关键词: Medical residents NREM parasomnias Parasomnias REM parasomnias Shift work disorder

来  源:   DOI:10.1007/s41105-022-00422-4   PDF(Pubmed)

Abstract:
Shift work disorder (SWD) may affect medical residents because their workload, academic demands and extended work hours. This condition set residents at risk of more sleep disorders. The study compared parasomnias among residents with and without shift work disorder (SWD) and weighed their relative risk (RR) for each parasomnia. One hundred twenty-six residents participated in the study. The Munich Parasomnia Screening questionnaire and the Barger Questionnaire for SWD were used for the screening of parasomnias and SWD, respectively. Means and percentages of studied variables were compared between groups. Relative risk (RR) was calculated for each type of parasomnia. The more frequent parasomnias in residents with SWD the RR (and 95% confidence intervals) were: sleep terrors, 5.60 (1.84-17.01); confusional arousals, 3.73 (1.84-7.56); sleep paralysis, 3.27 (1.53-6.93); hypnagogic/hypnopompic hallucinations, 2.55 (1.03-6.28); somniloquies, 2.45 (1.21-4.92); and nightmares, 2.01 (1.54-2.62). Our data suggest that residents who experience SWD may be at risk of having lower threshold for the occurrence of rapid eye movement (REM) and non-REM (NREM) sleep parasomnias. Additional research is needed to confirm these results, and to further identify the contribution to this association.
摘要:
轮班工作障碍(SWD)可能会影响医疗居民,因为他们的工作量,学术要求和延长的工作时间。这种情况使居民面临更多睡眠障碍的风险。该研究比较了有和没有轮班工作障碍(SWD)的居民的失眠症,并权衡了每种失眠症的相对风险(RR)。一百二十六名居民参加了这项研究。慕尼黑副睡眠筛查问卷和SWD的Barger问卷用于筛查副睡眠和SWD,分别。组间比较研究变量的平均值和百分比。计算每种类型的睡眠状态的相对风险(RR)。SWD患者RR(和95%置信区间)中更常见的失眠症是:睡眠恐怖,5.60(1.84-17.01);混乱的觉醒,3.73(1.84-7.56);睡眠麻痹,3.27(1.53-6.93);催眠/催眠幻觉,2.55(1.03-6.28);睡眠,2.45(1.21-4.92);和噩梦,2.01(1.54-2.62)。我们的数据表明,患有SWD的居民可能有发生快速眼动(REM)和非REM(NREM)睡眠失眠症的阈值较低的风险。需要更多的研究来证实这些结果,并进一步确定对该协会的贡献。
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