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Sleep and wake disorders in shift workers. Part I: Prevalence, clinical phenomena and pathogenesis

Published online by Cambridge University Press:  18 September 2015

J. De Roeck*
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
M. Van Steenkiste
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
R. Cluydts
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
*
Centrum voor Klinisch Slaaponderzoek, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2520 Edegem, België

Summary

The present review summarizes the prevalence, clinical phenomena, and pathogenesis of sleep and wake disorders in shift workers. Insomnia and hyper-somnolence occur in more than 50% of shift workers, mainly in association with the night shift. Circadian rhythm disruption is the major determinant of these disorders. Furthermore they are frequently associated with psycho-social problems and somatic diseases. In more than 20% of the shift workers problems are so pronounced, that they fail to adapt to the rotating schedules. This is defined as ‘shift maladaptation syndrome’.

Type
Research Article
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1990

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References

Literatuur

1.Danchik, KM, Schoenborn, CA, Elinson, J Jr.Basic data from wave 1 of the national survey of personal health practices and consequences; United States-1979. Hyattsville, MD: US Publio Health Service, 1981; DHHS publication no (PHS) 81-1162.Google Scholar
2.De Keyzer, V. Travail posté at rythmes circadiens. In: Livre-Catalogue de l'exposition ‘Le temps. Des milliards d'années au milliardieme de seconde’. Liege: Maison de la Science, 1984: 116–8.Google Scholar
3.Loskant, H. Der Einfluss verschiedener Schichtformen auf die Gesundheit und das Wohlbefinden des Wechselschichtarbeiters. Zbl Arb Med Arb Sch 1970; 20:133–44.Google Scholar
4.Barhard, B, Pafnote, M. Contributions à l'étude du travail en Gquipes alternantes. Trav Humain 1970; 33:119.Google Scholar
5.Moore-Ede, MC, Richardson, GS. Medical implications of shiftwork. Ann Rev Med 1985; 36:607–17.CrossRefGoogle ScholarPubMed
6.Monk, TH. Shift Work. In: Kryger, MH, Roth, T, Dement, WC, eds. Principles and practice of sleep medicine. Philadelphia: W B Saunders, 1989:332–7.Google Scholar
7.Akerstedt, TShifted sleep hours. Ann Clin Res 1985; 17:273–9.Google ScholarPubMed
8.Akerstedt, T, Torsvall, L. Age, sleep and adjustment to shift work. In: Koella, W, ed. Sleep 1980. Basel, Karger, 1981:190–5.Google Scholar
9.Reinberg, A, Andlauer, P, Guillet, P, et al.Oral temperature, circadian rhythm amplitude, aging and tolerance to shift work. Ergonomics 1980;23:5564.CrossRefGoogle ScholarPubMed
10.Matsumoto, K, Yusuke, M. Effects of nighttime nap and age on sleep patterns of shift workers. Sleep 1987; 10:580–9.Google ScholarPubMed
11.Knauth, P, Rutenfranz, J, Schulz, H, et al.Experimental Shift work studies of permanent night, and rapidly rotating, shift systems. II. Behaviour of various characteristics of sleep. Int Arch Occup Environ Health 1980;46:111–25.CrossRefGoogle ScholarPubMed
12.Walsh, JK, Tepas, DI, Moss, PD. The EEG sleep of night and rotating shift workers. In: Johnson, L, ed. Biological Rhythms, sleep and shift work; advances in sleep research. New York: Spectrum, 1981:371–81.Google Scholar
13.Akerstedt, T. Sleepiness as a consequence of shift work. Sleep 1988; 11:1734.CrossRefGoogle ScholarPubMed
14.Folkard, S, Condon, R, Herbert, M. Night shift paralysis. Experientia 1984;40:510–2.CrossRefGoogle ScholarPubMed
15.Mitler, MM, Carskadon, MA, Czeisler, CA, Dement, WC, Dinges, DF, Graeber, RC. Catastrophes, sleep and public policy: consensus report. Sleep 1988; 11:100–9.CrossRefGoogle ScholarPubMed
16.Agervold, M. Shiftwork-a critical review. Scand J Psychol 1976; 17:181–8.CrossRefGoogle ScholarPubMed
17. Anonymous. Rotating shift work causes many problems. Occup Health Saf 1978; 47:21.Google Scholar
18.Nakano, Y, Miura, T, Hara, I, et al.The effect of shift work on cellular immune function. J Hum Ergol 1982; 11 (suppl): 131–7.Google ScholarPubMed
19.Olson, CM. Shift work. J Emerg Med 1984;2:3743.CrossRefGoogle ScholarPubMed
20.Kolmodin-Hedman, B. Shift work in women and in elderly persons. J Hum Ergol 1982; 11 (suppl):447–56.Google ScholarPubMed
21.Shock, NW. Systems Integration. In: Finch, CE, Hayflick, I, eds. Handbook of the biology of aging. New York: Van Nostrand Reinhold, 1977:639–65.Google Scholar
22.Reinberg, A, Andlauer, P, De Prins, J, Malbecq, W, Vieux, N, Bourdeleau, P. Desynchronization of the oral temperature rhythm and intolerance to shift work. Nature 1984; 308:272–4.CrossRefGoogle ScholarPubMed
23.Andlauer, P, Reinberg, A, Fourré, L, Battle, W, Duverneuil, G. Amplitude of the oral temperature circadian rhythm and the tolerance to shift work. J Physiol (Paris) 1979;75:507–12.Google ScholarPubMed
24.Folkard, S, Minors, DS, Waterhouse, JM, Chronobiology and shift work: current issues and trends. Chronobiologia 1985; 12:3154.Google ScholarPubMed
25.Moore-Ede, MC, Czeisler, CA, Richardson, GS. Circadian timekeeping in health and disease. Part I Basic properties of circadian pacemakers. N Engl J Med 1983; 309:468–76.Google ScholarPubMed
26.Minors, DS, Waterhouse, JM. Masking in humans: the problem and how to solve it. Chronobiol Internat 1989; 6:2953.CrossRefGoogle Scholar
27.Akerstedt, T. Adjustment of physiological circadian rhythms and the sleep-wake cycle to shiftwork. In: Folkard, S, Monk, TH, Eds. Hours of Work-temporal factors in work scheduling. New York: J Wiley and Sons, 1985:199210.Google Scholar
28.Czeisler, CA, Weitzman, ED, Moore-Ede, MC, Zimmerman, JC. Knauer, RS. Human sleep: its duration and organization depend on its circadian phase. Science 1980; 210:1264–7.CrossRefGoogle ScholarPubMed
29.Daan, S, Beersma, DGM, Borbely, AA. Timing of human sleep: recovery process gated by a circadian pacemaker. Am J Physiol 1984; 246:R161–78.Google ScholarPubMed
30.Wilkinson, RT. Sleep deprivation. In: Edholm, OG, Bacharach, AL, eds. The physiology of human survival. New York: Academic Press, 1965: 399430.Google Scholar