Symptoma

Sleep Disturbance

Sleep-Wake Disorder

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]

All of the symptoms of narcolepsy may be present in various combinations and degrees of severity. [medicinenet.com]

Sleep problems did not fit neatly into the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) requirement that all ADHD symptoms must be present by age 7. [additudemag.com]

  • Nocturnal Awakening

    Examples of sleep disturbances include daytime sleepiness, difficulty initiating sleep, nocturnal awakenings, and disrupted sleep architecture. [hopkinsguides.com]

    Complaints about poor sleep include difficulty falling and staying asleep, coupled with early morning and nocturnal awakenings (1). [menopause.org.au]

    The mean number of nocturnal awakenings was 2.0 (95% CI, 1.9-2.1) times at home vs 3.3 (95% CI, 3.2-3.5) times during hospitalization (P   .001). [jamanetwork.com]

    There are many more nocturnal awakenings after people reach the age of 40. Psychological stressors can interfere with sleep. It is beneficial for patients to develop a pre-sleep ritual to break the connection between stress and bedtime. [practicalpainmanagement.com]

    Although many narcoleptic patients experience frequent nocturnal awakenings and/or nightmares, some may have relatively restful nighttime sleeping. [ncbi.nlm.nih.gov]

  • Increased Energy

    Tobacco contains nicotine, a highly addictive drug that causes stimulation and almost immediately increases energy and alertness, which can affect sleep. [practicalpainmanagement.com]

  • Difficulty Walking

    Items incorporated in the scale include being in bed/chair most/all of the day, difficulty bathing by oneself, difficulty climbing stairs, difficulty walking several blocks, and difficulty with heavy housework. [academic.oup.com]

  • 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]

  • Respiratory Disorders

    All benzodiazepines are associated with risk of respiratory depression and should be used with caution in patients with preexisting respiratory disorders. [cancer.gov]

  • Distractibility

    However, pain also interferes with the physiology of sleep in targeted ways that go beyond the conscious distraction caused by the discomfort. [psychiatrictimes.com]

    Distraction and other strategies people use to deal with the stress during the day are not helpful when they go to bed at night. [med.stanford.edu]

    These things may distract you, but they will also stimulate your mind - and a busy mind will keep you awake. Do turn the light off straight away when you get into bed. Tell yourself that sleep will come when it’s ready. [tinnitus.org.uk]

    The house is quiet and distractions are low. This is their most productive time. Unfortunately, they have jobs and families to which they must attend the next morning, tasks made harder by inadequate sleep. Avoid caffeine late at night. [additudemag.com]

    Other methods include distracting mental activity (games and hobbies), regular exercise (though not too late in the evening or at night), and avoiding provocative situations (long periods of sitting still). [clevelandclinicmeded.com]

  • 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]

  • Withdrawn

    Excessive sleepiness may also be noted when CNS stimulants are purposely withdrawn. Patients who excessively use caffeine-containing substances may similarly develop tolerance and become progressively dependent on caffeine. [ncbi.nlm.nih.gov]

  • 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]

  • Encephalopathy

    Conditions to be considered include endocrinologic disturbances of the thyroid gland and pancreas, uremia, hepatic encephalopathy, and morbid obesity. [ncbi.nlm.nih.gov]

  • Hyperalgesia

    As sleep stages are compromised, daytime pain increases through a process of hyperalgesia, in which lower pain stimuli result in higher pain perception and greater pain-associated impairment than would be expected otherwise.8 According to research in [psychiatrictimes.com]

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]

  • Dyslipidemia

    —Thomas Dekker (1577–1632), Patient Grissel Approximately 90% of the population-attributable risk for coronary artery disease has been estimated to relate to 9 potentially modifiable risk factors, including tobacco smoking, overweight, dyslipidemia, hypertension [ahajournals.org]

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]

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]

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]

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]

Given the likely multifactorial etiology of sleep disturbance in critically ill patients, it is important to assess pre-existing sleep disturbance before ICU stay. [atsjournals.org]

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]

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]

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]

Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R: An epidemiological study of insomnia among the Japanese general population. Sleep 2000; 23: 41–47. Papadimitriou GN, Linkowski P: Sleep disturbance in anxiety disorders. [karger.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]

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]

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]

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]

Published online and scheduled for the April issue of the journal Preventive Medicine, the study indicates that physicians should consider asking young adult patients about social media habits when assessing sleep issues. [upmc.com]