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Risk factors for insomnia and burnout: a longitudinal population-based cohort study
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0002-2408-3205
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0002-4411-3803
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0002-6936-5126
Umeå University, Faculty of Social Sciences, Department of Psychology.ORCID iD: 0000-0003-1699-1681
2023 (English)In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 39, no 4, p. 798-812Article in journal (Refereed) Published
Abstract [en]

Insomnia and burnout are highly prevalent in the general population, calling for understanding of its causes. Taking a broad approach, the aim of this study was to determine various mental and somatic risk factors for development of insomnia and burnout and stratifying for sex and age group. Questionnaire data were used from a Swedish population-based sample aged 18–79 years, from which cohorts without insomnia (= 1702) and without burnout (= 1972) at baseline were followed-up after 3 years. Self-reports of eight mental and somatic conditions at baseline were used as independent variables in logistic regression analyses to predict development of insomnia and burnout at 3-year follow-up. All eight studied conditions were significant risk factors for development of both insomnia (odds ratio, OR = 1.62–2.73) and burnout (OR = 2.20–3.21). Burnout and poor self-rated health had the highest ORs for insomnia, and poor self-rated health, anxiety and somatic symptoms had the highest ORs for burnout. The ORs were generally similar between men and women, whereas age groups tended to differ in some of the risk factors. The study highlights the importance of a broad assessment of both mental and somatic conditions in the prevention of insomnia and burnout.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 39, no 4, p. 798-812
Keywords [en]
epidemiology, mental health, public health, somatic health
National Category
Public Health, Global Health, Social Medicine and Epidemiology Applied Psychology
Identifiers
URN: urn:nbn:se:umu:diva-204764DOI: 10.1002/smi.3218ISI: 000920645800001PubMedID: 36634111Scopus ID: 2-s2.0-85147301936OAI: oai:DiVA.org:umu-204764DiVA, id: diva2:1738122
Funder
AFA Insurance, 190082Available from: 2023-02-21 Created: 2023-02-21 Last updated: 2024-03-28Bibliographically approved
In thesis
1. Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
Open this publication in new window or tab >>Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

With focus on stress-related ill-health and insomnia/sleep disturbance, the overall aim of this thesis was to determine severity and prevalence, risk factors and effectiveness of low-intensity group sessions. This was accomplished by taking epidemiological and quasi-experimental approaches. 

With the aim of examining symptom severity and prevalence of insomnia, burnout, anxiety, depression, and somatization across different age groups and sexes, Study I used cross-sectional data (n=3406) from the baseline data collection of the Västerbotten Environmental Health Study (VEHS). In comparison to men, women in most age groups exhibited higher levels of symptom severity and prevalence of caseness in various mental health conditions. Insomnia (28.6%) and burnout (17.3%) were common in the population.

With focus on risk factors for insomnia and burnout, Study II used a longitudinal design and VEHS data (n=1702–1972) to compare a range of mental and somatic conditions in a general population. The results showed that all examined health conditions were risk factors for cases of insomnia and burnout. For example, insomnia can increase the risk of developing burnout (odds ratio: 2.67), and burnout increase the risk of developing insomnia (odds ratio: 2.73), underscoring the importance of early detection and prevention. 

The aim of Study III was to examine the effectiveness of four low-intensity group sessions for stress (n=274) and sleep disturbance (n=106) conducted by psychology students. A non-randomized controlled trial design was used in primary care with naturally occurring groups. A control group (n=221) was recruited via social media. Whereas effects were small at post-treatment, a substantial proportion of the patients showed a reliable improvement or recovery at 3-month follow-up. 

This thesis provides support for the assumption that severity and prevalence of insomnia, burnout, anxiety, depression, and somatization are common in the population. Burnout and insomnia are mutual risk factors and underscore the importance of indicated prevention in primary care. Low-intensity group interventions facilitated by non-experts can be effective and scalable for patients with stress and sleep disturbance.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2024. p. 118
Keywords
Stress-related ill-health, Prevalence, Risk factors, Burnout, Insomnia, Non-experts, Low intensity psychological interventions, Primary care, Scalability, Indicated prevention.
National Category
Psychology
Research subject
Clinical Psychology; Epidemiology
Identifiers
urn:nbn:se:umu:diva-222832 (URN)978-91-8070-264-5 (ISBN)978-91-8070-265-2 (ISBN)
Public defence
2024-04-26, UB A.240, Lindellhallen 4, Umeå, 09:00 (English)
Opponent
Supervisors
Available from: 2024-04-05 Created: 2024-03-28 Last updated: 2024-04-02Bibliographically approved

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Höglund, PerHakelind, CamillaNordin, MariaNordin, Steven

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