Study suggests that a causal pathway may link job stress and sleep disturbances

A new study suggests that there may be a reciprocal, causal pathway between job strain and disturbed sleep, implying that interventions to treat sleep problems may improve work satisfaction.

Results show that higher work demands predicted subsequent sleep disturbances at the two-year follow-up. Similarly, sleep disturbances predicted a higher perception of stress, higher work demands, a lower degree of control, and less social support at work two years later. No relationship was found between disturbed sleep and physical work environment, shift work schedules or working hours.

"The results are important because they show that work demands influence stress negatively, and this link has rarely been investigated in longitudinal studies," said lead author and principal investigator Torbjörn Akerstedt, a professor in the department of clinical neuroscience at the Karolinska Institute in Stockholm, Sweden. "Sleep problems are abundant in the industrialized world, and we need to know where mitigation may be most effective."

Study results are published in the July issue of the journal Sleep.

Led by Akerstedt and lead author Johanna Garefelt, the research team analyzed data from the 2008 and 2010 waves of the Swedish Longitudinal Occupational Survey of Health. The study group comprised 4,827 participants with a mean age of 48 years, including 2,655 females and 2,171 males. Information regarding sex, age, and socioeconomic position were obtained from national register data. The Karolinska Sleep Questionnaire (KSQ) was used to identify disturbed sleep, which was defined as having difficulties falling asleep, restless sleep, repeated awakenings or premature awakening. Work demands, control at work and social support at work were measured using the Swedish version of the Demand-Control-Support Questionnaire.

According to the authors, their findings align with previous research showing that disturbed sleep increases stress response and emotional reactivity. The results imply that promoting better sleep may improve working life by reducing perceived job stress and minimizing negative attitudes toward work.

"The effect of sleep problems on stress emphasizes the importance of good sleep for functioning in everyday life," said Akerstedt.

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Financial support for the study was provided by the Swedish Council for Working Life and Social Research; the Insurance Company Alecta AB; and Stockholm Stress Center, which is a collaboration between Stockholm University and Karolinska Institutet.

To request a copy of the study, "Work and Sleep - A Prospective Study of Psychosocial Work Factors, Physical Work Factors, and Work Scheduling," or the commentary, "Reciprocal Associations between Job Strain and Disturbed Sleep - Opportunities for Sleep Health," or to arrange an interview with the study author or an AASM spokesperson, please contact Communications Coordinator Lynn Celmer at 630-737-9700, ext. 9364, or lcelmer@aasmnet.org.