ArticleJournal of sleep research2019
Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross-sectional study.
Article in Journal of sleep research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- The effects of dynamic daylight-like light on the rhythm, cognition, and mood of irregular shift workers in closed environment.Scientific reports · 2021Trial
- Article
- Drivers, processes, and outcomes related to burnout and moral injury in the public safety workforce: a scoping review.Frontiers in health services · 2026Review
- Sleep and Substance Use Among Firefighters: Associations with Alcohol, Caffeine, and Nicotine Use.Nature and science of sleep · 2026Article
- Effects of a 24/48 to 48/96 Shift Schedule Change on Firefighter Sleep and Health: Short-Term Improvements and Six-Month Stability.International journal of environmental research and public health · 2025Article
- Trauma Exposure, Insomnia, and Fatigue: A Cross-Sectional Study of the Pathways to Burnout Among South African First Responders.Health science reports · 2025Article
- Occupational Burnout and Insomnia in Relation to Psychological Resilience Among Greek Nurses in the Post-Pandemic Era.Behavioral sciences (Basel, Switzerland) · 2025Article
- Elucidating the relationship between burnout and sleep disturbances among firefighters: a network analysis.BMC public health · 2025Article
- Depression and daytime dysfunction centralize the fatigue-sleep cascade in island firefighters: a symptom network and Bayesian DAG study.Frontiers in psychiatry · 2025Article
- Developing a tool to assess mattress satisfaction: the Boston Mattress Satisfaction Questionnaire.Frontiers in sleep · 2025Article
- Exploring Health Promotion Behaviors, Occupational Burnout, and Sleep Disturbances in Traditional Industry Workers.Healthcare (Basel, Switzerland) · 2024Article
- Examination of Stress Among Recruit and Incumbent Women Firefighters.Safety and health at work · 2024Article
- Understanding the effect of occupational stress on sleep quality in firefighters: the modulating role of depression and burnout.International archives of occupational and environmental health · 2024Article
- Daily variation in sleepiness among firefighters while working the 24/48 and 48/96 shift schedules.Safety science · 2024Article
- Article
- Article
- Emotional Exhaustion, a Proxy for Burnout, Is Associated with Sleep Health in French Healthcare Workers without Anxiety or Depressive Symptoms: A Cross-Sectional Study.Journal of clinical medicine · 2023Article
- Review
- Working hours, sleep, and fatigue in the public safety sector: A scoping review of the research.American journal of industrial medicine · 2022Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
This study investigated whether sleep disorder risk and mental health outcomes in firefighters were associated with burnout, particularly emotional exhaustion, and examined the mediating role of sleep at work in these relationships. A secondary aim was to investigate associations between habitual sleep characteristics and burnout. North American firefighters (n = 6,307) completed the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment), and were screened for sleep disorders and self-reported current mental health conditions and sleep characteristics. Multiple logistic regression analyses examined associations between sleep, mental health outcomes and burnout. Firefighters screening positive for a sleep disorder, particularly insomnia, had increased risk of emotional exhaustion (adjusted odds ratio 3.78, 95% confidence interval 2.97-4.79). Firefighters self-reporting a current mental health condition were at greater risk of emotional exhaustion (adjusted odds ratio 3.45, 95% confidence interval 2.79-4.27). Sleep during overnight work mediated the impact of having a sleep disorder and mental health condition on high burnout. Sleepiness and sleep deficit (difference between required and actual sleep), even in firefighters without sleep disorder risk, were associated with depersonalisation (adjusted odds ratio 1.65, 95% confidence interval 1.34-2.03 and adjusted odds ratio 1.29, 95% confidence interval 1.06-1.57, respectively) and low personal accomplishment (adjusted odds ratio 1.25, 95% confidence interval 1.07-1.47 and adjusted odds ratio 1.17, 95% confidence interval 1.01-1.35, respectively). Sleep and mental health problems were associated with increased risk of burnout in firefighters, and sleep during overnight work mediated these relationships. The results suggest the need to examine the effectiveness of occupational interventions that improve the opportunity for sleep, together with screening for and treating sleep disorders, to reduce burnout risk.
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