Evidence map›Paper›PMID 28364463›Full record

Observational studySleep2017

Change in Job Strain as a Predictor of Change in Insomnia Symptoms: Analyzing Observational Data as a Non-randomized Pseudo-Trial.

Jaana I Halonen, Tea Lallukka, Jaana Pentti, Sari Stenholm, Naja H Rod, Marianna Virtanen, Paula Salo, Mika Kivimäki, Jussi Vahtera

Abstract readObservational Study
In one paragraph

Observational study in Sleep, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Physical activity and risk of workplace and commuting injuries: a cohort study.Scandinavian journal of work, environment & health · 2024
    Article
  3. Article
  4. Article
  5. Effects of Work Stress andInternational journal of environmental research and public health · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. The Different Faces of Insomnia.Frontiers in psychiatry · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Shift Work and Sleep: Medical Implications and Management.Sleep medicine and disorders : international journal · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jaana I HalonenFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Tea LallukkaFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Jaana PenttiFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Sari StenholmDepartment of Public Health, University of Turku, Turku, Finland.
Naja H RodSection of Social Medicine, Department of Public Health, and Copenhagen Stress Research Center, University of Copenhagen, Copenhagen, Denmark.
Marianna VirtanenFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Paula SaloFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Mika KivimäkiFinnish Institute of Occupational Health, Work disability Prevention, Helsinki, Finland.
Jussi VahteraDepartment of Public Health, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study objectives: To examine whether change in job strain leads to change in insomnia symptoms. Methods: Among 24873 adults (82% women, mean age 44 years) who participated in a minimum of three consecutive study waves (2000-2012), job strain was assessed at the first and second wave and insomnia symptoms at all three waves. We analyzed observational data as a "pseudo-trial" including participants with no job strain in the first wave and no insomnia symptoms in the first and second wave (n = 7354) to examine whether the onset of job strain between the first and second waves predicted the onset of insomnia symptoms in the third wave. We used a corresponding approach, including those with job strain in the first wave and insomnia symptoms in the first and second wave (n = 2332), to examine whether the disappearance of job strain between the first two waves predicted remission of insomnia symptoms in the third wave. Results: The onset of job strain predicted the onset of subsequent insomnia symptoms after adjustment for sex, age, marital status, education, smoking, physical activity, alcohol consumption, body mass index, and comorbidities (odds ratio compared to no onset of job strain 1.32, 95% CI 1.16-1.51). The disappearance of job strain was associated with lower odds of repeated insomnia symptoms (odds ratio compared to no disappearance of job strain 0.78, 95% CI 0.65-0.94). Further adjustment for shift work or sleep apnea did not change these associations. Conclusions: These results suggest that job strain is a modifiable risk factor for insomnia symptoms.

Indexed as

Occupational HealthAdultComorbidityEmploymentFemaleHumansMaleOdds RatioRisk FactorsSleep Initiation and Maintenance DisordersStress, Psychologicalcohort studyepidemiologyinsomnia symptomsjob strain.sleep

Identifiers

PMID28364463
PMCPMC5806551

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.