Morrissette · CNS spectrums 2013 · narrative review · n=?

Twisting the night away: a review of the neurobiology, genetics, diagnosis, and treatment of shift work disorder.

Cited 18 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review without systematic search or meta-analysis

PubMed 24345709 · doi:10.1017/S109285291300076X · record verified 2026-08-26

What was done

This paper is a narrative review synthesizing literature on shift work disorder. It outlines the neurobiological mechanisms, genetic underpinnings, diagnostic tools, and clinical management strategies for excessive sleepiness, insomnia, and circadian misalignment in shift workers.

What was found

The abstract provides no empirical data or quantitative findings. It summarizes that shift work disorder results from desynchronization between endogenous circadian rhythms and environmental schedules, which can contribute to physical and psychiatric morbidity.

Why it matters

It provides a consolidated conceptual overview of the pathophysiology and clinical guidelines for identifying and managing shift work disorder in medical practice.

Limits

As a narrative review, it lacks systematic search criteria, meta-analytic pooling, and risk of bias assessment. No original empirical measurements or sample sizes are reported in the abstract.

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