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The association of occupational stress and sleep duration with anxiety symptoms among healthy employees: A cohort study
Author(s) -
Kim SunYoung,
Shin YoungChul,
Oh KangSeob,
Shin DongWon,
Lim WeonJeong,
Kim EunJin,
Cho Sung Joon,
Jeon SangWon
Publication year - 2020
Publication title -
stress and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 61
eISSN - 1532-2998
pISSN - 1532-3005
DOI - 10.1002/smi.2948
Subject(s) - anxiety , beck anxiety inventory , hazard ratio , occupational stress , sleep (system call) , psychology , medicine , cohort , cohort study , clinical psychology , psychiatry , beck depression inventory , confidence interval , computer science , operating system
The aim of this study is to identify occupational stress associated with the development of new‐onset anxiety symptoms and the dose–response relationship between sleep duration and the onset of anxiety symptoms. Data from 29,251 healthy employees who had undergone at least two comprehensive health examinations at Kangbuk Samsung Hospital Health Screening Center were analysed. Anxiety symptoms were assessed using the Beck Anxiety Inventory. Occupational stress and sleep duration were measured using a self‐reported questionnaire about total sleep time and the Korean Occupational Stress Scale‐Short Form (KOSS‐SF), respectively. Flexible parametric proportional hazards model used to estimate the hazard ratios. Compared with the groups without case‐level anxiety, discomfort in an organizational climate, high job demands, job insecurity, organizational injustice and lack of reward were associated with the onset of case‐level anxiety. Compared with less than 6 hr of sleep per day, the beneficial level of sleep duration was 7 ≤ to <9 hr a day. Almost all subscales of job stress were associated with the development of anxiety symptoms. In addition, the efficacious level of sleep duration for reducing the onset of future anxiety symptoms was 7 ≤ to <9 hr a day.