Sleep Disorders and Psychiatry

Front Cover
Daniel J. Buysse
American Psychiatric Pub, May 3, 2007 - Medical - 256 pages

Sleep and wakefulness are fundamental behavioral and neurobiological states that characterize all higher animals, including human beings.

Concise yet comprehensive, Sleep Disorders and Psychiatry, the latest volume in American Psychiatric Publishing's popular Review of Psychiatry Series, presents the cumulative experience of 12 experts who talk about what sleep is and why sleep is essential to maintaining good health, summarizing the major categories of sleep disorders and detailing how virtually every psychiatric disorder and a wide variety of medical illnesses adversely affect sleep.

Sleep Disorders and Psychiatry is the ideal companion to busy psychiatric clinicians because it is Comprehensive, covering all information of particular relevance to psychiatric clinicians. Enhanced by numerous tables and illustrations that make it easy to understand and reference while "on the go" during everyday practice. Clearly structured and easy to understand, with chapters organized according to the major categories of sleep disorders most likely to be encountered in psychiatric clinical practice.

The fascinating introduction discusses the functions of sleep and the consequences of sleep deprivation, including the complex neurobiology of circadian rhythms, sleep and wakefulness, the clinical assessment and management of sleep and circadian rhythm disorders, and the pros and cons of tools for taking an accurate history. Each of the six subsequent chapters in Sleep Disorders and Psychiatry follows the same format by detailing the definitions and clinical description, epidemiology, etiology and pathogenesis, and treatment for a major category of sleep disorder: insomnia, sleep apnea, narcolepsy and syndromes of central nervous system-mediated sleepiness, restless legs syndrome, parasomnias, and circadian rhythm sleep disorders.

Further, Sleep Disorders and Psychiatry provides psychiatrists with the tools necessary to embark upon exciting collaborations with specialists from other areas of clinical medicine (psychologists, pulmonologists, neurologists and surgeons). Given the importance of behavioral and psychopharmacologic interventions in managing sleep disorders, psychiatrists can often make valuable contributions to the care of medically ill patients with these conditions.

Abundantly referenced and illustrated, Sleep Disorders and Psychiatry is the ultimate practical resource for busy clinicians interested in the broad and growing field of sleep disorders.

 

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Contents

Introduction
1
Neurobiology of Circadian Rhythms
3
Sleep and Wakefulness
5
Clinical Assessment of Sleep and Circadian Rhythm Disorders
14
Disorders of Sleep and Wakefulness
19
Overview of This Volume
20
References
26
Insomnia
29
Management of Disorders of Excessive Daytime Sleepiness
120
Pathophysiology of Narcolepsy
123
Deficiency in Hypocretin Orexin Transmission in Canine and Human Narcolepsy
125
Summary
130
Restless Legs Syndrome
139
Diagnosis
140
Consequences
143
Prevalence and Clinical Course
145

Definitions
30
Pathophysiology and Etiology
32
Clinical Assessment and Diagnosis
37
Differential Diagnosis
41
Behavioral Treatment
42
Pharmacologic Treatment
49
Summary
65
Sleep Apnea
77
Epidemiology
81
Pathophysiology
82
Consequences
84
Diagnosis
89
Therapy
91
Relevance to Psychiatric Practice
98
Summary
100
References
101
Narcolepsy and Syndromes of Central Nervous SystemMediated Sleepiness
107
Epidemiology of Excessive Daytime Sleepiness
108
Insufficient Sleep and Primary Syndromes of Excessive Daytime Sleepiness
109
Pathogenesis
146
Differential Diagnosis
149
Treatment
150
Summary
156
References
157
Parasomnias
163
REMRelated Parasomnias
173
Summary
178
References
179
Circadian Rhythm Sleep Disorders
185
Delayed Sleep Phase Type
190
Advanced Sleep Phase Type
198
Nonentrained Type
201
Irregular SleepWake Type
204
Shift Work Type
206
Jet Lag Syndrome
209
Summary
211
Index
221
Copyright

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About the author (2007)

Daniel J. Buysse, M.D., is Professor of Psychiatry at the Clinical Neuroscience Research Center in the Department of Psychiatry at the University of Pittsburgh School of Medicine in Pittsburgh, Pennsylvania.

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