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Sleep Loss and Fatigue in Shift Work and Shift Work Disorder.
Stockholm University, Faculty of Social Sciences, Stress Research Institute.
2009 (English)In: Sleep medicine clinics, ISSN 1556-4088, Vol. 4, no 2, 257-271 p.Article in journal (Refereed) Published
Abstract [en]

Shift work is highly prevalent in industrialized societies (>20%) but, when it includes night work, it has pronounced negative effects on sleep, subjective and physiological sleepiness, performance, accident risk, as well as on health outcomes such as cardiovascular disease and certain forms of cancer. The reason is the conflict between the day oriented circadian physiology and the requirement for work and sleep at the "wrong" biological time of day. Other factors that negatively impact work shift sleepiness and accident risk include long duration shifts greater than 12 hours and individual vulnerability for phase intolerance that may lead to a diagnosis of shift work disorder; i.e., those shift workers with the greatest sleepiness and performance impairment during the biological night and insomnia during the biological day. Whereas some countermeasures may be used to ameliorate the negative impact of shift work on nighttime sleepiness and daytime insomnia (combined countermeasures may be the best available), there seems at present to be no way to eliminate most of the negative effects of shift work on human physiology and cognition.

Place, publisher, year, edition, pages
2009. Vol. 4, no 2, 257-271 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:su:diva-42134DOI: 10.1016/j.jsmc.2009.03.001PubMedID: 20640236Local ID: P2804OAI: diva2:344075
Available from: 2010-08-17 Created: 2010-08-17 Last updated: 2010-08-18Bibliographically approved

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