Shift work and the assessment and management of shift work disorder (SWD)
Abstract
Nearly 20% of the labor force worldwide, work shifts that include work hours outside 07:00 h to 18:00 h. Shift work is common in many occupations that directly affect the health and safety of others (e.g., protective services, transportation, healthcare), whereas quality of life, health, and safety during shift work and the commute home can affect workers in any field. Increasing evidence indicates that shift-work schedules negatively influence worker physiology, health, and safety. Shift work disrupts circadian sleep and alerting cycles, resulting in disturbed daytime sleep and excessive sleepiness during the work shift. Moreover, shift workers are at risk for shift work disorder (SWD). This review focuses on shift work and the assessment and management of sleepiness and sleep disruption associated with shift work schedules and SWD. Management strategies include approaches to promote sleep, wakefulness, and adaptation of the circadian clock to the imposed work schedule. Additional studies are needed to further our understanding of the mechanisms underlying the health risks of shift work, understanding which shift workers are at most risk of SWD, to investigate treatment options that address the health and safety burdens associated with shift work and SWD, and to further develop and assess the comparative effectiveness of countermeasures and treatment options.
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Chronic shift-workers are vulnerable to various diseases, including psychiatric disorders such as depression.
“For example, chronic shift-workers (workers with rotating schedules or consistent night shifts) are vulnerable to various diseases13,14, including psychiatric disorders such as depression15–19.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [19]
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Health consequences of shift work and insufficient sleep
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Self-citation
- Authors
- Wright, K. P., Bogan, R. K., & Wyatt, J. K.
- Affiliations
- University of Colorado Boulder (US)
- University of South Carolina (US)
- Rush University Medical Center (US)
- Corresponding author
- Wright, Kenneth P.
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2013-02
- Volume
- 17
- Issue
- 1
- Pages
- 41-54
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2013550926
- Semantic Scholar
- 6134975a9a731f1eaa5c259223b868c1b6f850d3
- Cited by
- 437
- References
- 123
- Citations by year
- 2026: 29 · 2025: 25 · 2024: 29 · 2023: 44 · 2022: 44 · 2021: 38 · 2020: 43 · 2019: 44 · 2018: 36 · 2017: 22 · 2016: 26 · 2015: 19 · 2014: 22 · 2013: 14 · 2012: 2
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Northwestern University
- 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, shift work disorder, circadian rhythm disruption, excessive daytime sleepiness, sleep disruption, sleep management, occupational health and safety, countermeasures
- MeSH terms
- Central Nervous System Stimulants, Caffeine, Circadian Rhythm, Homeostasis, Humans, Disorders of Excessive Somnolence, Hypnotics and Sedatives, Patient Education as Topic, Sleep Deprivation, Wakefulness, Health Behavior, Randomized Controlled Trials as Topic, Occupational Health, Sleep Disorders, Circadian Rhythm
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