Evidence map›Paper›PMID 42165076›Full record

ReviewNature and science of sleep2026

Association Between Work Stress and Sleep Disorders in Law Enforcement: A Systematic Review and Meta-Analysis.

Huaihan Yang, Shuchen Tang

Abstract readReview
In one paragraph

Review in Nature and science of sleep, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Huaihan YangPeople's Public Security University of China, Beijing, People's Republic of China.
Shuchen TangPeople's Public Security University of China, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Law enforcement personnel face diverse occupational stressors, including shift work, organizational pressure, operational demands, and traumatic incidents. Previous systematic reviews have primarily focused on prevalence estimates of sleep disturbances, whereas the strength of the association with occupational stress and the relative contribution of distinct stressor domains remain to be systematically quantified. Methods: This systematic review and meta-analysis followed PRISMA 2020 guidelines and was registered with PROSPERO (CRD420261284369). Four databases (PubMed, Cochrane Library, Web of Science, and SpringerLink) were searched from inception to January 2026. Observational studies using validated instruments to assess occupational stress and sleep outcomes were included. A random-effects model was used to pool odds ratios (ORs). Subgroup analyses distinguished three stressor domains: shift work, work and organizational stress, and dual stress exposure. Results: Seventeen studies were included in the qualitative synthesis, of which ten (N = 5124) provided data for meta-analysis. Occupational stress was significantly associated with sleep disorders (pooled OR = 3.51, 95% CI: 2.54-4.84), with moderate to substantial heterogeneity (I Conclusion: This study provides a quantitative estimate of the association between occupational stress and sleep disorders in law enforcement personnel. Differentiating occupational stress into distinct stressor domains may help clarify its relationship with sleep, with different stressors potentially operating through distinct pathways (eg, circadian disruption, cognitive rumination, hyperarousal). Methodologically, the study highlights issues in measurement standardization and confounder adjustment. From an intervention perspective, organizational-level strategies-such as enhancing decision-making autonomy and supportive leadership-may warrant further exploration alongside individual-level approaches. Safeguarding sleep health in this population is important for both individual well-being and public safety.

Indexed as

meta-analysisoccupational healthpolice officersshift worksleep disorderswork stress

Identifiers

PMID42165076
PMCPMC13185956

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.