Show Summary Details
Page of

Shift work sleep disorder and jet lag 

Shift work sleep disorder and jet lag
Shift work sleep disorder and jet lag

Vivek Pillai

, and Christopher L. Drake

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 30 November 2020

Some of the most devastating catastrophes in the modern world, such as the Chernobyl and Three Mile Island nuclear accidents, the Bhopal gas tragedy, and the Exxon Valdez oil spill, occurred during the night shift. These incidents serve as a painful reminder of the high individual and societal costs associated with sleep–wake schedules that oppose the endogenous physiological regulation of sleep and wakefulness across the 24-hour day. Insomnia-like symptoms during the sleep period and excessive sleepiness during the wake period are among the most common consequences of such circadian misalignment, and form the basis of shift work sleep disorder (SWD). Rapid jet travel across multiple time zones can similarly disrupt circadian synchrony, and trigger a variety of adverse health outcomes, including sleep disturbance, impaired wakefulness, and gastrointestinal complications. This chapter reviews the state of the science on SWD and jet lag, with a special emphasis on clinical evaluation and management.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.