The first study to investigate mental health, sleep and use of healthcare services, using reference groups and validated instruments.
Sleep, mental health and use of mental healthcare services among Norwegian musicians
Published at the Department of Neuroscience (NTNU)
This dissertation consists of three studies examining insomnia and sleep difficulties (Study I), anxiety and depression symptoms (Study II) and use of mental healthcare services (Study III) among Norwegian musicians, compared to the general population and the Norwegian workforce (including major occupational groups). The sample of musicians was based on an online survey drawn from the membership register of the Norwegian Musicians' Union (MFO). The data collection period was between 1st of February and 1st of April 2013. A total of 2,121 (51%) members responded; there were 1,016 (48%) women and 1,105 men, with a mean age of 44.5 years (SD=10.7). Of these, 1,607 (76%) members confirmed that they had been working as performing musicians during the last 12 months, and constituted the study group. They were compared to participants in three Norwegian population-based studies (2006-2013), using identical instruments and outcome measures. In addition, logistic regression analyses were performed to adjust for some of the variables known to be related to the outcome measures. Insomnia symptoms (aOR 1.35, CI 1.18-1.54; aPD 6.9, CI 3.9-10.0), sleep difficulties (aOR 1.95, CI 1.64-2.31; aPD 6.2, CI 4.3-8.1), psychological distress (aOR 2.35, CI 1.82-3.03; aPD 8.2, CI 5.6-10.8) and use of psychotherapy (aOR 2.86, CI 2.11-3.88; aPD 5.8, CI 3.2-7.7) were all highly prevalent among musicians, compared to samples from the general population and workforce. Musicians also reported a higher use of psychotropic medication (aOR 1.55, CI 1.19-2.02; aPD 3.5, CI 1.3-5.7). This dissertation is, to the best of our knowledge, the first to investigate these outcomes in different groups of musicians with use of relevant reference groups and validated instruments. However, further longitudinal research is needed to map the incidence and prospective associations of mental health and healthcare use, as well as intervention-based studies, in order to generate occupational and therapeutic measures for this group of workers.
Main message: Musicians report higher degrees of symptoms of psychological distress, sleep difficulties and use of mental healthcare services.