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Showing papers in "Sleep Medicine in 2001"


Journal ArticleDOI
TL;DR: The clinical validation of the Insomnia Severity Index (ISI) indicates that the ISI is a reliable and valid instrument to quantify perceived insomnia severity and is likely to be a clinically useful tool as a screening device or as an outcome measure in insomnia treatment research.

5,143 citations


Journal ArticleDOI
TL;DR: The use of subjective data as an adjunct to actigraphic data in estimating total sleep time and sleep efficiency in sleep-disordered patients, especially those with disorders of excessive somnolence is recommended.

948 citations




Journal ArticleDOI
TL;DR: Treatment with continuous positive airway pressure appears to improve HRQOL and more data are needed from preference-based measures that allow conversion to utility scores, which can be used to calculate quality-adjusted life years and cost-effectiveness ratios.

214 citations


Journal ArticleDOI
TL;DR: The present review discusses age-related changes in sleep architecture, aetiology, presentation, and treatment of sleep disorders prevalent among the elderly and other factors relevant to ageing that are likely to affect sleep quality and quantity.

185 citations


Journal ArticleDOI
TL;DR: The JHRLSS provides a reliable, valid, easily used clinical assessment of RLS severity, and correlated significantly with both objective measures of sleep: sleep efficiency and PLMS/h.

171 citations


Journal ArticleDOI
TL;DR: There is no evidence that RLS is significantly more common in adult diabetics, and age, BMI, duration and level of diabetes control, hemoglobin, ferritin and creatinine levels did not predict the presence of RLS.

157 citations



Journal ArticleDOI
TL;DR: A low rate of recognition and diagnosis of sleep disorders was observed in both settings, which strongly emphasize the need for increased education and training in sleep disorders, particularly in community-based outpatient settings.

117 citations


Journal ArticleDOI
TL;DR: In this article, the effects of specific antagonists on motor (periodic leg movements) and subjective (sensory) restless legs syndrome (RLS) symptoms during daytime were assessed, and it was shown that specific neuronal dopaminergic or opioidergic pathways are altered in the pathophysiology of RLS.

Journal ArticleDOI
TL;DR: The data do not support the existence of a significant relationship between glucose and insulin metabolism and obstructive sleep apnea, and obesity, when present, is the important variable.

Journal ArticleDOI
TL;DR: The changes in RDI that occurred were associated only with changes in BMI and were independent of age, which underscores the importance of managing weight for older adults, particularly those with hypertension.

Journal ArticleDOI
TL;DR: Acute hemispheric stroke is accompanied by sleep EEG changes over the healthy hemisphere that correlate with stroke severity, and these findings support the hypothesis that the cerebral hemispheres participate in the control of sleep.

Journal ArticleDOI
TL;DR: The sleep deprivation on the Monday following shift to DST in the spring results in a small increase in fatal accidents, suggesting an increase in late night driving when traffic related fatalities are high possibly related to alcohol consumption and driving while sleepy.

Journal ArticleDOI
TL;DR: In seasoned travelers, zolpidem 10 mg produced significant improvement in sleep following rapid transmeridian travel, and was associated with significantly improved sleep.

Journal ArticleDOI
TL;DR: Considering that leg movements recorded during the SIT last longer than those occurring during sleep, it is recommended to use a duration criterion of 0.5-10 s for scoring the former and to use the same periodicity criteria for the S IT as those used for scoring PLMS.

Journal ArticleDOI
TL;DR: Restless legs, growing pains, sleep-maintenance insomnia, unrefreshing sleep, and morning headaches show moderate associations with polysomnographically-defined PLMS, but several other symptoms do not.

Journal ArticleDOI
TL;DR: Investigation of the role of sleep states on the respiratory effort of controls and subjects with upper airway resistance syndrome using nasal cannula/pressure transducer system and esophageal manometry finds repetitive arousals may lead to more or less severe sleep fragmentation.

Journal ArticleDOI
TL;DR: Although non-pharmacologic measures can be helpful in treating narcolepsy, most patients require pharmacotherapy that includes psychostimulants or modafinil.

Journal ArticleDOI
TL;DR: Most older insomniacs show a FNE, but a portion exhibit a RFNE, and Elevated anxiety on PSG night 1 may play a role in FNE.

Journal ArticleDOI
TL;DR: A sleep-related respiratory dysrhythmia that is characterized by episodes of bradypnea associated with vocalization that clearly has distinct features with respect to well-defined sleep disorders, such as central sleep apnea syndrome and somniloquy is proposed as a separate nosological entity.

Journal ArticleDOI
TL;DR: The DBAS-10 generally appears to have very acceptable psychometric properties although subscales previously proposed for this instrument may vary across research populations Nonetheless, results encourage the use of this instrument in studies concerned with the nature and treatment of sleep-disruptive cognitions.

Journal ArticleDOI
TL;DR: The purpose of this study was to correlate changes in PSG parameters between the diagnostic polysomnogram (dPSG) and the first night of treatment with continuous positive airway pressure (CPAP) to subjective improvement in sleep quality.

Journal ArticleDOI
TL;DR: While ET and NT showed differential sleep latencies across nap opportunities, MT showed no evidence of circadian variation on their level of sleepiness, and a differential pattern ofSleep latencies was noted on the MSLT.

Journal ArticleDOI
TL;DR: The data suggest that NCPAP might protect against the development of cardiovascular complications in OSA patients, and whole blood coagulability status that appears to be reversed by chronic N CPAP treatment.

Journal ArticleDOI
TL;DR: M Males were more vulnerable than females in terms of adjustment (notably health care orientation and sexual relationships) and younger narcoleptics may have particular vocational problems.

Journal ArticleDOI
TL;DR: A summary of a coherent set of data which examine memory consolidation during sleep and the impact of insomnia on cognitive functions is presented and a review of memory and drug effects that are sleep-related, and an examination of the relationship between hypnotics and cognitive function are included.


Journal ArticleDOI
TL;DR: In unselected OSA patients, UPPP improved subjective snoring and daytime sleepiness but did not result in a significant improvement in RDI or sleep architecture.