Trabalho noturno e o risco de sintomas psiquiátricos: uma comparação entre o trabalho noturno rotativo e o diurno
DOI:
https://doi.org/10.25118/2763-9037.2023.v13.701Palavras-chave:
trabalho noturno, sintomas psiquiátricos, sono, jornada de trabalho em turnos, perturbação do ritmo circadiano, depressão, ansiedade, transtorno bipolar, esquizofreniaResumo
Introdução: O sono é controlado por uma interação entre os osciladores circadianos e homeostáticos que ditam a vigília e o estado de sono de acordo com o ciclo claro/escuro. Atualmente, os horários de dormir e acordar são influenciados pelas condições sociais como escola, horário de trabalho e turnos de trabalho, essa interrupção do ciclo circadiano pode influenciar negativamente no comportamento físico e mental da população. O trabalho em turnos está diretamente associado a transtornos psiquiátricos, como ansiedade, depressão, irritabilidade e nervosismo. Objetivo e Método: Diante dos impactos socioeconômicos e prejuízos à saúde mental do indivíduo gerados pelo trabalho em turnos, esta revisão teve como objetivo, com base na análise de artigos científicos publicados no período de 2012 a 2022, avaliar o impacto do trabalho noturno na saúde mental em comparação com o típico trabalho em turnos do dia-a-dia. Resultados e Conclusão: O trabalho por turnos é uma organização laboral significativa que emprega 10-30% da força de trabalho, mas perturba os horários de sono, levando a um desalinhamento entre o ritmo circadiano do indivíduo e o ambiente. Embora seja difícil estabelecer relações causais entre o trabalho em turnos e os efeitos na saúde, a restrição do sono e as alterações nos ritmos comportamentais são fatores de risco para transtornos psiquiátricos. O gerenciamento da exposição individual é vital para preservar a saúde mental dos trabalhadores, especialmente considerando idade, sexo e cronotipo. No entanto, restrições operacionais podem dificultar a implementação em alguns locais de trabalho.
Downloads
Métricas
Referências
Buijs RM, Soto Tinoco EC, Hurtado Alvarado G, Escobar C. The circadian system: from clocks to physiology. Handb Clin Neurol. 2021;179:233-47. https://doi.org/10.1016/b978-0-12-819975-6.00013-3 - PMID:34225965 DOI: https://doi.org/10.1016/B978-0-12-819975-6.00013-3
Taillard J, Sagaspe P, Philip P, Bioulac S. Sleep timing, chronotype and social jetlag: impact on cognitive abilities and psychiatric disorders. Biochem Pharmacol. 2021;191:114438. https://doi.org/10.1016/j.bcp.2021.114438 - PMID:33545116 DOI: https://doi.org/10.1016/j.bcp.2021.114438
Crouse JJ, Carpenter JS, Song YJC, Hockey SJ, Naismith SL, Grunstein RR, Scott EM, Merikangas KR, Scott J, Hickie IB. Circadian rhythm sleep-wake disturbances and depression in young people: implications for prevention and early intervention. Lancet Psychiatry. 2021;8(9):813-23. https://doi.org/10.1016/s2215-0366(21)00034-1 - PMID:34419186 DOI: https://doi.org/10.1016/S2215-0366(21)00034-1
Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: a review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med. 2019;23(4):2324-32. https://doi.org/10.1111/jcmm.14170 PMID:30734486 - PMCID:PMC6433686 DOI: https://doi.org/10.1111/jcmm.14170
Costa G. The problem: shiftwork. Chronobiol Int. 1997;14(2):89-98. https://doi.org/10.3109/07420529709001147 PMID:9095370 DOI: https://doi.org/10.3109/07420529709001147
Knauth P. The design of shift systems. Ergonomics. 1993;36(1-3):15-28. https://doi.org/10.1080/00140139308967850 - PMID:8440212 DOI: https://doi.org/10.1080/00140139308967850
Shift Work. Geneva: International Labour Office; 2004. Information Sheet No. WT-8. https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---travail/documents/publication/wcms_170713.pdf
Zhao Y, Richardson A, Poyser C, Butterworth P, Strazdins L, Leach LS. Shift work and mental health: a systematic review and meta-analysis. Int Arch Occup Environ Health. 2019;92:763-93. https://doi.org/10.1007/s00420-019-01434-3 - PMID:31055776 DOI: https://doi.org/10.1007/s00420-019-01434-3
Chellappa SL, Morris CJ, Scheer FAJL. Circadian misalignment increases mood vulnerability in simulated shift work. Sci Rep. 2020;10:18614. https://doi.org/10.1038/s41598-020-75245-9 PMID:33122670 - PMCID:PMC7596056 DOI: https://doi.org/10.1038/s41598-020-75245-9
Torquati L, Mielke GI, Brown WJ, Burton NW, Kolbe-Alexander TL. Shift work and poor mental health: a meta-analysis of longitudinal studies. Am J Public Health. 2019;109(11):e13-20. https://doi.org/10.2105/ajph.2019.305278 - PMID:31536404 - PMCID:PMC6775929 DOI: https://doi.org/10.2105/AJPH.2019.305278
Karatsoreos IN. Effects of circadian disruption on mental and physical health. Curr Neurol Neurosci Rep. 2012;12:218-25. https://doi.org/10.1007/s11910-012-0252-0 - PMID:22322663 DOI: https://doi.org/10.1007/s11910-012-0252-0
Reynolds AC, Lechat B, Melaku YA, Sansom K, Brown BWJ, Crowther ME, Wanstall S, Maddison KJ, Walsh JH, Straker L, Adams RJT, McArdle N, Eastwood PR. Shift work, clinically significant sleep disorders and mental health in a representative, cross-sectional sample of young working adults. Sci Rep. 2022;12:16255. https://doi.org/10.1038/s41598-022-20308-2 - PMID:36171220 PMCID:PMC9519578 DOI: https://doi.org/10.1038/s41598-022-20308-2
Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy. 2016;9:203-11. https://doi.org/10.2147/rmhp.s115326 - PMID:27695372 - PMCID:PMC5028173 DOI: https://doi.org/10.2147/RMHP.S115326
Moreno CRC, Marqueze EC, Sargent C, Wright Jr KP, Ferguson SA, Tucker P. Working time society consensus statements: evidence-based effects of shift work on physical and mental health. Ind Health. 2019;57(2):139-57. https://doi.org/10.2486/indhealth.sw-1 - PMID:30700667 PMCID:PMC6449637 DOI: https://doi.org/10.2486/indhealth.SW-1
Jiang J, Wang D, Scherffius A, Chen D, Ma Z, Chen Z, Zhang Y, Yu Q, Fan F. The association between morningness-eveningness preference, depression, anxiety and insomnia among chinese textile workers with or without shift work. Front Psychiatry. 2022;13:915476. https://doi.org/10.3389/fpsyt.2022.915476 - PMID:35845469 - PMCID:PMC9279731 DOI: https://doi.org/10.3389/fpsyt.2022.915476
Kalmbach DA, Pillai V, Cheng P, Arnedt JT, Drake CL. Shift work disorder, depression, and anxiety in the transition to rotating shifts: the role of sleep reactivity. Sleep Med. 2015;16(12):1532-8. https://doi.org/10.1016/j.sleep.2015.09.007 - PMID:26611952 PMCID:PMC4803034 DOI: https://doi.org/10.1016/j.sleep.2015.09.007
Walsh JK, Schweitzer PK, Sugerman JL, Muehlbach MJ. Transient insomnia associated with a 3-hour phase advance of sleep time and treatment with zolpidem. J Clin Psychopharmacol. 1990;10(3):184-9. https://doi.org/10.1097/00004714-199006000-00005 - PMID:2198296 DOI: https://doi.org/10.1097/00004714-199006000-00005
Axelsson J, Akerstedt T, Kecklund G, Lowden A. Tolerance to shift work-how does it relate to sleep and wakefulness? Int Arch Occup Environ Health. 2004;77:121-9. https://doi.org/10.1007/s00420-003-0482-1 - PMID:14610678 DOI: https://doi.org/10.1007/s00420-003-0482-1
Bambra C, Whitehead M, Sowden A, Akers J, Petticrew M. "A hard day's night?" The effects of compressed working week interventions on the health and work-life balance of shift workers: a systematic review. J Epidemiol Community Health. 2008;62(9):764-77. https://doi.org/10.1136/jech.2007.067249 - PMID:18701725 DOI: https://doi.org/10.1136/jech.2007.067249
Bjorvatn B, Dale S, Hogstad-Erikstein R, Fiske E, Pallesen S, Waage S. Self-reported sleep and health among Norwegian hospital nurses in intensive care units. Nurs Crit Care. 2012;17(4):180-8. https://doi.org/10.1111/j.1478-5153.2012.00504.x - PMID:22698160 DOI: https://doi.org/10.1111/j.1478-5153.2012.00504.x
Kang MY, Kwon HJ, Choi KH, Kang CW, Kim H. The relationship between shift work and mental health among electronics workers in South Korea: a cross-sectional study. PLoS One. 2017;12(11):e0188019. https://doi.org/10.1371/journal.pone.0188019 - PMID:29145440 PMCID:PMC5690616 DOI: https://doi.org/10.1371/journal.pone.0188019
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146(5):1387-94. https://doi.org/10.1378/chest.14-0970 PMID:25367475 DOI: https://doi.org/10.1378/chest.14-0970
Booker LA, Sletten TL, Alvaro PK, Barnes M, Collins A, Chai-Coetzer CL, Naqvi A, McMahon M, Lockley SW, Rajaratnam SMW, Howard ME. Exploring the associations between shift work disorder, depression, anxiety and sick leave taken amongst nurses. J Sleep Res. 2020;29(3):e12872. https://doi.org/10.1111/jsr.12872 - PMID:31144389 DOI: https://doi.org/10.1111/jsr.12872
Kessler RC, Merikangas KR, Wang PS. The prevalence and correlates of workplace depression in the national comorbidity survey replication. J Occup Environ Med. 2008;50(4):381-90. https://doi.org/10.1097/jom.0b013e31816ba9b8 - PMID:18404010 - PMCID:PMC2742688 DOI: https://doi.org/10.1097/JOM.0b013e31816ba9b8
Oyane NM, Pallesen S, Moen BE, Akerstedt T, Bjorvatn B. Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of Norwegian nurses. PLoS One. 2013;8(8):e70228. https://doi.org/10.1371/journal.pone.0070228 - PMID:23950914 PMCID:PMC3737208 DOI: https://doi.org/10.1371/journal.pone.0070228
Jaradat Y, Birkeland Nielsen M, Kristensen P, Bast-Pettersen R. Job satisfaction and mental health of Palestinian nurses with shift work: a cross-sectional study. Lancet. 2018;391 Suppl 2:S50. https://doi.org/10.1016/s0140-6736(18)30416-1 - PMID:29553451 DOI: https://doi.org/10.1016/S0140-6736(18)30416-1
Clissold G, Smith P, Acutt B. The impact of unwaged domestic work on the duration and timing of sleep of female nurses working full-time on rotating 3-shift rosters. J Hum Ergol (Tokyo). 2001;30(1-2):345-9. - PMID:14564906
Adriaenssens J, de Gucht V, Maes S. The impact of traumatic events on emergency room nurses: findings from a questionnaire survey. Int J Nurs Stud. 2012;49(11):1411-22. https://doi.org/10.1016/j.ijnurstu.2012.07.003 - PMID:22871313 DOI: https://doi.org/10.1016/j.ijnurstu.2012.07.003
Lee A, Myung SK, Cho JJ, Jung YJ, Yoon JL, Kim MY. Night shift work and risk of depression: meta-analysis of observational studies. J Korean Med Sci. 2017;32(7):1091-6. https://doi.org/10.3346/jkms.2017.32.7.1091 - PMID:28581264 - PMCID:PMC5461311 DOI: https://doi.org/10.3346/jkms.2017.32.7.1091
Hall AL, Franche RL, Koehoorn M. Examining exposure assessment in shift work research: a study on depression among nurses. Ann Work Expo Health. 2018;62(2):182-94. https://doi.org/10.1093/annweh/wxx103 - PMID:29340621 - PMCID:PMC6788578 DOI: https://doi.org/10.1093/annweh/wxx103
Zhang G, Shen B, Li P, Wang Y, Liu P, Jiang Y. Night shift work and depression among Chinese workers: the mediating role of sleep disturbances. Int Arch Occup Environ Health. 2022;95:1905-12. https://doi.org/10.1007/s00420-022-01889-x - PMID:35678854 DOI: https://doi.org/10.1007/s00420-022-01889-x
Sadeghniiat-Haghighi K, Mehrabinejad MM, Hajighaderi A, Najafi A, Rahimi-Golkhandan A, Zahabi A. Shift work disorder, insomnia, and depression among offshore oil rig workers. Iran J Psychiatry. 2021;16(2):162-7. https://doi.org/10.18502/ijps.v16i2.5817 - PMID:34221042 PMCID:PMC8233558 DOI: https://doi.org/10.18502/ijps.v16i2.5817
Alasaari JS, Lagus M, Ollila HM, Toivola A, Kivimaki M, Vahtera J, Kronholm E, Harma M, Puttonen S, Paunio T. Environmental stress affects DNA methylation of a CpG rich promoter region of serotonin transporter gene in a nurse cohort. PLoS One. 2012;7(9):e45813. https://doi.org/10.1371/journal.pone.0045813 - PMID:23029256 - PMCID:PMC3461019 DOI: https://doi.org/10.1371/journal.pone.0045813
Hall BS, Moda RN, Liston C. Glucocorticoid mechanisms of functional connectivity changes in stress-related neuropsychiatric disorders. Neurobiol Stress. 2015;1:174-83. https://doi.org/10.1016/j.ynstr.2014.10.008 - PMID:25729760 - PMCID:PMC4340078 DOI: https://doi.org/10.1016/j.ynstr.2014.10.008
Sweeney E, Cui Y, Yu ZM, Dummer TJB, DeClercq V, Forbes C, Grandy SA, Keats MR, Adisesh A. The association between mental health and shift work: findings from the Atlantic PATH study. Prev Med. 2021;150:106697. https://doi.org/10.1016/j.ypmed.2021.106697 - PMID:34175348 DOI: https://doi.org/10.1016/j.ypmed.2021.106697
Lopez R, Barateau L, Evangelista E, Dauvilliers Y. Depression and hypersomnia: a complex association. Sleep Med Clin. 2017;12(3):395-405. https://doi.org/10.1016/j.jsmc.2017.03.016 PMID:28778237 DOI: https://doi.org/10.1016/j.jsmc.2017.03.016
Driesen K, Jansen NW, Kant I, Mohren DC, van Amelsvoort LG. Depressed mood in the working population: associations with work schedules and working hours. Chronobiol Int. 2010;27(5):1062-79. https://doi.org/10.3109/07420528.2010.489877 - PMID:20636216 DOI: https://doi.org/10.3109/07420528.2010.489877
Sobocki P, Lekander I, Borgstrom F, Strom O, Runeson B. The economic burden of depression in Sweden from 1997 to 2005. Eur Psychiatry. 2007;22(3):146-52. https://doi.org/10.1016/j.eurpsy.2006.10.006 - PMID:17194573 DOI: https://doi.org/10.1016/j.eurpsy.2006.10.006
de Vries H, Fishta A, Weikert B, Rodriguez Sanchez A, Wegewitz U. Determinants of sickness absence and return to work among employees with common mental disorders: a scoping review. J Occup Rehabil. 2018;28:393-417. https://doi.org/10.1007/s10926-017-9730-1 - PMID:28980107 PMCID:PMC6096498 DOI: https://doi.org/10.1007/s10926-017-9730-1
Craske MG, Rauch SL, Ursano R, Prenoveau J, Pine DS, Zinbarg RE. What is an anxiety disorder? Depress Anxiety. 2009;26(12):1066-85. https://doi.org/10.1002/da.20633 PMID:19957279 DOI: https://doi.org/10.1002/da.20633
Stein MB, Sareen J. Generalized anxiety disorder. N Engl J Med. 2015;373:2059-68. https://doi.org/10.1056/nejmcp1502514 - PMID:26580998 DOI: https://doi.org/10.1056/NEJMcp1502514
Brown JP, Martin D, Nagaria Z, Verceles AC, Jobe SL, Wickwire EM. Mental health consequences of shift work: an updated review. Curr Psychiatry Rep. 2020;22:7. https://doi.org/10.1007/s11920-020-1131-z - PMID:31955278 DOI: https://doi.org/10.1007/s11920-020-1131-z
Li Y, Wang Y, Lv X, Li R, Guan X, Li L, Li J, Cao Y. Effects of factors related to shift work on depression and anxiety in nurses. Front Public Health. 2022;10:926988. https://doi.org/10.3389/fpubh.2022.926988 - PMID:35910870 - PMCID:PMC9326492 DOI: https://doi.org/10.3389/fpubh.2022.926988
Khan WAA, Conduit R, Kennedy GA, Jackson ML. The relationship between shift-work, sleep, and mental health among paramedics in Australia. Sleep Health. 2020;6(3):330-7. https://doi.org/10.1016/j.sleh.2019.12.002 - PMID:32223969 DOI: https://doi.org/10.1016/j.sleh.2019.12.002
Norder G, Roelen CA, Bultmann U, van der Klink JJ. Shift work and mental health sickness absence: a 10-year observational cohort study among male production workers. Scand J Work Environ Health. 2015;41(4):413-6. https://doi.org/10.5271/sjweh.3501 - PMID:25945780 DOI: https://doi.org/10.5271/sjweh.3501
Vogel M, Braungardt T, Meyer W, Schneider W. The effects of shift work on physical and mental health. J Neural Transm (Vienna). 2012;119:1121-32. https://doi.org/10.1007/s00702-012-0800-4 - PMID:22488445 DOI: https://doi.org/10.1007/s00702-012-0800-4
Walker WH 2nd, Walton JC, Nelson RJ. Disrupted circadian rhythms and mental health. Handb Clin Neurol. 2021;179:259-70. https://doi.org/10.1016/b978-0-12-819975-6.00016-9 PMID:34225967 DOI: https://doi.org/10.1016/B978-0-12-819975-6.00016-9
Bellivier F, Geoffroy PA, Etain B, Scott J. Sleep- and circadian rhythm-associated pathways as therapeutic targets in bipolar disorder. Expert Opin Ther Targets. 2015;19(6):747-63. https://doi.org/10.1517/14728222.2015.1018822 - PMID:25726988 DOI: https://doi.org/10.1517/14728222.2015.1018822
Melo MCA, Abreu RLC, Linhares Neto VB, de Bruin PFC, de Bruin VMS. Chronotype and circadian rhythm in bipolar disorder: a systematic review. Sleep Med Rev. 2017;34:46-58. https://doi.org/10.1016/j.smrv.2016.06.007 - PMID:27524206 DOI: https://doi.org/10.1016/j.smrv.2016.06.007
Takaesu Y. Circadian rhythm in bipolar disorder: a review of the literature. Psychiatry Clin Neurosci. 2018;72(9):673-82. https://doi.org/10.1111/pcn.12688 - PMID:29869403 DOI: https://doi.org/10.1111/pcn.12688
Fisar Z. Biological hypotheses, risk factors, and biomarkers of schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2023;120:110626. https://doi.org/10.1016/j.pnpbp.2022.110626 - PMID:36055561 DOI: https://doi.org/10.1016/j.pnpbp.2022.110626
Karatsoreos IN. Links between circadian rhythms and psychiatric disease. Front Behav Neurosci. 2014;8:162. https://doi.org/10.3389/fnbeh.2014.00162 - PMID:24834040 PMCID:PMC4018537 DOI: https://doi.org/10.3389/fnbeh.2014.00162
Davis J, Eyre H, Jacka FN, Dodd S, Dean O, McEwen S, Debnath M, McGrath J, Maes M, Amminger P, McGorry PD, Pantelis C, Berk M. A review of vulnerability and risks for schizophrenia: beyond the two hit hypothesis. Neurosci Biobehav Rev. 2016;65:185-94. https://doi.org/10.1016/j.neubiorev.2016.03.017 - PMID:27073049 - PMCID:PMC4876729 DOI: https://doi.org/10.1016/j.neubiorev.2016.03.017
Sasidharan A, Kumar S, Nair AK, Lukose A, Marigowda V, John JP, Kutty BM. Further evidences for sleep instability and impaired spindle-delta dynamics in schizophrenia: a whole-night polysomnography study with neuroloop-gain and sleep-cycle analysis. Sleep Med. 2017;38:1-13. https://doi.org/10.1016/j.sleep.2017.02.009 - PMID:29031741 DOI: https://doi.org/10.1016/j.sleep.2017.02.009
Poon YPY, Kan CK, Yeung WF, Chung KF. Delayed sleep-wake phase disorder and delayed sleep-wake phase in schizophrenia: clinical and functional correlates. Schizophr Res. 2018;202:412-3. https://doi.org/10.1016/j.schres.2018.06.057 - PMID:30539774 DOI: https://doi.org/10.1016/j.schres.2018.06.057
Kirlioglu SS, Balcioglu YH. Chronobiology revisited in psychiatric disorders: from a translational perspective. Psychiatry Investig. 2020;17(8):725-43. https://doi.org/10.30773/pi.2020.0129 - PMID:32750762 - PMCID:PMC7449842 DOI: https://doi.org/10.30773/pi.2020.0129
Zhao Y, Richardson A, Poyser C, Butterworth P, Strazdins L, Leach LS. Shift work and mental health: a systematic review and meta-analysis. Int Arch Occup Environ Health. 2019;92(6):763-93. https://doi.org/10.1007/s00420-019-01434-3 - PMID:31055776 DOI: https://doi.org/10.1007/s00420-019-01434-3
Su Q, Li T, Liu GW, Zhang YL, Guo JH, Wang ZJ, Wu MN, Qi JS. Agomelatine: a potential novel approach for the treatment of memory disorder in neurodegenerative disease. Neural Regen Res. 2023;18(4):727-33. https://doi.org/10.4103/1673-5374.353479 - PMID:36204828 PMCID:PMC9700086 DOI: https://doi.org/10.4103/1673-5374.353479
Yates NJ. Schizophrenia: the role of sleep and circadian rhythms in regulating dopamine and psychosis. Rev Neurosci. 2016;27(7):669-87. https://doi.org/10.1515/revneuro-2016-0030 PMID:27343471 DOI: https://doi.org/10.1515/revneuro-2016-0030
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 André Rodrigues da Cunha Barreto-Vianna, Luana Cariello de Sá Queiroz Rocha, Letícia Rocha Macambira Albuquerque, Matheus Girão Bezerra de Oliveira Nogueira, Sarah Gurgel Ponte Fontenelle, Gabriela Braga Cabrera Mano, Ana Beatriz Penazzi Magalhães Porto, Júlio César Claudino dos Santos
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria permite que o (s) autor (es) mantenha(m) seus direitos autorais sem restrições. Atribuição-NãoComercial 4.0 Internacional (CC BY-NC 4.0) - Debates em Psiquiatria é regida pela licença CC-BY-NC