Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel
Open accessAbstract
Emergency work can expose personnel to sleep restriction. Inadequate amounts of sleep can negatively affect physiological and psychological stress responses. This review critiqued the emergency service literature (e.g., firefighting, police/law enforcement, defense forces, ambulance/paramedic personnel) that has investigated the effect of sleep restriction on hormonal, inflammatory and psychological responses. Furthermore, it investigated if a psycho-physiological approach can help contextualize the significance of such responses to assist emergency service agencies monitor the health of their personnel. The available literature suggests that sleep restriction across multiple work days can disrupt cytokine and cortisol levels, deteriorate mood and elicit simultaneous physiological and psychological responses. However, research concerning the interaction between such responses is limited and inconclusive. Therefore, it is unknown if a psycho-physiological relationship exists and as a result, it is currently not feasible for agencies to monitor sleep restriction related stress based on psycho- physiological interactions. Sleep restriction does however, appear to be a major stressor contributing to physiological and psychological responses and thus, warrants further investigation.
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As shift workers, paramedics are at higher risk of metabolic disease, disorders of the immune system, and depression.
“As shift workers, paramedics are also at higher risk of other health problems such as metabolic disease, disorders of the immune system, and depression (Wolkow, Ferguson, Aisbett, & Main, 2015).”
From Understanding the Occupational Factors that Influence Paramedic Health and Wellbeing (2024) · cites this paper as Wolkow, Ferguson, Aisbett, & Main, 2015
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- Authors
- Wolkow, A., Ferguson, S., Aisbett, B., & Main, L.
- Affiliations
- Deakin University (AU)
- Natural Hazards Research Australia (AU)
- Corresponding author
- Wolkow, Alexander
- Venue
- International Journal of Occupational Medicine and Environmental Health
- Published
- 2015-03-26
- Volume
- 28
- Issue
- 2
- Pages
- 183-208
- ISSN
- 1232-1087 (ISSN-L)
- 1896-494X
- OpenAlex
- W1798795325
- Cited by
- 50
- References
- 110
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 7 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 4 · 2016: 1 · 2015: 4
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- International Journal of Occupational Medicine and Environmental Health (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Acquire (CQUniversity) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep restriction, occupational stress, emergency services personnel, firefighters, police officers, paramedics, cortisol, cytokines, inflammation, mood, occupational health surveillance
- MeSH terms
- Affect, Circadian Rhythm, Humans, Hydrocortisone, Military Personnel, Psychophysiology, Sleep Deprivation, Stress, Physiological, Stress, Psychological, Work Schedule Tolerance, Cytokines, Emergency Responders
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