Cited by 205Sleep and Work-Related FatigueSleep and related disordersCircadian rhythm and melatonin

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Shift work disorder, depression, and anxiety in the transition to rotating shifts: the role of sleep reactivity

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Kalmbach, David A., Pillai, Vivek, Cheng, Philip, Arnedt, J. Todd, Drake, Christopher L.·2015·Sleep Medicine

DOI 10.1016/j.sleep.2015.09.007PMC PMC4803034

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Aim The aim of this study is to investigate premorbid sleep reactivity as a vulnerability to incident shift work disorder (SWD), and related changes in depression as well as anxiety following a transition to a rotating shifts work schedule.Methods This is a longitudinal study with two waves of data collection. The community-based sample included normal sleeping non-shift workers (N = 96; 62.5% female; 47.9 ± 13.3 years) without a lifetime history of insomnia or baseline excessive daytime sleepiness who transitioned to rotating shift work one year later. Participants reported demographic characteristics, trait sleep reactivity on the Ford Insomnia Response to Stress Test, depression symptoms on the Quick Inventory of Depression Symptomatology, and anxiety symptoms on the Beck Anxiety Inventory. SWD was determined based on significant sleep disturbance and/or excessive sleepiness in the context of working in a rotating-shift schedule.Results Analyses revealed that the odds were over five times greater for highly sleep-reactive individuals to develop SWD after transitioning to rotating shifts (OR = 5.59, p = 0.04). Nearly 90% of participants who suffered from SWD were accurately identified as high risk at one year before disease onset. Furthermore, individuals who developed SWD reported greater increases in symptoms of depression and anxiety. Finally, analyses revealed significant indirect effects wherein high sleep reactivity increased risk for SWD, which led to greater severity of anxiety and depression symptoms.Conclusions The Ford Insomnia Response to Stress Test (FIRST) accurately identifies a focused target population in which the premorbid psychobiological processes complicit in SWD onset and progression, as well as shift work-related depression and anxiety changes, can be better investigated, thus improving future preventative efforts.

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Kalmbach D.A., Pillai V., Arnedt J.T., et al. Identifying at-risk individuals for insomnia using the Ford Insomnia Response to Stress Test. Sleep in press.
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Authors: Kalmbach, D. A., Pillai, V., Cheng, P., Arnedt, J. T., & Drake, C. L.
Affiliations: University of Michigan (US)
Henry Ford Hospital (US)
Henry Ford Health (US)
Corresponding author: Drake, Christopher L.
ORCID: Kalmbach, David A.
Cheng, Philip
Arnedt, J. Todd
Drake, Christopher L.
Venue: Sleep Medicine
Publisher: Elsevier BV
Published: 2015-12
Volume: 16
Issue: 12
Pages: 1532-1538
ISSN: 1389-9457 (ISSN-L)
DOI: 10.1016/j.sleep.2015.09.007
PMC: PMC4803034
OpenAlex: W2118886536
Cited by: 205
References: 47
Citations by year: 2026: 10 · 2025: 16 · 2024: 23 · 2023: 11 · 2022: 31 · 2021: 32 · 2020: 31 · 2019: 16 · 2018: 15 · 2017: 14 · 2016: 6
FWCI: 17.63
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Merck (50562, R01 MH082785)
National Institute of Mental Health (50562, R01 MH082785)
National Institutes of Health (50562, R01 MH082785)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords: shift work disorder, rotating shifts, sleep reactivity, depression, anxiety, excessive daytime sleepiness, sleep disorders
MeSH terms: Adult, Anxiety, Depression, Female, Humans, Longitudinal Studies, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Sleep, Work Schedule Tolerance, Sleep Disorders, Circadian Rhythm

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Shift work disorder, depression, and anxiety in the transition to rotating shifts: the role of sleep reactivity

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