High Decision Latitude at Work Combined with Traumatic Life Events in Private Life is Associated with Reduced Sleep Quality: Results from the GAZEL Study

Abstract

Psychosocial stress, both at work and at home, plays a role in sleep disturbances. Theoretical models of stress underscore the cumulative effect of stress from different domains in affecting health and well-being. However, previous research has not considered how work stress and stress in private life might interact to affect sleep. The study investigated potential synergistic effects of work stress and traumatic events in private life on sleep quality. Participants (N = 6552, average baseline age = 52) were a subset of the French GAZEL cohort who were working in 1999. Work stress was operationalized as high job demands and low decision latitude. These working conditions were self-reported in 1999 (study baseline). Traumatic events in the past 12 months were reported in 2000. Sleep quality was assessed in 2000 as disturbed sleep in the past 12 months, and current sleep problems was indexed by the sleep subscale of the Nottingham Health Profile questionnaire. The results showed that recent events interacted with decision latitude, but not job demands, in predicting sleep quality. However, contrary to our expectations, it was high and not low decision latitude at work that amplified the negative association between stressful events and sleep quality. Adjusted for baseline health, individuals with highest numbers of events and highest levels of decision latitude were at highest risk for impaired sleep. These results challenge the idea that high decision latitude always serves as a protective factor, and underscore the necessity for considering a broader life context when studying stress in a particular domain of life.