title: Effects of work-related sleep restriction on acute physiological and psychological stress responses and their interactions: A review among emergency service personnel.
abstract: Emergency work can expose personnel to sleep restriction. Inadequate amounts of sleep can negatively affect physiological and psychological stress responses. This review critiqued the emergency service literature (e.g., firefighting, police/law enforcement, defense forces, ambulance/paramedic personnel) that has investigated the effect of sleep restriction on hormonal, inflammatory and psychological responses. Furthermore, it investigated if a psycho-physiological approach can help contextualize the significance of such responses to assist emergency service agencies monitor the health of their personnel. The available literature suggests that sleep restriction across multiple work days can disrupt cytokine and cortisol levels, deteriorate mood and elicit simultaneous physiological and psychological responses. However, research concerning the interaction between such responses is limited and inconclusive. Therefore, it is unknown if a psycho-physiological relationship exists and as a result, it is currently not feasible for agencies to monitor sleep restriction related stress based on psycho- physiological interactions. Sleep restriction does however, appear to be a major stressor contributing to physiological and psychological responses and thus, warrants further investigation.
authors.affiliation: Deakin University, Burwood, Australia (Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences). awolkow@deakin.edu.au.
authors.forename: Alexander
authors.initials: A
authors.lastname: Wolkow
authors.affiliation: Bushfire Co-Operative Research Centre, East Melbourne, Australia.
authors.forename: Sally
authors.initials: S
authors.lastname: Ferguson
authors.affiliation: Deakin University, Burwood, Australia (Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences).
authors.forename: Brad
authors.initials: B
authors.lastname: Aisbett
authors.affiliation: Deakin University, Burwood, Australia (Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences).
authors.forename: Luana
authors.initials: L
authors.lastname: Main
mesh_terms: D000339:Affect; D002940:Circadian Rhythm; D016207:Cytokines / Q000097:blood*; D060731:Emergency Responders / Q000523:psychology*; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D008889:Military Personnel / Q000523:psychology*; D011603:Psychophysiology; D012892:Sleep Deprivation / Q000097:blood* / Q000523:psychology; D013312:Stress, Physiological / Q000502:physiology; D013315:Stress, Psychological / Q000097:blood* / Q000523:psychology; D014940:Work Schedule Tolerance / Q000502:physiology / Q000523:psychology
chemical_list: D016207:Cytokines; D006854:Hydrocortisone
keywords: Cytokines; Stress; cortisol; mood; psycho-physiological; sleep