Coping strategies in mild-to-severe OSA patients: The role of job crafting in work-related behaviors

Luigi Macchitella, Fulvio Signore, Emanuela Ingusci, Domenico Maurizio Toraldo, Michele Arigliani, Michele De Benedetto, Claudio Giovanni Cortese, Paola Angelelli

Accepted August 31, 2021

First published August 31, 2021

https://doi.org/10.26387/bpa.291.1

Abstract

Patients with obstructive sleep apnea (OSA) constitute an economic burden on most health occupational systems. They, in fact, experience several neurocognitive deficits, excessive daytime sleepiness and fatigue and work-related limitations. Although the clinical relevance, only recently some authors focused on the relationship between OSA and a wider range of work-related variables. The aim of this study is to deepen the OSA’s strategies underlying job-crafting, a proactive bottom-up strategy that workers implement to redesign their job tasks to improve their job management. We assessed 25 previously untreated mild to severe OSA patients with a mean age of 52.2 (±9.80 years) and a mean apnea-hypopnea index (AHI) of 43.89 (±19.1). A control group of 27 healthy participants was also enrolled. Data suggest job crafting strategies are adopted with the same frequency in the two groups, although the differences lie on the typology of strategy used. Moreover, job crafting could positively impact self-perceived job performance in OSA patients. The impact of job crafting on performance becomes higher as a function of OSA severity (i.e., AHI), while sleepiness does not moderate the relation between job crafting and self-perceived job performance. OSA patients do not adopt job crafting strategies to cope with their sleepiness, but to balance cognitive failures, mainly related to hypoxia. Results are discussed in terms of possible compensation mechanisms adopted by OSA patients: job crafting strategies may be conceived as a self-determined way to cope with their difficulties and to support their work performances.

References

  • ACCATTOLI, M.P., MUZI, G., MAZZOLI, M., GENOVESE, V.,PALUMBO, G. & ABBRITTI, G. (2008). Occupational accidents,work performance and obstructive sleep apnea syndrome(OSAS). Giornale Italiano di Medicina del Lavoro ed Ergonomia,30 (3), 297-303.

  • ALGANIM, N., COMONDORE, V.R., FLEETHAM, J., MARRA,C.A. & AYAS, N.T. (2008). The economic impact of obstructivesleep apnea. Lung, 186 (1), 7-12.

  • ANGELELLI, P., MACCHITELLA, L., TORALDO, D.M., ABBATE,E., MARINELLI, C.V., ARIGLIANI, M. & DE BENEDETTO, M.(2020). The neuropsychological profile of attention deficits ofpatients with obstructive sleep apnea: An update on the daytimeattentional impairment. Brain Sciences, 10 (6), 325.

  • BAKKER, A.B. & DEMEROUTI, E. (2017). Job demands-resources theory: Taking stock and looking forward. Journal ofOccupational Health Psychology, 22 (3), 273.

  • BALBI, B., CARLI, S., CREVACORE, M., GODIO, M., DANIONI,A., SACCO, C. & BRAGHIROLI, A. (2014). Sleep apnea, CPAPtherapy and work activity. Giornale Italiano di Medicina delLavoro ed Ergonomia, 36 1), 17-21.

  • BECK, A.T., WARD, C.H., MENDELSON, M., MOCK, J. &ERBAUGH, J. (1961). An inventory for measuring depression.Archives of General Psychiatry, 4 (6), 561-571.

  • BUE, A.L., SALVAGGIO, A., ISIDORO, S.I., ROMANO, S. &INSALACO, G. (2019). OSA and CPAP therapy: Effect of gender,somnolence, and treatment adherence on health-related qualityof life. Sleep and Breathing, 1-8.

  • CHUNG, F., ABDULLAH, H.R. & LIAO, P. (2016). STOP-Bangquestionnaire: A practical approach to screen for obstructivesleep apnea. Chest, 149, 631-638.

  • COOKSEY, J.A. & BALACHANDRAN, J.S. (2016). Portablemonitoring for the diagnosis of OSA. Chest, 149, 1074-1081.

  • DEVOTTO, R.P.D. & WECHSLER, S.M. (2019). Job craftinginterventions: Systematic review. Trends in Psychology, 27 (2),371-383.

  • DIRIK, G. & KARANCI, A.N. (2010). Psychological distressin rheumatoid arthritis patients: An evaluation within theconservation of resources theory. Psychology and Health, 25 (5),617-632.

  • DUBBELT, L., DEMEROUTI, E. & RISPENS, S. (2019). The value ofjob crafting for work engagement, task performance, and careersatisfaction: Longitudinal and quasi-experimental evidence.European Journal of Work and Organizational Psychology, 28 (3),300-314.

  • GARBARINO, S., GUGLIELMI, O., SANNA, A., MANCARDI, G.L.& MAGNAVITA, N. (2016). Risk of occupational accidents inworkers with obstructive sleep apnea: Systematic review andmeta-analysis. Sleep, 39 (6), 1211-1218.

  • GUGLIELMI, O., JURADO-GÀMEZ, B., GUDE, F. & BUELA-CASAL, G. (2014). Job stress, burnout, and job satisfaction insleep apnea patients. Sleep Medicine, 15 (9), 1025-1030.

  • GUGLIELMI, O., JURADO-GÀMEZ, B., GUDE, F. & BUELA-CASAL, G. (2015). Occupational health of patients withobstructive sleep apnea syndrome: A systematic review. Sleepand Breathing, 19 (1), 35-44.

  • HAGHIGHI, K.S., MONTAZERI, A., MEHRIZI, A.K., AMINIAN,O., GOLKHANDAN, A.R., SARAEI, M. & SEDAGHAT, M.(2013). The Epworth Sleepiness Scale: Translation and validationstudy of the Iranian version. Sleep and Breathing, 17 (1), 419-426.

  • HAYES, A.F. (2017). Introduction to mediation, moderation, andconditional process analysis: A regression-based approach.Guilford.

  • HUANG, X., TANG, S., LYU, X., YANG, C. & CHEN, X. (2019).Structural and functional brain alterations in obstructive sleepapnea: A multimodal meta-analysis. Sleep Medicine, 54, 195-204.

  • INGUSCI,E.,CALLEA,A.,CORTESE,C.G.,ZITO,M.,BORGOGNI,L., CENCIOTTI, R., COLOMBO, L. et al. (2019). Self-efficacyand work performance: The role of job crafting in middle-ageworkers. International Journal of Business and Society, 20 (2),533-551.

  • INGUSCI, E., SIGNORE, F., GIANCASPRO, M.L., MANUTI, A.,MOLINO, M., RUSSO, V., ZITO, M. & CORTESE, C.G. (2021).Workload, techno-overload and behavioral stress duringCOVID-19 emergency: The role of job crafting in remoteworkers. Frontiers in Psychology, 12, 1141.

  • KAPUR, V.K., AUCKLEY, D.H., CHOWDHURI, S., KIHLMANN,D.C.,MEHRA,R.,RAMAR,K.&HARROD,C.G.(2017).Clinicalpractice guideline for diagnostic testing for adult obstructivesleep apnea: An American Academy of Sleep Medicine clinicalpractice guideline. Journal of Clinical Sleep Medicine, 13 (3), 479-504.

  • KENDZERSKA, T., GERSHON, A.S., HAWKER, G., LEUNG, R.S.& TOMLINSON, G. (2014). Obstructive sleep apnea and riskof cardiovascular events and all-cause mortality: A decade-longhistorical cohort study. PLOS Med, 11.

  • KOOPMANS, L., BERNAARDS, C., HILDEBRANDT, V., VANBUUREN, S., VAN DER BEEK, A.J. & DE VET, H.C. (2013).Development of an individual work performance questionnaire.International Journal of Productivity and PerformanceManagement.

  • JOHNS, M.W. (1991). A new method for measuring daytimesleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540-545.

  • JOHNS, M.W. (2000). Sensitivity and specificity of the multiple sleeplatency test (MSLT), the maintenance of wakefulness test and theEpworth Sleepiness Scale: failure of the MSLT as a gold standard.Journal of Sleep Research, 9, 5-11.

  • JURADO-GÀMEZ, B., GUGLIELMI, O., GUDE, F. & BUELA-CASAL, G. (2015). Workplace accidents, absenteeismand productivity in patients with sleep apnea. Archivos deBronconeumología, 51 (5), 213-218.

  • MACCHITELLA, L., MARINELLI, C.V., SIGNORE, F., CIAVOLINO,E. & ANGELELLI, P. (2020). Sleepiness, neuropsychologicalskills, and scholastic learning in children. Brain Sciences, 10(8),529.

  • MACCHITELLA, L., ROMANO, D., MARINELLI, C.V., TORALDO,D.M., ARIGLIANI, M., DE BENEDETTO, M. & ANGELELLI,P. (2021). Neuropsychological and socio-cognitive deficits inpatients with Obstructive Sleep Apnea. Journal of Clinical andExperimental Neuropsychology, 43 (5).

  • MEASSO, G., CAVARZERAN, F., ZAPPALA, G., LEBOWITZ, B.D.,CROOK, T.H., PIROZZOLO, F.J., AMADUCCI, D.M. et al.(1993). The Mini mental state examination: Normative study ofan Italian random sample. Developmental Neuropsychology, 9,77-85.

  • MORSY, N.E., FARRAG, N.S., ZAKI, N.F., BADAWY, A.Y.,ABDELHAFEZ, S.A., El-EL-GILANY, A.H., SHAFEY, M.M. etal. (2019). Obstructive sleep apnea: Personal, societal, publichealth, and legal implications. Reviews on Environmental Health,34 (2), 153-169.

  • MSAAD,S.,KAMMOUN,N.,HAJJAJI,M.,KALLE,N.&BAHLOUL,N. (2018). The impact of obstructive sleep apnea and daytimesleepiness on work performance: An observational cross-sectional study in a North African population. OccupationalMedicine & Health Affairs, 6 (270), 2.

  • MULGREW, A.T., RYAN, C.F., FLEETHAM, J.A., CHEEMA, R.,FOX, N., KOEHOORN, M., FITZGERARD, J.M. et al. (2007).The impact of obstructive sleep apnea and daytime sleepiness onwork limitation. Sleep Medicine, 9 (1), 42-53.

  • NEZAMODINI, Z., HOSEYNI, P., BEHZADI, E. & LATIFI, S.M.(2014). Relationship between shift works with sleep disordersand public health in a pipe company. Safety Promotion and InjuryPrevention (Tehran), 2 (3), 189-195.

  • OLAITHE, M., BUCKS, R.S., HILLMAN, D.R. & EASTWOOD, P.R.(2018). Cognitive deficits in obstructive sleep apnea: Insightsfrom a meta-review and comparison with deficits observed inCOPD, insomnia, and sleep deprivation. Sleep Medicine Reviews,38, 39-49.

  • OMACHI, T.A., CLAMAN, D.M., BLANC, P.D. & EISNER, M.D.(2009). Obstructive sleep apnea: A risk factor for work disability.Sleep, 32 (6), 791-798.

  • OPREA, B.T., BARZIN, L., VÎRGĂ, D., ILIESCU, D. & RUSU, A.(2019). Effectiveness of job crafting interventions: A meta-analysis and utility analysis. European Journal of Work andOrganizational Psychology, 28 (6), 723-741.

  • PEPPARD, P.E., YOUNG, T., BARNET, J.H., PALTA, M., HAGEN,E.W. & MAEHLA, K. (2013). Increased prevalence of sleepdisorderedbreathinginadults.AmericanJournalofEpidemiology,177, 1006-1014.

  • PETROU, P., DEMEROUTI, E., PEETERS, M.C., SCHUFELI,W.B. & HETLAND, J. (2012). Crafting a job on a daily basis:Contextual correlates and the link to work engagement. Journalof Organizational Behavior, 33 (8), 1120-1141.

  • SIGNORE, F., CORTESE, C.G., PARISI, S., RUSSO, V., ZITO, M.& INGUSCI, E. (2020). Job crafting and well-being at work:An exploratory analysis during health emergency period. LaMedicina del Lavoro, 111 (6), 478-492.

  • SWANSON, L.M., ARNEDT, J.T., ROSEKIND, M.R., BELENKY,G., BALKIN, J. & DRAKE, C. (2011). Sleep disorders and workperformance: Findings from the 2008 National Sleep FoundationSleep in America poll. Journal of Sleep Research, 20 (3), 487-494.

  • TIMS, M., BAKKER, A.B. & DERKS, D. (2012). Development andvalidation of the job crafting scale. Journal of Vocational Behavior,80 (1), 173-186.

  • TIMS, M., BAKKER, A.B. & DERKS, D. (2015). Job crafting and jobperformance: A longitudinal study. European Journal of Workand Organizational Psychology, 24 (6), 914-928.

  • TREGEAR, S., RESTON, J., SCHOELLES, K. & PHILLIPS, B.(2010). Continuous positive airway pressure reduces risk ofmotor vehicle crash among drivers with obstructive sleep apnea:Systematic review and meta-analysis. Sleep, 33 (10), 1373-1380.

  • VANEK,J.,PRASKO,J.,GENZOR,S.,OCISKOVA,M.,KANTOR,K.,HOLUBOVA, M., SLEPECKY, M. et al. (2020). Obstructive sleepapnea, depression and cognitive impairment. Sleep Medicine, 72,50-58.

  • VAN WINGERDEN, J., DERKS, D. & BAKKER, A. (2017). Theimpact of personal resources and job crafting interventionson work engagement and performance. Human ResourceManagement, 56 (1), 51-67.

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Macchitella Luigi. Signore Fulvio. Ingusci Emanuela. Toraldo Domenico Maurizio. Arigliani Michele. De Benedetto Michele. Cortese Claudio Giovanni. Angelelli Paola. Coping strategies in mild-to-severe OSA patients: The role of job crafting in work-related behaviors. BPA Applied Psychology Bulletin. 2021;291(1):2-16. doi:10.26387/bpa.291.1.

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Author Surname Author Initial. Title. Publication Title. Year Published;Volume number(Issue number):Pages Used. doi:DOI Number.


Macchitella Luigi. Signore Fulvio. Ingusci Emanuela. Toraldo Domenico Maurizio. Arigliani Michele. De Benedetto Michele. Cortese Claudio Giovanni. Angelelli Paola. Coping strategies in mild-to-severe OSA patients: The role of job crafting in work-related behaviors. BPA Applied Psychology Bulletin. 2021;291(1):2-16. doi:10.26387/bpa.291.1.