Autoimmune Disorders
Substance Use Disorders Affecting Sleep
REM Sleep Behavior Disorder
Fatigue
Insufficient Sleep and Sleep Deprivation
Stages of Sleep
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Updated: Jan 20, 2026

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
Published on: August 8, 2019
Mark R Zielinski1,2, David M Systrom3,4, Noel R Rose5
1Veterans Affairs Boston Healthcare System, Boston, MA, United States.
Autoimmune diseases cause profound fatigue due to inflammation and central nervous system effects. Understanding these mechanisms is key to managing debilitating exhaustion in conditions like lupus and multiple sclerosis.
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