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Interactive Exchange

Improving the Management of Shift Work Disorder

Practical Diagnostic and Tailored Treatment Strategies

Meeting Slides

Tools

Epworth Sleepiness Scale

The Epworth Sleepiness Scale (ESS) is a self-administered questionnaire that quantifies an individual’s general level of sleepiness. The total ESS score can range between 0 and 24. A score >12 indicates a significant amount of sleepiness.
Johns MW. Sleep. 1991; 14(6):540-545.

National Sleep Foundation Sleep Diary

The National Sleep Foundation’s sleep diary can help individuals and clinicians track and evaluate sleep habits and trends.
http://sleepfoundation.org/content/nsf-official-sleep-diary

Insomnia Severity Index

The Insomnia Severity Index is a validated instrument used to assess insomnia and response to treatment. A score of 8 to 14 indicates subthreshold insomnia while a score of >15 indicates clinical insomnia.
Morin CM, et al. Sleep. 2011; 34(5):601-608.

Guidelines

International Classification of Sleep Disorders Diagnostic and Coding Manual, Second Edition (ICSD-2)

American Academy of Sleep Medicine. 2005; Westchester, IL.

Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report

Morgenthaler TI, et al. Sleep. 2007;30(11):1445-1459.

Suggested Readings

Validation of a questionnaire to screen for shift work disorder

Barger LK, et al. Sleep. 2012;35(12):1693-1703.

Armodafinil for treatment of excessive sleepiness associated with shift work disorder: a randomized controlled study

Czeisler CA, et al. Mayo Clin Proc. 2009;84(11):958-972.

Stability, precision, and near-24-hour period of the human circadian pacemaker

Czeisler CA, et al. Science. 1999;284(5423):2177-2181.

The impact of shift duration on the efficacy and tolerability of armodafinil in patients with excessive sleepiness associated with shift work disorder

Harsh J, et al. Curr Med Res Opin. 2014 Feb 4;[Epub ahead of print].

Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An American Academy of Sleep Medicine report

Morgenthaler TI, et al. Sleep. 2007;30(11):1445-1459.

The impact of the circadian timing system on cardiovascular and metabolic function

Morris CJ, et al. Prog Brain Res. 2012;199:337-358.

Is shift work making your patient sick? Emerging theories and therapies for treating shift work disorder

Rosenberg R, Doghramji PP. Postgrad Med. 2011;123(5):106-115.

Excessive sleepiness: under-recognized and essential marker for sleep/wake disorder management

Roth T, et al. Curr Med Res Opin. 2010;26 (suppl 2):S3-S24.

Shift work disorder: overview and diagnosis

Roth T. J Clin Psychiatry. 2012;73(3):e09.

The impact of sleep timing and bright light exposure on attentional impairment during night work

Santhi N, et al. J Biol Rhythms. 2008;23(4):341-352.

Interactive Presentation

An Introduction to Shift Work Disorder

Charles A. Czeisler, MD, PhD, FRCP


Relevant Resources

Improving Outcomes in Non–24-Hour Sleep-Wake Disorder

Identifying Patients and Tailoring Therapy