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Contemporary Reviews in Sleep Medicine |

Shift Work and Shift Work Sleep Disorder: Clinical and Organizational Perspectives

Emerson M. Wickwire, PhD; Jeanne Geiger-Brown, PhD; Steven M. Scharf, MD, PhD; Christopher L. Drake, PhD
Author and Funding Information

Conflicts: Dr. Wickwire has moderated non-commercial scientific discussion for Merck and is an equity shareholder in WellTap. Dr. Geiger-Brown has no conflicts to disclose. Dr. Scharf has no conflicts to disclose. Dr. Drake has received research support from Teva, Jazz, Eisai, Actelion, Pernix, Aladdin Dreamer, Inteliclinic, and Merck and has served on the speaker bureau for Merck.

1Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD

2Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD

3School of Health Professions, Stevenson University, Stevenson, MD

4Sleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016. doi:10.1016/j.chest.2016.12.007
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Abstract

Throughout the industrialized world, nearly one in five employees works some form of non-traditional shift. Such shift work is associated with numerous negative health consequences, ranging from cognitive complaints to cancer, as well as diminished quality of life. Further, a substantial percentage of shift workers develop shift work disorder (SWD), a circadian rhythm sleep disorder characterized by excessive sleepiness, insomnia, or both as a result of shift work. In addition to adverse health consequences and diminished quality of life at the individual level, SWD incurs significant costs to employers through diminished workplace performance and increased accidents and errors. Nonetheless, shift work will remain a vital component of the modern economy. This article reviews seminal and recent shift work literature, with an eye toward real-world application in clinical and organizational settings.


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