Perceived stress, disturbed sleep, and cognitive impairments in patients with work-related stress complaints: a longitudinal study

被引:30
|
作者
Eskildsen, Anita [1 ]
Fentz, Hanne Norr [2 ]
Andersen, Lars Peter [1 ]
Pedersen, Anders Degn [3 ]
Kristensen, Simon Bang [4 ]
Andersen, Johan Hviid [1 ]
机构
[1] Reg Hosp West Jutland, Danish Ramazzini Ctr, Univ Res Clin, Dept Occupat Med, Gl Landevej 61, DK-7400 Herning, Denmark
[2] Aarhus Univ, Sch Business & Social Sci, Dept Psychol & Behav Sci, Aarhus C, Denmark
[3] Aarhus Univ, Dept Psychol & Behav Sci, Aarhus C, Denmark
[4] Aarhus Univ, Dept Publ Hlth, Aarhus C, Denmark
关键词
Cognitive complaint; within-person effect; between-person effect; improvement; change; neuropsychological test; SELF-REPORTED SLEEP; MANAGEMENT INTERVENTION; BETWEEN-PERSON; QUALITY INDEX; WITHIN-PERSON; FAILURES; PERFORMANCE; DEPRIVATION; EXHAUSTION; INSOMNIA;
D O I
10.1080/10253890.2017.1341484
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Patients on sick leave due to work-related stress often present with cognitive impairments as well as sleep disturbances. The aim of this longitudinal study was to examine the role of perceived stress and sleep disturbances in the longitudinal development in cognitive impairments in a group of patients with prolonged work-related stress (N=60) during a period of 12 months following initial professional care-seeking. Objective cognitive impairments (neuropsychological tests) were measured on two occasions - at initial professional care-seeking and at 12-month follow-up. Questionnaires on perceived stress, sleep disturbances, and cognitive complaints were completed seven times during the 12months which facilitated multilevel analysis with segregation of within-person (change) and between-person (baseline level) components of the time-varying predictors (perceived stress and sleep disturbances). Change in perceived stress was associated with concurrent and subsequent change in self-reported cognitive complaints over the period of 12months and to a lesser extent the change in performance on neuropsychological tests of processing speed from baseline to 12-month follow-up. Change in sleep disturbances was also associated with concurrent and subsequent change in self-reported cognitive complaints over the 12months but not with change on neuropsychological test performance. Although the mechanism behind the improvement in cognitive impairments in patients with work-related stress should be further explored in future studies, the results could suggest that improvement in cognitive impairments is partly mediated by decreasing levels of perceived stress and, to a lesser extent, decreasing levels of sleep disturbances.
引用
收藏
页码:371 / 378
页数:8
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