Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel
Abstract
:1. Introduction
2. Materials and Methods
2.1. Procedure
2.2. Participants
2.3. Measures
2.4. Analyses
3. Results
3.1. Demographic, Sleep, and Mental Disorder Symptom Descriptive Statistics
3.2. Differences in Sleep Quality and Risk for Mental Disorder Symptoms between PSP
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Carleton, R.N.; Afifi, T.O.; Turner, S.; Taillieu, T.; Duranceau, S.; LeBouthillier, D.M.; Sareen, J.; Ricciardelli, R.; MacPhee, R.S.; Groll, D.; et al. Mental disorder symptoms among public safety personnel in Canada. Can. J. Psychiatry 2018, 63, 54–64. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hartley, T.A.; Burchfiel, C.M.; Fekedulegn, D.; Andrew, M.E.; Violanti, J.M. Health disparities in police officers: Comparisons to the U.S. general population. Int. J. Emerg. Ment. Health 2011, 13, 211–220. [Google Scholar] [PubMed]
- Ricciardelli, R.; Carleton, R.N.; Cramm, H.; Groll, D. Qualitatively unpacking Canadian public safety personnel experiences of trauma and their wellbeing: Physical manifestations, psychological implications, and fatalistic attitudes. Can. J. Criminol. Crim. Justice 2018, 60, 566–577. [Google Scholar] [CrossRef]
- Ayappa, I.; Chen, Y.; Bagchi, N.; Sanders, H.; Black, K.; Twumasi, A.; Rapoport, D.M.; Lu, S.E.; Sunderram, J. The association between health conditions in world trade center responders and sleep-related quality of life and sleep complaints. Int. J. Environ. Res. Public Health 2019, 16, 1229. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Oliphant, R.C. Healthy Minds, Safe Communities: Supporting our Public Safety Officers through a National Strategy for Operational Stress Injuries; Standing Committee on Public Safety and National Security: Ottawa, ON, Canada, 2016. [Google Scholar]
- Jones, S.; Nagel, C.; McSweeney, J.; Curran, G. Prevalence and correlates of psychiatric symptoms among first responders in a Southern State. Arch. Psychiatr. Nurs. 2018, 32, 828–835. [Google Scholar] [CrossRef]
- Neylan, T.C.; Metzler, T.J.; Henn-Haase, C.; Blank, Y.; Tarasovsky, G.; McCaslin, S.E.; Lenoci, M.; Marmar, C.R. Prior night sleep duration is associated with psychomotor vigilance in a healthy sample of police academy recruits. Chronobiol. Int. 2010, 27, 1493–1508. [Google Scholar] [CrossRef]
- Carleton, R.N.; Afifi, T.O.; Taillieu, T.; Turner, S.; Krakauer, R.; Anderson, G.S.; MacPhee, R.S.; Ricciardelli, R.; Cramm, H.A.; Groll, D.; et al. Exposures to Potentially Traumatic Events Among Public Safety Personnel in Canada. Can. J. Behav. Sci. 2019, 51, 37–52. [Google Scholar] [CrossRef]
- Carleton, R.N.; Afifi, T.O.; Taillieu, T.; Turner, S.; Mason, J.E.; Ricciardelli, R.; McCreary, D.R.; Vaughan, A.D.; Anderson, G.S.; Krakauer, R.L.; et al. Assessing the relative impact of diverse stressors among public safety personnel. Int. J. Environ. Res. Public Health 2020, 17, 1234. [Google Scholar] [CrossRef] [Green Version]
- Marmar, C.R.; McCaslin, S.E.; Metzler, T.J.; Best, S.; Weiss, D.S.; Fagan, J.; Liberman, A.; Pole, N.; Otte, C.; Yehuda, R.; et al. Predictors of posttraumatic stress in police and other first responders. Ann. N. Y. Acad. Sci. 2006, 1071, 1–18. [Google Scholar] [CrossRef] [Green Version]
- Dietch, J.R.; Ruggero, C.J.; Schuler, K.; Taylor, D.J.; Luft, B.J.; Kotov, R. Posttraumatic stress disorder symptoms and sleep in the daily lives of World Trade Center responders. J. Occup. Health Psychol. 2019, 24, 689. [Google Scholar] [CrossRef]
- Harvey, A.G. Insomnia, psychiatric disorders, and the transdiagnostic perspective. Curr. Direct. Psychol. Sci. 2008, 17, 299–303. [Google Scholar] [CrossRef]
- Baldwin, C.M.; Griffith, K.A.; Nieto, F.J.; O’connor, G.T.; Walsleben, J.A.; Redline, S. The association of sleep-disordered breathing and sleep symptoms with quality of life in the Sleep Heart Health Study. Sleep 2001, 24, 96–105. [Google Scholar] [CrossRef] [Green Version]
- Strine, T.W.; Chapman, D.P. Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med. 2005, 6, 23–27. [Google Scholar] [CrossRef]
- Léger, D.; Scheuermaier, K.; Philip, P.; Paillard, M.; Guilleminault, C. SF-36: Evaluation of quality of life in severe and mild insomniacs compared with good sleepers. Psychosom. Med. 2001, 63, 49–55. [Google Scholar] [CrossRef] [Green Version]
- Kupfer, D.J. Depression and associated sleep disturbances: Patient benefits with agomelatine. Eur. Neuropsychopharmacol. 2006, 16, S639–S643. [Google Scholar] [CrossRef]
- Neylan, T.C.; Otte, C.; Yehuda, R.; Marmar, C.R. Neuroendocrine regulation of sleep disturbances in PTSD. Ann. N. Y. Acad. Sci. 2006, 1071, 203–215. [Google Scholar] [CrossRef] [PubMed]
- Kobayashi, I.; Boarts, J.M.; Delahanty, D.L. Polysomnographically measured sleep abnormalities in PTSD: A meta-analytic review. Psychophysiology 2007, 44, 660–669. [Google Scholar] [CrossRef] [PubMed]
- Ramsawh, H.J.; Stein, M.B.; Belik, S.L.; Jacobi, F.; Sareen, J. Relationship of anxiety disorders, sleep quality, and functional impairment in a community sample. J. Psychiatr. Res. 2009, 43, 926–933. [Google Scholar] [CrossRef] [PubMed]
- Roth, T.; Jaeger, S.; Jin, R.; Kalsekar, A.; Stang, P.E.; Kessler, R.C. Sleep problems, comorbid mental disorders, and role functioning in the national comorbidity survey replication. Biol. Psychiatr. 2006, 60, 1364–1371. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Singareddy, R.K.; Balon, R. Sleep and suicide in psychiatric patients. Ann. Clin. Psychiatr. 2001, 13, 93–101. [Google Scholar] [CrossRef]
- Bjørngaard, J.H.; Bjerkeset, O.; Romundstad, P.; Gunnell, D. Sleeping problems and suicide in 75,000 Norwegian adults: A 20 year follow-up of the HUNT I study. Sleep 2011, 34, 1155–1159. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sivertsen, B.; Krokstad, S.; Øverland, S.; Mykletun, A. The epidemiology of insomnia: Associations with physical and mental health.: The HUNT-2 study. J. Psychosom. Res. 2009, 67, 109–116. [Google Scholar] [CrossRef] [PubMed]
- Vargas de Barros, V.; Martins, L.F.; Saitz, R.; Bastos, R.R.; Ronzani, T.M. Mental health conditions, individual and job characteristics and sleep disturbances among firefighters. J. Health Psychol. 2013, 18, 350–358. [Google Scholar] [CrossRef] [PubMed]
- Garbarino, S.; Guglielmi, O.; Puntoni, M.; Bragazzi, N.L.; Magnavita, N. Sleep quality among police officers: Implications and insights from a systematic review and meta-analysis of the literature. Int. J. Environ. Res. Public Health 2019, 16, 885. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Pirrallo, R.G.; Loomis, C.C.; Levine, R.; Woodson, B.T. The prevalence of sleep problems in emergency medical technicians. Sleep Breath. 2012, 16, 149–162. [Google Scholar] [CrossRef]
- Magnavita, N.; Garbarino, S. Sleep, health and wellness at work: A scoping review. Int. J. Environ. Res. Public Health 2017, 14, 1347. [Google Scholar] [CrossRef] [Green Version]
- Neylan, T.C.; Metzler, T.J.; Best, S.R.; Weiss, D.S.; Fagan, J.A.; Liberman, A.; Rogers, C.; Vedantham, K.; Brunet, A.; Lipsey, T.; et al. Marmar, C.R. Critical incident exposure and sleep quality in police officers. Psychosom. Med. 2002, 64, 345–352. [Google Scholar] [CrossRef]
- Vila, B. Impact of long work hours on police officers and the communities they serve. Am. J. Ind. Med. 2006, 49, 972–980. [Google Scholar] [CrossRef]
- Rajaratnam, S.M.; Barger, L.K.; Lockley, S.W.; Shea, S.A.; Wang, W.; Landrigan, C.P.; O’Brien, C.S.; Qadri, S.; Sullivan, J.P. Cade, B.E.; et al. Sleep disorders, health, and safety in police officers. JAMA 2011, 306, 2567–2578. [Google Scholar] [CrossRef] [Green Version]
- Gerber, M.; Hartmann, T.; Brand, S.; Holsboer-Trachsler, E.; Pühse, U. The relationship between shift work, perceived stress, sleep and health in Swiss police officers. J. Crim. Justice 2010, 38, 1167–1175. [Google Scholar] [CrossRef]
- Alexander, D.A.; Klein, S. Ambulance personnel and critical incidents: Impact of accident and emergency work on mental health and emotional well-being. Br. J. Psychiatr. 2001, 178, 76–81. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Carey, M.G.; Al-Zaiti, S.S.; Dean, G.E.; Sessanna, L.; Finnell, D.S. Sleep problems, depression, substance use, social bonding, and quality of life in professional firefighters. J. Occup. Environ. Med. 2011, 53, 928–933. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Chen, Y.S.; Chen, M.C.; Chou, F.H.C.; Sun, F.C.; Chen, P.C.; Tsai, K.Y.; Chao, S.S. The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Q. Life Res. 2007, 16, 1289–1297. [Google Scholar] [CrossRef] [PubMed]
- Charles, L.; Burchfiel, C.M.; Fekedulegn, D.; Hartley, T.; Slaven, J.; Violanti, J. Relationship between shift work and sleep problems among police officers: The buffalo police health study. Am. J. Epidemiol. 2006, 163, S213. [Google Scholar] [CrossRef] [Green Version]
- Bastien, C.H.; Vallières, A.; Morin, C.M. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001, 2, 297–307. [Google Scholar] [CrossRef]
- Morin, C.M.; Belleville, G.; Bélanger, L.; Ivers, H. The Insomnia Severity Index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep 2011, 34, 601–608. [Google Scholar] [CrossRef] [Green Version]
- Weathers, F.W.; Litz, B.T.; Keane, T.M.; Palmieri, P.A.; Marx, B.P.; Schnurr, P.P. The PTSD Checklist for DSM-5 (PCL-5), 2013. Available online: www.ptsd.va.gov (accessed on 19 January 2019).
- Ashbaugh, A.R.; Houle-Johnson, S.; Herbert, C.; El-Hage, W.; Brunet, A. Psychometric validation of the English and French versions of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5). PLoS ONE 2016, 11, e0161645. [Google Scholar] [CrossRef]
- Blevins, C.A.; Weathers, F.W.; Davis, M.T.; Witte, T.K.; Domino, J.L. The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. J. Trauma. Stress 2015, 28, 489–498. [Google Scholar] [CrossRef]
- Boivin, M.J.; Marx, B.P.; Weathers, F.W.; Gallagher, M.W.; Rodriguez, P.; Schnurr, P.P.; Keane, T.M. Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders–Fifth Edition (PCL-5) in veterans. Psychol. Assess. 2016, 28, 1379–1391. [Google Scholar] [CrossRef]
- MacIntosh, H.B.; Séguin, G.; Abdul-Ramen, I.; Randy, M. Première Traduction Française PCL-5-LEC, Civilian Checklist for PTSD, DSM5; McGill: Montreal, QC, Canada, 2015. [Google Scholar]
- Kroenke, K.; Spitzer, R.L.; Williams, J.B. The PHQ-9: Validity of a brief depression severity measure. J. Gen. Int. Med. 2001, 16, 606–613. [Google Scholar] [CrossRef]
- Löwe, B.; Gräfe, K.; Zipfel, S.; Witte, S.; Loerch, B.; Herzog, W. Diagnosing ICD-10 depressive episodes: Superior criterion validity of the patient health questionnaire. Psychother. Psychosom. 2004, 73, 386–390. [Google Scholar] [CrossRef] [PubMed]
- Beard, C.; Hsu, K.J.; Rifkin, L.S.; Busch, A.B.; Björgvinsson, T. Validation of the PHQ-9 in a psychiatric sample. J. Affect. Disord. 2016, 193, 267–273. [Google Scholar] [CrossRef] [PubMed]
- Manea, L.; Gilbody, S.; McMillan, D. A diagnostic meta-analysis of the Patient Health Questionnaire-9 (PHQ-9) algorithm scoring method as a screen for depression. Gen. Hosp. Psychiatr. 2015, 37, 67–75. [Google Scholar] [CrossRef] [PubMed]
- Spitzer, R.L.; Kroenke, K.; Williams, J.B.; Löwe, B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch. Int. Med. 2006, 166, 1092–1097. [Google Scholar] [CrossRef] [Green Version]
- Beard, C.; Björgvinsson, T. Beyond generalized anxiety disorder: Psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. J. Anxiety Disord. 2014, 28, 547–552. [Google Scholar] [CrossRef]
- Swinson, R.P. The GAD-7 scale was accurate for diagnosing generalised anxiety disorder. Evid.-Based Med. 2006, 11, 184. [Google Scholar] [CrossRef] [Green Version]
- Saunders, J.B.; Aasland, O.G.; Babor, T.F.; De la Fuente, J.R.; Grant, M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993, 88, 791–804. [Google Scholar] [CrossRef]
- Daeppen, J.B.; Yersin, B.; Landry, U.; Pécoud, A.; Decrey, H. Reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) imbedded within a general health risk screening questionnaire: Results of a survey in 332 primary care patients. Alcohol. Clin. Exp. Res. 2000, 24, 659–665. [Google Scholar] [CrossRef]
- Gache, P.; Michaud, P.; Landry, U.; Accietto, C.; Arfaoui, S.; Wenger, O.; Daeppen, J.B. The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: Reliability and validity of a French version. Alcohol. Clin. Exp. Res. 2005, 29, 2001–2007. [Google Scholar] [CrossRef]
- Carleton, R.N.; Collimore, K.C.; Asmundson, G.J.; McCabe, R.E.; Rowa, K.; Antony, M.M. Refining and validating the social interaction anxiety scale and the social phobia scale. Depress. Anxiety 2009, 26, E71–E81. [Google Scholar] [CrossRef]
- Mattick, R.P.; Clarke, J.C. Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behav. Res. Ther. 1998, 36, 455–470. [Google Scholar] [CrossRef]
- Carleton, R.N.; Thibodeau, M.A.; Weeks, J.W.; Teale Sapach, M.J.; McEvoy, P.M.; Horswill, S.C.; Heimberg, R.G. Comparing short forms of the Social Interaction Anxiety Scale and the Social Phobia Scale. Psychol. Assess. 2014, 26, 1116–1126. [Google Scholar] [CrossRef] [PubMed]
- Duranceau, S.; Peluso, D.L.; Collimore, K.C.; Asmundson, G.J.G.; Carleton, R.N. Psychometric properties of the French version of the Social Interaction Phobia Scale. Can. J. Behav. Sci./Rev. Can. Sci. Comport. 2014, 46, 406–413. [Google Scholar] [CrossRef]
- Menatti, A.R.; Weeks, J.W.; Carleton, R.N.; Morrison, A.S.; Heimberg, R.G.; Hope, D.A.; Blanco, C.; Schneier, F.R.; Liebowitz, M.R. The social interaction phobia scale: Continued support for the psychometric validity of the sips using clinical and non-clinical samples. J. Anxiety Disord. 2015, 32, 46–55. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Reilly, A.R.; Carleton, R.N.; Weeks, J.W. Psychometric evaluation of the social interaction phobia scale. Anxiety Stress Coping 2012, 25, 529–542. [Google Scholar] [CrossRef] [PubMed]
- Shear, M.K.; Brown, T.A.; Barlow, D.H.; Money, R.; Sholomskas, D.E.; Woods, S.W.; Gorman, J.M.; Papp, L.A. Multicenter collaborative Panic Disorder Severity Scale. Am. J. Psychiatr. 1997, 154, 1571–1575. [Google Scholar] [CrossRef]
- Shear, M.K.; Rucci, P.; Williams, J.; Frank, E.; Grochocinski, V.; Vander Bilt, J.; Houck, P.; Wang, T. Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. J. Psychiatr. Res. 2001, 35, 293–296. [Google Scholar] [CrossRef]
- McCreary, D.R.; Thompson, M.M. Development of two reliable and valid measures of stressors in policing: The operational and organizational police stress questionnaires. Int. J. Stress Manag. 2006, 13, 494–518. [Google Scholar] [CrossRef]
- Chaput, J.P.; Wong, S.L.; Michaud, I. Duration and quality of sleep among Can. s aged 18 to 79. Health Rep 2017, 28, 28–33. [Google Scholar]
- Chaput, J.P.; Yau, J.; Rao, D.P.; Morin, C.M. Prevalence of insomnia for Can. s aged 6 to 79. Health Rep 2018, 29, 16–20. [Google Scholar]
- Aasa, U.; Brulin, C.; Ängquist, K.A.; Barnekow-Bergkvist, M. Work-related psychosocial factors, worry about work conditions and health complaints among female and male ambulance personnel. Scand. J. Caring Sci. 2005, 19, 251–258. [Google Scholar] [CrossRef] [PubMed]
- Mohr, D.; Vedantham, K.; Neylan, T.; Metzler, T.J.; Best, S.; Marmar, C.R. The mediating effects of sleep in the relationship between traumatic stress and health symptoms in urban police officers. Psychosom. Med. 2003, 65, 485–489. [Google Scholar] [CrossRef]
- Brown, J.P.; Martin, D.; Nagaria, Z.; Verceles, A.C.; Jobe, S.L.; Wickwire, E.M. Mental Health Consequences of Shift Work: An Updated Review. Curr. Psychiatr. Rep. 2020, 22, 7. [Google Scholar] [CrossRef] [PubMed]
- Ricciardelli, R.; Carleton, R.N.; Mooney, T.; Cramm, H. Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to support for Can. public safety personnel. Health 2018. [Google Scholar] [CrossRef]
- Carleton, R.N.; Afifi, T.O.; Turner, S.; Taillieu, T.; Vaughan, A.D.; Anderson, G.S.; Ricciardelli, R.; MacPhee, R.S.; Cramm, H.A.; Czarnuch, S.; et al. Mental health training, attitudes towards support, and screening positive for mental disorders. Cogn. Behav. Ther. 2019, 49, 55–73. [Google Scholar] [CrossRef]
- Barger, L.K.; O’Brien, C.S.; Rajaratnam, S.M.; Qadri, S.; Sullivan, J.P.; Wang, W.; Czeisle, C.A.; Lockley, S.W. Implementing a sleep health education and sleep disorders screening program in fire departments: A comparison of methodology. J. Occup. Environ. Med. 2016, 58, 601–609. [Google Scholar] [CrossRef] [Green Version]
Demographic Characteristics | n (%) |
---|---|
Gender | |
Man | 3451 (67) |
Woman | 1695 (33) |
Age | |
18–29 | 462 (6) |
30–39 | 2122 (27) |
39–49 | 2840 (37) |
50–59 | 1988 (26) |
60 and older | 314 (4) |
Marital Status | |
Married/common-law | 3895 (75) |
Single | 528 (10) |
Separated/divorced/widowed | 533 (11) |
Remarried | 184 (4) |
Ethnicity | |
White | 4688 (91) |
Other | 340 (9) |
Language | |
English | 4400 (88) |
French | 587 (12) |
Education | |
High school or less | 458 (9) |
Some post-secondary (less than 4 year college/university program) | 2721 (54) |
University degree/4 year college or higher | 1875 (37) |
Province of residence | |
Western/Central Canada (BC, AB, SK, MB) | 2700 (53) |
Eastern Canada (ON, QC) | 1786 (35) |
Atlantic Canada (PEI, NS, NB, NFL) | 612 (12) |
Public safety personnel category | |
Municipal/provincial police | 1279 (26) |
RCMP | 1283 (26) |
Correctional workers | 701 (14) |
Firefighters | 760 (15) |
Paramedics | 697 (14) |
Communications officials | 243 (5) |
Sleep Quality Screening Measure | Total Sample (5146) | Municipal/Provincial Police (1279) | Royal Canadian Mounted Police (1283) | Correctional Workers (701) | Firefighters (760) | Paramedics (697) | Communications Officials (243) |
---|---|---|---|---|---|---|---|
Positive screen for insomnia | 56% | 53% | 59% | 58% | 49% | 60% | 58% |
M (SD) | |||||||
Insomnia (ISI) | 10.78 (6.08) | 10.42 (6.20) | 11.32 (6.24) | 11.20 (6.22) | 9.74 (5.72) | 11.04 (5.76) | 11.27 (5.88) |
Hours of sleep work nights | 6.22 (1.28) | 6.22 (1.24) | 6.19 (1.28) | 6.32 (1.23) | 6.31 (1.30) | 6.01 (1.34) | 6.19 (1.35) |
Hours of sleep off-shift nights | 7.24 (1.69) | 7.21 (1.56) | 7.24 (1.71) | 7.42 (1.72) | 6.96 (1.53) | 7.21 (1.92) | 7.57 (1.70) |
Days a week feeling rested | 2.39 (1.99) | 2.51 (2.02) | 2.20 (1.97) | 2.38 (1.96) | 2.67 (2.11) | 2.26 (1.91) | 2.10 (1.81) |
Quality of sleep rating | 2.87 (1.03) | 2.92 (1.06) | 2.77 (1.03) | 2.86 (1.02) | 2.99 (0.99) | 2.84 (1.01) | 2.86 (1.04) |
Mental Disorder Screening Measure | Total Sample (5146) | Municipal/Provincial Police (1279) | Royal Canadian Mounted Police (1283) | Correctional Workers (701) | Firefighters (760) | Paramedics (697) | Communications Officials (243) |
---|---|---|---|---|---|---|---|
Positive Screen for Any Mental Disorder | 49% | 46% | 51% | 56% | 46% | 54% | 44% |
M (SD) | |||||||
PTSD (PCL-5) | 21.27 (18.80) | 18.75 (18.49) | 24.94 (20.12) | 24.84 (18.86) | 16.65 (16.01) | 22.35 (18.43) | 18.77 (17.70) |
Depression (PHQ-9) | 6.54 (5.86) | 5.61 (5.67) | 7.28 (6.06) | 7.33 (5.74) | 5.34 (5.50) | 7.13 (6.05) | 7.19 (5.63) |
Anxiety (GAD-7) | 5.25 (5.01) | 4.58 (4.92) | 5.95 (5.28) | 6.08 (4.97) | 4.05 (4.49) | 5.71 (4.99) | 5.32 (4.81) |
Social Anxiety Disorder (SIPS) | 10.23 (10.81) | 8.31 (9.59) | 11.29 (11.58) | 12.03 (11.39) | 8.03 (9.39) | 11.77 (10.90) | 11.37 (11.41) |
Panic Disorder (PDSS-SR) | 2.57 (4.35) | 2.02 (3.91) | 3.02 (4.72) | 3.36 (4.74) | 1.66 (3.56) | 2.81 (4.51) | 2.80 (4.40) |
Alcohol Use Disorder (AUDIT) | 6.11 (4.96) | 6.24 (5.11) | 5.53 (4.40) | 6.09 (5.20) | 7.04 (5.09) | 6.15 (5.16) | 5.80 (4.88) |
PSP Occupation | β | S.E. | Wald | OR | OR 95% CI | p | |
---|---|---|---|---|---|---|---|
Lower | Upper | ||||||
All PSP | 1.55 | 0.07 | 523.00 | 4.71 | 4.12 | 5.38 | <0.001 |
Communications Officials | 1.67 | 0.35 | 23.46 | 5.31 | 2.70 | 10.44 | <0.001 |
Correctional Workers | 1.94 | 0.19 | 100.45 | 6.95 | 4.76 | 10.16 | <0.001 |
Firefighters | 1.41 | 0.17 | 69.60 | 4.11 | 2.95 | 5.73 | <0.001 |
Paramedics | 1.34 | 0.18 | 54.82 | 3.81 | 2.68 | 5.44 | <0.001 |
Municipal/Regional Police | 1.23 | 0.13 | 87.87 | 3.43 | 2.61 | 4.44 | <0.001 |
RCMP | 1.80 | 0.14 | 158.69 | 6.06 | 4.58 | 8.02 | <0.001 |
Mental Disorder Screening Measure | ISI | PCL-5 | PHQ-9 | GAD-7 | SIPS | PDSS |
---|---|---|---|---|---|---|
PCL-5 | 0.58 ** | — | ||||
PHQ-9 | 0.70 ** | 0.73 ** | — | |||
GAD-7 | 0.59 ** | 0.71 ** | 0.79 ** | — | ||
SIPS | 0.42 ** | 0.51 ** | 0.56 ** | 0.56 ** | — | |
PDSS | 0.46 ** | 0.63 ** | 0.64 ** | 0.67 ** | 0.50 ** | — |
AUDIT | 0.18 ** | 0.17 ** | 0.20 ** | 0.11 ** | 0.12 ** | 0.15 ** |
Sleep Quality Measure | Shift Work Stress | Hours of Sleep Work Nights | Hours of Sleep Off-Shift Nights | Days a Week Feeling Rested |
---|---|---|---|---|
Hours of sleep work nights | −00.16 ** | — | ||
Hours of sleep off-shift nights | −0.06 ** | 0.52 ** | — | |
Days a week feeling rested | −0.20 ** | 0.39 ** | 0.20 ** | — |
Quality of sleep rating | −0.22 ** | 0.48 ** | 0.30 ** | 0.65 ** |
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Share and Cite
Angehrn, A.; Teale Sapach, M.J.N.; Ricciardelli, R.; MacPhee, R.S.; Anderson, G.S.; Carleton, R.N. Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel. Int. J. Environ. Res. Public Health 2020, 17, 2708. https://doi.org/10.3390/ijerph17082708
Angehrn A, Teale Sapach MJN, Ricciardelli R, MacPhee RS, Anderson GS, Carleton RN. Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel. International Journal of Environmental Research and Public Health. 2020; 17(8):2708. https://doi.org/10.3390/ijerph17082708
Chicago/Turabian StyleAngehrn, Andréanne, Michelle J. N. Teale Sapach, Rosemary Ricciardelli, Renée S. MacPhee, Gregory S. Anderson, and R. Nicholas Carleton. 2020. "Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel" International Journal of Environmental Research and Public Health 17, no. 8: 2708. https://doi.org/10.3390/ijerph17082708
APA StyleAngehrn, A., Teale Sapach, M. J. N., Ricciardelli, R., MacPhee, R. S., Anderson, G. S., & Carleton, R. N. (2020). Sleep Quality and Mental Disorder Symptoms among Canadian Public Safety Personnel. International Journal of Environmental Research and Public Health, 17(8), 2708. https://doi.org/10.3390/ijerph17082708