SHIFT WORK DISORDER - myCME.com

SHIFT WORKDISORDERDo You Have Shift Work Disorder?Epworth Sleepiness ess Scale 1 Do you often feel tired or sleepy at work?Rate Your Chance of Dozing Off: Do you have difficulty sleeping? What are yoursleep times? What are yourwork hours? What are yoursleep times on off-days? Do you often struggle to stay awake, or have youever fallen asleep while driving to or fromwork?Do you often have difficulty with your concentration,memory,or ability to pay attention?0 =None; 1 = Slight; 2 = Moderate; 3 = HighSituationChance of Dozing OffSitting and readingWatching TVSitting inactive in a public place(eg, in a theater or at a meeting)As a passenger in a car for an hour withouta breakLyingdown to rest in the afternoon whencircumstances permitSitting and talking to someoneSitting quietly after a lunch without alcohollIn a car while stopped for a few minutes intrafficfic*ESS score10 indicates excessive sleepiness 2 ;ESS = Epworth Sleepiness Scale.1. Johns MW.Sleep. 1991;14:540-545.2. Panossian LA, Avidan AY. Med Clin North Am. 2009;93:407-425.425.If you work a shift that involves ves a noncon-ventional sleep-wake schedule e (before 7 AMor after 7 PM) and have excessive sive sleepinessand/or insomnia for1 month, you may haveShift Work Disorder.How Managing aging Shift Work Disorder Can Enhance Your Quality of LifeIf you do shiftwork or have Shift Work Disorder,you are at increased risk for:– Mood disorders* rs* 1– Cardiovascular and–Depression †2 metabolic dysfunction* 4,5– Ulcers †2– Stroke* 6GI disturbances* s* 3– Cancer* 7-9You accidents, are also at a higher risk for 2Friin-juries, 10 and poor work performance 1Satrelated to6 7 8 9 10 11 12 1 2excessive sleepiness and mental fatigue.Shift workPMMidnightdisorder can also have a negative effecton yourMorgenthaler er T,et al.Sleep. 2007;30(11):1445-1459.personal relationships and may increaseyour risk*Shift work; †SWD.of a motor vehicle accident. 111. Smith MEffectivelymanaging your shift workdisorderand getting proper sleep canimprove your quality of life, includingyour health, functioning, and safety—at work,at home, and on theroad.Sleep/Wakee LogIn bedOut of bedLights out; trying to sleepAsleepSunMonTuesWedThurs6 7 8 9 10 11 12 1 2 34567891011121234PM Midnight AMNoon1. Smith MR, et al. Sleep. 2009;32:1481-1489.2. Drake CL, et al.Sleep. 2004;27:1453-1462.3. Zhen LuuW,et al. Eur J Gastroenterol Hepatol. . 2006;18:623-627.627.4. BøggildH, et al. Scand J Work Environ Health. 1999;25(2):85-99.5. MartinoTA, Sole MJ. Circ Res. 2009;105:1047-1061.6. Brown DL, et al. Am J Epidemiol. . 2009;169:1370-1377.377.7. HansenJ.Epidemiology. . 2001;12:74-77.8. Davis S,et al. J Natl Cancer Inst. . 2001;93:1557-1562.9. Kubo T,et al.Am J Epidemiol. . 2006;164:549-555.10. Folkard S, Tucker P.Occup Med. . 2003;53:95-101.11. Akerstedt T,Peters B, Anund A, et al. J Sleep Res. 2005;14:14-20.