Presentation
REM behavior disorder (a condition in which there is physical enactment of dreams), tends to present as nonviolent movements in women. The atypical presentation of sleep disorders can lead to a delay in medical treatment. [brighamandwomens.org]
When this phenomenon, cataplexy, is present, it strengthens the diagnosis of narcolepsy. In some patients, cataplexy may be present in the absence of excessive daytime sleepiness. The clinician should seek two other phenomena of narcolepsy. [ncbi.nlm.nih.gov]
Recognizing the difficulty in constructing statistical models based on strong biological pathway data, alternative statistical models that included different sets of covariates that may operate as confounders, mediators, or moderators were presented. [ahajournals.org]
Acknowledgments The essential part of this work was initially presented at ICBEN 2008, and updated for presentation at Internoise and Euronoise 2009. References 1. Muzet A. Environmental noise, sleep and health. Sleep Med Rev 2007;11:135-42. [noiseandhealth.org]
However, children are less likely than adults to present with daytime sleepiness. [aafp.org]
Respiratoric
- Cheyne-Stokes Respiration
Cheyne-Stokes respirations may be associated with multiple nocturnal mini-arousals, resulting in excessive daytime sleepiness. The same may occur with nocturnal myoclonus or the "restless legs" syndrome. [ncbi.nlm.nih.gov]
- Aspiration
Purpose in life is generally conceptualized as one’s sense of meaning and directedness in his/her life, essentially having aspirations and goals for the future and feeling that experiences in life are meaningful (Ryff 1989; Ryff and Keyes 1995; Ryff 2014 [sleep.biomedcentral.com]
Skin
- Flushing
The serotonin modulating antidepressants have been shown to improve hot flushes, depression and insomnia (12, 13). (Please refer to AMS Information Sheet Mood problems at menopause). [menopause.org.au]
Psychiatrical
- Psychiatric Symptoms
symptoms, including depressive symptoms, anxiety, stress, fatigue, and substance abuse Cessation of chronic use of alcohol or benzodiazepines There's more to see -- the rest of this entry is available only to subscribers. [hopkinsguides.com]
Neurologic
- Headache
Hypnic Headache Hypnic headache is a rare, primary headache disorder characterized by frequently occurring headaches that happen only during sleep. [americanmigrainefoundation.org]
Common headache types, including tension headaches and migraines, often have associated symptoms besides pain, including sleep disturbances.7 As with fibromyalgia, the amount of time spent sleeping is not necessarily diminished in patients who have headache-associated [psychiatrictimes.com]
Symptoms: Headaches and/or a sore jaw when waking in the morning. Complaints from annoyed bedmates. Treatment: Avoiding chewing any items that aren’t food, as it trains the jaw to clench. [fastcompany.com]
Some common symptoms of OSA include snoring, gasping or choking during sleep, daytime sleepiness, trouble falling asleep, morning headaches, irritability, decreased concentration, and memory loss. [ahns.info]
Headaches may be secondary to teeth grinding (bruxism). [ncbi.nlm.nih.gov]
- Difficulty Concentrating
Difficulty concentrating. Mood and behavior disturbances such as irritability, aggression, and impulsive behaviors. Difficulty concentrating. Forgetfulness. Decreased performance at work or school. [alaskasleep.com]
Insomnia can be problematic for your overall health and quality of life, potentially causing: depression difficulty concentrating irritability weight gain impaired work or school performance Unfortunately, insomnia is extremely common. [healthline.com]
- Recurrent Headache
Neuropathic pain is also associated with sleep disturbances, and there is a strong bidirectional relationship between sleep disturbances and neuropathic features of pain.6 Sleep disturbances are common among patients who have chronic, recurrent headaches [psychiatrictimes.com]
- Dysesthesia
The dysesthesias often temporarily subside with exercise. Virtually all the patients also experience sleep-related myoclonus, although most of the patients with the latter condition do not also have the "restless legs" syndrome. [ncbi.nlm.nih.gov]
- Grunting
Breathing devices can also help reduce snoring, snorting, and grunting while sleeping Dental guards Dental guards may help prevent teeth grinding that can result from some sleep disorders. [mind-diagnostics.org]
Workup
C 29, 30 If restless legs syndrome is suspected in a child, management should include a workup for iron deficiency and avoidance of triggers. [aafp.org]
Treatment
Depending on the type of sleep disorder that you’re experiencing, a range of treatment methods may be effective. The treatment of disrupted sleep generally starts by determining its cause. [mind-diagnostics.org]
treatments for each condition are required to achieve control of symptoms. [psychiatrictimes.com]
More advanced treatments include use of machines or surgery. A portable CPAP (continuous positive airway pressure) machine constantly pushes air into your airway to help keep it open when you sleep. There are many surgical treatments for OSA. [ahns.info]
The patients would start an adjuvant or palliative systemic oncological treatment. [jneuro.com]
Prognosis
Patients who have poor perception towards the prognosis of their illness were four times more likely to be a poor sleeper compared to patients with good perception (, , ). [hindawi.com]
[…] depression and anxiety in the future.120 Of note, the research on such relationships is crucial not only because it may help to prevent future conditions but also because comorbid problems are usually much more difficult to treat and indicate poorer prognosis [onlinelibrary.wiley.com]
Etiology
While adults may suffer from the same problems, the etiology, presentation, and associated findings in children may be very different than those seen in adults. [stanfordhealthcare.org]
It has to be remembered that there are well over a 100 putative risk factors identified for cardiovascular disease which make any rigorous investigation and analysis of the etiological pathway a difficult task. [noiseandhealth.org]
[…] at neuropathic pain suggest that inflammation may be associated with psychiatric changes and behavioral alterations.6 However, experts are not completely sure whether there may be other contributory factors as well, and future research regarding the etiology [psychiatrictimes.com]
Institute of Health state-of-the science meeting on insomnia, panelists concluded that CBT is a safe and effective means of managing chronic insomnia.15 This program can help patients who suffer from insomnia even if their sleep problems have a biological etiology [practicalpainmanagement.com]
Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007; 3:S7–S10.MedlineGoogle Scholar 5. Kato M, Phillips BG, Sigurdsson G, Narkiewicz K, Pesek CA, Somers VK. Effects of sleep deprivation on neural circulatory control. [ahajournals.org]
Epidemiology
CES-D = Center for Epidemiological Studies Depression Scale. [academic.oup.com]
Sleep disturbances in patients with Alzheimer's disease: epidemiology, pathophysiology and treatment. CNS Drugs. Vol.15:No.10., pp.777-796. Satlin, A. (1994). Sleep disorders in dementia. Psychiatric Annals, Vol.24:No.4., pp.186-191. [dementiamanagementstrategy.com]
Sleep disturbances in patients with post-traumatic stress disorder: Epidemiology, impact and approaches to management. CNS Drugs, 7(20), 567-590. doi: 10.2165/00023210-200620070-00003 Miller, S. G. (2017, September 6). [goodtherapy.org]
Some authors have commented on the lack of an epidemiological study that shows a causal link between (aircraft) noise, sleep disturbance and long-term illness. [noiseandhealth.org]
An epidemiologic study of lower limit of prevalence. Chest. 1995;107(4):963–966. 17. Wise MS, Nichols CD, Grigg-Damberger MM, et al. Executive summary of respiratory indications for polysomnography in children: an evidence-based review. [aafp.org]
Pathophysiology
Sleep disturbances in patients with Alzheimer's disease: epidemiology, pathophysiology and treatment. CNS Drugs. Vol.15:No.10., pp.777-796. Satlin, A. (1994). Sleep disorders in dementia. Psychiatric Annals, Vol.24:No.4., pp.186-191. [dementiamanagementstrategy.com]
Yarandi SS, Christie J: Functional dyspepsia in review: pathophysiology and challenges in the diagnosis and management due to coexisting gastroesophageal reflux disease and irritable bowel syndrome. Gastroenterol Res Pract 2013; 2013: 351086. [karger.com]
A better understanding of the pathophysiological mechanisms between sleep disturbance and depression can help psychiatrists better manage this comorbidity. 1 INTRODUCTION Currently, the problem of sleep disturbance has plagued nearly a quarter of the [onlinelibrary.wiley.com]
Article see p 2073 The pathophysiology of insomnia and its links to cardiovascular disease are not fully understood. [ahajournals.org]
Back to Top Pathophysiology Normal sleep and wake states are generated by a complex neuronal network in the brain and are regulated by homeostatic and circadian mechanisms. [clevelandclinicmeded.com]
Prevention
Breathing devices can also help reduce snoring, snorting, and grunting while sleeping Dental guards Dental guards may help prevent teeth grinding that can result from some sleep disorders. [mind-diagnostics.org]
These events might occur hundreds of times at night and prevent quality sleep. As a result, a person might experience insomnia or excessive daytime sleepiness. [beverlyhospital.org]
Dementia prevention, intervention, and care.Lancet. 2017; 390: 2673-2734 2. [thelancet.com]
AHA Guidleines for Prevention of Cardiovascular Disease and Stroke: 2002 update. Circulation. 2002; 106:388–391.LinkGoogle Scholar 3. Laugsand LE, Vatten LJ, Platou C, Janszky I. [ahajournals.org]
A CPAP device works by blowing a steady stream of air into the nose through a mask, thus preventing pauses in breathing during sleep (apneas). [practicalpainmanagement.com]