{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T01:55:27Z","timestamp":1779069327233,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T00:00:00Z","timestamp":1624752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Nightshift work can cause daytime somnolence and decreased alertness, and can increase risk of medical errors, occupational injuries and car accidents. We used a structured questionnaire, including the Epworth Sleepiness Scale (ESS), to assess the prevalence and the determinants of sleep disruption in 268 Italian University hospital physicians from Cagliari (<jats:italic>N<\/jats:italic>\u00a0=\u00a057), Milan (<jats:italic>N<\/jats:italic>\u00a0=\u00a0180) and Pisa (<jats:italic>N<\/jats:italic>\u00a0=\u00a031), who participated in the multicentre study on the prevalence of sleep disturbance among hospital physicians (PRESOMO); 198 of them (74%) were engaged in nightshift work. We explored the association between history of nightshift work and poor sleep quality and daytime somnolence with multivariate logistic regression, adjusting by personal and lifestyle covariates. Age, female gender, taking medication interfering with sleep and an elevated ESS score were significant predictors of poor sleep quality and daytime somnolence. Nightshift work was associated with a higher prevalence of unrestful sleep (84% versus 70%; odds ratio [OR]\u00a0=\u00a02.4, 95% confidence interval [CI] 1.18\u20135.05) and daytime dozing (57% versus 35%; OR\u00a0=\u00a01.9, 95% CI 1.03\u20133.64), with an upward trend by years of engagement in nightshift work for both conditions (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.043 and 0.017, respectively), and by number of nightshifts\/year for unrestful sleep (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.024). Such an association was not detected with the ESS scale. Our results suggest that nightshift work significantly affects sleep quality and daytime somnolence in hospital physicians, who might underestimate their daytime dozing problem, when asked to subjectively scale it.<\/jats:p>","DOI":"10.1111\/jsr.13377","type":"journal-article","created":{"date-parts":[[2021,6,28]],"date-time":"2021-06-28T06:15:11Z","timestamp":1624860911000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence of sleep disruption and determinants of sleepiness in a cohort of Italian hospital physicians: The PRESOMO study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5116-5073","authenticated-orcid":false,"given":"Rosamaria","family":"Lecca","sequence":"first","affiliation":[{"name":"Interdepartmental Sleep Research Centre, Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrica","family":"Bonanni","sequence":"additional","affiliation":[{"name":"Section of Neurology Department of Clinical and Experimental Medicine University of Pisa Pisa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elvia","family":"Battaglia","sequence":"additional","affiliation":[{"name":"Sleep Medicine Centre Department of Pneumology, ASST Santi Paolo e Carlo PO San Carlo Borromeo\u2010Milan Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelangelo","family":"Maestri","sequence":"additional","affiliation":[{"name":"Sleep Medicine Centre Department of Pneumology, ASST Santi Paolo e Carlo PO San Carlo Borromeo\u2010Milan Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michela","family":"Figorilli","sequence":"additional","affiliation":[{"name":"Interdepartmental Sleep Research Centre, Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7680-8722","authenticated-orcid":false,"given":"Patrizia","family":"Congiu","sequence":"additional","affiliation":[{"name":"Interdepartmental Sleep Research Centre, Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gioia","family":"Gioi","sequence":"additional","affiliation":[{"name":"Interdepartmental Sleep Research Centre, Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Meloni","sequence":"additional","affiliation":[{"name":"Unit of Occupational Medicine Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierluigi","family":"Cocco","sequence":"additional","affiliation":[{"name":"Unit of Occupational Medicine Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-6608","authenticated-orcid":false,"given":"Monica","family":"Puligheddu","sequence":"additional","affiliation":[{"name":"Interdepartmental Sleep Research Centre, Department of Medical Sciences and Public Health University of Cagliari Monserrato Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,27]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"International classification of sleep disorders\u2010third edition","author":"American Academy of Sleep Medicine","year":"2014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsx195"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.9.1025"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.9.1055"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030487"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-019-09365-2"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.patbio.2014.08.001"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2018.03.005"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743715620410"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207454.2017.1400970"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402000701796023"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2020.01.029"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0055306"},{"key":"e_1_2_8_15_1","volume-title":"Eurofound. 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