The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Tolerance to shift work?how does it relate to sleep and wakefulness?
Abstract
Objectives There is limited knowledge as to why some individuals tolerate shift work and others do not. As a consequence of their intolerance, many individuals develop dissatisfaction with their shift schedule. To evaluate if dissatisfaction with one's shift system was related to alterations of the daily pattern of sleep and sleepiness, we followed two groups of shift workers that were either highly satisfied or dissatisfied with their shift schedule, during an entire shift cycle. Methods Thirty-six male and 20 female shift workers were selected according to their satisfaction with their shift schedule. The shift cycle included seven work periods ("triads" of shifts; night shift-afternoon shift-morning shift), with only 8-9 hours off (quick returns) between shifts, but followed by a day off. Results Sleep length was reduced after night shifts (4.8 h) and afternoon shifts (5.4 h). Sleepiness was increased during all shifts, particularly night shifts. Sleepiness did not accumulate across the shift cycle even though sleepiness was slightly increased directly after the last triad of shifts. There were few significant gender differences. Dissatisfied shift workers reached much higher levels of sleepiness and reported less sufficient sleep, but not objectively poorer or shorter sleep. Amongst dissatisfied workers, this resulted in an increase of sleepiness problems across shifts within the triad of shifts. Dissatisfied workers also had more performance lapses at the end of the night shift. Conclusions Satisfaction with the shift schedule seems to reflect how well the shift workers were coping with the schedule. It is suggested that the increase of sleep/wake problems within the work period for the dissatisfied shift workers is related to increased sensitivity to curtailed and displaced sleep.
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“Night shift work was associated with short sleep (average 4.8 h [17], reviewed in [18]).”
From Metabolic effects of sleep disruption, links to obesity and diabetes (2014) · cites this paper as [17]
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Health consequences of shift work and insufficient sleep
Kecklund, G., & Axelsson, J. (2016) · BMJ · doi:10.1136/bmj.i5210 · Cited by 1,195
Self-citationValidation of the Karolinska sleepiness scale against performance and EEG variables
Kaida, K., Takahashi, M., Åkerstedt, T., Nakata, A., Otsuka, Y., Haratani, T., & Fukasawa, K. (2006) · Clinical Neurophysiology · doi:10.1016/j.clinph.2006.03.011 · Cited by 1,016
Self-citationShift Work Sleep Disorder: Prevalence and Consequences Beyond that of Symptomatic Day Workers
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Circadian Rhythm and Sleep Disruption: Causes, Metabolic Consequences, and Countermeasures
Potter, G. D., Skene, D. J., Arendt, J., Cade, J. E., Grant, P. J., & Hardie, L. J. (2016) · Endocrine Reviews · doi:10.1210/er.2016-1083 · Cited by 781
Sleep loss and fatigue in shift work and shift work disorder
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Metadata
- Authors
- Axelsson, J., �kerstedt, T., Kecklund, G., & Lowden, A.
- Affiliations
- Karolinska Institutet (SE)
- Corresponding author
- Axelsson, John
- ORCID
- Axelsson, John
- Venue
- International Archives of Occupational and Environmental Health
- Published
- 2004-02-01
- Volume
- 77
- Issue
- 2
- Pages
- 121-129
- ISSN
- 0340-0131 (ISSN-L)
- 1432-1246
- OpenAlex
- W2066936845
- Cited by
- 178
- References
- 26
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 10 · 2021: 4 · 2020: 9 · 2019: 9 · 2018: 10 · 2017: 8 · 2016: 12 · 2015: 11 · 2014: 7 · 2013: 6 · 2012: 11
- FWCI
- 12.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Archives of Occupational and Environmental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- shift work, sleepiness, sleep deprivation, night shift work, circadian rhythm disruption, gender differences, shift workers, sleep and wakefulness
- MeSH terms
- Adult, Female, Humans, Job Satisfaction, Male, Middle Aged, Sleep, Sleep Deprivation, Sweden, Wakefulness, Work Schedule Tolerance
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