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May 10, 2026SLEEP

0383 Depression Symptoms as a Pre-Shift Work Risk Factor for the Development of Shift Work Disorder in Emergency Personnel Following 12-Months of Work

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Authors

AWAlexander WolkowRHRachael HarrisBMBen Meadley

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Overview

Randomized trial finds depression symptoms increase shift work disorder risk in paramedics, indicating need for early interventions.

Key Points

  • To investigate whether pre-shift mental health symptoms in new paramedics are linked to later development of shift work disorder (SWD).
  • Examined mental health symptoms and SWD risk in 105 recruit paramedics at baseline and after 12 months of shift work.
  • Participants completed the Patient Health Questionnaire-9 and the Generalised Anxiety Disorder-7 for assessment.
  • Multivariate logistic regression models analyzed the association of baseline depression and anxiety with SWD risk at follow-up.
  • Eighteen percent of paramedics were at high risk of SWD after 12 months.
  • Increased depression symptoms before beginning work were linked to higher odds of SWD (Adjusted Odds Ratio 1.25, 95% CI 1.01-1.56, p = 0.04).
  • Baseline anxiety symptoms were not significantly linked to SWD (Adjusted Odds Ratio 1.07, 95% CI 0.88-1.28, p = 0.44).

Cite This Study

Wolkow et al. (2026) studied this question.

synapsesocial.com/papers/6a0020aec8f74e3340f9b856https://doi.org/10.1093/sleep/zsag091.0383
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