Practical Ideas for Sleep Problems and Sleep Disorders

2010 ◽  
Keyword(s):  
Sleep Disorders ◽  
Sleep Problems

scholarly journals Sleep problems among children with Fetal Alcohol Spectrum Disorders (FASD)- an explorative study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Katarzyna Anna Dylag ◽  
Bożena Bando ◽  
Zbigniew Baran ◽  
Paulina Dumnicka ◽  
Katarzyna Kowalska ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Reference Data ◽  
Fetal Alcohol Spectrum Disorders ◽  
Sleep Problems ◽  
Typically Developing ◽  
Fetal Alcohol ◽  
Typically Developing Children ◽  
Laboratory Reference ◽  
Spectrum Disorders ◽  
Fetal Alcohol Spectrum

Abstract Background Fetal alcohol spectrum disorders (FASD) is a group of conditions resulting from prenatal alcohol exposure (PAE). Patients with FASD experience a variety of neuropsychological symptoms resulting from central nervous system impairment. Little is known about sleep disorders associated with PAE. The objective of this study was to investigate sleep problems related to FASD. Methods Forty patients (median age 8 years (6; 11)) diagnosed with FASD and forty typically developing children (median age 10 years (8; 13)) were recruited for the 1st phase of the study. In the 1st phase, the screening of sleep problems was performed with Child Sleep Habit Questionnaire (CSHQ) filled in by a caregiver. Those of the FASD group who scored above 41 points were qualified to the 2nd phase of the study and had an in-lab attended polysomnography (PSG) performed. The measurements consisted of electroencephalogram, electrooculograms, chin and tibial electromyogram, electrocardiogram, ventilatory monitoring, breathing effort, pulse oximetry, snoring and body position. Their results were compared to PSG laboratory reference data. Results The number of participants with sleep disturbances was markedly higher in the FASD group as compared to typically developing children (55% vs. 20%). The age-adjusted odds ratio for a positive result in CSHQ was 4.31 (95% CI: 1.54–12.11; p = 0.005) for FASD patients as compared to the control group. Significant differences between the FASD as compared to the typically developing children were observed in the following subscales: sleep onset delay, night wakings, parasomnias, sleep disordered breathing, and daytime sleepiness. Children from the FASD group who underwent PSG experienced more arousals during the sleep as compared with the PSG laboratory reference data. The respiratory indices in FASD group appear higher than previously published data from typically developing children. Conclusion The results support the clinical observation that sleep disorders appear to be an important health problem in individuals with FASD. In particular distorted sleep architecture and apneic/hypopneic events need further attention.

The Functional Impact of Sleep Disorders in Children With ADHD

2017 ◽  
Vol 24 (4) ◽  
pp. 499-508 ◽  
Author(s):  
Stephanie G. Craig ◽  
Margaret D. Weiss ◽  
Kristen L. Hudec ◽  
Christopher Gibbins
Keyword(s):  
Sleep Disorders ◽  
Functional Impairment ◽  
Rating Scale ◽  
Sleep Problems ◽  
Parent Report ◽  
Adhd Symptoms ◽  
Children With Adhd ◽  
Sleep Complaints ◽  
Sleep Schedule

Objective: Children with ADHD display higher rates of sleep problems, and both sleep disorders and ADHD have been shown to affect functioning in childhood. The current study examines the frequency and relationship between sleep problems and ADHD, and their impact on quality of life (QoL) and functional impairment. Method: Parents of 192 children with ADHD ( M = 10.23 years) completed measures regarding their child’s ADHD symptoms (Swanson, Nolan and Pelham [SNAP]), sleep disorders (Pediatric Sleep Questionnaire [PSQ]), QoL (Child Health Illness Profile [CHIP-PE]), and functioning (Weiss Functional Impairment Rating Scale–Parent Report [WFIRS-P]). Results: Common sleep complaints in participants were insomnia, excessive daytime sleepiness (EDS), and variability in sleep schedule. Regression analysis indicated that sleep problems and ADHD symptoms independently predicted lower levels of QoL (Δ R2 = .12, p < .001) and social functioning (Δ R2 = .12, p < .001). Conclusion: The results suggest that ADHD may coexist with somnolence and that both conditions have a significant impact on a child’s functioning and QoL.

ESCAPE STRESS, SLEEP DISORDERS, AND ASSIMILATION OF REFUGEES

1990 ◽  
Vol 18 (2) ◽  
pp. 287-297 ◽  
Author(s):  
Zack Z. Cernovsky
Keyword(s):  
Sleep Disorders ◽  
Host Country ◽  
Satisfaction With Life ◽  
Sleep Problems ◽  
Real Life ◽  
Questionnaire Data ◽  
Level Of Satisfaction ◽  
Falling Asleep

Questionnaire data from 38 Czechoslovak refugees living in Switzerland indicated that repetitive nightmares about escaping the exhomeland were more frequent in refugees who described their real life act of escape as more frightening or risky. The level of satisfaction with life in the host country was unrelated to the incidence of escape nightmares but was inversely related to incidence of other sleep problems (restless sleep and difficulties falling asleep).

Management of sleep disorders in the menopausal transition

2021 ◽  
pp. 205336912110391
Author(s):  
Zoe Schaedel ◽  
Debra Holloway ◽  
Deborah Bruce ◽  
Janice Rymer
Keyword(s):  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Sleep Problems ◽  
Hormone Replacement ◽  
Treatment Options ◽  
Healthcare Utilisation ◽  
Menopausal Transition ◽  
Vasomotor Symptoms ◽  
Mood Symptoms ◽  
Symptom Profile

The menopausal transition is associated with increasing sleep disorders including sleep apnoea and restless leg syndrome. Insomnia is the most common and is recognised as a core symptom of the menopause. Guidelines to support decision making for women with sleep problems during the menopausal transition are lacking. Sleep problems are associated with negative impacts on healthcare utilisation, quality of life and work productivity. Sleep deprivation is a risk factor for cardiovascular disease, diabetes, obesity and neurobehavioral dysfunction. Declining oestrogen is implicated as a cause of menopausal sleep disruption. Vasomotor symptoms (VMS) and menopausal mood disturbance are also factors in the complex aetiology. VMS commonly precipitate insomnia and, due to their prolonged duration, they often perpetuate the condition. Insomnia in the general population is most effectively treated with cognitive behavioural therapy (CBT) (also effective in the menopausal transition.) The associations of menopausal sleep disturbance with VMS and depression mean that other treatment options must be considered. Existing guidelines outline effectiveness of hormone replacement therapy (HRT), CBT and antidepressants. HRT may indirectly help with sleep disturbance by treating VMS and also via beneficial effect on mood symptoms. The evidence base underpinning menopausal insomnia often references risks associated with HRT that are not in line with current international menopause guidelines. This may influence clinicians managing sleep disorders, leading to hesitation in offering HRT, despite evidence of effectiveness. Viewing sleep symptoms on an axis of menopausal symptoms – towards vasomotor symptoms or towards mood symptoms may help tailor treatment options towards the symptom profile.

scholarly journals Efficacy and Safety of Melatonin Treatment in Children with Autism Spectrum Disorder and Attention-Deficit/Hyperactivity Disorder—A Review of the Literature

2020 ◽  
Vol 10 (4) ◽  
pp. 219
Author(s):  
Beata Rzepka-Migut ◽  
Justyna Paprocka
Keyword(s):  
Autism Spectrum Disorder ◽  
Attention Deficit Hyperactivity Disorder ◽  
Sleep Disorders ◽  
Attention Deficit ◽  
Sleep Problems ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Melatonin Treatment ◽  
Hyperactivity Disorder ◽  
Wide Range

Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders with disturbed melatonin secretion profile and sleep problems. The growing incidence of ASD and ADHD inspires scientists to research the underlying causes of these conditions. The authors focused on two fundamental aspects, the first one being the presentation of the role of melatonin in ASD and ADHD and the second of the influence of melatonin treatment on sleep disorders. The authors present the use of melatonin both in the context of causal and symptomatic treatment and discuss melatonin supplementation: Dosage patterns, effectiveness, and safety. Sleep disorders may have a different clinical picture, so the assessment of exogenous melatonin efficacy should also refer to a specific group of symptoms. The review draws attention to the wide range of doses of melatonin used in supplementation and the need to introduce unified standards especially in the group of pediatric patients.

scholarly journals The spectral fingerprint of sleep problems in post-traumatic stress disorder

SLEEP ◽  
2019 ◽  
Vol 43 (4) ◽  
Author(s):  
M de Boer ◽  
M J Nijdam ◽  
R A Jongedijk ◽  
K A Bangel ◽  
M Olff ◽  
...  
Keyword(s):  
Sleep Disorders ◽  
Rem Sleep ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Sleep Problems ◽  
Nrem Sleep ◽  
Post Traumatic Stress ◽  
Oscillation Power ◽  
Post Traumatic

Abstract Study Objectives Sleep problems are a core feature of post-traumatic stress disorder (PTSD). The aim of this study was to find a robust objective measure for the sleep disturbance in patients having PTSD. Methods The current study assessed EEG power across a wide frequency range and multiple scalp locations, in matched trauma-exposed individuals with and without PTSD, during rapid eye movement (REM) and non-REM (NREM) sleep. In addition, a full polysomnographical evaluation was performed, including sleep staging and assessment of respiratory function, limb movements, and heart rate. The occurrence of sleep disorders was also assessed. Results In patients having PTSD, NREM sleep shows a substantial loss of slow oscillation power and increased higher frequency activity compared with controls. The change is most pronounced over right-frontal sensors and correlates with insomnia. PTSD REM sleep shows a large power shift in the opposite direction, with increased slow oscillation power over occipital areas, which is strongly related to nightmare activity and to a lesser extent with insomnia. These pronounced spectral changes occur in the context of severe subjective sleep problems, increased occurrence of various sleep disorders and modest changes in sleep macrostructure. Conclusions This is the first study to show pronounced changes in EEG spectral topologies during both NREM and REM sleep in PTSD. Importantly, the observed power changes reflect the hallmarks of PTSD sleep problems: insomnia and nightmares and may thus be specific for PTSD. A spectral index derived from these data distinguishes patients from controls with high effect size, bearing promise as a candidate biomarker.

scholarly journals The Relevance of Dual Diagnoses among Drug-Dependent Patients with Sleep Disorders

2020 ◽  
Vol 9 (9) ◽  
pp. 2862
Author(s):  
Carlos Roncero ◽  
Llanyra García-Ullán ◽  
Alberto Bullón ◽  
Diego Remón-Gallo ◽  
Begoña Vicente-Hernández ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Sleep Disorders ◽  
Sleep Problems ◽  
Falling Asleep ◽  
Dual Diagnoses ◽  
Dual Disorder ◽  
Drug Dependent ◽  
Delayed Sleep ◽  
The University

Background: Sleep disorders are often associated with drug use. Nearly 70% of patients admitted for detoxification report sleep problems. Dual disorder (DD) is the comorbidity between mental disorders in general and disorders related to psychoactive substance use. The association between substance use and sleep disorders (SD) appears to be bidirectional. Our objective is to analyze the association between sleep disturbance history and drug use pattern (alcohol, cannabis, opioids, and cocaine). Methods: Analysis of data in the first interview at the Addictions Unit of the Department of Psychiatry at the University of Salamanca Health Care Complex between October 2017 and January 2020. The sample consists of 398 patients. We studied the association between different variables: origin of patients (Inpatient Dual Diagnosis Detoxification Unit (IDDDU) vs. Outpatient Drug Clinic (ODC), presence of affective disorder, psychotic disorder, type of drug used, and treatment. Results: Of patients with DD, 62% had more delayed sleep induction, sleep fragmentation, early awakening, and nightmares. Outpatients had more difficulty falling asleep because, in many cases, they had not previously sought any medical assistance. On the other hand, 67% of the patients with insomnia presented depression. Conclusions: There is evidence of a harmful association between DD and SD.

scholarly journals Shiftwork and Alcohol Consumption: A Systematic Review of the Literature

2020 ◽  
Vol 27 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Kneginja Richter ◽  
Lukas Peter ◽  
Andrea Rodenbeck ◽  
Hans Günter Weess ◽  
Steffi G. Riedel-Heller ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Sleep Disorders ◽  
Psychological Health ◽  
Social Life ◽  
Sleep Problems ◽  
Health And Safety ◽  
Psychosocial Problems ◽  
Cochrane Library ◽  
Self Medication ◽  
Negative Results

<b><i>Introduction:</i></b> Shiftwork can be a risk factor for a number of different somatic and psychological health conditions, especially sleep disorders. Shiftworkers sleep less than dayworkers, and 20–40% of them suffer from difficulties initiating and maintaining sleep, which result in reduced capacity for work and social life. A common coping strategy might be the use of alcohol, which presents a health and safety hazard as it further impairs sleep quality and exacerbates sleepiness in the workplace. This review aimed to assess the extent of such possible connections. <b><i>Methods:</i></b> We performed a systematic search of the scientific literature on shiftwork and alcohol consumption in PubMed, PsycInfo, and Cochrane Library. Only original studies comparing shiftworkers with non-shiftworkers were included. The recommendations of the <i>Preferred Reporting Items of Systematic Reviews and Meta-Analyses</i> were followed. <b><i>Results:</i></b> Fourteen articles are included in this review. Six studies report some kind of connection between shift- or nightwork and alcohol consumption, especially as a sleep aid. Conflicting or negative results are reported by 3 studies. <b><i>Discussion:</i></b> Shiftwork, especially working at night and in rotation shifts, is associated with binge drinking disorder in different professions. The reasons for pathological consumption of alcohol can be self-medication of sleep problems or coping with stress and psychosocial problems typical for shiftwork. Nurses aged over 50 years represent one important risk group. These results can be important for preventive programs against sleep disorders, including measures other than drinking alcohol as a sleep aid in the workplace of shiftworkers.

Sleep and Sleep Disorders in Tourette Syndrome: What is Known and What is Still Unknown

2020 ◽  
Vol 15 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Arie Oksenberg
Keyword(s):  
Sleep Disorders ◽  
Sleep Disorder ◽  
Tourette Syndrome ◽  
Sleep Disturbances ◽  
Sleep Problems ◽  
Life Quality ◽  
Sleep Stages ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Impaired Sleep

Background: Most of the patients with Tourette Syndrome (TS) present additional comorbidities. Attention Deficit Hyperactivity Disorder (ADHD) and Obsessive-Compulsive Disorder (OCD) are the most common. Sleep Disorder has been suggested also as common comorbidity. Objective: To review the literature on sleep characteristics and sleep disorder in patients with Tourette Syndrome (TS), with emphasis on the contribution of specific co-morbidities to the severity of impaired sleep and life quality of the patients. Results: In general, sleep problems are not frequent at the age when tics appear which are estimated to affect about 10 % of these children. In severe cases, tics appear in all sleep stages. In a large study, the prevalence of sleep problems was 17.8% but was 12 % in “TS-only” (9.4% in children and 7.5 in adults) compared to 22% in children and 18% in adults with TS+ADHD. Unfortunately, in most of the studies, the characteristics of these “sleep problems” are not defined. In spite of the scarcity of data, the two main sleep disorders in TS patients are insomnia and parasomnias. Although much more data is needed, many TS subjects are sleep deprived (which exacerbate the tics) and may suffer from excessive daytime sleepiness, which negatively affects normal functioning. Conclusions: Although the literature is not conclusive, children and adolescents with TS appear to suffer more from sleep disturbances and sleep disorders than age-matched controls. Not all patients have tics during sleep, but in severe cases, tics may appear in all sleep stages. It is clear that when patients present both TS and ADHD, (a very common condition), the sleep difficulties are related mainly to ADHD. Much more research is warranted in all aspects of sleep and sleep disorders in TS.

scholarly journals Sleep Problems in Pregnancy—A Cross-Sectional Study in over 7000 Pregnant Women in Poland

2020 ◽  
Vol 17 (15) ◽  
pp. 5306
Author(s):  
Magdalena Smyka ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Nicole Sochacki-Wójcicka ◽  
Magdalena Zgliczyńska ◽  
Mirosław Wielgoś
Keyword(s):  
Pregnant Women ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Sleep Problems ◽  
Sleep Onset ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Sleep Patterns ◽  
Cross Sectional

The aim was to characterize sleep patterns in pregnant women in Poland and to analyze the relation between sociodemographic factors, pregnancy-related physical symptoms and sleep problems. A self-composed questionnaire, containing questions in Polish language, was distributed online via web pages and Facebook groups designed for pregnant women. The questionnaire included questions regarding sociodemographic data and information on the current pregnancy and sleep patterns over the past four weeks. Exactly 7207 respondents were included to the study. 77.09% reported sleep problems: nocturnal awakening (52.77%), sleep onset insomnia (20.23%), awakening too early (18.56%) and believed their sleep was too shallow (9.82%). Sleep onset insomnia (26.38%) and frequent awakening (62.88%) were most often reported in 3rd trimester, while daytime drowsiness (86.35%) and naps impeding daytime function (27.18%) in the 1st trimester of pregnancy. The analyzed demographic, socioeconomic and psychological issues had a small but significant influence on sleep problems occurrence (aOR 0.81–1.24). Time to conceive from 6 to 12 months of trying increased the risk of developing sleep problems during pregnancy (aOR 1.31). Pregnancy ailments increased the risk of sleep disturbances (aOR 1.53–2.59). Sleep disorders are prevalent among pregnant women in Poland. The evaluation of risk factors is essential in proper screening for sleep disorders in pregnant women.

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