scholarly journals Misdiagnosing sleep disorders as primary psychiatric conditions

2003 ◽  
Vol 9 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Gregory Stores
Keyword(s):  
Sleep Disorders ◽  
Sleep Apnoea ◽  
Excessive Sleepiness ◽  
Delayed Sleep Phase Syndrome ◽  
Obstructive Sleep ◽  
Wide Range ◽  
Delayed Sleep Phase ◽  
Psychiatric Conditions ◽  
Delayed Sleep ◽  
Cycle Disorders

Sleep disorders are relevant to psychiatric practice in a number of ways, including the possibility that they may be misdiagnosed as fundamentally psychiatric conditions in patients of all ages. This risk exists in a wide range of collectively very common sleep disorders which need to be considered in explaining insomnia, excessive sleepiness or disturbed episodes of behaviour associated with sleep (parasomnias). Examples given include circadian sleep–wake cycle disorders (such as the delayed sleep phase syndrome), obstructive sleep apnoea, narcolepsy, Kleine–Levin syndrome, sleep paralysis and rapid eye movement (REM) sleep behaviour disorder. Failure to recognise and treat such disorders is likely to cause and perpetuate psychological problems. Correct recognition requires familiarity with the range and manifestations of sleep disorders.

scholarly journals Sleep disorders in psychiatry

2018 ◽  
Vol 24 (4) ◽  
pp. 273-283 ◽  
Author(s):  
Hugh Selsick ◽  
David O'Regan
Keyword(s):  
Mental Health ◽  
Sleep Disorders ◽  
Sleep Medicine ◽  
Sleep Apnoea ◽  
Learning Objectives ◽  
List Type ◽  
Obstructive Sleep ◽  
Psychiatric Conditions ◽  
Respiratory Conditions ◽  
Broad Understanding

SUMMARYSleep medicine is a truly multidisciplinary field that covers psychiatric, neurological and respiratory conditions. As the field has developed it has become increasingly clear that there is a great deal of overlap between sleep and psychiatric disorders and it is therefore essential for psychiatrists to have some knowledge of sleep medicine. Even those disorders, such as obstructive sleep apnoea, that may seem to be outside the remit of psychiatry can have complex and important interactions with psychiatric conditions. In this article we give a brief overview of the range of sleep disorders a psychiatrist might encounter, how they are recognised, investigated and treated, and how they relate to psychiatric conditions.LEARNING OBJECTIVES•Be aware of the range of sleep disorders that might be encountered in psychiatric practice•Understand how these sleep disorders affect mental health•Have a broad understanding of how these disorders are investigated and treatedDECLARATION OF INTERESTH.S. has accepted speaker fees from Janssen Pharmaceuticals.

Excessive sleepiness

2012 ◽  
pp. 938-943
Author(s):  
Michel Billiard
Keyword(s):  
Circadian Rhythm ◽  
Sleep Disorders ◽  
Clinical Work ◽  
Sleep Related Breathing Disorders ◽  
Excessive Sleepiness ◽  
Breathing Disorders ◽  
Delayed Sleep Phase Syndrome ◽  
Central Origin ◽  
Delayed Sleep ◽  
Waking Up

Excessive sleepiness is not an homogeneous concept. It can manifest itself as bouts of sleepiness, irresistible and refreshing sleep episodes, abnormal lengthening of night sleep with a major difficulty waking up in the morning or at the end of a nap or even periods of a week or so of almost continuous sleep recurring at several months’ intervals. According to the recent second edition of the International Classification of Sleep Disorders (ICSD-2), disorders of excessive sleepiness are distributed within three chapters: sleep-related breathing disorders, hypersomnias of central origin not due to a circadian rhythm sleep disorder, sleep-related breathing disorders, or other cause of disturbed nocturnal sleep, and circadian rhythm sleep disorders. However in this volume aimed at psychiatrists, the presentation of disorders of excessive sleepiness will obey another logic. Following “Generalities” including epidemiology, morbidity, clinical work-up, and laboratory tests, the various aetiologies will be presented according to the following six subchapters: ♦ Hypersomnia not due to substance or known physiological condition (non-organic hypersomnia or psychiatric hypersomnia) ♦ Hypersomnia due to drug or substance ♦ Behaviourally induced insufficient sleep syndrome ♦ Hypersomnia in the context of sleep-related breathing disorders ♦ Hypersomnias of central origin ♦ And the special case of delayed sleep phase syndrome.

scholarly journals Development, validation (diagnostic accuracy) and audit of the Auckland Sleep Questionnaire: a new tool for diagnosing causes of sleep disorders in primary care

2011 ◽  
Vol 3 (2) ◽  
pp. 107 ◽  
Author(s):  
Bruce Arroll ◽  
Antonio Fernando III ◽  
Karen Falloon ◽  
Guy Warman ◽  
Felicity Goodyear-Smith
Keyword(s):  
Primary Care ◽  
Diagnostic Accuracy ◽  
Sleep Disorders ◽  
Private Practice ◽  
Sleep Apnoea ◽  
Primary Insomnia ◽  
Sleep Questionnaire ◽  
Epidemiological Surveys ◽  
Obstructive Sleep ◽  
Delayed Sleep Phase

INTRODUCTION: Sleep disorders are common in the community and in primary care populations. Epidemiological surveys generally report insomnia rather than specific diagnoses. AIM: Our aim was to develop a questionnaire that could diagnose common sleep disorders in primary care in order to be able to make a diagnosis of primary insomnia by excluding other causes. Having created such a questionnaire, we then validated it (assessed the diagnostic accuracy). METHODS: The questionnaire was developed from the International Classification of Sleep Disorders using the criteria to create operational criteria. This was used in a primary care survey. A sub-sample of 36 primary care patients (aged over 15 years) was chosen to give a spectrum of disorders. A second sample of 85 patients was taken from a sleep disorder private practice to act as an extra test of validity. RESULTS: The response rate was 73% (36/49) for the primary care validation. The sensitivity and specificity of primary insomnia was 0.78 and 0.77, mood disorders 0.67 and 0.97, obstructive sleep apnoea 0.8 and 0.94, delayed sleep phase disorder was 0.8 and 0.97 and for health problems affecting sleep 0.92 and 0.76. There were a wider range of findings in the private practice audit. DISCUSSION: The validity of the Auckland Sleep Questionnaire is promising. The second version of the questionnaire will use this study to improve its functionality. KEYWORDS: Sleep disorders; validation studies; primary health care

The Management of Post-Tonsillectomy Morbidity in Patients With Sleep Apnoea

2019 ◽  
Vol 70 (10) ◽  
pp. 3738-3740
Keyword(s):  
Day Surgery ◽  
Sleep Apnoea ◽  
Integrative Approach ◽  
Multicenter Studies ◽  
Therapeutic Modalities ◽  
Advantages And Disadvantages ◽  
Obstructive Sleep ◽  
Wide Range ◽  
The Impact ◽  
Surgery Center

The Tonsillectomy in children or adults is an intervention commonly encountered in the ENT (Ear Nose and Throat) and Head and Neck surgeon practice. The current tendency is to perform this type of surgery in major ambulatory surgery centers. Two objectives are thus pursued: first of all, the increase of the patient quality of life through the reintegration into the family as quickly as possible and secondly, the expenses associated with continuous hospitalization are reduced. Any tertiary (multidisciplinary) sleep center must ensure the complete diagnosis and treatment (including surgery) of sleep respiratory disorders. Under these conditions the selection of patients and especially the implementation of the specific protocols in order to control the postoperative complications it becomes essential. The present paper describes our experience of tonsillectomy as treatment for selected patients with chronic rhonchopathy (snoring) and mild to moderate obstructive sleep apnoea. It was presented the impact of antibiotics protocols in reducing the main morbid outcomes following tonsillectomy, in our day surgery center. The obtained results can also be a prerequisite for the integrative approach of the patients with sleep apnoea who were recommended surgical treatment. Considering the wide range of therapeutic modalities used in sleep apnoea, each with its specific advantages and disadvantages, more extensive and multicenter studies are needed. Keywords: post-tonsillectomy morbidity, day surgery center, sleep disorders

Clinical efficacy of dim light melatonin onset testing in diagnosing delayed sleep phase syndrome

2009 ◽  
Vol 10 (5) ◽  
pp. 549-555 ◽  
Author(s):  
Shadab A. Rahman ◽  
Leonid Kayumov ◽  
Ekaterina A. Tchmoutina ◽  
Colin M. Shapiro
Keyword(s):  
Clinical Efficacy ◽  
Sleep Phase ◽  
Dim Light Melatonin Onset ◽  
Delayed Sleep Phase Syndrome ◽  
Delayed Sleep Phase ◽  
Dim Light ◽  
Delayed Sleep

scholarly journals Sleep and Circadian Rhythm Disturbances in Patients with Delayed Sleep Phase Syndrome

SLEEP ◽  
2003 ◽  
Vol 26 (6) ◽  
pp. 657-661 ◽  
Author(s):  
Tsuyoshi Watanabe ◽  
Naofumi Kajimura ◽  
Masaaki Kato ◽  
Masanori Sekimoto ◽  
Toru Nakajima ◽  
...  
Keyword(s):  
Circadian Rhythm ◽  
Sleep Phase ◽  
Delayed Sleep Phase Syndrome ◽  
Delayed Sleep Phase ◽  
Delayed Sleep

Sleep in university students across years of university education and gender influences

2015 ◽  
Vol 27 (3) ◽  
pp. 341-348 ◽  
Author(s):  
Md Dilshad Manzar ◽  
Wassilatul Zannat ◽  
Manpreet Kaur ◽  
M. Ejaz Hussain
Keyword(s):  
University Students ◽  
Sleep Problems ◽  
Subjective Evaluation ◽  
University Education ◽  
Sleep Health ◽  
Delayed Sleep Phase Syndrome ◽  
Delayed Sleep Phase ◽  
Circadian Rhythm Sleep Disorder ◽  
Delayed Sleep ◽  
And Gender

Abstract Purpose: Assessment of the influence of gender and increasing years at university on sleep health of students. Methods: Four hundred and eighteen students from different streams across years of undergraduate to postgraduate courses participated. Descriptive statistics, test of differences, and correlation were used. The sleep health data comprised of subjective evaluation using a questionnaire and personal interviews. Results: Overall, 43.1% had sleep problems, females were more affected (51.67% vs. 48.33% in males) but were early bed goers. The prevalence of circadian rhythm sleep disorder (11.6% vs. 9.5%) and delayed sleep phase syndrome (4.5% vs. 2.7%) was slightly higher in males. The daytime dysfunction and hypnotic use significantly differed in students of the same class among gender. Bedtime got significantly delayed along years [H(2)=29.769, p<0.001], and hypnotic use [H(2)=8.807, p=0.012] differed significantly among them. The moderate-very strong correlational statistics among sleep health elements was very similar across gender and years of university education. However, more pronounced influence of years of university education than gender was seen in the significant differences for correlated correlation among sleep health parameters. Conclusion: Gender and years of university education influence sleep among university students both separately and concomitantly.

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