PMID: 9540294Apr 16, 1998Paper

The effect of fatigue, sleep deprivation and onerous working hours on the physical and mental wellbeing of pre-registration house officers

Irish Journal of Medical Science
C LeonardM Buckley

Abstract

The potential deleterious effects of doctors' long and arduous shifts have received relatively scant attention. This study addressed the effect of a 32 h on-call shift on 16 pre-registration medical house officers in St. James's Hospital, Dublin. We assessed 5 psychological parameters (Tension-Anxiety, Depression-Dejection, Vigour-Activity, Fatigue-Inertia and Confusion-Bewilderment) as well as 5 simple tests of alertness and concentration both pre- and post-call. The doctors were randomly assigned to be tested either pre- or post-call. On average the doctors got 4.5 hours sleep during a 32 h shift. This long shift had an adverse effect on all the psychological parameters (p < 0.05) except Depression-Dejection. The total mood disturbance score, which has been shown to correlate well with general psychological well-being, deteriorated significantly after the 32 h shift, p < 0.005. Two of the simple tests of alertness and concentration (Trail-making test and Stroop Color-Word test) also showed a significant fall-off in performance with sleep deprivation, p < 0.05, although the remaining tests (Delayed Story Recall, Critical Flicker Fusion and Three Minute Grammatical Reasoning Test) were not significantly impaired by the 32 h shi...Continue Reading

References

Oct 17, 1992·BMJ : British Medical Journal·F Godlee
Nov 1, 1991·Academic Medicine : Journal of the Association of American Medical Colleges·J S Samkoff, C H Jacques
Jan 1, 1991·Psychopharmacology·J S KerrI Hindmarch
Jan 7, 1989·BMJ : British Medical Journal·D I Orton, J H Gruzelier
Mar 24, 1988·The New England Journal of Medicine·D A Asch, R M Parker
Feb 1, 1971·Journal of Consulting and Clinical Psychology·L F Droppleman, D M McNair
Jan 1, 1984·British Journal of Clinical Pharmacology·B M Stone
Sep 1, 1980·British Journal of Clinical Pharmacology·I Hindmarch
Nov 11, 1995·BMJ : British Medical Journal·J G Theis
Nov 11, 1995·BMJ : British Medical Journal·E O'Neill
Oct 21, 1995·BMJ : British Medical Journal·S West, T P Stephenson
Oct 21, 1995·BMJ : British Medical Journal·A McCombe

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Citations

Mar 10, 2007·Cellular and Molecular Life Sciences : CMLS·T W BoonstraP J Beek
Nov 10, 2010·Irish Journal of Medical Science·J N Murphy, C A Ryan
Jul 24, 2013·Journal of Anaesthesiology, Clinical Pharmacology·Ashish SinhaAnurag Tewari
Mar 1, 2005·Industrial Health·Renée M PetrilliNicole Lamond
Nov 7, 2006·Industrial Health·Claire C Caruso
Jul 9, 2010·AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses·Gary Mellor, Winsome St John
Sep 18, 2007·Sleep Medicine·Charlene E GamaldoChristopher J Earley
Sep 1, 2004·The Annals of Thoracic Surgery·Peter I EllmanIrving L Kron
Oct 20, 2006·Physiology & Behavior·Torbjörn Akerstedt
Jun 25, 2005·The Annals of Thoracic Surgery·Peter I EllmanCurtis G Tribble
Mar 12, 2013·Journal of Environmental and Public Health·Hiva AzmoonShiva Souri
Jan 29, 2014·NeuroImage·Danyang KongMichael W L Chee
Oct 26, 2016·Journal of Graduate Medical Education·Ian ChurninAli Seifi
Oct 18, 2016·American Journal of Industrial Medicine·Kevin RileySterling Malish
Aug 28, 2015·Workplace Health & Safety·Gary Mellor, Stephen Van Vorst
Mar 30, 2004·Neurosurgery·William A Friedman
Jun 4, 2008·Human Factors·Caroline G L CaoWilliam Mazzei
Mar 27, 2002·Psychosomatic Medicine·Philip J MooreJames S Jackson
Nov 2, 2002·Anesthesiology·Steven K HowardArnold J Berry
Jan 5, 2002·The American Journal of Gastroenterology·D G AdlerT H Baron
Feb 9, 2010·Journal of Autism and Developmental Disorders·Margaret Semrud-ClikemanBrianne Butcher
Oct 17, 2006·Musculoskeletal Care·Howard A Bird
Dec 25, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Kathlyn E FletcherRajesh S Mangrulkar
Nov 14, 2001·Current Opinion in Pulmonary Medicine·J A Owens
May 6, 2010·International Journal of Occupational Medicine and Environmental Health·Jolanta Orzeł-Gryglewska
Oct 12, 2013·Reviews in the Neurosciences·Masaaki TanakaYasuyoshi Watanabe
Jan 19, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Kyle R SochackiJoshua D Harris
Jan 18, 2008·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Camila Guindalini, Sergio Tufik
Mar 18, 2004·Medical Education·Elisabeth Paice, Wendy Reid
Nov 2, 2019·The Journal of Surgical Research·Andrew M SimpsonJayant P Agarwal
Nov 15, 2018·Medical Science Educator·Abdulaziz AlsulamiNawaf Aboalfaraj

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