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Shift work sleep disorder and jet lag 

Shift work sleep disorder and jet lag
Chapter:
Shift work sleep disorder and jet lag
Author(s):

Vivek Pillai

, and Christopher L. Drake

DOI:
10.1093/med/9780199682003.003.0021
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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.

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