Relationship between circadian disruption and mood instability in shift workers

Read full text
Authors: Reyouf Abdulsalam Almughamsi, Abdulmohsen Ahmed Al Zaqan, Sana Salah Hamid, Mohammed Salman Almadani, Ali Mohammed Alasmari, Salman A. Ageel, Hissah Muthyib Alotaibi, Waseem Mazen Mahmoud, Thekra Ali Aseeri, Omar Mohammed Alshammari
Cited by: 0
References: 17

Abstract

Shift work has become a structural necessity in modern economies, yet its impact on mental health remains a growing concern. Circadian disruption, a core consequence of working non-standard hours, has been consistently linked to mood instability. This misalignment between internal biological rhythms and externally imposed work schedules affects key physiological systems involved in emotional regulation, including sleep-wake cycles, hormonal rhythms, and neurotransmitter activity. Disturbed sleep architecture, altered cortisol patterns, and impaired serotonergic function all contribute to heightened vulnerability to mood disorders such as depression, anxiety, and emotional lability among shift workers. The relationship between circadian misalignment and mood is not uniform across individuals. Genetic predispositions, diurnal preference, social environment, and occupational conditions play a substantial role in modulating emotional outcomes. Evening chronotypes may adapt more efficiently to night shifts, while certain polymorphisms in circadian genes increase sensitivity to rhythm disruption. Social support and perceived control over work schedules further influence psychological resilience in these populations. Clinical interventions targeting circadian health have shown efficacy in improving emotional outcomes. Light therapy, melatonin, and behavioral strategies such as cognitive behavioral therapy for insomnia have demonstrated benefits in regulating both sleep and mood. Preventive measures, including forward-rotating shift schedules, extended recovery periods, and fatigue risk management systems, also contribute to mitigating psychological harm. Addressing mood instability in shift workers requires a multidimensional approach that considers biological rhythms, individual risk modifiers, and systemic workplace design.

Fields of Study & Subjects

Sleep and Work-Related Fatigue Circadian rhythm and melatonin Workplace Health and Well-being

Publication details

Journal / source
International Journal of Community Medicine and Public Health
Publication date
26 January 2026