| Talks： |
Sleep care for night workers: shift work disorder
夜班工作者的睡眠保養-輪班工作疾患 |
| Name： |
| 鄭婉汝（Wan-Ju Cheng） |
| Position： |
| Psychiatrist, Associate professor |
| Affiliation： |
| National Health Research Institutes, National Center for Geriatrics and Welfare Research
China Medical University Hospital, Department of Psychiatry
China Medical University, Department of Public Health
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| Email： |
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| Photo： |
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| Research Interests： |
| Sleep medicine, addiction medicine, occupational mental health |
| Selected Publications： |
1. Wan-Ju Cheng, Eysteinn Finnsson, Jón S Ágústsson, Scott A Sands, Liang-Wen Hang*. Endotypic traits of supine position and supine-predominant obstructive sleep apnea in Asian patients. European Respiratory Journal. 2024 January.
2. Wan-Ju Cheng, Eysteinn Finnsson, Eydis Arnardottir, Jón S Ágústsson, Scott A Sands, Liang-Wen Hang*. Relationship between Symptom Profiles and Endotypes among Patients with Obstructive Sleep Apnea. Annals of the American Thoracic Society. 2023 September: 20 (9) 1337-1344.
3. Hang-Ju Yang, Wan-Ju Cheng*, Mi-Chun Hsiao , Sheng-Che Huang, Tomohide Kubo, Liang-Wen Hang, and Wei-Sheng Lee. Rest–activity rhythm associated with depressive symptom severity and attention among patients with major depressive disorder: a 12-month follow-up study. Frontiers in Psychiatry. 2023 August: 14:1214143.
4. Wan-Ju Cheng, Eysteinn Finnsson, Jón S Ágústsson, Scott A Sands, Liang-Wen Hang*. Continuous positive airway pressure and adherence in patients with different endotypes of obstructive sleep apnea. Journal of Sleep Research. 2023 June:e13999
5. Li TM, Pien LC, Cheng WJ*. Direction and magnitude of social jetlag are associated with obesity: results from a sample of hospital employees. Chronobiology International. 2022 July 39(9) 1242-1248
6. Cheng WJ*, Hang LW, Kubo T, Vanttola P, Huang SC. Impact of sleep timing on attention, sleepiness, and sleep quality among real-life night shift workers with shift work disorder: a cross-over clinical trial. Sleep. 2022 Feb 11; zsac 034.
7. Cheng WJ*, Liu CS, Hu KC, Cheng YF, Karhula K, Härmä M. Night shift work and the risk of metabolic syndrome: findings from an 8-year hospital cohort. PLOS ONE. 2021 December 16(12):e0261349(epub)
8. Hang LW, Huang CS, Cheng WJ*. Clinical characteristics of Asian patients with sleep apnea with low arousal threshold and sleep structure change with continuous positive airway pressure. Sleep and Breathing. 2021 August 25:1309-1317
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| Abstract： |
Shift work accounts for about one-fifth of the total workforce and is an important health risk factor. For example, night shift work has been classified by the International Agency for Research on Cancer as a probable carcinogen (Group 2A). Among shift workers, about one-third meet the diagnostic criteria for shift work disorder. Sleep technicians, who work night shifts due to job requirements, possess knowledge of shift work disorder and can provide health education to patients, as well as promote their own health.
Shift work disorder falls under the category of circadian rhythm sleep-wake disorders in the ICSD-3. Symptoms include insomnia or excessive sleepiness, reduced sleep time, and these symptoms must be related to shift work and persist for at least three months. The diagnostic test is similar to other circadian rhythm sleep-wake disorders, requiring the recording of a sleep diary or wearing an actigraphy device for at least 14 days, including both workdays and rest days, to show disruptions in the sleep-wake pattern. Related symptoms of shift work disorder include cognitive impairment (attention), headaches, poor mood or irritability, decreased work performance, increased risk of work-related injuries, substance abuse, and more. Measurement of shift work includes work hours, shift length, direction of rotation, consecutive workdays, and consecutive days off. Studies show that people with a tendency toward eveningness are more adaptable to night shift work. Treatment for shift work disorder includes light therapy, melatonin supplements, sleep medications, wake-promoting agents, behavioral therapy, and shift schedule management.
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| 2024年會： |
10/13 12:00 Sleep care for night workers: shift work disorder
夜班工作者的睡眠保養-輪班工作疾患 [會議室3]
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