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Cited by 121Sleep and Work-Related FatigueWorkplace Health and Well-beingOccupational Health and Burnout

Exploring the associations between shift work disorder, depression, anxiety and sick leave taken amongst nurses

Booker, Lauren A., Sletten, Tracey L., Alvaro, Pasquale K., Barnes, Maree, Collins, Allison, Chai‐Coetzer, Ching Li, Naqvi, Aqsa, McMahon, Marcus +3 more·2020·Journal of Sleep Research
DOI 10.1111/jsr.12872
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Abstract

This study aimed to evaluate the association between shift work disorder and mental health in hospital‐based nurses. Staff completed an online survey comprising demographic questions, the Shift Work Disorder Questionnaire, Patient Health‐9 and the General Anxiety Disorder‐7 scale. Sick leave data were collected from archival records from the Human Resources Department. Two hundred and two nurses (95% female; age M = 35.28 years ± SD = 12) participated (42% of eligible staff). Those at high risk of shift work disorder had higher depression ( M = 7.54 ± SD = 4.28 vs. M = 3.78 ± SD = 3.24; p < 0.001) and anxiety ( M = 5.66 ± SD = 3.82 vs. M = 2.83 ± SD = 3.33, p < 0.001) compared to those at low risk. Linear regression models showed that being at high risk of shift work disorder was the most significant predictor of depression, explaining 18.8% of the variance in depression ( R 2 = 0.188, adjusted R 2 = 0.184, F (1, 200) = 46.20, p < 0.001). Shift work disorder combined with the number of night shifts and alcoholic drinks on non‐work days accounted for 49.7% of the variance in anxiety scores ( R 2 = 0.497, adjusted R 2 = 0.453, F (3, 35) = 11.51, p < 0.001). Mean sick leave in those with high risk of shift work disorder was 136.17 hr ( SD = 113.11) versus 103.98 hr ( SD = 94.46) in others ( p = 0.057). Depression and years of shift work accounted for 18.9% of the variance in sick leave taken ( R 2 = 0.189, adjusted R 2 = 0.180, F (2, 175) = 20.36, p < 0.001). Shift work disorder is strongly associated with depression and anxiety, providing a potential target to improve mental health in shift workers. Depression, in turn, is a significant contributing factor to sick leave.

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Crossref · 10.1111/jsr.12872

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  • If all types of depression are combined, a clear association emerges between shift work and depression.

    “If all types of depression are combined, then a clear association emerges between shift work and depression13,71–73.”

    From Circadian rhythm disruption and mental health (2020) · cites this paper as [73]

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Authors
Booker, L. A., Sletten, T. L., Alvaro, P. K., Barnes, M., Collins, A., Chai‐Coetzer, C. L., Naqvi, A., McMahon, M., Lockley, S. W., Rajaratnam, S. M. W., & Howard, M. E.
Affiliations
  • Institute for Breathing and Sleep (AU)
  • Monash University (AU)
  • Flinders University (AU)
  • The University of Melbourne (AU)
  • Brigham and Women's Hospital (US)
Corresponding author
Booker, Lauren A.
ORCID
Venue
Journal of Sleep Research
Publisher
Wiley
Published
2019-05-29
Volume
29
Issue
3
Pages
e12872-e12872
ISSN
  • 0962-1105 (ISSN-L)
  • 1365-2869
DOI
10.1111/jsr.12872
OpenAlex
W2947438192
Cited by
121
References
38
Citations by year
2026: 15 · 2025: 14 · 2024: 18 · 2023: 21 · 2022: 20 · 2021: 20 · 2020: 12 · 2019: 1
FWCI
15.56
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Sleep Research (publishedVersion)
  • PubMed (publishedVersion)
  • Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion)
Funders
Cooperative Research Centre for Alertness, Safety and Productivity
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
Keywords
shift work disorder, depression, anxiety, sick leave, nurses, mental health, night shift work, alcohol consumption, occupational health, hospital staff, PHQ-9, absenteeism, alcohol use disorder risk, circadian rhythm disruption, burnout, work-life balance, work-family conflict
MeSH terms
Shift Work Schedule, Adult, Anxiety, Depression, Female, Humans, Male, Nurses, Surveys and Questionnaires, Work Schedule Tolerance, Sick Leave

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