{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T09:04:07Z","timestamp":1768554247088,"version":"3.49.0"},"posted":{"date-parts":[[2022,10,30]]},"group-title":"Psychiatry and Clinical Psychology","reference-count":20,"publisher":"openRxiv","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2022,10,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Objective\/Background<\/jats:title>\n                  <jats:p>Healthcare workers have experienced high rates of psychiatric symptom burden and occupational attrition during the COVID-19 pandemic. Identifying contributory factors can inform prevention and mitigation measures. Here, we explore the potential contributions of occupational stressors vs COVID-19 infection to insomnia symptoms in US healthcare workers.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Patients\/Methods<\/jats:title>\n                  <jats:p>An online self-report survey was collected between September 2020 and July 2022 from N=594 US healthcare workers, with longitudinal follow-up up to 9 months. Assessments included the Insomnia Severity Index (ISI), the PTSD Checklist for DSM-5 (PCL-5), and a 13-item scale assessing COVID-19 related occupational stressors.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Insomnia was common (45% of participants reported at least moderate and 9.2% reported severe symptoms at one or more timepoint) and significantly associated with difficulty completing work-related tasks, increased likelihood of occupational attrition, and thoughts of suicide or self-harm (all p&lt;.0001). In multivariable regression with age, gender, and family COVID-19 history as covariates, past two-week COVID-related occupational stressors, peak COVID-related occupational stressors, and personal history of COVID-19 infection were all significantly related to past two-week ISI scores (\u03b2=1.7\u00b10.14SE, \u03b2=0.08\u00b10.03, and \u03b2=0.69\u00b10.22 respectively). Although similar results were found for the PCL-5, when ISI and PCL-5 items were separated by factor, COVID-19 infection was significantly related only to the factor consisting of sleep-related items.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Both recent occupational stress and personal history of COVID-19 infection were significantly associated with insomnia in healthcare workers. These results suggest that both addressing occupational stressors and reducing rates of COVID-19 infection are important to protect healthcare workers and the healthcare workforce.<\/jats:p>\n                <\/jats:sec>","DOI":"10.1101\/2022.10.27.22281582","type":"posted-content","created":{"date-parts":[[2022,10,30]],"date-time":"2022-10-30T21:00:13Z","timestamp":1667163613000},"source":"Crossref","is-referenced-by-count":0,"title":["The relative contribution of COVID-19 infection versus COVID-19 related occupational stressors to insomnia in healthcare workers"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2377-823X","authenticated-orcid":false,"given":"Rebecca C.","family":"Hendrickson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3697-1496","authenticated-orcid":false,"given":"Catherine A.","family":"McCall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron F.","family":"Rosser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8010-1631","authenticated-orcid":false,"given":"Kathleen F.","family":"Pagulayan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8800-7140","authenticated-orcid":false,"given":"Bernard P.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2202-448X","authenticated-orcid":false,"given":"Ellen D.","family":"Sano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1686-4965","authenticated-orcid":false,"given":"Ronald G.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9763-2423","authenticated-orcid":false,"given":"Murray A.","family":"Raskind","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"54368","reference":[{"key":"2022110106002651000_2022.10.27.22281582v1.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07252-z"},{"key":"2022110106002651000_2022.10.27.22281582v1.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.026"},{"key":"2022110106002651000_2022.10.27.22281582v1.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.pnpbp.2020.110057"},{"key":"2022110106002651000_2022.10.27.22281582v1.4","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168790"},{"key":"2022110106002651000_2022.10.27.22281582v1.5","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-021-01283-z"},{"key":"2022110106002651000_2022.10.27.22281582v1.6","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.56"},{"key":"2022110106002651000_2022.10.27.22281582v1.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2022.06.020"},{"key":"2022110106002651000_2022.10.27.22281582v1.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.113599"},{"key":"2022110106002651000_2022.10.27.22281582v1.9","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/25.6.621"},{"key":"2022110106002651000_2022.10.27.22281582v1.10","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.11r07586"},{"key":"2022110106002651000_2022.10.27.22281582v1.11","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2021.1874434"},{"key":"2022110106002651000_2022.10.27.22281582v1.12","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.13754"},{"key":"2022110106002651000_2022.10.27.22281582v1.13","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.5.601"},{"key":"2022110106002651000_2022.10.27.22281582v1.14","unstructured":"Weathers FL , Keane T , Palmieri P , Marx S , Schnurr P. 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