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30.08.2019 | Psychiatrics • Review

Excessive sleepiness in shift work disorder: a narrative review of the last 5 years

verfasst von: Mariantonietta Savarese, Maria Caterina Di Perri

Erschienen in: Sleep and Breathing | Ausgabe 1/2020

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Abstract

Introduction

Shift work sleep disorder (SWSD), also known as shift work disorder (SWD), is a circadian rhythm sleep disorder characterized by insomnia and/or excessive sleepiness, associated with a recurring work schedule that overlaps the usual time designated for sleeping.

Purpose

This article aims to provide a narrative review of the pharmacological trials conducted on SWD in the last 5 years, to better address safety and health issues inherent to this disorder.

Methods

An electronic literature search was conducted using PubMed. All eligible randomized controlled trials (RCTs) and cross-over RCTs with employees undertaking shift work (including night shifts) were considered, yielding three articles.

Results

All three studies showed the efficacy of armodafinil in improving subjective and objective sleepiness, clinical conditions, and global functioning regardless of shift duration. Both performance and driving simulator performance tests administered during the night shift bore better results following armodafinil administration than after placebo. However, armodafinil only reduced subjective disability in individuals working more than 9 h; furthermore, even after armodafinil, alertness was reduced but not normalized.

Conclusion

These studies underscore the importance of preventing and/or minimizing disturbances due to shift work. This may be achieved through various strategies, such as the employer’s commitment to adopt ergonomic criteria in shift design and to implement work-environment interventions like controlled bright light. Health personnel is of pivotal importance to detect potential factors of intolerance to shift work or early symptoms of SWD. Additional and improved studies are needed to further evaluate the effectiveness and safety of both pharmacological and non-pharmacological interventions.

Campbell SS, Zulley J (1985) Ultradian components of human sleep/wake patterns during disentrainment. In: Schulz H, Lavie P (eds) Ultradian rhythms in physiology and behaviour. Springer-Verlag, Berlin, pp 234–256CrossRef

Micic G, Lovato N, Gradisar M, Ferguson SA, Burgess HJ, Lack LC (2016) The etiology of delayed sleep phase disorder. Sleep Med Rev 27:29–38. https://doi.org/10.1016/j.smrv.2015.06.004 CrossRefPubMed

Mistlberger R, Rusak B (1989) Mechanisms and models of the circadian timekeeping system. In: Kryger MH, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Saunders Company, Philadelphia, pp 141–152

Weaver D (1998) The suprachiasmatic nucleus: a 25-year retrospective. J Biol Rhythm 13:100–112. https://doi.org/10.1177/074873098128999952 CrossRef

Kume K, Zylka M, Sriram S et al (1999) mCRY1 and mCRY2 are essential components of the negative limb of the circadian clock feedback loop. Cell 98:193–205. https://doi.org/10.1016/s0092-8674(00)81014-4 CrossRefPubMed

Dinges DF (1989) The influence of the human circadian timekeeping system on sleep. In: Kryger MH, Roth T, Dement WC (eds) Principles and practice of sleep medicine. Saunders Company, Philadelphia, pp 153–162

Pickard G, Weber E, Scott P et al (1996) 5HT1BReceptor agonists inhibit light-induced phase shifts of behavioral circadian rhythms and expression of the immediate–early genec-fosin the suprachiasmatic nucleus. J Neurosci 16:8208–8220. https://doi.org/10.1523/jneurosci.16-24-08208.1996 CrossRefPubMedPubMedCentral

American Academy of Sleep Medicine (ed) (2014) International classification of sleep disorders 3rd ed. American Academy of Sleep Medicine, Darien, pp 215–219

Costa G (2010) Shift work and health: current problems and preventive actions. Saf Health Work 1:112–123. https://doi.org/10.5491/shaw.2010.1.2.112 CrossRefPubMedPubMedCentral

10.

Boivin DB, Boudreau P (2014) Impacts of shift work on sleep and circadian rhythms. Pathol Biol 62:292–301. https://doi.org/10.1016/j.patbio.2014.08.001 CrossRefPubMed

11.

Straif K, Baan R, Grosse Y, Secretan B, El Ghissassi F, Bouvard V et al (2007) Carcinogenicity of shift-work, painting, and fire-fighting. Lancet Oncol 8:1065–1066CrossRef

12.

Sletten TL, Ftouni S, Nicholas CL, Magee M, Grunstein RR, Ferguson S, Kennaway DJ, O’Brien D, Lockley SW, Rajaratnam SMW (2017) Randomised controlled trial of the efficacy of a blue-enriched light intervention to improve alertness and performance in night shift workers. Occup Environ Med 74:792–801. https://doi.org/10.1136/oemed-2016-103818 CrossRefPubMed

13.

James F, Cermakian N, Boivin D (2007) Circadian rhythms of melatonin, cortisol, and clock gene expression during simulated night shift work. Sleep 30:1427–1436. https://doi.org/10.1093/sleep/30.11.1427 CrossRefPubMedPubMedCentral

14.

Slanger T, Gross J, Pinger A et al (2016) Person-directed, non-pharmacological interventions for sleepiness at work and sleep disturbances caused by shift work. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.cd010641.pub2

15.

Puca F, Perrucci S, Prudenzano M et al (1996) Quality of life in shift work syndrome. Funct Neurol 11:261–268PubMed

16.

Auger RR, Burgess HJ, Emens JS, Deriy LV, Thomas SM, Sharkey KM (2015) Clinical practice guideline for the treatment of intrinsic circadian rhythm sleep-wake disorders:advanced sleep-wake phase disorder (ASWPD), delayed sleep-wake phase disorder (DSWPD), non-24-hour sleepwake rhythm disorder (N24SWD), and irregular sleep-wake rhythm disorder (ISWRD). J Clin Sleep Med 11(10):1199–1236CrossRef

17.

Liira J, Verbeek J, Costa G et al (2015) Pharmacological interventions for sleepiness and sleep disturbances caused by shift work. Sao Paulo Med J 133:67. https://doi.org/10.1590/1516-3180.20151331t1 CrossRefPubMed

18.

Harsh J, Yang R, Hull SG (2014) The impact of shift duration on the efficacy and tolerability of armodafinil in patients with excessive sleepiness associated with shift work disorder. Curr Med Res Opin 30:5–951. https://doi.org/10.1185/03007995.2014.884490 CrossRef

19.

Howard R, Roth T, Drake CL (2014) The effects of armodafinil on objective sleepiness and performance in a shift work disorder sample unselected for objective sleepiness. J Clin Psychopharmacol 34:369Y373. https://doi.org/10.1097/JCP.0000000000000136 CrossRef

20.

Drake C, Gumenyuk V, Roth T, Howard R (2014) Effects of armodafinil on simulated driving and alertness in shift work disorder. SLEEP 37(12):1987–1994CrossRef

21.

Dinges DF, Arora S, Darwish M, Niebler GE (2006) Pharmacodynamic effects on alertness of single doses of armodafinil in healthy subjects during a nocturnal period of acute sleep loss. Curr Med Res Opin 22:159–167CrossRef

22.

Åkerstedt T, Gillberg M (1990) Subjective and objective sleepiness in the active individual. Int Neurosci 52:29–37CrossRef

23.

Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth Sleepiness Scale Sleep 14(6):540—545,

24.

Chung F, Yegneswaran B, Liao P, Chung SA, Vairavanathan S, Khajehdehi A, Shapiro CM (2008) STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 108(5):812–821. https://doi.org/10.1097/ALN.0b013e31816d83e4) CrossRefPubMed

25.

Richardson GS, Carskadon MA, Flagg W, van den Hoed J, Dement WC, Mitler MM (1978) Excessive daytime sleepiness in man: multiple sleep latency measurements in narcoleptic and control subjects. Electroencephalogr Clin Neurophysiol 45:621–627CrossRef

26.

Sheehan DV (2008) Sheehan disability scale. In: Rush AJ, First MB, Blacker D (eds) Handbook of psychiatric measures. American Psychiatric Publishing Inc, Washington, pp 100–102

27.

Guy W (1976) CGI clinical global impressions. ECDEU assessment manual for psychopharmacology revised DHEW Publication pp 217-22

28.

American Psychiatric Association (2000) Global Assessment of Functioning (GAF) scale. In: First MB (ed) Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. American Psychiatric Association, Washington, p 34

29.

Drake CL, Roehrs TA, Burduvali E, Bonahoom A, Rosekind M, Roth T (2001) Effects of rapid versus slow accumulation of eight hours of sleep loss. Psychophysiology 38:979–987CrossRef

30.

Roehrs T, Zwyghuizen-Doorenbos A, Timms V, Zorick F, Roth T (1989) Sleep extension, enhanced alertness and the sedating effects of ethanol. Pharmacol Biochem Behav 34:321–324CrossRef

31.

Verster JC, Roth T (2012) Thirty years of Dutch drugs and driving research: strengths and limitations of the on-the-road highway driving test and future challenges. Curr Psychopharmacology 1:97–10

32.

Gupta N, Jang Y, Mednick SC, Huber DE (2012) The road not taken: creative solutions require avoidance of high-frequency responses. Psychol Sci 23:288–294CrossRef

33.

Erman K, Seiden DJ, Yang R, Dammerman R (2011) Efficacy and tolerability of armodafinil effect on clinical condition late in the shift and overall functioning of patients with excessive sleepiness associated with shift work disorder. JOEM 53(12):1460–1465. https://doi.org/10.1097/JOM.0b013e318237a17e CrossRefPubMed

34.

Lombardi DA, Folkard S, Willetts JL, Smith GS (2010) Daily sleep, weekly working hours, and risk of work-related injury: US National Health Interview Survey (2004-2008). Chronobiol Int 27:1013–1030CrossRef

35.

Hanecke K, Tiedemann S, Nachreiner F et al (1998) Accident risk as a function of hour at work and time of day as determined from accident data and exposure models from the German working population. Scand J Work Environ Health 24(Suppl 3):43–48PubMed

36.

Czeisler CA, Walsh JK, Wesnes KA, Arora S, Roth T (2009) Armodafinil for treatment of excessive sleepiness associated with shift work disorder: a randomized controlled study. Mayo Clin Proc 84(11):958–972CrossRef

37.

Gumenyuk V, Roth T, Drake CL (2012) Circadian phase, sleepiness, and light exposure assessment in night workers with and without shift work disorder. Chronobiol Int 29:928Y936CrossRef

38.

Durmer J, Dinges D (2005) Neurocognitive consequences of sleep deprivation. Semin Neurol 25(1):117–129CrossRef

39.

Burgess HJ, Reid KJ (2014) Keeping on the straight and narrow. SLEEP 37(12):1887–1888CrossRef

40.

Erman MK, Yang R, Seiden DJ (2012) The effect of armodafinil on patient-reported functioning and quality of life in patients with excessive sleepiness associated with shift work disorder: a randomized, double-blind, placebo-controlled trial. Prim Care Companion CNS Disord 14(4):PCC.12m01345. https://doi.org/10.4088/PCC.12m01345 CrossRefPubMedPubMedCentral

41.

Costa G, Pokorski J (1998) Effects on health and well-being. In: Marek T, Oginka H, Pokorski J, Costa G, Folkard S, eds Shift work 2000. Implications for science, practice and business Krakow: Institute of Management, Jagiellonian University, 2000; 71-97; Kogi K. International regulation on the organization of shift work. Scand J Work Environ Health 24 (Suppl. 3): 7–12

42.

Kim JH, Duffy JF (2018) Circadian rhythm sleep-wake disorders in older adults. Sleep Med Clin 13:39–50. https://doi.org/10.1016/j.jsmc.2017.09.004 CrossRefPubMed

43.

Booker LA, Magee M, Rajaratnam SMW, Sletten TL, Howard ME (2018) Individual vulnerability to insomnia, excessive sleepiness and shift work disorder amongst healthcare shift workers. Sleep Med Rev 41:220e233CrossRef

44.

Wickwire EM, Geiger-Brown J, Scharf SM, Drake CL (2017) Shift work and shift work sleep disorder: clinical and organizational perspectives. CHEST 151:1156–1172. https://doi.org/10.1016/j.chest.2016.12.007 CrossRefPubMed

45.

Harma M (2000) Circadian adaptation to shift work. A review. In: Hornberger S, Knauth P, Costa G, Folkard S (eds) shift work in the 21^st century. Peter Lang, Frankfurt, pp 125–130

46.

Czeisler CA, Moore-Ede MC, Coleman RM (1982) Rotating shift work schedules that disrupt sleep are improved by applying circadian principles. Science 217:460–463CrossRef

47.

Knauth P, Hornberger S (2003) Preventive and compensatory measures for shift workers. Occup Med 53:109–116. https://doi.org/10.1093/occmed/kqg049 CrossRef

48.

Costa G, Pokorski J (2000) Effects on health and well-being. In: Marek T, Oginka H, Pokorski J, Costa G, Folkard S (eds) Shift work 2000. Implications for science, practice and business. Institute of Management, Jagiellonian University, Krakow, pp 71–97

49.

Saito Y, Kogi K (1978) Psychological conditions of working night and subsequent day shifts with short sleep hours between them. Ergonomics 21:871

50.

Knauth P (1993) The design of shift systems. Ergonomics 36:15–28CrossRef

51.

Scafato E (2014) Health impact assessment. In: Garbarino S, Nobili L, Costa G (eds) Sleepiness and human impact assessment. Springer-Verlag, Milan, pp 1–6

52.

Magnavita N (2014) Industrial activities. In: Garbarino S, Nobili L, Costa G (eds) Sleepiness and human impact assessment. Springer-Verlag, Milan, pp 137–145CrossRef

53.

Veneziano M, Ricciardi W (2014) Economic impact: social welfare. In: Garbarino S, Nobili L, Costa G (eds) Sleepiness and human impact assessment. Springer-Verlag, Milan, pp 304–311

Titel: Excessive sleepiness in shift work disorder: a narrative review of the last 5 years
verfasst von: Mariantonietta Savarese
Maria Caterina Di Perri
Publikationsdatum: 30.08.2019
Verlag: Springer International Publishing
Erschienen in: Sleep and Breathing / Ausgabe 1/2020
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI: https://doi.org/10.1007/s11325-019-01925-0

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Excessive sleepiness in shift work disorder: a narrative review of the last 5 years

Abstract

Introduction

Purpose

Methods

Results

Conclusion

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Conclusion

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