Stress and sleep quality in doctors working on-call shifts are associated with
functional gastrointestinal disorders
#MMPMID28566894
Lim SK
; Yoo SJ
; Koo DL
; Park CA
; Ryu HJ
; Jung YJ
; Jeong JB
; Kim BG
; Lee KL
; Koh SJ
World J Gastroenterol
2017[May]; 23
(18
): 3330-3337
PMID28566894
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AIM: To investigate the role of sleep quality and psychosocial problems as
predictors of functional gastrointestinal disorders (FGIDs) in doctors that work
24 hour-on-call shifts. METHODS: In this cross-sectional observation study, using
the Rome III Questionnaire and Pittsburgh Sleep Quality Index (PSQI), we analyzed
170 doctors with 24 hour-on-call shifts. RESULTS: Among the participants that had
experienced a 24 hour-on-call shift within the last 6 mo, 48 (28.2%) had FGIDs.
Overall prevalence of irritable bowel syndrome (IBS) and functional dyspepsia
(FD) were 16.5% and 17.1%, respectively, with 5.3% exhibiting both. Sleep scores
(PSQI) (8.79 ± 2.71 vs 7.30 ± 3.43, P = 0.008), the presence of serious
psychosocial alarm (83.3% vs 56.6%, P = 0.004), and the proportion of doctors who
experienced over two months of recent on-call work (81.2% vs 68.9%, P = 0.044)
were significantly different between individuals with or without FGIDs.
Multivariate analysis revealed that presenting serious psychosocial alarm was an
independent risk factor for prevalence of FD (OR = 5.47, 95%CI: 1.06-28.15, P =
0.042) and poor sleep quality (PSQI ? 6) was a predictor of IBS (OR = 4.17,
95%CI: 1.92-19.02, P = 0.016). CONCLUSION: Physicians should recognize the role
of sleep impairment and psychological stress in the development of FGIDs and a
comprehensive approach should be considered to manage patients with FGIDs.
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