Some Facts About Shift Work Disorder
SWD Is Common
- As many as 20% of US workers are involved in some form of shift work, including
permanent or intermittent night work, early morning work, or rotating schedules.1,2
- Approximately 10% to 25% of night-workers and rotating-shift workers have shift
work disorder
- This means that up to 1 out of every 4 night- or rotating-shift workers may be suffering
from shift work disorder1-4
- Over 15 million Americans work odd hours or non-traditional shifts, and are "at
risk" for SWD.3
- Of these, 3.75 million Americans are estimated to have SWD.1,3,5
Signs a Person Could Have Shift Work Disorder
Shift work disorder is an often undiagnosed condition in which excessive sleepiness
and/or insomnia are the main symptoms.6
Excessive Sleepiness
Excessive sleepiness is defined as having trouble staying awake enough to do the
things you need to do.7 People who experience excessive sleepiness often
describe it as being tired, fatigued or lacking energy.8
Insomnia
People with SWD may also experience insomnia, which affects the length and quality
of their sleep. Insomnia can be more than just difficulty falling asleep, difficulty
staying asleep, waking up too early, and poor quality of sleep.9
Since shift workers often have to sleep during the day, insomnia may be caused by
daytime distractions such as noise, light, and other things that disturb sleep.
Also, their internal body clocks may insist it is time to be awake during the day
instead of asleep.10 As a result, people who complain of insomnia may
report an inability to fall or stay asleep. They may feel that their sleep is short
and inadequate, light and easily disrupted, or nonrestorative.7
Shift work disorder can lead to other issues6
SWD can affect many different parts of life. These are just some of the problems
people with shift work disorder may experience:
- Trouble focusing
- Drop in work performance
- Missed family and social activities
- Worsening of heart and stomach disorders
- Sleepiness-related accidents
- Increased irritability
If you work shifts, just improving your sleep may not improve your ability to cope
with shift work. That's because sleep is not the only factor that affects your coping
ability.11

References: 1. Waage S, Moen BE, Pallesen S, et al. Shift
work disorder among oil rig workers in the North Sea. Sleep. 2009;32(4):558-565.
2. Ohayon MM, Lemoine P, Arnaud-Briant V, Dreyfus M. Prevalence
and consequences of sleep disorders in a shift worker population. J Psychosom Res.
2002;53(1):577-583. 3. US Department of Labor, Bureau of Labor
Statistics. Workers on flexible and shift schedules. Bureau of Labor Statistics
Web site. http://www.bls.gov/news.release/pdf/flex.pdf. Accessed May 11, 2009.
4. Drake CL, Roehrs T, Richardson G, Walsh JK, Roth T. Shift work sleep
disorder: prevalence and consequences beyond that of symptomatic day workers. Sleep.
2004;27(8):1453-1462. 5. Schwartz JRL, Roth T. Shift work sleep
disorder: burden of illness and approaches to management. Drugs. 2006;66(18):2357-2370.
6. American Academy of Sleep Medicine. The International Classification
of Sleep Disorders: Diagnostic and Coding Manual. 2nd ed. Westchester,
IL: American Academy of Sleep Medicine; 2005. 7. Lee-Chiong TL
Jr. Manifestations and classification of sleep disorders. In: Lee-Chiong TL Jr,
Sateia M, Carskadon MA, eds. Sleep Medicine. Philadelphia, PA: Hanley &
Belfus, Inc.; 2002:125-141. 8. Aldrich MS. Sleep Medicine. New
York, NY: Oxford University Press; 1999:100-205. 9. Insomnia. American
Academy of Sleep Medicine Web site. http://www.sleepeducation.com/Disorder.aspx?id=6.
Accessed May 21, 2010. 10. Shneerson J. Sleep Medicine: A Guide
to Sleep and Its Disorder. Malden, MA: Blackwell Publishing Ltd; 2005:120-124.
11. Monk TH. Shift work: basic principles. In: Kryger MH, Roth
T, Dement WC, eds. Principles and practice of sleep medicine. 4th ed. Philadelphia,
PA: Elsevier Saunders; 2005:673-679.