Neural activation underlying emotional interference of cognitive control in rotating shift workers: Moderating effects of the prefrontal cortex response on the association between sleep disturbance and depressive symptoms

Sun Young Kim, Kyung Hwa Lee, Hayoung Lee, Jeong Eun Jeon, Soohyun Kim, Mi Hyun Lee, Jooyoung Lee, Sehyun Jeon, Seong Min Oh, Seog Ju Kim, Yu Jin Lee

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Study Objectives: This study investigated the altered neural function involved in emotional interference and its role in linking sleep disturbance and depressive/anxiety symptoms in rotating shift workers. Methods: Sixty rotating shift workers and 61 controls performed the emotional Stroop task in three blocks (emotional-related, sleep-related, and neutral words) during functional magnetic resonance imaging (fMRI) assessments. Sleep disturbance and depressive/anxiety symptoms were assessed using self-report measures and sleep diaries. Actigraphy was used to assess the sleep and circadian variables. fMRI scans were performed to compare brain activation during the emotional Stroop task. The proposed moderating models were tested using the PROCESS macro in SPSS software. Results: A significant condition effect on reaction time was detected. Regardless of the group, reaction times were longer in the negative emotional word and sleep-related conditions than in the neutral word condition. Whole-brain analysis revealed that rotating shift workers show greater neural activation in the left dorsolateral prefrontal cortex (DLPFC) compared with controls while performing the emotional Stroop task with negative emotional words. Sleep disturbance was more strongly associated with depressive symptoms when activation of the left DLPFC was higher during the emotional Stroop task with negative words. Conclusions: The left DLPFC may play important roles in increased sensitivity to emotional information, possibly due to circadian misalignment, and has moderating effects on the association between sleep disturbance and depressive symptoms in rotating shift workers. These findings will help to identify possible brain regions where interventions can be performed to correct sleep and mood problems in rotating shift workers.

Original languageEnglish
Article numberzsac219
JournalSleep
Volume45
Issue number11
DOIs
StatePublished - 1 Nov 2022

Bibliographical note

Publisher Copyright:
© 2022 The Author(s). Published by Oxford University Press on behalf of Sleep Research Society. All rights reserved.

Keywords

  • circadian misalignment
  • emotional Stroop task
  • fMRI
  • left DLPFC
  • rotating shift work

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