title: Recognition of shift-work disorder in primary care.
abstract: To recognize shift-work disorder (SWD), primary care physicians can screen for persistent excessive sleepiness (ES) and insomnia in patients who work night or rotating shifts. If SWD is suspected, a differential diagnosis should be generated, as ES and insomnia are commonly associated with other morbidities. Ask patients about symptoms of other common sleep/wake disorders, such as obstructive sleep apnea and periodic limb movement disorder. The Epworth Sleepiness Scale is a useful tool for subjectively evaluating ES.
authors.affiliation: University of Oklahoma Health Sciences Center, INTEGRIS Sleep Disorders Center of Oklahoma, Oklahoma City, OK, USA.
authors.forename: Jonathan Rl
authors.initials: JR
authors.lastname: Schwartz
mesh_terms: D000328:Adult; D000367:Age Factors; D003937:Diagnosis, Differential; D006970:Disorders of Excessive Somnolence / Q000175:diagnosis*; D005194:Family Practice / Q000379:methods*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008019:Life Style; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D011320:Primary Health Care / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D012737:Sex Factors; D020178:Sleep Disorders, Circadian Rhythm / Q000175:diagnosis*; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis; D012894:Sleep Stages / Q000502:physiology; D014851:Wakefulness; D055815:Young Adult