Interpersonal sensitivity predicts depressive symptom response to the circadian rhythm disruption of nightwork
Interpersonal sensitivity predicts depressive symptom response to the circadian rhythm disruption of nightwork
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DOI：
10.1017/s0033291700035935
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发表时间：
1996-11-01
影响因子：
6.9
通讯作者：
Waterhouse, JM
中科院分区：
文献类型：
--
作者：
Adeniran, R;Healy, D;Waterhouse, JM
本文报告了一项旨在探索情感障碍轮班模式的有效性的研究结果。55名首次从事夜间工作的实习护士被招募到一项研究中，该研究旨在复制早先关于夜间工作对认知、情绪和神经营养指标的影响的研究，并评估夜间工作对人格测量的影响，以及人格因素和夜间工作引起的干扰在预测夜间工作适应方面的作用。与之前的研究一样，夜班会严重干扰注意力、兴趣、精力、睡眠和食欲，而且人们对最近受到他人批评的感觉也越来越强。因此，这两项研究的结果被汇总在一起，以进一步探索结果与夜班前情感症状水平和对人际批评的敏感性之间的可能关系。这些预测反应不佳。相比之下，认知风格和症状解释的衡量标准并不能预测结果。这些发现与以下观点并不矛盾，即心理社会中断导致的昼夜节律紊乱可能在抑郁症的发生或维持中发挥作用。他们还支持一项建议，即夜班引起的变化可能是研究情感障碍各方面的合适人体模型。
This paper reports the results of a study designed to explore the validity of a shiftwork model of affective disorders. Fifty-five student nurses doing nightwork for the first time were recruited to a study designed both to replicate an earlier study of the effects of nightwork on cognitive, emotional and neurovegetative measures and to assess the effects of nightwork on personality measures and the role of personality factors and nightwork induced disturbances in predicting accommodation to nightwork. As in the earlier study, concentration, interest, energy, sleep and appetite were significantly disturbed by nightwork and there was an increased perception of recent criticism from others. The findings from both studies were, therefore, aggregated to explore further possible relations between outcomes and the pre-nightwork level of affective symptoms and sensitivity to interpersonal criticism. These predicted poor response. In contrast, measures of cognitive style and symptom interpretation did not predict outcome. The findings are not inconsistent with proposals that disturbance of circadian rhythms consequent on psychosocial disruptions may play a part in the genesis of or maintenance of depression. They also support a proposal that nightwork induced changes may be a suitable human model for investigation of aspects of the affective disorders.