Social and occupational history

Several social or occupational factors can contribute to sleep-related complaints, necessitating evaluation. For example, ES and insomnia are common in shift workers and individuals whose occupations require frequent travel across time zones. Exposure to industrial toxins and chemicals can also produce sleep/wake symptoms. Job loss and retirement can result in the loss of regularity in daily schedule, which is important in maintaining circadian rhythm consistency in some individuals, leading to erratic sleep/wake hours and the complaints of insomnia and ES. Disruption in interpersonal relationships, family, job, and hobbies can cause anxiety and subsequent insomnia.

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