Shift Work Disorder: Overview and Diagnosis
Abstract
Shift work disorder is a type of sleep disorder that occurs when an individual is unable to successfully synchronize his or her internal clock with a work schedule that requires staying awake and working when it is dark and sleeping when it is light. Approximately 10% of shift workers suffer from this disorder, which seriously impairs their ability to function. Shift work disorder is associated with increased risk of gastrointestinal problems, cancer, depression, heart disease, excessive sleepiness and accidents, and decreased productivity. This report describes the prevalence, diagnostic criteria, differential diagnosis, and clinical consequences of shift work disorder to help clinicians recognize this impairing condition.
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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 [18]
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“3) Circadian rhythm sleep disorders Circadian rhythm sleep disorders are problems with sleep characterized by an inability to sleep at the desired time, rather than a dysfunction with the underlying mechanisms generating sleep [68-72].”
BackgroundThe Effects of Light and the Circadian System on Rhythmic Brain Function
von Gall, C. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23052778 · Cited by 79 · see citing works
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“In the long term, workers may develop shift work disorder and a variety of other physical and mental health-related problems (Roth, 2012; Wright et al., 2013).”
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“…literature regarding the role of these stressors in inducing other sleep disorders among long-haul truck drivers, many of these factors and outcomes are associated with sleep disorders in other populations (Merlino and Gigli, 2012; Mysliwiec et al., 2014; Roth, 2012; Sack et al., 2007a,b).”
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“Typically, sleep disorders are the most common in about 10% of shift workers as they find difficulty in synchronizing their internal clock with a reversed work schedule (Roth, 2012).”
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How Light Resets Circadian Clocks
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“Studies confirm that the incidence of diseases of the digestive system is several times greater in workers working on night shifts than in the rest of the staff [14, 21, 27, 32, 35, 36].”
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“This can lead to increased accident rates and decreased efficiency at work (Rajaratnam, Barger et al. 2011; Roth 2012).”
Background
- Authors
- Roth, T.
- Affiliations
- Henry Ford Hospital (US)
- Corresponding author
- Roth, Thomas
- ORCID
- Roth, Thomas
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2012-03-15
- Volume
- 73
- Issue
- 03
- Pages
- e09
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2002253790
- Cited by
- 21
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2016: 4 · 2015: 1 · 2014: 2 · 2013: 3
- FWCI
- 2.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (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 disorder, circadian rhythm sleep disorders, shift work, sleep disorders, prevalence, diagnostic criteria, differential diagnosis, clinical consequences, excessive sleepiness, cancer risk, depression
- MeSH terms
- Diagnosis, Differential, Humans, United States, Comorbidity, Sleep Disorders, Circadian Rhythm
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