Do holidays change subjective sleep length or sleep debt in shift work disorder? 2022

Päivi Vanttola, and Mikko Härmä, and Christer Hublin, and Katriina Viitasalo, and Mikael Sallinen, and Jussi Virkkala, and Sampsa Puttonen
Finnish Institute of Occupational Health, Finland.

In shift work disorder (SWD), disturbed sleep acutely impairs employees' recovery, but little attention has been paid to sleep during longer recovery periods. We examined how holidays affect self-estimated sleep length, sleep debt, and recovery in cases of SWD. Twenty-one shift workers with questionnaire-based SWD and nine reference cases without SWD symptoms completed a questionnaire on recovery and sleep need. They also reported sleep length on two separate occasions: during a work period and after ≥ 2 weeks of holidays. Sleep debt was calculated by subtracting sleep length from sleep need. We used parametric tests to compare the groups and the periods. The groups reported shorter sleep on workdays than during holidays (median difference: SWD group 1.7 h, p<0.001; reference group 1.5 h; p<0.05). The SWD group's self-estimated sleep during holidays increased less above the sleep need (median 0.0 h) than the reference group's sleep (1.0 h, p<0.05). In addition, the SWD group reported good recovery from irregular working hours less often (14%) than the reference group (100%, p<0.001). Although holidays were generally associated with longer sleep estimates than workdays, employees with SWD experienced consistently less efficient recovery than those without SWD.

UI MeSH Term Description Entries
D006693 Holidays Days commemorating events. Holidays also include vacation periods. Festivals,Festival,Holiday
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000073577 Shift Work Schedule Job schedule in which working hours deviate from the standard hours (e.g., evening shift, night shift or rotating shift). Night Shift Work,Rotating Shift Work,Schedule, Shift Work,Schedules, Shift Work,Shift Work, Night,Shift Work, Rotating,Work Schedule, Shift
D012890 Sleep A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility. Sleep Habits,Sleeping Habit,Sleeping Habits,Habit, Sleep,Habit, Sleeping,Habits, Sleep,Habits, Sleeping,Sleep Habit
D012892 Sleep Deprivation The state of being deprived of sleep under experimental conditions, due to life events, or from a wide variety of pathophysiologic causes such as medication effect, chronic illness, psychiatric illness, or sleep disorder. Inadequate Sleep,Insufficient Sleep,Insufficient Sleep Syndrome,REM Sleep Deprivation,Sleep Debt,Sleep Fragmentation,Sleep Insufficiency,Deprivation, REM Sleep,Deprivation, Sleep,Fragmentation, Sleep,Insufficiencies, Sleep,Insufficiency, Sleep,Insufficient Sleep Syndromes,Sleep Deprivation, REM,Sleep Insufficiencies,Sleep, Inadequate,Sleep, Insufficient,Syndrome, Insufficient Sleep
D014940 Work Schedule Tolerance Physiological or psychological effects of periods of work which may be fixed or flexible such as flexitime, work shifts, and rotating shifts. Schedule Tolerance, Work,Schedule Tolerances, Work,Tolerance, Work Schedule,Tolerances, Work Schedule,Work Schedule Tolerances
D020178 Sleep Disorders, Circadian Rhythm Dyssomnias associated with disruption of the normal 24 hour sleep wake cycle secondary to travel (e.g., JET LAG SYNDROME), shift work, or other causes. Circadian Rhythm Sleep Disorder,Circadian Rhythm Sleep Disorders,Nonorganic Sleep Wake Cycle Disorder,Shift-Work Sleep Disorder,Sleep-Wake Cycle Disorder,Sleep-Wake Cycle Disorders,Sleep-Wake Schedule Disorder,Advanced Sleep Phase Syndrome,Delayed Sleep Phase Syndrome,Delayed Sleep-Phase Syndrome,Disturbed Nyctohemeral Rhythm,Non-24 Hour Sleep-Wake Disorder,Nonorganic Sleep Wake Cycle Disorders,Sleep Disorder, Shift-Work,Sleep-Wake Disorder, Non-24 Hour,Sleep-Wake Schedule Disorders,Delayed Sleep-Phase Syndromes,Disturbed Nyctohemeral Rhythms,Non 24 Hour Sleep Wake Disorder,Nyctohemeral Rhythm, Disturbed,Nyctohemeral Rhythms, Disturbed,Shift Work Sleep Disorder,Shift-Work Sleep Disorders,Sleep Disorder, Shift Work,Sleep Disorders, Shift-Work,Sleep Wake Cycle Disorder,Sleep Wake Cycle Disorders,Sleep Wake Disorder, Non 24 Hour,Sleep Wake Schedule Disorder,Sleep Wake Schedule Disorders

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