Research

Hormonal

Circadian misalignment between endogenous rhythms and exogenous sleep schedules causes Shift Work Disorder (SWD) and Jet Lag Disorder (JLD), characterized by sleep disturbance and impairment.

If you suffer from shift work or jet lag, the root cause is likely a mismatch between your internal body clock and your external schedule. Diagnosis requires documenting this misalignment, often using sleep logs or actigraphy for at least seven days. Treatment focuses on realigning the clock through scheduled sleep, timed light exposure, or melatonin.

WeakSupportsHIGH confidence
The essential feature of CRSDs is a persistent or recurrent pattern of sleep disturbance due primarily to alterations in the circadian timekeeping system or a misalignment between the endogenous circadian rhythm and exogenous factors that affect the timing or duration of sleep.
Robert L. Sack et al. · SLEEP · 2007

Why this rating

Based on ICSD-2 diagnostic criteria and extensive literature review.

Source

Circadian Rhythm Sleep Disorders: Part I, Basic Principles, Shift Work and Jet Lag Disorders

Robert L. Sack et al. · SLEEP · 2007

DOI 10.1093/sleep/30.11.1460

narrative_reviewCited 643×
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DOI resolved against Crossref · corpus check 2026-06-10

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