeks from January 2022 to July 2023. Data analyzed 2023 2024. Exposure worked either approximately 10-hour workdays, interspersed 24 hour or overnight calls 4 5 times month, float schedule, which included 7 consecutive 12-hour every 2 months. was based on departmental training operational needs. Main Outcomes Measures Sleep measured wearable sleep trackers an electronic diary. Day-to-day well-being cognitive assessments collected through smartphone application. Assessments the Regularity Index (SRI; determines probability of individual being same state [sleep wake] at any time points apart, 0 indicating highly random patterns 100 denoting perfect regularity) Pittsburgh Quality Inventory (PSQI; scores ranges 21, higher poorer sleep; score greater than suggests significant difficulties). Results (mean [SD] age, 24.7 [1.1] years; 57 female participants [59.4%]; 41 call [42.7%]; 55 [57.3%]) provided 4808 nights (84.2%) 3390 days (59.3%) assessments. had SRI score, 69.4 [6.16]) better quality (PSQI mean 5.4 [2.3]), (SRI 56.1 [11.3]; t 91 = 6.81; difference, 13.3; 95% CI, 9.40 17.22; P < .001; PSQI 6.5 [2.3]; 79 2.16; 0.09 2.15; .03). Overnight shifts, not associated mood (−13%; β −6.79; −9.32 −4.27; .001), motivation (−21%; −10.09; −12.55 −7.63; sleepiness ratings (29%; 15.96; 13.01 18.90; .001) impaired vigilance (21 ms slower; 20.68; 15.89 25.47; compared day shifts. Night naps (16 faster; −15.72; −28.27 −3.17; .01) without naps. Conclusions relevance 24-hour outcomes schedules. Naps during benefited both

Язык: Английский

Процитировано

2