Shift workers’ sleep disorders often left untreated for long periods

Photo by David Mao on Unsplash

Sleep disorders — left unmanaged — have safety implications for our workplaces and on our roads. Drivers with sleep disorders are more than twice as likely to be involved in road traffic accidents. Sleep disorders pose a risk for poor mental health and declining physical health, too.

The Australian Raine Study found that by middle age, some 43% of middle-aged adults will have at least one sleep disorder severe enough to require clinical management such as sleep apnoea, restless leg syndrome or insomnia.

Amy Reynolds is Associate Professor (Research) at the Flinders Health and Medical Research Institute (Sleep Health) at Flinders University. Her key research focus is the experiences of shift workers living with sleep problems, many of whom are undiagnosed and untreated for extended periods.

Her most recent work has focused on the impacts of sleep disorders in young shift workers, particularly on their mental health and workplace productivity.

“Our research highlights the consequences are significant for mental health and for workplace productivity, and this starts from early in a young worker’s career. We need to do better to help young shift workers who might be at risk for a sleep disorder,” A/Prof Reynolds explains.

Asleep on the job: sleep disorders in shift workers largely undiagnosed

Having taken an in-depth look at shift workers, A/Prof Reynolds’ work has found that sleep disorders can be undiagnosed and untreated for extended periods. It’s not uncommon for shift workers to have gone more than five years before they seek help from a healthcare provider after noticing symptoms.

“Being symptomatic for years without access to effective treatments poses a potential risk for road safety and impacts the quality of life, mental health and wellbeing of our shift workers,” she says.

“We want to see this change.”

“What we know from our research here at Flinders Health and Medical Research Institute (FHMRI Sleep Health) is that many shift workers assume bad sleep is something they have to endure. They can perceive that the shift itself is the problem, instead of considering whether there is an underlying disorder that could be treated. The good news is – we can do something about this.”

Sleep disorder screening a first step, says A/Prof Reynolds

Shift workers who suspect they have symptoms of sleep disorder can take immediate action, says A/Prof Reynolds.

“We want to encourage shift workers who may be experiencing the signs and symptoms of sleep disorder to engage with screening and management. There are options available, and talking to your GP is an important first step. The AISH Sleep Health Clinic at Flinders University also has experts in sleep and circadian rhythms and can take referrals for shift workers.”

Read more about sleep disorders, including in shift workers:

Prevalence of common sleep disorders in a middle-aged community sample.

Read about the impacts of sleep disorders shift workers, particularly for their mental health and workplace productivity in A/Prof Reynolds’ most recent work:
Diagnosis and management of sleep disorders in shift workers.

Shift work, sleep disorders and mental health.

Insomnia and workplace productivity loss among young adults.

The AISH Sleep Health Clinic at Flinders University has experts in sleep and circadian rhythms.

Could advances in neuroscience help turn negative thinkers into better thinkers?

Could it one day be possible to ‘read’ people’s innermost thoughts? Could advances in neuroscience help turn negative thinkers into better thinkers?

“Imagine a future where, just by measuring brain activity, we could understand thought patterns — helping people with anxiety or depression shift their negative self-talk toward a healthier inner dialogue.”

  • Dr Bradley Jack, cognitive neuroscientist and head of the EEG Lab in the Research School of Psychology at the Australian National University

A recent study, led by Professor Thomas Whitford and senior-authored by Dr. Bradley Jack, has uncovered new insights into how the brain represents inner speech, the silent voice inside our minds.

By analysing neural oscillations—rhythmic patterns of brain activity—Dr. Jack and the team have demonstrated that inner speech produces unique brainwaves, allowing researchers to potentially read someone’s mind using brain activity alone.

From science fiction to discoveries within specific frequencies

Research from the EEG Lab in the School of Psychology at The University of New South Wales has shown that when we engage in inner speech, neurons oscillate in specific frequency bands. These patterns may hold the key to understanding how thoughts are encoded in the brain, with implications for mental health, communication disorders, and even brain-computer interfaces.

“Before this discovery, the ability to read someone else’s thoughts was mostly a concept found in science fiction. While scientists knew that most people experience inner speech, they lacked the tools to reliably track or interpret it.”

“Now, by identifying specific brainwave patterns linked to inner speech, researchers are moving closer to reading — and perhaps even influencing — the way we think, all without needing invasive implants.”

Better cognitive and emotional health on the cards?

“Each time we probe this area we uncover new neural markers that bring us closer to understanding how thoughts are represented in the brain. This isn’t just about abstract research — these findings will contribute to the development of tools that could one day help people monitor their cognitive and emotional health, just as we do with our physical health”.

And Dr Jack’s ultimate hope?

“My hope is that in the future, neuroscience could provide objective ways to study, track, and improve mental health. Just as blood tests reveal health conditions, brain activity could one day help diagnose disorders like anxiety, depression, or other complex psychiatric conditions — and perhaps even guide personalised treatments.”

About Dr. Bradley Jack

Dr. Bradley Jack is a cognitive neuroscientist and head of the EEG Lab in the Research School of Psychology at the Australian National University. He was awarded the 2024 ACT Young Tall Poppy Award for his research on how neural processes give rise to inner experiences, such as consciousness, inner speech, and sense of agency in the healthy, developing, and diseased brain.

Is there an association between untreated hearing loss and dementia?

On World Hearing Day, we look at the association between untreated hearing loss and dementia.

In 2025, an estimated 433,300 Australians are living with dementia. Without a medical breakthrough, these numbers are predicted to double by 2058*. Nearly half (45%) of dementia cases are associated with several potentially modifiable risk factors. Among these, hearing loss is estimated to account for 7% of the risk of all dementia cases worldwide, however, to date, only the ACHIEVE clinical trial study has investigated the effect of hearing intervention, reporting negative results.**

It is unclear if the reported association between hearing loss and dementia is causal, and if the clinical remediation of hearing impairment can indeed reduce the rate of cognitive decline among older adults at risk of dementia.

To address this gap, a groundbreaking Australian clinical trial named HearCog was conducted by a former Young Tall Poppy recipient Associate Prof Dona Jayakody, Audiologist and Head of Brain and Hearing at Ear Science Institute Australia. “We just finished the HearCog trial and are very excited to find out about the outcomes of the study to find out whether by treating hearing loss, we can delay the rate of cognitive decline in older people,” says A/Prof Jayakody. Hearing loss and impact on quality of life

“What we are already seeing from our Australian research studies is that hearing loss not only increases the risk of cognitive impairment and dementia; it also increases the risk of loneliness, depression, anxiety and stress and frailty, which impact quality of life of older adults.”

“When older people experience hearing loss, it affects their ability to communicate effectively with family and friends. This is particularly pronounced when older people depend upon a small network of family and friends and the communication partners are required to speak loudly, repeat conversations and so on.”

“If the conversation is broken down between two people – even between partners, the person with hearing loss becomes emotionally and socially lonely.”

Get tested: hearing tests to improve quality of life

Treating hearing loss has many benefits including improved communication and quality of life. If you are struggling to understand speech, especially in noisy environments, having difficulty hearing people on the phone, often ask people to repeat themselves etc, it is the time to get your hearing tested.

Read about Dr Jayakody’s work at Ear Science Institute at https://www.earscience.org.au/research/#brain-and-hearing

*Sources: AIHW. Dementia in Australia. Canberra: Australian Institute of Health and Welfare 2023; and Lin et al., 2023.

Include seagrasses in carbon credits to rally finance and drive ecosystem protection!

Professor Peter Macreadie, Director of the RMIT Centre for Nature Positive Solutions and the Blue Carbon Lab, along with a consortium of scientists at are calling for greater collaboration across science, policy and industry to help establish seagrass carbon credits and – ultimately – achieve real-world impact.

“Policy is key – it is the ‘stick’ we use to stop bad behaviour. But I also believe that ‘carrots’ are important. A ‘carrot’ in this context refers to seagrass carbon credits that provide financial incentives can be created for conservation and restoration. Basically finding ways to reward people for restoring a seagrass meadow.”

Protect and conserve: credits as a practical mechanism 

“While it is unfortunate that environmental markets are necessary to protect Australia’s ecosystems, they provide a practical mechanism to drive investment in their long-term sustainability,” says Macreadie.

Australia has already lost an estimated 291,000 hectares of seagrass, with significant declines recorded on the eastern and southern coastlines, particularly in areas such as Westernport Bay, Cockburn Sound, and Moreton Bay.”

And the global picture? About one-third of the world’s seagrasses have been lost.

“These losses not only compromise carbon storage but also weaken coastal resilience, highlighting the urgent need for investment in protection and restoration,” Macreadie explains.

 

Opportunities for Australia

Macreadie points to credit systems in the US, Europe and APAC nations as powerful opportunities for Australia.

“Credit systems already exist for carbon, biodiversity, and nitrogen in various parts of the world, including the US, Europe, and some Asia-Pacific nations, where they have successfully driven investment in conservation and restoration. These credit systems present a significant opportunity for Australia, where seagrass restoration could be integrated into emerging environmental markets. 

Macreadie suggests several elements as part of a scale-up.

“Given the well-established scientific evidence of seagrass carbon sequestration, introducing a tailored seagrass credit framework could be a high-impact solution for scaling up conservation efforts.

 

Value to society

“Seagrass ecosystems provide immense value to society, from carbon sequestration and fisheries support to coastal protection and water filtration. While some of these services can be quantified and traded in markets—such as carbon credits—many others, like habitat provisioning for commercially and ecologically important species, nutrient cycling, and sediment stabilisation, remain largely outside of formal economic systems. 

“To unlock greater investment in seagrass conservation, we need to translate these non-market benefits into financial incentives, ideally through environmental credit schemes that recognise the full range of ecosystem services.

 

“In doing so, we boost the potential of the ‘stacking’ of credits and thereby making seagrass conservation and restoration projects more attractive to investors. This will have an important role to play in helping to mitigate against some of the high costs associated with seagrass restoration”.

Calling researchers, policymakers, environmental finance minds

“Seagrass ecosystems hold immense potential for climate solutions, yet they remain largely overlooked in carbon markets. Collaboration across science, policy, and industry is needed to change this. 

“Whether you're a researcher, policymaker, or involved in environmental finance, we invite you to join the effort to establish seagrass carbon credits and scale real-world impact. Get in touch to explore how we can work together to unlock the full value of these vital ecosystems.”

Contact Peter Macreadie at the RMIT Centre for Nature Positive Solutions at peter.macreadie@rmit.edu.au.