The moderating role of protective factors in shift work disorder and health outcomes: A cross-sectional study

Chronobiol Int. 2024 Nov;41(11):1492-1502. doi: 10.1080/07420528.2024.2419851. Epub 2024 Nov 4.

Abstract

This study investigated whether sleep-specific (e.g. chronotype) and traditional (e.g. resilience) protective factors were associated with reduced shift work disorder (SWD) risk and explored their role as moderators in the relationship between SWD risk and health. Shift workers (n = 126) participated in a cross-sectional study evaluating SWD risk (i.e. low vs. high; SWD-screening Questionnaire), mental health (Patient Health Questionnaire-9; Generalized Anxiety Disorder Questionnaire-7), physical health (Subjective Health Complaints Inventory), sleep (Pittsburgh Sleep Quality Index; Insomnia Severity Index; Epworth Sleepiness Scale), and protective factors (Resilience Scale; Social Provisions Scale; Survey of Perceived Organizational Support; Short Impulsive Behavior Scale; Circadian Type Inventory; reduced-Morningness-Eveningness Questionnaire). Logistic regressions revealed lower sleep languidity was associated with reduced odds (OR = 0.88 [0.79,0.96]) for having high SWD risk. Multiple regression analyses showed in shift workers with high social support or morningness, having high SWD risk was not associated with increased depression symptoms, or insomnia severity and poor sleep quality, respectively. Finally, in those with high or medium levels of perceived organizational support, high SWD risk was not associated with increased gastrointestinal and allergy complaints. Longitudinal research with larger samples is needed to confirm the moderating role of protective factors in the relationship between SWD risk and health.

Keywords: Shift work disorder; mental health; physical health complaints; protective factors; sleep.

MeSH terms

  • Adult
  • Circadian Rhythm* / physiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Protective Factors*
  • Risk Factors
  • Shift Work Schedule*
  • Sleep / physiology
  • Sleep Disorders, Circadian Rhythm* / physiopathology
  • Sleep Disorders, Circadian Rhythm* / psychology
  • Sleep Quality
  • Surveys and Questionnaires
  • Work Schedule Tolerance / physiology