scholarly journals Sleep Disturbance, Sleep Disorders and Co-Morbidities in the Care of the Older Person

2021 ◽  
Vol 9 (2) ◽  
pp. 31
Author(s):  
Christine E. Mc Carthy
Keyword(s):  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Older Patients ◽  
Disease Risk ◽  
Medication Management ◽  
Sleep Complaints ◽  
Co Morbidity ◽  
Sleep Assessment ◽  
Form Part

Sleep complaints can be both common and complex in the older patient. Their consideration is an important aspect of holistic care, and may have an impact on quality of life, mortality, falls and disease risk. Sleep assessment should form part of the comprehensive geriatric assessment. If sleep disturbance is brought to light, consideration of sleep disorders, co-morbidity and medication management should form part of a multifaceted approach. Appreciation of the bi-directional relationship and complex interplay between co-morbidity and sleep in older patients is an important element of patient care. This article provides a brief overview of sleep disturbance and sleep disorders in older patients, in addition to their association with specific co-morbidities including depression, heart failure, respiratory disorders, gastro-oesophageal reflux disease, nocturia, pain, Parkinson’s disease, dementia, polypharmacy and falls. A potential systematic multidomain approach to assessment and management is outlined, with an emphasis on non-pharmacological treatment where possible.

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.

scholarly journals Sleep disturbance scale for children as a diagnostic tool for sleep disorders in adolescents

2018 ◽  
Vol 58 (3) ◽  
pp. 133-7 ◽  
Author(s):  
Herwanto Herwanto ◽  
Hesti Lestari ◽  
Sarah M. Warouw ◽  
Praevilia M. Salendu
Keyword(s):  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Predictive Value ◽  
Objective Assessment ◽  
Chi Square ◽  
Cross Sectional ◽  
Test Study ◽  
Chi Square Test ◽  
Sensitivity Specificity

Background. Sleep is an essential needs for every children. Sleep may cause a large effect on mental health, emotional, physical and immune system. If sleeping time is not sufficient, then sleep disturbance may occur. Objective assessment of the sleeping quality can be done by using Polysomnography and Actigraphy, while for assessing the subjectivity of sleeping quality and quantity can be used questionnaires or interviews. Sleep Disturbance Scale for Children or SDSC is a multidimensional sleeping assessment questionnaire.Objective. To determine the quality of sleeping in adolescents using SDSC.Methods. We conducted a diagnostic test study using cross sectional method, during March to April 2015 at the elementary schools in manado. The inclusion criteria were healthy adolescent aged 10 to 12 years, the parents were willing to sign the informed consent and answer the questionnaire, agreed to attach the wristactigraph. All datas were analyzed using chi square test and table 2 x 2 to showed sensitivity, specificity, positive predicitive value and negative predictive value.Results. Of 60 adolescents, 31 were female and 29 were male with the mean age 11.39 years. The results showed the sensitivity of SDSC was 80.6%, the specificity was 37.9%, the positive predictive value was 58.1% and negative predictive value was 64.7%.Conclusions. Sleep Disturbance Scale for Children is a good screening tool for early detection of sleep disorders in a adolescent.

scholarly journals Sleep Disorders in Patients with Psoriatic Arthritis

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Mariana Castanho Risso
Keyword(s):  
Metabolic Syndrome ◽  
Psoriatic Arthritis ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Public Health Issue ◽  
Berlin Questionnaire ◽  
Sleep State ◽  
Simultaneous Control ◽  
Sleep Assessment

Sleep disorders are currently a major public health issue in Brazil, due to its high incidence and difficult diagnosis, identification of type and treatment.1 Rheumatic disorders have been associated with changes in sleep state, which cause reduction in quality of life, eventually reduced by the chronic inflammatory process of the primary disease.2–6 This study aimed to identify and describe the existence of sleep disturbances in patients with psoriatic arthritis, as well as to verify possible association of sleep disorders with metabolic syndrome and other parameters in these individuals. Thirty one patients with psoriatic arthritis from a Rheumatology Outpatient Clinic were analyzed. Three sleep assessment questionnaires were employed: Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (EPW) and The Berlin Questionnaire (BQ). Sleep walking or talking were also inquired as a complementary scale. Sociodemographic variables and the presence of hypertension, obesity, diabetes, dyslipidemia and metabolic syndrome have also been investigated. On average, sleep disorders were found in 54.83% of the studied patients (64.5% from PSQI, 51.6% from EPW and 48.4% from Berlin) and around 70% of sleep disorders in patients with simultaneous diagnosis of metabolic syndrome and psoriatic arthritis. From these results, it is notable that sleep disorders are common in patients diagnosed with psoriatic arthritis. Thus, this pathology demands greater attention in clinical practice and search for ideal and complete therapy, in addition to simultaneous control of arthritis, sleep, hypertension, dyslipidemia and obesity.

Sleep disorders in multiple sclerosis

2017 ◽  
Author(s):  
Luigi Ferini-Strambi ◽  
Sara Marelli
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
General Population ◽  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Depression Symptoms ◽  
Appropriate Treatment ◽  
Immunological Factors ◽  
Clinical Awareness

Though often unrecognized, sleep disorders in MS are seen at higher frequency than the general population, and they may contribute to pain, fatigue and depression—symptoms commonly observed in MS patients. Since several immunological factors in serum have been implicated in the development of sleep disorders, and MS is proven to be characterized by immune abnormalities, the notion that MS and sleep disorders share a similar background seems reasonable. Investigation of sleep disorders in MS is important, especially considering that the treatment of sleep disturbance may contribute to a reduction in debilitating symptoms, such as fatigue. Thus, an increased clinical awareness and appropriate treatment of sleep disorders in the MS population may significantly improve the overall quality of life in these patients.

An overview of sleep dysfunction in Parkinson disease

2017 ◽  
Author(s):  
Elisaveta Sokolov ◽  
K. Ray Chaudhuri
Keyword(s):  
Quality Of Life ◽  
Parkinson Disease ◽  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Sleep Disturbances ◽  
Sleep Problems ◽  
Case Series ◽  
Nocturnal Sleep ◽  
Drug Induced

Disturbances in nocturnal sleep and their consequences during waking in Parkinson disease (PD) were recognized in 1817 by James Parkinson, who described sleep problems in his case series as follows: “His attendants observed, that of late the trembling would sometimes begin in his sleep, and increase until it awakened him: when he always was in a state of agitation and alarm.” Sleep disturbance in PD is complex, with a prevalence of up to 98%, and has been shown to be a key determinant of quality of life. Sleep disturbances in PD are heterogeneous, ranging from insomnia to drug-induced sleep disorders, and now can be assessed by simple validated bedside tools such as the Parkinson’s Disease Sleep Scale (PDSS). Also, sleep, contrary to previous perceptions, can be disordered not just in advanced PD, but also in the pre-motor as well as the untreated states.

scholarly journals Sleep Disturbance and Rotator Cuff Tears: A Systematic Review

Medicina ◽  
2019 ◽  
Vol 55 (8) ◽  
pp. 453 ◽  
Author(s):  
Longo ◽  
Facchinetti ◽  
Marchetti ◽  
Candela ◽  
Ambrogioni ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Assessment Tool ◽  
Rotator Cuff Tears ◽  
Night Time ◽  
Simple Shoulder Test

Background and Objectives: Sleep disorders are one of the most common complaints of patients with rotator cuff (RC) tears. However, potential correlations between the treatment of RC tears and the causal factors of sleep disorders are still under discussion. The aim of this review is to evaluate quality of sleep in patients before and after surgery for RC tears and to identify which factors affected patients’ sleep. Materials and Methods: A systematic review was conducted. To provide high quality of the review, the included studies were evaluated with the standardized tool “Quality Assessment Tool for Quantitative Studies” developed by the Effective Public Health Practice Project. Results: The search strategy yielded 78 articles. After duplicate removal and titles, abstracts and full-texts review, four studies were included in the systematic review. Concerning shoulder function, the most frequently reported scale was the Simple Shoulder Test (SST). Regarding sleep quality, the most frequently reported score was the Pittsburgh Sleep Quality Index (PSQI). Conclusion: We found that the majority of patients with RC tears had a sleep disturbance, especially before surgery with a general improvement in sleep quality post-operatively. Moreover, sleep quality was correlated with pain and it also seems that factors as comorbidities, obligatory position during night time, preoperative and prolonged postoperative use of narcotics and psychiatric issues may play an important role in sleep quality.

Medications for Sleep Disturbance

2020 ◽  
pp. 185-216
Author(s):  
Andrew J. Roth ◽  
Christian J. Nelson
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbance ◽  
Medication Use ◽  
Sleep Habits ◽  
Medical Problems ◽  
Sleep Complaints ◽  
Potential Benefits ◽  
Timely Referral ◽  
Good Sleep

Insomnia, or sleep disturbance, manifests in many ways in people with cancer. Sleep complaints may be intermittent, often related to specific situations or medical problems. They can develop into an ongoing syndrome and can severely impair a person’s quality of life with compromised energy and risk for falls. Non-prescribers are often called upon to assist with teaching healthy nonpharmacologic sleep hygiene techniques. However, it is important to recognize when a proper medication can assist or supplement good sleep habits and make a timely referral to a prescriber. This chapter discusses the potential benefits and pitfalls of medications used to induce and maintain sleep and how patients can integrate medication use into the standard nonmedication sleep-promoting techniques. All clinicians will be able to monitor for potential side effects of hypnotics (sleep medications), including cognitive and balance abnormalities, as well as compromised daytime energy and alertness, which might discourage patients from taking these medications.

scholarly journals Sleep and epilepsy: unfortunate bedfellows

2018 ◽  
Vol 104 (2) ◽  
pp. 189-192 ◽  
Author(s):  
Frances Mary Gibbon ◽  
Elizabeth Maccormac ◽  
Paul Gringras
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbance ◽  
Sleep Disorders ◽  
Vicious Cycle ◽  
Seizure Disorders ◽  
Number Of Factors ◽  
Children’S Sleep ◽  
The Relationship ◽  
Nocturnal Seizures

The relationship between sleep and seizure disorders is a particularly vicious cycle. Nocturnal seizures can interrupt sleep while a number of factors, including antiepileptics and sleep disorders that cause sleep fragmentation, can worsen seizures. Understanding and managing seizures and related sleep disturbance is therefore an important and treatable intervention target that could potentially improve children’s sleep, but also their learning, mood, behaviour, seizures and parental quality of life.

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