SHIFT WORK DISORDER - myCME.com

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Patient Health Questionnaire (PHQ-9) for DepressionOver the last 2 weeks, how often have you beenbothered by any of the following problems?(use “3” to indicate your answer)1. Little interest or pleasure in doing things2. Feeling down, depressed, or hopeless3. Trouble falling or staying asleep,or sleeping too much4. Feeling tired or having little energy5. Poor appetite or overeating6. Feeling bad about yourself - or thatyou are a failure or have let yourselfor your family down7. Trouble concentrating on things, such as reading thenewspaper or watching televisionNot at allSeveral daysMore than halfthe days0 1 2 30 1 2 30 1 2 30 1 2 30 1 2 30 1 2 30 1 2 3Nearly every day8. Moving or speaking so slowly that other people couldhave noticed. Or the opposite - being so fidgetyor restless that you have been moving around a lotmore than usual0 1 2 39. Thoughts that you would be better off dead,or of hurting yourself in some way0 1 2 3Add colums + +(Healthcare professional: For interpretation of TOTAL,please refer to ac<strong>com</strong>panying scoring card.)TOTAL:10. If you checked off any problems, howdifficult have these problems made it foryou to do your work, take care of thingsat home, or get along with other people?Not difficult at allSomewhat difficultVery difficultExtremely difficultSpitzer RL, et al. JAMA. 1999;282:1737-1744.
Insomnia Severity IndexPlease answer each of the questions below by circling the number that best describes your sleep patterns in the past week.Please answer all questions.Please rate the current (past week’s) SEVERITY of your insomnia problem(s): None Mild Moderate SevereVerySevereDifficulty falling asleep 0 1 2 3 4Difficulty staying asleep 0 1 2 3 4Problem waking up too early 0 1 2 3 4How SATISFIED/DISSATISFIED are you with your current sleep pattern?VerySatisfied0Satisfied1Neutral2Dissatisfied3VeryDissatisfied4To what extent do you consider your sleep problem to INTERFERE with yourdaily functioning (eg, daytime fatigue, ability to function at work/daily chores,concentration, memory, mood, etc)?Not at AllInterfering0ALittle1Somewhat2Much3Very MuchInterfering4How NOTICEABLE to others do you think your sleeping problem is in terms ofimpairing the quality of your life?Not at AllNoticeable0ALittle1Somewhat2Much3Very MuchNoticeable4How WORRIED/DISTRESSED are you about your current sleep problem?Not at AllWorried0ALittle1Somewhat2Much3Very MuchWorried4Total:Doghramji K. Am J Manag Care. 2006;12:S214-S220.Used with permission from Morin CM. Insomnia: Psychological Assessment and Management. New York, NY: Guilford Press; 1993.
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Shift-work disorderFigure 3 Blood p
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Recognition of shift-workdisorder i
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Shift-work disorderThe timing of sh
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Shift-work disorderthe other potent
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Managing the patient withshift-work
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Shift-work disorderFigure 3 Optimal
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Shift-work disorderfor a motor vehi
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Shift-work disordermoderate caffein
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Supplement toAvailable at jfponline
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Armodafinil for Treatment of Excess
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The Epidemiology and Diagnosis of I
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CIRCADIAN RHYTHM SLEEP DISORDERSPra
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Table 2— AASM Levels of Recommend
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3.2.1.1 Both the Morningness-Evenin
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Five studies used one of the newer
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as an indicator of phase in sighted
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4.4 Advanced Sleep Phase DisorderBe
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45. Walsh, JK, Randazzo, AC, Stone,
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123. Van Someren, EJ, Kessler, A, M
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Table 1—Subject Demographicsn M:F
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Scale. 28 The simple reaction time
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Median RT (msec)1600A14001200100080
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10Mentally AExhaustedSharpScore8642
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Current Treatment Options in Neurol
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398 Sleep Disordersand sleep loss,
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400 Sleep DisordersTable 1. Treatme
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402 Sleep DisordersStandard dosageC
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404 Sleep DisordersStandard procedu
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406 Sleep DisordersCaffeineMelatoni
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408 Sleep DisordersWake-promoting a
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410 Sleep Disordersnight shift: ada
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