Insomnia management for ageing employees with job stress

I Roja,Z Roja,H Kalkis,P L Vilka

doi:10.1051/shsconf/20141000037

Abstract

In Latvia, the number of aging employees suffering from sleep disorders caused by job stress and poor sleep hygiene is increasing. The non-pharmacologic and pharmacologic treatment is prescribed for these employees in the sleep management. The aim of this research is to clarify the efficiency of using psychotherapy with learning and observing sleep hygiene, combined with the melatonergic drug during a six-week treatment course applied to 25 both male and female intellectual workers over 65 years suffering from insomnia caused by job stress. For the patients representing Group A cognitive hypnotherapy, intervention for improving coping with job stress and usage of the melatonergic drug was prescribed, while Group patients received six weeks only drug. The severity of depressive episodes in employees was measured by Montgomery- Asberg Depression Rating Scale, the level of anxiety was assessed by use Rosenberg Self- Esteem Scale. The results of the research show that insomnia patterns disappeared for 75% of women and 80% of men employees in Group A, but in Group B individuals, - only for 20% of women employees. The results acquired let concluding that the six-week treatment - cognitive hypnotherapy combined with melatonergic drug - is an effective treatment for aging workers suffering from sleep disorders.

Highlights

Each year, in March, the World Sleep Day is organized by the World Association of Sleep Medicine and many insomnia specialists
The aim of this research is to clarify the efficiency of using psychotherapy with learning and observing sleep hygiene, combined with the melatonergic drug during a six-week treatment course applied to 25 both male and female intellectual workers over 65 years suffering from insomnia caused by job stress
The results acquired let concluding that the six-week treatment – cognitive hypnotherapy combined with melatonergic drug – is an effective treatment for aging workers suffering from sleep disorders

Summary

Introduction

In March, the World Sleep Day is organized by the World Association of Sleep Medicine and many insomnia specialists. In modern assessment of work environment insomnia is considered as an urgent ergonomic risk factor nowadays. Workers with chronic insomnia who are too sleepy to fully function on the job cost in many countries serious financial loss each year, according to a nationwide survey (Landsbergis, 2003; Daley et al, 2009). Special attention and importance is put to preventive actualities in the topical management of insomnia: elimination of psychosocial ergonomic risks in the work environment (distress, irregular working hours, night duty and night work for aging employees without medical examination, poor personal sleep hygiene, alcohol and nicotine consumption, etc.). In psycho-bio-social approach short-term psychotherapy is used in the treatment of these employed individuals, namely, in the form of cognitive hypnotherapy sessions during which there develops psychophysical relaxation and traumatic events caused by job stress, negative stereotypes of

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