Relationship of sleep deficiency to perceived pain and functional limitations in hospital patient care workers
Open accessAbstract
OBJECTIVE: Health care workers are at high risk of developing musculoskeletal symptoms and pain. This study tested the hypothesis that sleep deficiency is associated with pain, functional limitations, and physical limitations that interfere with work. METHODS: Hospital patient care workers completed a survey (79% response rate) including measures of health, sociodemographic, and workplace factors. Associations of sleep deficiency with pain, work interference due to this pain, and functional limitations were determined. RESULTS: Of 1572 respondents (90% women; mean age, 41 years), 57% reported sleep deficiency, 73% pain in last 3 months, 33% work interference, and 18% functional limitation. Sleep deficiency was associated with higher rates of pain, work interference, and functional limitation controlling for socioeconomic, individual, and workplace characteristics. CONCLUSIONS: Sleep deficiency is significantly associated with pain, functional limitation, and workplace interference, suggesting modifiable outcomes for workplace health and safety interventions.
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Sleep durations below 5 hours were associated with increased pain in all reviewed study types.
“Sleep durations below 5 hours were associated with increased pain in all of these study types.18,19,105–110”
Sleep durations of 7-8 or 8-9 hours were consistently associated with reduced pain symptoms.
“Sleep durations of 7–8 or 8–9 hours were consistently associated with reduced pain symptoms.18,105–109”
Increased pain symptoms were associated with sleep duration of less than 6 hours in four studies (three self-report and one objective monitoring).
“Increased pain symptoms were associated with sleep duration of less than 6 hours in four studies (three self-report and one objective monitoring).18,19,105,106”
Sleep durations below 5 hours were associated with increased pain in all reviewed study types.
“Sleep durations below 5 hours were associated with increased pain in all of these study types.”
Increased pain symptoms were associated with sleep duration of less than 6 hours in four studies.
“Increased pain symptoms were associated with sleep duration of less than 6 hours in four studies (three self-report and one objective monitoring).”
Sleep durations of 7-8 or 8-9 hours were consistently associated with reduced pain symptoms.
“Sleep durations of 7-8 or 8-9 hours were consistently associated with reduced pain symptoms.”
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Percentages, sums and reported differences re-computed from the paper’s own numbers.
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Cites
(2000) · PubMed · Cited by 13,173 · see citing works
Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms
Kuorinka, I., Jonsson, B., Kilbom, Å., Vinterberg, H., Biering‐Sørensen, F., Andersson, G., & Jørgensen, K. M. (1987) · Applied Ergonomics · doi:10.1016/0003-6870(87)90010-x · Cited by 5,117 · see citing works
Hudak, P. L., Amadio, P. C., Bombardier, C., Beaton, D., Cole, D. C., Davis, A. M., HAWKER, G. A., Katz, J. N., Mäkelä, M., Marx, R. G., et al. (1996) · American Journal of Industrial Medicine · doi:10.1002/(sici)1097-0274(199606)29:6 · Cited by 5,036 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.3.4.322 · Cited by 4,022 · see citing works
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037/1076-8998.3.4.322 · Cited by 3,137 · see citing works
Short Sleep Duration and Weight Gain: A Systematic Review
Patel, S. R., & Hu, F. B. (2008) · Obesity · doi:10.1038/oby.2007.118 · Cited by 1,505 · see citing works
The World Health Organization Health and Work Performance Questionnaire (HPQ)
Kessler, R. C., Barber, C., Beck, A. L., Berglund, P. A., Cleary, P. D., McKenas, D. K., Pronk, N., Simon, G. E., Stang, P., Üstün, T. B., et al. (2003) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000052967.43131.51 · Cited by 1,135 · see citing works
Association of usual sleep duration with hypertension: the Sleep Heart Health Study
Gottlieb, D. J., Redline, S., Nieto, F. J., Baldwin, C. M., Newman, A. B., Resnick, H. E., & Punjabi, N. M. (2006) · Sleep · doi:10.1093/sleep/29.8.1009 · Cited by 947 · see citing works
Smith, M. T., & Haythornthwaite, J. A. (2004) · Sleep Medicine Reviews · doi:10.1016/s1087-0792(03)00044-3 · Cited by 914 · see citing works
Buxton, O. M., & Marcelli, E. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.05.041 · Cited by 818 · see citing works
Self-citationHaack, M., Sanchez, E., & Mullington, J. M. (2007) · Sleep · doi:10.1093/sleep/30.9.1145 · Cited by 615 · see citing works
Sleep deprivation and pain perception
LAUTENBACHER, S., KUNDERMANN, B., & KRIEG, J. (2006) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2005.08.001 · Cited by 613 · see citing works
Hoevenaar‐Blom, M. P., Spijkerman, A. M. W., Kromhout, D., van den Berg, J. F., & Verschuren, W. M. M. (2011) · SLEEP · doi:10.5665/sleep.1382 · Cited by 554 · see citing works
Manual handling activities and risk of low back pain in nurses.
Smedley, J., Egger, P., Cooper, C. C., & Coggon, D. (1995) · Occupational and Environmental Medicine · doi:10.1136/oem.52.3.160 · Cited by 445 · see citing works
Sustained sleep restriction reduces emotional and physical well-being
Haack, M., & Mullington, J. M. (2005) · Pain · doi:10.1016/j.pain.2005.09.011 · Cited by 422 · cited 1× · see citing works
“(23, 24, 50) Restricting time in bed to four hours/night over 12 days in a laboratory setting has been shown to increase self-reported levels of pain and of the inflammatory markers interleukin-6 and C-reactive protein.”
Mortality Risk Associated with Sleeping Patterns Among Adults
Wingard, D. L., & Berkman, L. F. (1983) · Sleep · doi:10.1093/sleep/6.2.102 · Cited by 371 · cited 1× · see citing works
“(34-39) Together, these health outcomes represent a large portion of morbidity and mortality both in the United States(40) and the world.”
Prospective cohort study of predictors of incident low back pain in nurses
Smedley, J., Egger, P., Cooper, C. C., & Coggon, D. (1997) · BMJ · doi:10.1136/bmj.314.7089.1225 · Cited by 289 · see citing works
Work‐related back pain in nurses
Hignett, S. M. (1996) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1996.13423.x · Cited by 259 · see citing works
Hignett, S. M. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.9.e6 · Cited by 254 · see citing works
Hale, L. (2005) · Journal of Public Health · doi:10.1093/pubmed/fdi004 · Cited by 243 · see citing works
Sleep Disturbance and Nonmalignant Chronic Pain: A Comprehensive Review of the Literature
Menefee, L. A., Cohen, M. J. M., Anderson, W. R., Doghramji, K., Frank, E. D., & Lee, H. B. (2000) · Pain Medicine · doi:10.1046/j.1526-4637.2000.00022.x · Cited by 234 · see citing works
Risk factors for incident neck and shoulder pain in hospital nurses
Smedley, J., Inskip, H. M., Trevelyan, F. C., et al. (2003) · Occupational and Environmental Medicine · doi:10.1136/oem.60.11.864 · Cited by 220 · see citing works
Interventions to prevent back pain and back injury in nurses: a systematic review
Dawson, A. P., McLennan, S. N., Schiller, S., Jull, G. A., Hodges, P. W., & Stewart, S. (2007) · Occupational and Environmental Medicine · doi:10.1136/oem.2006.030643 · Cited by 208 · see citing works
Work Schedule, Needle Use, and Needlestick Injuries Among Registered Nurses
Trinkoff, A. M., Le, R., Geiger-Brown, J., & Lipscomb, J. (2007) · Infection Control & Hospital Epidemiology · doi:10.1086/510785 · Cited by 199 · see citing works
Nursing Staff in Hospitals and Nursing Homes
Institute of Medicine (1996) · National Academies Press eBooks · doi:10.17226/5151 · Cited by 195 · see citing works
New low back pain in nurses: work activities, work stress and sedentary lifestyle
Yip, V. Y. B. (2004) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03009.x · Cited by 183 · see citing works
The Human Circadian Timing System and Sleep–Wake Regulation
Czeisler, C. A., & Buxton, O. M. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00035-9 · Cited by 183 · see citing works
Self-citationWork-related low-back problems in nursing
Lagerström, M., Hansson, T., & Hagberg, M. (1998) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.369 · Cited by 180 · see citing works
Restorative sleep predicts the resolution of chronic widespread pain: Results from the EPIFUND study
Davies, K. A., Macfarlane, G. J., Nicholl, B. I., Dickens, C., Morriss, R., Ray, D., & McBeth, J. (2008) · Rheumatology · doi:10.1093/rheumatology/ken389 · Cited by 179 · see citing works
Verbeek, J. H. A. M., Martimo, K.-P., Karppinen, J. I., Kuijer, P., Viikari-Juntura, E. R. A., & Takala, E. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005958.pub3 · Cited by 178 · see citing works
Occupational low-back pain in hospital nurses.
Harber, P. I., Billet, E., Gutowski, M., et al. (1985) · PubMed · Cited by 176 · see citing works
The Long-term Effect of Insomnia on Work Disability
Sivertsen, B., Øverland, S. N., Neckelmann, D., Glozier, N., Krokstad, S., Pallesen, S., Nordhus, I. H., Bjorvatn, B., & Mykletun, A. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj145 · Cited by 173 · see citing works
Kennedy, C. A., Amick, B. C., Dennerlein, J. T., Brewer, S., Catli, S., Williams, R. M., Serra, C., Gerr, F., Irvin, E., Mahood, Q., et al. (2009) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-009-9211-2 · Cited by 171 · see citing works
Self-citationTullar, J. M., Brewer, S., Amick, B. C., Irvin, E., Mahood, Q., Pompeii, L. A., Wang, A., Eerd, D. V., Gimeno, D., & Evanoff, B. (2010) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-010-9231-y · Cited by 165 · see citing works
Haack, M., Lee, E., Cohen, D. A., & Mullington, J. M. (2009) · Pain · doi:10.1016/j.pain.2009.05.029 · Cited by 158 · see citing works
Manual handling activities and injuries among nurses: an Australian hospital study
Retsas, A., & Pinikahana, J. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01362.x · Cited by 143 · see citing works
Myths and Facts About Back Injuries in Nursing
Nelson, A. L., Fragala, G., & Menzel, N. N. (2003) · AJN American Journal of Nursing · doi:10.1097/00000446-200302000-00021 · Cited by 136 · see citing works
Buscemi, N., Vandermeer, B., Friesen, C., Bialy, L. M., Tubman, M., Ospina, M. B., Klassen, T. P., & Witmans, M. (2005) · PsycEXTRA Dataset · doi:10.1037/e439752005-001 · Cited by 134 · see citing works
Sleep Disturbances as a Predictor of Cause-Specific Work Disability and Delayed Return to Work
Salo, P., Oksanen, T., Sivertsen, B., Hall, M. H., Pentti, J., Virtanen, M., Vahtera, J., & Mika Kivimaki, B. (2010) · SLEEP · doi:10.1093/sleep/33.10.1323 · Cited by 124 · see citing works
Sivertsen, B., Øverland, S. N., Pallesen, S., Bjorvatn, B., Nordhus, I. H., Mæland, J. G., & Mykletun, A. (2008) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00697.x · Cited by 124 · see citing works
Videman, T., Ojaj�rvi, A., ki, H. R., & Troup, J. D. G. (2005) · Spine · doi:10.1097/01.brs.0000182107.14355.ca · Cited by 123 · see citing works
Buxton, O. M., Quintiliani, L. M., Yang, M. H., Ebbeling, C. B., Stoddard, A. M., Pereira, L. K., & Sorensen, G. (2009) · American Journal of Public Health · doi:10.2105/ajph.2008.158501 · Cited by 95 · see citing works
Self-citation(2005) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26373 · Cited by 90 · see citing works
Shaw, W. S., Main, C. J., & Johnston, V. (2011) · Physical Therapy · doi:10.2522/ptj.20100263 · Cited by 77 · see citing works
The Role of the Work Context in Multiple Wellness Outcomes for Hospital Patient Care Workers
Sorensen, G., Stoddard, A. M., Stoffel, S. D., Buxton, O. M., Sembajwe, G. N., Hashimoto, D. M., Dennerlein, J. T., & Hopcia, K. L. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e318226a74a · Cited by 74 · see citing works
Self-citationDennerlein, J. T., Hopcia, K. L., Sembajwe, G., et al. (2011) · American Journal of Industrial Medicine · doi:10.1002/ajim.21036 · Cited by 74 · see citing works
Self-citationRugulies, R., Norborg, M., Sørensen, T. S., Knudsen, L. E., & Burr, H. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2008.05.005 · Cited by 66 · see citing works
Double Jeopardy: Workplace Hazards and Behavioral Risks for Craftspersons and Laborers
Sorensen, G., Stoddard, A., Hammond, S. K., Hébert, J. R., Avrunin, J. S., & Ockene, J. K. (1996) · American Journal of Health Promotion · doi:10.4278/0890-1171-10.5.355 · Cited by 59 · see citing works
Self-citationLindeberg, S. I., Rosvall, M., Choi, B., Canivet, C. A., Isacsson, S., Karasek, R. A., & Östergren, P. ‐. (2010) · European Journal of Public Health · doi:10.1093/eurpub/ckq039 · Cited by 57 · see citing works
Martimo, K.-P., Verbeek, J. H. A. M., Karppinen, J. I., Furlan, A. D., Kuijer, P., Viikari-Juntura, E. R. A., Takala, E., & Jauhiainen, M. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005958.pub2 · Cited by 44 · see citing works
Sleep quantity and quality as a predictor of injuries in a rural population
Choi, S.-W., Peek-Asa, C. L., Sprince, N. L., Rautiainen, R. H., Flamme, G. A., Whitten, P. S., & Zwerling, C. (2006) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2005.09.002 · Cited by 38 · see citing works
Disturbed Sleep and Fatigue as Predictors of Return from Long-term Sickness Absence
Åkerstedt, T., Kecklund, G., & Selén, J. (2010) · Industrial Health · doi:10.2486/indhealth.48.209 · Cited by 27 · see citing works
Geuskens, G., Burdorf, A., Barendregt, P. J., et al. (2010) · Lara D. Veeken · doi:10.1093/rheumatology/keq359 · Cited by 10 · see citing works
Hader, R. (2009) · Nursing Management · doi:10.1097/01.numa.0000366894.93986.65 · Cited by 4 · see citing works
Engaging the new wave of second-career nurses
Hader, R. (2010) · Nursing Management · doi:10.1097/01.numa.0000368558.07900.db · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [12]National Research Council, Institute of Medicine Musculoskeletal Disorders and the workplaces: Low Back and Upper Extremities Washington, D.C. National Academy Press 2001
- [27]Leshner AI Baghdoyan HA Bennett SJ Manifestations and management of chronic insomnia in adults Bethesda, Maryland Journal of Clinical Sleep Medicine 412 421
- [33]Institue of Medicine Committee on Sleep Medicine Research, Board on Health Sciences Policy Sleep Disorders and Sleep Deprivation An unmet Public Health Problem Washington, D.C. Institute of Medicine of the National Academies; The National Academies Press 2006 20669438
- [41]World Health Organization Obesity: Preventing and Managing the Global Epidemic Geneva World Health Organization 2000 11234459
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Self-citationWatson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4950 · Cited by 568 · see citing works
Self-citationSleep characteristics as predictor variables of stress systems markers in insomnia disorder
Floam, S., Simpson, N., Nemeth, E., Scott‐Sutherland, J., Gautam, S., & Haack, M. (2015) · Journal of Sleep Research · doi:10.1111/jsr.12259 · Cited by 103 · see citing works
Liu, K., Yin, T., & Shen, Q. (2020) · Applied Nursing Research · doi:10.1016/j.apnr.2020.151250 · Cited by 48 · see citing works
- Authors
- Buxton, O. M., Hopcia, K., Sembajwe, G., Porter, J. H., Dennerlein, J. T., Kenwood, C., Stoddard, A. M., Hashimoto, D., & Sorensen, G.
- Affiliations
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Buxton, Orfeu M.
- ORCID
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2012-07
- Volume
- 54
- Issue
- 7
- Pages
- 851-858
- ISSN
- 1076-2752 (ISSN-L)
- PMC
- PMC3720240
- OpenAlex
- W2034212349
- Cited by
- 66
- References
- 55
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 9 · 2017: 7 · 2016: 6 · 2015: 6 · 2014: 6 · 2013: 5 · 2012: 2
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL107240)
- National Cancer Institute (K05CA108663)
- National Institute for Occupational Safety and Health (U19 OH008861)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- insufficient sleep, pain perception, functional limitations, musculoskeletal symptoms, work interference, workplace health and safety, occupational health
- MeSH terms
- Activities of Daily Living, Adult, Female, Health Surveys, Humans, Male, Middle Aged, Nurses, Occupational Diseases, Surveys and Questionnaires, Risk, Sleep Deprivation, Incidence, Musculoskeletal Pain
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