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Updated: Jun 17, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
08:36

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

Published on: August 8, 2019

Managing the patient with shift-work disorder.

Michael J Thorpy1

  • 1Sleep-Wake Disorders Center, Montefiore Medical Center, Bronx, NY, USA.

The Journal of Family Practice
|January 16, 2010
PubMed
Summary
This summary is machine-generated.

Behavioral strategies and light therapy can improve sleep quality for shift workers with shift-work disorder (SWD). Pharmacological treatments like modafinil and melatonin may also help manage excessive sleepiness (ES) in SWD.

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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Through-the-Wall Blood Sampling Method to Minimize Sleep Disruption in Clinical Settings
06:39

Through-the-Wall Blood Sampling Method to Minimize Sleep Disruption in Clinical Settings

Published on: June 13, 2025

Area of Science:

  • Sleep Medicine
  • Circadian Biology
  • Occupational Health

Background:

  • Shift work disrupts circadian rhythms, leading to sleep disturbances like insomnia and excessive sleepiness (ES).
  • Shift-work disorder (SWD) significantly impacts the health and safety of affected individuals.
  • Non-pharmacological and pharmacological interventions are crucial for managing SWD.

Purpose of the Study:

  • To review and synthesize current evidence on managing sleep disturbances in shift workers with SWD.
  • To highlight the efficacy of behavioral interventions, light therapy, and pharmacotherapy for SWD.
  • To identify areas for future research in SWD management.

Main Methods:

  • Literature review of studies on shift work, sleep disorders, and SWD treatments.
  • Analysis of behavioral interventions including exercise, sleep hygiene, and napping strategies.
  • Evaluation of chronobiological approaches like bright light therapy.
  • Assessment of pharmacological agents including wakefulness-promoting agents and melatonin.

Main Results:

  • Behavioral interventions like exercise and improved sleep hygiene enhance sleep quality and reduce ES in shift workers.
  • Strategic napping and caffeine consumption can mitigate ES, particularly before shifts.
  • Bright light therapy shows promise for re-entraining circadian rhythms in night-shift workers with SWD.
  • Armodafinil and modafinil are FDA-approved for ES in SWD, offering effective treatment options.
  • Melatonin may aid sleep during rest periods, but further research in SWD is needed.

Conclusions:

  • A multimodal approach combining behavioral strategies, light therapy, and pharmacotherapy is recommended for comprehensive SWD management.
  • Individualized treatment plans are essential to address the diverse needs of patients with SWD.
  • Further research is warranted to optimize the use of melatonin and other sleep-promoting agents in SWD.