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Insomnia Symptoms, Sleep Duration, and Disability Pensions: a Prospective Study of Swedish Workers.

Canivet, Catarina LU ; Staland-Nyman, Carin ; Lindeberg, Sara LU ; Karasek, Robert ; Moghaddassi, Mahnaz LU and Östergren, Per-Olof LU (2014) In International Journal of Behavioral Medicine 21(2). p.319-328
Abstract
BACKGROUND: Previous studies have found insomnia and long sleep duration to be independently associated with subsequent disability pension (DP). However, the issue of a possible gender-based pattern in this context has received little attention. PURPOSE: This study aims to assess the impact of insomnia symptoms and sleep duration on the DP rates among Swedish women and men during a 12-year follow-up period. METHOD: The participants, from the general population of Malmö, Sweden, were enrolled from 1992 to 1994 (n = 4,319; participation rate 41 %), aged 45-64, healthy, and employed ≥30 h per week. Baseline inquiry data concerning psychosocial circumstances and self-reported sleep habits were compared with official register-based DP rates.... (More)
BACKGROUND: Previous studies have found insomnia and long sleep duration to be independently associated with subsequent disability pension (DP). However, the issue of a possible gender-based pattern in this context has received little attention. PURPOSE: This study aims to assess the impact of insomnia symptoms and sleep duration on the DP rates among Swedish women and men during a 12-year follow-up period. METHOD: The participants, from the general population of Malmö, Sweden, were enrolled from 1992 to 1994 (n = 4,319; participation rate 41 %), aged 45-64, healthy, and employed ≥30 h per week. Baseline inquiry data concerning psychosocial circumstances and self-reported sleep habits were compared with official register-based DP rates. RESULTS: Five hundred and nine persons were granted a DP. Insomnia symptoms, affirmed by 33 % of the men and 41 % of the women, were associated with receiving a DP; the hazard ratios in the fully adjusted model were 1.4 for both men [95 % confidence interval (CI) 1.1, 1.9] and women (95 % CI 1.1, 1.7). The fully adjusted hazard ratio for women sleeping ≥9 h was 7.8 (95 % CI 3.7, 16.6) for DP due to a mental disorder. In the age-adjusted analyses, the sub-domain "difficulties falling asleep" was related to DP due to mental disorders in men and DP due to cardiovascular diseases in women. CONCLUSION: The findings suggest that preventing and treating insomnia symptoms could reduce DP and that disease mechanisms linking sleep disturbances to DP may differ by gender. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Behavioral Medicine
volume
21
issue
2
pages
319 - 328
publisher
Routledge
external identifiers
  • pmid:23595781
  • wos:000334173500013
  • scopus:84899122844
  • pmid:23595781
ISSN
1070-5503
DOI
10.1007/s12529-013-9315-0
language
English
LU publication?
yes
id
04344c7b-ce6a-4f62-bc5a-c62b2e85789c (old id 3733650)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23595781?dopt=Abstract
date added to LUP
2016-04-01 10:16:59
date last changed
2025-04-04 15:26:41
@article{04344c7b-ce6a-4f62-bc5a-c62b2e85789c,
  abstract     = {{BACKGROUND: Previous studies have found insomnia and long sleep duration to be independently associated with subsequent disability pension (DP). However, the issue of a possible gender-based pattern in this context has received little attention. PURPOSE: This study aims to assess the impact of insomnia symptoms and sleep duration on the DP rates among Swedish women and men during a 12-year follow-up period. METHOD: The participants, from the general population of Malmö, Sweden, were enrolled from 1992 to 1994 (n = 4,319; participation rate 41 %), aged 45-64, healthy, and employed ≥30 h per week. Baseline inquiry data concerning psychosocial circumstances and self-reported sleep habits were compared with official register-based DP rates. RESULTS: Five hundred and nine persons were granted a DP. Insomnia symptoms, affirmed by 33 % of the men and 41 % of the women, were associated with receiving a DP; the hazard ratios in the fully adjusted model were 1.4 for both men [95 % confidence interval (CI) 1.1, 1.9] and women (95 % CI 1.1, 1.7). The fully adjusted hazard ratio for women sleeping ≥9 h was 7.8 (95 % CI 3.7, 16.6) for DP due to a mental disorder. In the age-adjusted analyses, the sub-domain "difficulties falling asleep" was related to DP due to mental disorders in men and DP due to cardiovascular diseases in women. CONCLUSION: The findings suggest that preventing and treating insomnia symptoms could reduce DP and that disease mechanisms linking sleep disturbances to DP may differ by gender.}},
  author       = {{Canivet, Catarina and Staland-Nyman, Carin and Lindeberg, Sara and Karasek, Robert and Moghaddassi, Mahnaz and Östergren, Per-Olof}},
  issn         = {{1070-5503}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{319--328}},
  publisher    = {{Routledge}},
  series       = {{International Journal of Behavioral Medicine}},
  title        = {{Insomnia Symptoms, Sleep Duration, and Disability Pensions: a Prospective Study of Swedish Workers.}},
  url          = {{https://lup.lub.lu.se/search/files/1711931/4057693.pdf}},
  doi          = {{10.1007/s12529-013-9315-0}},
  volume       = {{21}},
  year         = {{2014}},
}