ABSTRACT

Studies have examined burnout and its impact on health, to include its influence on sleep. While many studies report a significant relationship between burnout and insomnia in civilian populations, no studies have examined this relationship in a military population. The United States Air Force (USAF) Pararescue personnel are an elite combat force who are specially trained to conduct both first-line combat and full spectrum personnel recovery and may be at high risk of burnout and insomnia. The current study investigated the association between dimensions of burnout and insomnia, and also examined potential moderators of the associations. A cross-sectional survey was administered to 203 Pararescue personnel (Mean Age = 32.1 years; 100% Male; 90.1% Caucasian) recruited from six US bases. The survey included measures of three dimensions of burnout (emotional exhaustion, depersonalization, personal achievement), insomnia, psychological flexibility, and social support. Emotional exhaustion was significantly associated with insomnia with a moderate to large effect size, when controlling for covariates. Depersonalization, but not personal achievement, was also significantly associated with insomnia. There was no evidence that associations between burnout and insomnia were moderated by psychological flexibility or social support. These findings help to identify individuals at risk of insomnia and may ultimately be useful in developing interventions for insomnia in this population.

摘要

研究检查了职业倦怠及其对健康的影响，包括其对睡眠的影响。虽然许多研究报告了平民的倦怠和失眠之间的显着关系，但没有研究检查过军人中的这种关系。美国空军 (USAF) 伞兵救援人员是一支精锐的战斗部队，他们经过专门训练可以进行一线战斗和全方位人员恢复，并且可能面临倦怠和失眠的高风险。目前的研究调查了职业倦怠和失眠的维度之间的关联，还研究了这些关联的潜在调节因素。对从六个美国基地招募的 203 名伞兵救援人员（平均年龄 = 32.1 岁；100% 男性；90.1% 白种人）进行了横断面调查。该调查包括对倦怠（情绪耗竭、人格解体、个人成就）、失眠、心理灵活性和社会支持三个维度的测量。当控制协变量时，情绪衰竭与失眠显着相关，效应量从中到大。人格解体，但不是个人成就，也与失眠显着相关。没有证据表明心理灵活性或社会支持会缓和倦怠和失眠之间的关联。这些发现有助于识别有失眠风险的个体，并最终可能有助于制定针对该人群失眠症的干预措施。当控制协变量时，情绪衰竭与失眠显着相关，效应量从中到大。人格解体，但不是个人成就，也与失眠显着相关。没有证据表明心理灵活性或社会支持会缓和倦怠和失眠之间的关联。这些发现有助于识别有失眠风险的个体，并最终可能有助于制定针对该人群失眠症的干预措施。当控制协变量时，情绪衰竭与失眠显着相关，效应量从中到大。人格解体，但不是个人成就，也与失眠显着相关。没有证据表明心理灵活性或社会支持会缓和倦怠和失眠之间的关联。这些发现有助于识别有失眠风险的个体，并最终可能有助于制定针对该人群失眠症的干预措施。