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Risk factors for insomnia and burnout: a longitudinal population-based cohort study
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.ORCID-id: 0000-0002-2408-3205
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.ORCID-id: 0000-0002-4411-3803
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.ORCID-id: 0000-0002-6936-5126
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.ORCID-id: 0000-0003-1699-1681
2023 (Engelska)Ingår i: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 39, nr 4, s. 798-812Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
John Wiley & Sons, 2023. Vol. 39, nr 4, s. 798-812
Nyckelord [en]
epidemiology, mental health, public health, somatic health
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Tillämpad psykologi
Identifikatorer
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
Forskningsfinansiär
AFA Försäkring, 190082Tillgänglig från: 2023-02-21 Skapad: 2023-02-21 Senast uppdaterad: 2024-03-28Bibliografiskt granskad
Ingår i avhandling
1. Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
Öppna denna publikation i ny flik eller fönster >>Stress, sleep disturbance, and related ill-health: from prevalence and risk-factors to indicated interventions
2024 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
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.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå University, 2024. s. 118
Nyckelord
Stress-related ill-health, Prevalence, Risk factors, Burnout, Insomnia, Non-experts, Low intensity psychological interventions, Primary care, Scalability, Indicated prevention.
Nationell ämneskategori
Psykologi
Forskningsämne
klinisk psykologi; epidemiologi
Identifikatorer
urn:nbn:se:umu:diva-222832 (URN)978-91-8070-264-5 (ISBN)978-91-8070-265-2 (ISBN)
Disputation
2024-04-26, UB A.240, Lindellhallen 4, Umeå, 09:00 (Engelska)
Opponent
Handledare
Tillgänglig från: 2024-04-05 Skapad: 2024-03-28 Senast uppdaterad: 2024-04-02Bibliografiskt granskad

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Höglund, PerHakelind, CamillaNordin, MariaNordin, Steven

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Stress and Health
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiTillämpad psykologi

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