Sleep disorder

About: Sleep disorder is a research topic. Over the lifetime, 19380 publications have been published within this topic receiving 884281 citations. The topic is also known as: somnipathy & non-organic sleep disorder.

Sleep disturbance in menopause.

Abstract: Objective: To determine the sources of sleep complaints in peri- and postmenopausal women reporting disturbed sleep. Design: A total of 102 women, ages 44 to 56 years, who reported disturbed sleep were recruited through newspaper advertisements. They were assessed with the Pittsburgh Sleep Quality Index and the Hamilton Anxiety and Depression Rating Scales. Complete polysomnography was performed in a controlled laboratory setting. Results were analyzed by multiple regression. Results: Fifty-three percent of the women had apnea, restless legs, or both. The best predictors of objective sleep quality (laboratory sleep efficiency) were apneas, periodic limb movements, and arousals (R 2 = 0.44, P < 0.0001). The best predictors of subjective sleep quality (Pittsburgh Sleep Quality Index global score) were the Hamilton anxiety score and the number of hot flashes in the first half of the night (R 2 = 0.19, P < 0.001). Conclusions: Primary sleep disorders (apnea and restless legs syndrome) are common in this population. Amelioration of hot flashes may reduce some complaints of poor sleep but will not necessarily alleviate underlying primary sleep disorders. Because these can result in significant morbidity and mortality, they require careful attention in peri- and postmenopausal women.

Fatigue and sleep disturbance in adult survivors of childhood cancer: a report from the childhood cancer survivor study (CCSS).

Abstract: THE LAST 50 YEARS HAVE WITNESSED STEADILY INCREASING SURVIVAL RATES AMONG PEDIATRIC MALIGNANCIES THAT ARE NOW APPROACHING NEARLY 80%1 With improved survival has come recognition of the late effects of prior cancer treatment, such as second malignancies, infertility, growth delays, cardiopulmonary disease, endocrinopathies, and neuropsychological deficits2–9 As many as two thirds of childhood cancer survivors report a chronic medical condition, with over 25% being severe or life-threatening10 Understanding these late effects will enable the medical community to better care for the growing population of childhood cancer survivors Fatigue is a distressing symptom frequently reported by adult cancer patients11 Its etiology is likely multifactorial, involving anemia, inactivity, infection, sleep disturbance, anxiety, and depression The prevalence of fatigue in the general population has been estimated between 7% and 45%,12 but as high as 70% to 96% in recently treated adult cancer patients13 Cancer-related fatigue (CRF) includes diminished energy and mental capacity and an increased need to rest disproportionate to any recent change in activity, present nearly every day during any 2-week period in the past month14,15 CRF is not relieved by rest and can severely diminish a patient's ability to interact socially and maintain a reasonable quality of life16 Fatigue and disrupted sleep have been described by survivors across diagnoses and may occur months to years following therapy17–19 The prevalence and impact of excessive fatigue and sleep disturbance among long-term survivors of childhood cancer has been the subject of limited investigation20–26 The aim of this investigation was to describe the prevalence of and risk factors for fatigue and sleep disturbance among a large population of survivors of childhood and adolescent cancers We hypothesized that this population would have more complaints of fatigue, disrupted sleep, and daytime sleepiness compared with a sibling comparison group and that there would be significant associations with central nervous system (CNS)-directed radiation therapy and late medical complications, including depression

Cognitive-behavioral therapy for insomnia: comparison of individual therapy, group therapy, and telephone consultations.

Abstract: Forty-five adults with primary insomnia received cognitive-behavioral therapy (CBT) implemented in a group therapy format, in individual face-to-face therapy or through brief individual telephone consultations. The results indicate that CBT was effective in improving sleep parameters with all 3 methods of treatment implementation, and there was no significant difference across methods of implementation. All 3 treatment modalities produced improvements in sleep that were maintained for 6 months after treatment completion. These results suggest that group therapy and telephone consultations represent cost-effective alternatives to individual therapy for the management of insomnia.