Harold R. Smith, Cynthia L. Comella, Birgit Högl
Cambridge University Press, Apr 10, 2008 - Medical
Sleep disorders exact a high toll on society in terms of diminished quality of life, reduced productivity and cost to medical services. This book guides the reader through the basic science of sleep and how to evaluate individuals suffering from sleep irregularities. Complex features of sleep disorders are then discussed, including parasomnias, sleep apnea, night terrors and restless legs syndrome. The book also looks at how these sleep abnormalities can affect individuals with other psychiatric disorders such as epilepsy, depression and anxiety disorders. Covering disorders from insomnia to narcolepsy, and specialty areas from pediatric to geriatric, this wide ranging and accessible guide allows non-sleep specialists to approach and understand important information that is clinically relevant in everyday practice. Illustrated with summary tables, figures and treatment algorithms, this book will be a useful guide for neurologists, psychiatrists, psychologists, pulmonologists and internists as well as health care professionals in training.
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Section 2 Sleep Disorders
Section 3 Sleep in Specialty areas
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abnormalities Academy of Sleep actigraphy activity antidepressants associated atonia awakenings bedtime cataplexy central sleep apnea chronic circadian rhythm circadian rhythm sleep clinical comorbid CPAP cycle decreased depression diagnosis disorders of arousal dose drugs DSPT effects episodes evaluation falling asleep fatigue frequent hypersomnia hypertension hypnotics idiopathic improve increased individuals insomnia light melatonin MSLT muscle napping narcolepsy nasal Neurol neurological night nocturnal normal NREM obesity obstructive sleep apnea occur parasomnias Parkinson’s disease pathophysiology patients periodic limb movement polysomnography positive airway pressure prevalence psychiatric REM sleep REM sleep behavior reported respiratory restless legs syndrome result rhythm sleep disorders seizures sleep behavior disorder sleep deprivation sleep disorders sleep disturbances sleep efficiency sleep hygiene sleep latency Sleep Medicine sleep onset sleep paralysis sleep stages sleep-disordered breathing sleep-related sleep/wake sleepwalking slow-wave sleep snoring studies symptoms therapy total sleep treatment upper airway
Page 171 - ... 6. Fatigue or loss of energy nearly every day 7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick) 8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others) 9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for...
Page 171 - Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations. ( 1 ) depressed mood most of the day, nearly every day, as indicated by either subjective report (eg, feels sad or empty) or observation made by others (eg, appears tearful).
Page 179 - A (ie .active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or two or more symptoms listed in Criterion A present in an attenuated form (eg, odd beliefs, unusual perceptual experiences).
Page 171 - ... 9. recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide B. The symptoms do not meet criteria for a Mixed Episode.
Page 171 - Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.
Page 179 - A. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a...
Page 171 - In children, consider failure to make expected weight gains 4. Insomnia or hypersomnia nearly every day 5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down) 6. Fatigue or loss of energy nearly every day 7.
Page 179 - Two (or more) of the following, each present for a significant portion of time during a 1 -month period (or less if successfully treated): (1) delusions (2) hallucinations (3) disorganized speech (eg, frequent derailment or incoherence) (4) grossly disorganized or catatonic behavior (5) negative symptoms, ie, affective flattening, alogia, or avolition...
Page 5 - In Kryger MH, Roth T, Dement WC (eds). Principles and practice of sleep medicine.
Page 33 - Sitting, inactive in a public place (eg, a theater or a meeting) As a passenger in a car for an hour without a break Lying down to rest in the afternoon when circumstances permit...