Reciprocal relations between care-related emotional burden and sleep problems in healthcare professionals: a multicentre international cohort study

Article Article scientifique Article Reciprocal relations between care-related emotional burden and sleep problems in healthcare professionals: a multicentre international cohort study eng 2018 author Cheval Boris 0000-0002-6236-4673 812669 author Mongin Denis 0000-0002-4801-8395 812756 author Cullati Stéphane 0000-0002-3881-446X 524286 author Winz Carole 828951 author Von Arx Martina Rebecca 0000-0002-4718-3743 832888 author Schmidt Ralph Erich 39347 author Agoritsas Thomas 0000-0002-6182-9969 516829 author Chopard Pierre André 0009-0009-9993-827X 24647 author Courvoisier Delphine 0000-0002-1956-2607 94475 647-653 10.1136/oemed-2018-105096 30026283 1351-0711 OBJECTIVE: To determine whether there are reciprocal relations between care-related regret and insomnia severity among healthcare professionals, and whether the use of different coping strategies influences these associations. METHODS: This is a multicentre international cohort study of 151 healthcare professionals working in acute care hospitals and clinics (87.4% female; mean age=30.4±8.0 years, 27.2% physicians, 48.3% nurses and 24.5% other professions) between 2014 and 2017. Weekly measures of regret intensity, number of regrets, and use of coping strategies (Regret Coping Scale) and sleep problems (Insomnia Severity Index) were assessed using a web survey. RESULTS: The associations between regret and insomnia severity were bidirectional. In a given week, regret intensity (bregret intensity→sleep=0.26, 95% credible interval (CI) (0.14 to 0.40)) and number of regrets (bnumber of regrets→sleep=0.43, 95% CI (0.07 to 0.53)) were significantly associated with increased insomnia severity the following week. Conversely, insomnia severity in a given week was significantly associated with higher regret intensity (bsleep→regret intensity=0.14, 95% CI (0.11 to 0.30)) and more regrets (bsleep→number of regrets=0.04, 95% CI (0.02 to 0.06)) the week after. The effects of regret on insomnia severity were much stronger than those in the opposite direction. The use of coping strategies, especially if they were maladaptive, modified the strength of these cross-lagged associations. CONCLUSIONS: The present study showed that care-related regret and sleep problems are closely intertwined among healthcare professionals. Given the high prevalence of these issues, our findings call for the implementation of interventions that are specifically designed to help healthcare professionals to reduce their use of maladaptive coping strategies. Coping strategies Emotional burden Healthcare professionals Sleep problems Dewey 150 Dewey 616 Dewey 618.97 14 Centre interfacultaire de gérontologie et d'études des vulnérabilités 0D6 56 Département de médecine 221 65 Département de réadaptation et gériatrie 22B 108 Section de psychologie 71 false 1296 Evaluation en qualité des soins 1012 Occupational and Environmental Medicine 75 9 5d52ac71-5a19-46ad-a076-adc13d9dab5b Article (Published version) Restricted Cheval_B_et_al_2018_OEM.pdf 490378 application/pdf restrictedAccess Centres et instituts / Centre interfacultaire de gérontologie et d'études des vulnérabilités Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie Faculté de psychologie et des sciences de l'éducation / Section de psychologie

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Reciprocal relations between care-related emotional burden and sleep problems in healthcare professionals: a multicentre international cohort study	Occupational and Environmental Medicine			2018	557	2

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