Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-25T02:14:38.562Z Has data issue: false hasContentIssue false
  • English
  • Français

Sleep and wake disorders in shift workers. Part II: Prevention and treatment strategies

Published online by Cambridge University Press:  18 September 2015

J. De Roeck ,
R. Cluydts  and
B. Leroy
J. De Roeck*
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
R. Cluydts
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
B. Leroy
Affiliation:
Centrum voor Klinisch Slaaponderzoek en Dienst Psychiatrie, Universitair Ziekenhuis en Universitaire Instelling Antwerpen
*
Centrum voor Klinisch Slaaponderzoek, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2520 Edegem, België
Get access Rights & Permissions [Opens in a new window]

Summary

The present review deals with preventive and treatment strategies for sleep and wake disorders, and the other problems of shift workers. Management must take into account the direction, speed and other parameters of the rotation schedule. Good sleep-wake hygiene may alleviate the problems. Further, additional napping may compensate – at least partially – for sleep deprivation and fatigue. Hypnotics must be avoided as much as possible. Finally, new techniques for manipulation of circadian rhythms are discussed: light, melatonin and benzodiazepines.

Keywords

shift worksleep disorderstreatmentrotationhypnoticscircadian rhythmlightmelatoninbenzodiazepinesploegenarbeidslaapstoornissenbehandelingrotatiehypnoticacircadiane ritmieklichtmelatoninebenzodiazepinen
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 2 , Issue 1 , March 1990 , pp. 18 - 23
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literatuur

1.Taylor, PJ. The effects of shift work on health. Ind Med Surg 1973;42:13–9.Google Scholar
2.Folkard, S, Minors, DS. Waterhouse, JM. Chronobiology and shift work: current issues and trends. Chronobiologia 1985; 12:31–54.Google ScholarPubMed
3.Czeisler, CA, Allan, JS. Pathologies of the sleep-wake schedule. In: Williams, RL, Karacan, I, Moore, CA, eds. Sleep Disorders, Diagnosis and treatment. New YorkJ Wiley, 1988:109–29.Google Scholar
4.Carpentier, J, Cazamian, P. Night work. Geneve, International Labour Office, 1977.Google Scholar
5.Reinberg, A, Andlauer, P, Vieux, N. Tolerance du travail posté: une approche chronobiologique. Tra Humain 1981; 44:55–69.Google Scholar
6.Rutenfranz, J, Haider, M, Koller, M. Occupational health measures for night workers and shift workers. In: Folkard, S, Monk, TH, eds. Hours of Work. Chichester J. Wiley, 1985:199–210.Google Scholar
7.Czeisler, A, Moore-Ede, MC, Coleman, RM. Rotating shift work schedules that disrupt sleep are improved by applying circadian principles. Science 1982; 217:460–3.CrossRefGoogle ScholarPubMed
8.Akerstedt, T. Sleepiness as a consequence of shift work. Sleep 1988; 11:17–34.CrossRefGoogle ScholarPubMed
9.Maasen, A, Meers, A, Verhaegen, P. Quantitative and qualitative aspects of sleep in young self-selected four-shift workers. Int Arch Occup Environ Health 1980; 45:81–6.CrossRefGoogle ScholarPubMed
10.Baker, D. The use and health consequences of shift work. Int J Health Serv 1980; 10:405–20.CrossRefGoogle ScholarPubMed
11.Akerstedt, T. Shifted sleep hours. Ann Clin Res 1985; 17:273–9.Google ScholarPubMed
12.Michaels, HE. Night shift work. Ann Emerg Med 1984; 13:201–2.CrossRefGoogle ScholarPubMed
13.Minors, DS. Waterhouse, JM. Stabilizing rhythms on irregular schedules. J Physiol (Lond) 1980;298:31–2.Google ScholarPubMed
14.Kogi, K. Sleep problems in night and shift work. J Hum Ergol 1982;11:217–31.Google ScholarPubMed
15.Koopmans, R. Jet lag: wat is het en wat doe je eraan? Ned Tijdschr Geneesk 1989; 133:430–2.Google Scholar
16.Seidel, WF, Roth, T. Roehrs, T. Zorick, F, Dement, WC. Treatment of a 12-hour shift of sleep schedule with benzodiazepines. Science 1984; 224:1262–4.CrossRefGoogle ScholarPubMed
17.Walsh, JK, Muehlbach, MJ. Schweitzer, PK. Acute administration of triazolam for the davtime sleep of rotating shift workers. Sleep 1984;7:223–9.CrossRefGoogle ScholarPubMed
18.Walsh, JK, Sugerman, JL. Muehlbach, MJ. Schweitzer, PK. Physiological sleep tendency on a simulated night shift: adaptation and effects of triazolam. Sleep 1988; 11:251–64.CrossRefGoogle ScholarPubMed
19.Nicholson, AN, Pascoe, PA. Roehrs, T, et alSustained performance with short evening and morning sleeps. Aviat Space Environ Med 1985: 56:105–14.Google ScholarPubMed
20.Monk, TH. The circadian clock in relation to sleep disorders (Monograph). Kalamazoo. Michigan: The Upjohn Company, 1987.Google Scholar
21.Eastman, CI. Bright light in work-sleepschedules for shift workers: application of circadian rhythm principles. In: Rensing, L, Van der Heiden, U. Mackey, MC, eds. Temporal disorder in human oscillatorv systems. Berlin: Springer-Verlae. 1987; 176–85.CrossRefGoogle Scholar
22.Petrie, K, Conaglen, JV. Thompson, L. Chamberlain, K. Effect of melatonin on jet lae after lone haul flights. Br Med J 1989; 298:705–7.23.CrossRefGoogle Scholar
23.Turek, FW. Losee-Olson, S. A benzodiazepine used in the treatment of insomnia phase-shifts the mammalian circadian clock. Nature 1986;321:167–8.CrossRefGoogle ScholarPubMed
24.Turek, FW, Losee-Olson, S. The circadian rhythm of LH release can be shifted by injections of a benzodiazepine in female golden hamsters. Endocrinology. 1988; 122:7456–8.CrossRefGoogle ScholarPubMed
25.Turek, FW, Losee-Olson, S. Dose response curve for the phase shifting effect of triazolam on the mammalian circadian clock. Life Sci 1987:40:1033–8.CrossRefGoogle ScholarPubMed
26.Van Reeth, O. Vanderhaeghen, JJ. Turek, FW. A benzodiazepine antagonist. Ro 15-1788. can block the phase shifting effects of triazolam on the mammalian circadian clock. Brain Res 1988; 444:333–9.CrossRefGoogle ScholarPubMed
27.Van Reeth, O. Turek, FW. Adaptation of circadian rhythmicity to a shift in the light-dark cycle can be accelerated by a benzodiazepine. Am J Physiol 1987; 253:204–7.Google ScholarPubMed
28.Van Cauter, E. Van Ombergen, A, Bosson, D. Copinschi, G. Triazolam accelerates the adaptation of the circadian rhythm of Cortisol to an 8-hour delay of the sleep wake cycle in man (abstract). Neurosci Abstr 1987; 13:1039.Google Scholar