Shift Work Disorder
Understanding and Treating Sleep Problems from Shift Work
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Abstract
Shift work disorder (SWD) affects individuals' ability to align their internal clocks with their work schedules.
- SWD occurs when individuals are unable to sleep during typical nighttime hours and must stay awake during dark periods.
- A thorough sleep history and sleep diary are recommended for assessing SWD in patients.
- Conditions that may commonly occur alongside SWD include sleep apnea, restless legs syndrome, depression, anxiety disorders, and chronic fatigue.
- The main objective of treating SWD is to minimize circadian misalignment to promote better sleep and alertness.
- Nonpharmacologic strategies, such as melatonin and light therapy, should be considered before medications for sleep and alertness.
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