Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts
Open accessAbstract
STUDY OBJECTIVE: To assess if less than 11 hours off work between work shifts (quick returns) was related to insomnia, sleepiness, fatigue, anxiety, depression and shift work disorder among nurses. METHODS: A questionnaire including established instruments measuring insomnia (Bergen Insomnia Scale), sleepiness (Epworth Sleepiness Scale), fatigue (Fatigue Questionnaire), anxiety/depression (Hospital Anxiety and Depression Scale) and shift work disorder was administered. Among the 1990 Norwegian nurses who participated in the study; 264 nurses had no quick returns, 724 had 1-30 quick returns and 892 had more than 30 quick returns during the past year. 110 nurses did not report the number of quick returns during the past year. The prevalence of insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder was calculated within the three groups of nurses. Crude and adjusted logistic regression analyses were performed to assess the relation between quick returns and such complaints. RESULTS: We found a significant positive association between quick returns and insomnia, excessive sleepiness, excessive fatigue and shift work disorder. Anxiety and depression were not related to working quick returns. CONCLUSIONS: There is a health hazard associated with quick returns. Further research should aim to investigate if workplace strategies aimed at reducing the number of quick returns may reduce complaints among workers.
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Rapid transitions to night shift work did not affect anxiety levels in a questionnaire study of nurses.
“However, rapid transitions to night shift work did not affect anxiety levels in a questionnaire study of nurses100.”
From Circadian rhythm disruption and mental health (2020) · cites this paper as [100]
The Discussion (‘Anxiety and depression’; page unavailable) reports no significant association between quick returns and anxiety in the nurses surveyed. But the paper defines quick returns as less than 11 hours between shifts, not specifically transitions to night shifts. Its cross-sectional design also cannot establish that those transitions ‘did not affect’ anxiety. (LLM, conf=0.89)
Experimental — accuracy not yet measuredFor nurses, shift work and long work hours are related to adverse health outcomes and indicators of reduced functioning.
“For nurses, shift work and long work hours have been shown to be related to adverse health outcomes and indicators of reduced functioning.208–217”
From Sleep, Health, and Society (2017) · cites this paper as [214]
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- Authors
- Eldevik, M. F., Flo, E., Moen, B. E., Pallesen, S., & Bjorvatn, B.
- Affiliations
- Haukeland University Hospital (NO)
- Corresponding author
- Eldevik, Maria Fagerbakke
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-08-15
- Volume
- 8
- Issue
- 8
- Pages
- e70882
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3744484
- OpenAlex
- W2085377943
- Cited by
- 255
- References
- 37
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 23 · 2023: 23 · 2022: 25 · 2021: 30 · 2020: 26 · 2019: 18 · 2018: 22 · 2017: 11 · 2016: 24 · 2015: 15 · 2014: 9
- FWCI
- 21.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- quick returns, shift work, shift work disorder, insomnia, excessive sleepiness, anxiety, depression, nurses, sleep deprivation
- MeSH terms
- Adult, Anxiety, Depression, Fatigue, Female, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Nurses, Occupational Diseases, Surveys and Questionnaires, Research Design, Sleep, Work Schedule Tolerance
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