Severe psychological stress - working at night, the lack of quality sleep, etc adds a ton of mental and psychological stress. I know some people who work at night are so exhausted they think the printer was laughing at them, become quick to anger (e.g. screaming at a 2 year old for something small like spilling juice on the table), etc. It imparts a lot, lot of psychological stress, only something if you work at night for several months and then several years you will understand.
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