Association between common mental disorders and sleep parameters measured by self-report and actigraphy in Brazilian female shift workers
摘要
This study investigated the association between common mental disorders (CMD) and sleep parameters measured objectively through actigraphy, as well as using self-reported data, among female shift workers in southern Brazil. This cross-sectional study involved 450 female participants, with 278 undergoing actigraphy. CMD was assessed using a Self-Reporting Questionnaire (SRQ-20), while self-reported sleep disturbance was measured using the Pittsburgh Sleep Quality Index (PSQI) scale. Actigraphy was utilized to measure sleep quality over a consecutive 48-h period. The odds ratios (OR) and 95% confidence intervals (CI) were estimated using multinomial logistic regression. The prevalence of sleep disturbance was 9.7% (95% CI 7.2–12.9) according to the PSQI, while CMD prevalence was 47.3% (95% CI 42.6–52.1) in the entire sample. Sleep disturbance was significantly associated with positive CMD screening (OR = 20.03; 95% CI 7.22–55.54) as well as with night shift work (OR = 5.38; 95% CI 1.75–16.52). CMD did not exhibit a statistically significant association with objective sleep quality parameters measured using actigraphy. However, adjusted analysis of sleep efficiency revealed that women on the afternoon (OR = 3.09; 95% CI 1.53–6.25) or night shifts (OR = 3.43; 95% CI 1.60–7.35) had a higher prevalence of 10 or more awakenings during sleep compared to those working morning shifts. This study highlights the high prevalence of CMD among female shift workers. Furthermore, CMD demonstrated a statistically significant association with self-reported sleep disorders within this population group. However, this association was not observed when compared with objective data collected by actigraphy.