From the Insomnia and Sleep Research Program Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
J Clin Psychiatry. 2012 Aug;73(8):e25. doi: 10.4088/JCP.11073br4.
Shift work disorder (SWD) is a circadian rhythm sleep disorder characterized by insomnia and excessive sleepiness. SWD, which is estimated to affect 10% of people who work night or rotating shifts, can have serious consequences such as accidents, loss of productivity, and depression. By enlisting the support of family, identifying and treating comorbid sleep disorders, and appropriately timing light and dark exposure (supplemented by melatonin), clinicians can help many shift workers improve their ability to sleep, maintain wakefulness, and possibly decrease other adverse effects of shift work. More aggressive treatment strategies and referral to a sleep specialist should be considered for patients who do not respond to these simple measures.
轮班工作障碍（SWD）是一种昼夜节律睡眠障碍，其特征是失眠和过度嗜睡。据估计，SWD 影响了 10%的上夜班或轮班工作的人，可能会导致严重后果，如事故、生产力下降和抑郁。通过争取家庭的支持、识别和治疗合并的睡眠障碍，以及适当调整明暗暴露时间（辅以褪黑素），临床医生可以帮助许多轮班工人提高睡眠能力、保持清醒，并可能减少轮班工作的其他不良影响。对于那些对这些简单措施没有反应的患者，应考虑更积极的治疗策略和转介给睡眠专家。
