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1.
Occup Environ Med ; 79(7): 460-468, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35074887

RESUMO

OBJECTIVES: To examine if a proactive recovery intervention for newly graduated registered nurses (RNs) could prevent the development of sleep problems, burn-out, fatigue or somatic symptoms. METHODS: The study was a randomised control trial with parallel design. Newly graduated RNs with less than 12 months' work experience were eligible to participate. 461 RNs from 8 hospitals in Sweden were invited, of which 207 signed up. These were randomised to either intervention or control groups. After adjustments, 99 RNs were included in the intervention group (mean age 27.5 years, 84.7% women) and 108 in the control group (mean age 27.0 years, 90.7% women). 82 RNs in the intervention group attended a group-administered recovery programme, involving three group sessions with 2 weeks between each session, focusing on proactive strategies for sleep and recovery in relation to work stress and shift work. Effects on sleep, burn-out, fatigue and somatic symptoms were measured by questionnaires at baseline, postintervention and at 6 months follow-up. RESULTS: Preventive effect was seen on somatic symptoms for the intervention group. Also, the intervention group showed less burn-out and fatigue symptoms at postintervention. However, these latter effects did not persist at follow-up. Participants used many of the strategies from the programme. CONCLUSIONS: A proactive, group-administered recovery programme could be helpful in strengthening recovery and preventing negative health consequences for newly graduated RNs. TRIAL REGISTRATION NUMBER: NCT04246736.


Assuntos
Esgotamento Profissional , Sintomas Inexplicáveis , Adulto , Esgotamento Profissional/prevenção & controle , Fadiga/etiologia , Fadiga/prevenção & controle , Feminino , Humanos , Masculino , Sono , Inquéritos e Questionários
2.
J Clin Nurs ; 29(1-2): 184-194, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31609523

RESUMO

AIMS AND OBJECTIVES: To explore newly graduated nurses' strategies for, and experiences of, sleep problems and fatigue when starting shiftwork. A more comprehensive insight into nurses' strategies, sleep problems, fatigue experiences and contributing factors is needed to understand what support should be provided. BACKGROUND: For graduate nurses, the first years of practice are often stressful, with many reporting high levels of burnout symptoms. Usually, starting working as a nurse also means an introduction to shiftwork, which is related to sleep problems. Sleep problems may impair stress management and, at the same time, stress may cause sleep problems. Previously, sleep problems and fatigue have been associated with burnout, poor health and increased accident risk. DESIGN AND METHODS: Semi-structured interviews were conducted with nurses (N = 11) from four different Swedish hospitals, and qualitative inductive content analysis was used. The study was approved by the Regional Ethical Review Board in Stockholm. The COREQ checklist was followed. RESULTS: Many nurses lacked effective strategies for managing sleep and fatigue in relation to shiftwork. Various strategies were used, of which some might interfere with factors regulating and promoting sleep such as the homeostatic drive. Sleep problems were common during quick returns, often due to difficulties unwinding before sleep, and high workloads exacerbated the problems. The described consequences of fatigue in a clinical work context indicated impaired executive and nonexecutive cognitive function. CONCLUSION: The findings indicate that supporting strategies and behaviours for sleep and fatigue in an intervention for newly graduated nurses starting shiftwork may be of importance to improve well-being among nurses and increase patient safety. RELEVANCE TO CLINICAL PRACTICE: This study highlights the importance of addressing sleep and fatigue issues in nursing education and work introduction programmes to increase patient safety and improve well-being among nurses.


Assuntos
Esgotamento Profissional/psicologia , Fadiga/etiologia , Enfermeiras e Enfermeiros/psicologia , Sono/fisiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Tolerância ao Trabalho Programado
3.
Int Arch Occup Environ Health ; 91(4): 413-424, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29387936

RESUMO

PURPOSE: Sleep disturbance is common in the working population, often associated with work stress, health complaints and impaired work performance. This study evaluated a group intervention at work, based on cognitive behavioral therapy (CBT) for insomnia, and the moderating effects of burnout scores at baseline. METHODS: This is a randomized controlled intervention with a waiting list control group. Participants were employees working at least 75% of full time, reporting self-perceived regular sleep problems. Data were collected at baseline, post-intervention and at a 3-month follow-up through diaries, wrist-actigraphy and questionnaires including the Insomnia Severity Index (ISI) and the Shirom-Melamed Burnout Questionnaire (SMBQ). Fifty-one participants (63% women) completed data collections. RESULTS: A multilevel mixed model showed no significant differences between groups for sleep over time, while there was a significant effect on insomnia symptoms when excluding participants working shifts (N = 11) from the analysis (p = 0.044). Moreover, a moderating effect of baseline-levels of burnout scores was observed on insomnia symptoms (p = 0.009). A post-hoc analysis showed that individuals in the intervention group with low burnout scores at baseline (SMBQ < 3.75) displayed significantly reduced ISI scores at follow-up, compared to individuals with high burnout scores at baseline (p = 0.005). CONCLUSIONS: Group CBT for insomnia given at the workplace did not reduce sleep problems looking at the group as a whole, while it was indicated that the intervention reduced insomnia in employees with regular daytime work. The results also suggest that workplace-based group CBT may improve sleep in employees with primary insomnia if not concomitant with high burnout scores.


Assuntos
Terapia Cognitivo-Comportamental/métodos , Distúrbios do Início e da Manutenção do Sono/psicologia , Distúrbios do Início e da Manutenção do Sono/terapia , Adulto , Esgotamento Profissional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Jornada de Trabalho em Turnos , Inquéritos e Questionários , Suécia , Local de Trabalho
4.
Nord J Psychiatry ; 69(4): 292-9, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25393652

RESUMO

BACKGROUND: Insomnia-type sleep disturbances are frequent among patients suffering from stress-related exhaustion disorder. However, clinical observations indicate that a subgroup suffer from sleep lengths frequently exceeding 9 hours, coupled with great daytime sleepiness. AIMS: The aim of the present study was to investigate differences in socio-demographic variables, use of medications, sleep parameters, anxiety, depression and fatigue, between individuals with varying sleep lengths, in a sample of 420 Swedish patients (mean age 42 ± 9 years; 77% women) referred to treatment for exhaustion disorder. Patients were allocated to the groups: "never/seldom ≥ 9 hours" (n = 248), "sometimes ≥ 9 hours" (n = 115) and "mostly/always ≥ 9 hours" (n = 57), based on their self-rated frequency of sleep lengths ≥ 9 hours. METHODS: The design was cross-sectional and data was collected by means of questionnaires at pre-treatment. RESULTS: Univariate analyses showed that patients in the "mostly/always ≥ 9 hours" group were more often on sick leave, and reported more depression and fatigue, better sleep quality and more daytime sleepiness, than patients in the other groups. Multivariate analyses showed that these patients scored higher on measures of fatigue than the rest of the sample independently of gender, use of antidepressants, sick leave, depression and quality of sleep. CONCLUSIONS: Patients suffering from exhaustion disorder and reporting excessive sleep seem to have a generally poorer clinical picture but better quality of sleep than their counterparts with shorter sleep lengths. The mechanisms underlying these differences, together with their prognostic value and implications for treatment remain to be elucidated in future studies.


Assuntos
Depressão/diagnóstico , Distúrbios do Sono por Sonolência Excessiva/diagnóstico , Fadiga/diagnóstico , Autorrelato/normas , Fases do Sono , Estresse Psicológico/diagnóstico , Adulto , Estudos Transversais , Depressão/epidemiologia , Distúrbios do Sono por Sonolência Excessiva/epidemiologia , Fadiga/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Suécia/epidemiologia , Fatores de Tempo
5.
Int J Nurs Stud Adv ; 7: 100225, 2024 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-39139601

RESUMO

Background: The COVID-19 pandemic contributed to increased pressure on healthcare systems. During periods when the demands exceed the capacity of healthcare organizations, adaptive strategies are used to meet these demands. During the COVID-19 pandemic, working hours for nursing staff were reorganized and extended. This has posed challenges for recovery, which may be a key factor for maintaining health and safety under such conditions. Objectives: The aim of the study was to bring insights into how nursing staff perceived their working hours and recovery during the COVID-19 pandemic, and if they experienced any changes in their sleep and well-being. Design: A qualitative descriptive design was chosen, as it is suitable for gaining insight into perceptions and experiences. Methods: Qualitative semi-structured interviews were conducted using an interview guide. The interviews were analyzed using thematic analysis. Sixteen registered nurses and six certified nursing assistants from four Swedish hospitals participated in the study. Results: The organization of working hours during the COVID-19 pandemic was considered suboptimal and resulted in more demanding working hours and poor recovery. Nursing staff experienced loss of control as they lost influence over working hours, working hours became more unpredictable and the boundaries between work and leisure became blurred. Nursing staff also experienced a decline in their health and well-being, including extreme fatigue, impaired sleep and physical/mental changes. Conclusion: The strategies used by healthcare organizations to meet increasing demands during the COVID-19 pandemic contributed to impaired recovery and well-being of nursing staff, which could generate negative feedback loops contributing to depletion of resources at the organizational level.

6.
Scand J Work Environ Health ; 50(6): 466-474, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38944887

RESUMO

OBJECTIVES: Quick returns (<11 hours of rest between shifts) have been associated with shortened sleep length and increased sleepiness, but previous efforts have failed to find effects on sleep quality or stress. A shortcoming of most previous research has been the reliance on subjective measures of sleep. The aim of this study was to combine diary and actigraphy data to investigate intra-individual differences in sleep length, sleep quality, sleepiness, and stress during quick returns compared to day-day transitions. METHODS: Of 225 nurses and assistant nurses who wore actigraphy wristbands and kept a diary of work and sleep for seven days, a subsample of 90 individuals with one observation of both a quick return and a control condition (day-day transition) was extracted. Sleep quality was assessed with actigraphy data on sleep fragmentation and subjective ratings of perceived sleep quality. Stress and sleepiness levels were rated every third hour throughout the day. Shifts were identified from self-reported working hours. Data was analyzed in multilevel models. RESULTS: Quick returns were associated with 1 hour shorter sleep length [95% confidence interval (CI) -1.23- -0.81], reduced subjective sleep quality (-0.49, 95% CI -0.69- -0.31), increased anxiety at bedtime (-0.38, 95% CI -0.69- -0.08) and increased worktime sleepiness (0.45, 95%CI 0.22- 0.71), compared to day-day transitions. Sleep fragmentation and stress ratings did not differ between conditions. CONCLUSIONS: The findings of impaired sleep and increased sleepiness highlight the need for caution when scheduling shift combinations with quick returns.


Assuntos
Actigrafia , Humanos , Feminino , Masculino , Adulto , Tolerância ao Trabalho Programado/fisiologia , Pessoa de Meia-Idade , Qualidade do Sono , Diários como Assunto , Estresse Psicológico , Sonolência , Sono/fisiologia , Jornada de Trabalho em Turnos , Privação do Sono/epidemiologia
7.
Ind Health ; 61(5): 379-392, 2023 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-35896350

RESUMO

Short rest (<11h) between evening and day shifts-known as quick returns (QRs)-impede recovery and may impair health. Nevertheless, QRs remain popular among some shift workers. This study explores nurses' and nurse assistants' perceptions of the merits and demerits of QRs from individual and organizational perspectives. Participants were recruited from eleven wards at two Swedish hospitals as part of a larger quasi-experimental intervention study. The majority (79%) had influence over their work schedules. Frequency distributions of responses are presented. Ninety six undertook a baseline survey regarding recovery, tolerance and work performance in relation to QRs. A majority experienced difficulties unwinding before bedtime (76%), insufficient sleep (80%), and daytime fatigue (72%). A third experienced an increased risk of errors and mistakes. However, QRs appeared to facilitate taking reports from patients and planning work, as this task was more often rated as 'very easy' following a QR compared to other shift combinations. Tolerance of QRs varied substantially. In conclusion, QRs seem to benefit continuity in work processes, but may do so at the expense of recovery and safety. Wards planning to reduce QRs-through participatory or fixed schedule models-should consider impacts on work processes.


Assuntos
Enfermeiras e Enfermeiros , Sono , Humanos , Sono/fisiologia , Tolerância ao Trabalho Programado/fisiologia , Estudos Transversais , Suécia , Inquéritos e Questionários , Fadiga/etiologia
8.
Scand J Work Environ Health ; 32(2): 121-31, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16680382

RESUMO

OBJECTIVES: The purpose of this study was to investigate sleep with polysomnography and self-ratings and the diurnal pattern of sleepiness and fatigue in a group suffering from severe occupational burnout. METHOD: Twelve white-collar workers on long-term sick leave (>3 months) and 12 healthy controls with high and low scores on the Shirom Melamed Burnout Questionnaire (SMBQ) were included. A 1-night polysomnographic recording (after habituation) was carried out at home, and sleepiness and mental fatigue were rated at different times of the day for weekdays and the weekend. Precipitating factors at the time of the illness at work and real life were considered, and different dimensions of occupational fatigue were described. A repeated-measures analysis of variance using two or three within group factors was used to analyze the data. RESULTS: The main polysomnographic findings were more arousals and sleep fragmentation, more wake time and stage-1 sleep, lower sleep efficiency, less slow wave sleep and rapid eye movement sleep, and a lower delta power density in non-rapid eye movement sleep in the burnout group. The burnout patients showed pronounced sleepiness and mental fatigue at most times of the day for weekdays without reduction during weekends. The precipitating factor was occupational stress (psychiatric interview), and work stress indicators were increased. CONCLUSIONS: Occupational burnout is characterized by impaired sleep. It is suggested that impaired sleep may play a role in the development of fatigue or exhaustion in burnout.


Assuntos
Esgotamento Profissional/complicações , Fadiga/etiologia , Saúde Ocupacional , Transtornos do Sono-Vigília/etiologia , Esgotamento Profissional/fisiopatologia , Estudos de Casos e Controles , Fadiga/fisiopatologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Prontuários Médicos , Polissonografia , Fatores de Risco , Autoavaliação (Psicologia) , Transtornos do Sono-Vigília/fisiopatologia , Inquéritos e Questionários , Suécia/epidemiologia , Vigília
9.
Sleep ; 27(7): 1369-77, 2004 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-15586790

RESUMO

STUDY OBJECTIVES: Burnout is a growing health problem in Western society. This study aimed to investigate sleep in subjects scoring high on burnout but still at work. The purpose was also to study the diurnal pattern of sleepiness, as well as ratings of work stress and mood in groups with different burnout scores. DESIGN: Sleep was recorded in 2 groups (high vs low on burnout) during 2 nights; 1 before a workday and 1 before a day off, in a balanced order. Sleepiness ratings as well as daytime diary ratings were analyzed for the workday and the day off after the sleep recordings. SETTING: The polysomnographic recordings were made in the subjects' home. PARTICIPANTS: Twenty-four healthy individuals (14 women and 10 men) between the ages of 24 and 43 years participated. INTERVENTIONS: N/A. MEASUREMENTS AND RESULTS: A higher frequency of arousals during sleep (Workday: high burnout = 12+/-1 per hour, low burnout = 8+/-1 per hour; Day off: high burnout = 12+/-2 per hour, low burnout =8+/-1 per hour), and more subjective awakening problems were found in the high-burnout group. The diurnal pattern of sleepiness indicated that the high-burnout group did not recover in the same way as did the low-burnout group on the day off. Indicators of impaired recovery were also seen within the high-burnout group as a higher degree of bringing work home and working on weekends, as well as more complaints of work interfering with leisure time. CONCLUSIONS: Young subjects with high burnout scores, but who are still working, show more arousals during sleep and an absence of reduced sleepiness during days off.


Assuntos
Nível de Alerta , Esgotamento Profissional/etiologia , Ritmo Circadiano , Fadiga/etiologia , Monitorização Ambulatorial , Polissonografia , Privação do Sono/complicações , Adulto , Afeto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Fadiga/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Estilo de Vida , Masculino , Privação do Sono/epidemiologia , Estatística como Assunto , Estresse Psicológico/complicações , Inquéritos e Questionários , Carga de Trabalho/psicologia
10.
Psychosom Med ; 66(6): 925-31, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15564359

RESUMO

OBJECTIVE: Previous work has demonstrated a link between restricted sleep and risk indicators for cardiovascular and metabolic disease, such as levels of cortisol, lipids, and glucose. The present study sought to identify relations between polysomnographic measures of disturbed sleep (frequency of arousals from sleep, total sleep time, and sleep efficiency) and a number of such indicators. A second purpose was to relate the number of arousals to mood, stress, work characteristics, and other possible predictors in daily life. METHODS: Twenty-four people (10 men, 14 women; mean age 30 years), high vs. low on burnout, were recruited from a Swedish IT company. Polysomnographically recorded sleep was measured at home before a workday. Blood pressure, heart rate, morning blood sample, and saliva samples of cortisol were measured the subsequent working day. They were also recorded for diary ratings of sleep and stress, and a questionnaire with ratings of sleep, stress, work conditions, and mood was completed. RESULTS: A stepwise regression analysis using sleep parameters as predictors brought out number of arousals as the best predictor of morning cortisol (serum and saliva), heart rate, systolic and diastolic blood pressure, total cholesterol, high-density lipoprotein (HDL)-, low-density lipoprotein (LDL)-cholesterol, and LDL/HDL-ratio. Work stress/unclear boundaries between work and leisure time was the best predictor of arousals among the stress variables. CONCLUSION: Consistent with sleep restriction experiments, sleep fragmentation was associated with elevated levels of metabolic and cardiovascular risk indicators of stress-related disorders. Number of arousals also seems to be related to workload/stress.


Assuntos
Afeto/fisiologia , Pressão Sanguínea/fisiologia , Hidrocortisona/fisiologia , Hiperlipidemias/diagnóstico , Hipertensão/diagnóstico , Lipídeos/sangue , Transtornos do Despertar do Sono/diagnóstico , Atividades Cotidianas , Adulto , Feminino , Frequência Cardíaca/fisiologia , Humanos , Hidrocortisona/análise , Hidrocortisona/sangue , Hiperlipidemias/sangue , Hipertensão/sangue , Masculino , Prontuários Médicos , Polissonografia , Análise de Regressão , Saliva/química , Transtornos do Despertar do Sono/sangue , Estresse Psicológico/sangue , Estresse Psicológico/diagnóstico , Inquéritos e Questionários , Carga de Trabalho/psicologia
11.
J Occup Health Psychol ; 17(2): 175-83, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22449013

RESUMO

The present prospective study aimed to identify risk factors for subsequent clinical burnout. Three hundred eighty-eight working individuals completed a baseline questionnaire regarding work stress, sleep, mood, health, and so forth. During a 2-year period, 15 subjects (7 women and 8 men) of the total sample were identified as "burnout cases," as they were assessed and referred to treatment for clinical burnout. Questionnaire data from the baseline measurement were used as independent variables in a series of logistic regression analyses to predict clinical burnout. The results identified "too little sleep (< 6 h)" as the main risk factor for burnout development, with adjustment for "work demands," "thoughts of work during leisure time," and "sleep quality." The first two factors were significant predictors in earlier steps of the multivariate regression. The results indicate that insufficient sleep, preoccupation with thoughts of work during leisure time, and high work demands are risk factors for subsequent burnout. The results suggest a chain of causation.


Assuntos
Esgotamento Profissional/etiologia , Privação do Sono/complicações , Adulto , Afeto , Ansiedade/psicologia , Esgotamento Profissional/psicologia , Depressão/psicologia , Feminino , Nível de Saúde , Humanos , Masculino , Fatores de Risco , Privação do Sono/psicologia , Apoio Social , Estresse Psicológico/psicologia , Inquéritos e Questionários
12.
Biol Psychol ; 82(3): 267-73, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19699775

RESUMO

This study aimed to investigate the role of sleep physiology in recovery from burnout, in particular the relation between sleep and changes in fatigue and whether those changes would be related to return to work. 23 white-collar workers on long-term sick leave (>3 months) due to a burnout related diagnosis and 16 healthy controls were subjected to polysomnographic recordings at baseline and after 6-12 months' rehabilitation. Occupational status, subjective sleep quality, fatigue, anxiety and depression were assessed. Recovery from burnout was accompanied by improved sleep continuity. Significant interaction effects were seen for number of arousals, sleep fragmentation, sleep latency, sleep efficiency and time of rising. The burnout group improved significantly on all symptom variables although the post-treatment levels did not reach the levels of the controls. Recovery from fatigue was related to a reduction of the arousal from sleep and was the best predictor of return to work.


Assuntos
Esgotamento Profissional/fisiopatologia , Recuperação de Função Fisiológica/fisiologia , Privação do Sono/fisiopatologia , Sono/fisiologia , Adulto , Análise de Variância , Esgotamento Profissional/complicações , Esgotamento Profissional/reabilitação , Fadiga/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos do Humor/fisiopatologia , Razão de Chances , Polissonografia , Escalas de Graduação Psiquiátrica , Análise de Regressão , Licença Médica , Privação do Sono/complicações , Privação do Sono/reabilitação , Estresse Psicológico/complicações , Estresse Psicológico/fisiopatologia , Estresse Psicológico/reabilitação , Inquéritos e Questionários , Fatores de Tempo
13.
Chronobiol Int ; 25(2): 349-58, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18533329

RESUMO

Forty-six male train drivers (mean age = 46.5, SD = 5.1) were recruited to participate in a diary study for 14 consecutive days with questions about their sleep and working hours. A polynomial mixed-effect regression model showed a curvilinear relation ( p < .001) between shift-start time and sleep duration for shifts starting at 03:00-12:00 hand with a near linear increase for ones starting between 04:30 and 09:00 h of approximately 0.7 h for every 1 h the shift was delayed. The longest sleeps were estimated at approximately 8 h before shifts that started at approximately 10:00 h. The shortest sleeps were found for shifts that started before 04:30 h and were estimated at approximately 5 h. Individual differences were estimated with a random-effect standard deviation of 0.51 h, independent of shift start time ( p = .005). One-half of the between-subject variance was explained by subjective health. A one-step decrease in health was associated with a 26 min increase in sleep length. The results have practical implications for constructing shift schedules. Early morning shifts reduced sleep length substantially and should be mixed with later start hours to avoid the accumulation of sleep dept. Delaying the shift-start past 10:00 h had little effect on sleep opportunity; however, delaying shift-start to between 04:30 and 9:00 h had a strong impact on sleep length, with 70% of the extra time used for sleep, suggesting large positive effects for this range of shift-start times.


Assuntos
Sono/fisiologia , Tolerância ao Trabalho Programado/fisiologia , Adaptação Fisiológica , Coleta de Dados , Emprego , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Meios de Transporte
14.
J Sleep Res ; 14(1): 1-6, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15743327

RESUMO

The prefrontal cortex (PFC) is affected negatively by sleep deprivation (SD) and executive functioning is largely dependent on activity in the PFC. Earlier studies have focused on subsystems of executive functioning, and tests of executive functioning have shown both low reliability and low validity. In the present study, 11 healthy volunteers were sleep deprived and compared with 11 healthy controls in a study on effects of one night's SD on integrative executive functioning. Following SD, the performance of subjects on an ecologically valid test, the modified Six Elements Test, was significantly impaired. There were no group differences on psychomotor vigilance, verbal or visuo-spatial working memory. This extends previous knowledge of performance effects of SD, and may be of special importance for individuals with cognitive work tasks.


Assuntos
Transtornos Cognitivos/etiologia , Privação do Sono/complicações , Adulto , Transtornos Cognitivos/diagnóstico , Feminino , Humanos , Masculino , Transtornos da Memória/diagnóstico , Transtornos da Memória/etiologia , Testes Neuropsicológicos , Córtex Pré-Frontal/fisiopatologia , Tempo de Reação/fisiologia , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Privação do Sono/fisiopatologia
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