BOOK
Evaluation of Sleep Complaints, An Issue of Sleep Medicine Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
Dr. Clete Kushida has assembled an expert panel of authors focused on Sleep Complaints. Articles in this issue include: Difficulty Falling or Staying Asleep; Irregular Bedtimes and Awakenings; Snoring, Irregular Respiration, Hypoventilation, and Apneas; Periodic or Rhythmic Movements During Sleep; Nightmares and Dream-Enactment Behaviors; Poor Sleep with Age; Difficulty Falling or Staying Asleep and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Program Objective | iii | ||
| Target Audience | iii | ||
| Learning Objectives | iii | ||
| Accreditation | iii | ||
| Disclosure of Conflicts of Interest | iii | ||
| Unapproved/Off-Label Use Disclosure | iii | ||
| To Enroll | iii | ||
| Method of Participation | iii | ||
| CME Inquiries/Special Needs | iii | ||
| Contributors | v | ||
| Consulting Editor | v | ||
| Editor | v | ||
| Authors | v | ||
| Contents | vii | ||
| Preface: Evaluation of Sleep Complaintsxi | vii | ||
| Difficulty Falling or Staying Asleep463 | vii | ||
| Irregular Bedtimes and Awakenings481 | vii | ||
| Daytime Sleepiness491 | vii | ||
| Snoring, Irregular Respiration, Hypoventilation, and Apneas499 | vii | ||
| Restless Legs513 | viii | ||
| Periodic or Rhythmic Movements During Sleep523 | viii | ||
| Confusional Arousals, Sleep Terrors, and Sleepwalking537 | viii | ||
| Nightmares and Dream-Enactment Behaviors553 | viii | ||
| Jet Lag and Shift Work561 | viii | ||
| Poor Sleep with Age571 | ix | ||
| Evaluation of Sleep Complaints | xi | ||
| Difficulty Falling or Staying Asleep | 463 | ||
| Key points | 463 | ||
| Introduction | 463 | ||
| Barriers/access to care | 464 | ||
| Access to sleep specialists | 465 | ||
| Initial assessment | 465 | ||
| The interview | 466 | ||
| Difficulties with initial sleep onset | 467 | ||
| Models and causes of insomnia | 467 | ||
| Arousal system overactivity | 467 | ||
| Circadian rhythm disorders | 470 | ||
| Clinical vignette | 471 | ||
| Nighttime and early morning awakenings | 472 | ||
| The 2-Process Model and Homeostatic Load Issues | 472 | ||
| Sleep-fragmenting conditions | 473 | ||
| Medical conditions | 473 | ||
| Psychiatric conditions | 474 | ||
| Diagnostic and assessment tools | 474 | ||
| Sleep diaries | 474 | ||
| Actigraphy | 475 | ||
| Sleep testing | 475 | ||
| Laboratory testing and other assessments | 475 | ||
| Psychological and neurobehavioral testing | 475 | ||
| Summary | 476 | ||
| References | 476 | ||
| Irregular Bedtimes and Awakenings | 481 | ||
| Key points | 481 | ||
| Introduction: nature of the problem | 481 | ||
| Basics of Sleep and Circadian Rhythms | 481 | ||
| Overview of the Circadian Rhythm Sleep Disorders | 482 | ||
| Delayed sleep phase disorder | 482 | ||
| Advanced sleep phase disorder | 482 | ||
| Free-running disorder or non–24-hour sleep-wake syndrome | 483 | ||
| Irregular sleep-wake disorder | 483 | ||
| Other considerations for irregular sleep | 483 | ||
| Patient history | 483 | ||
| Questions About Sleep Timing | 483 | ||
| Questions to Assess Circadian Preference | 483 | ||
| Questions to Assess Insomnia | 483 | ||
| Questions to Assess Daytime Sleepiness | 484 | ||
| Questions to Differentiate Mood or Psychiatric Disorders | 484 | ||
| Questions to Identify Potential Consequences | 484 | ||
| Physical examination | 484 | ||
| Sleep tests and additional testing | 485 | ||
| Epworth Sleepiness Scale | 485 | ||
| Sleep Log | 485 | ||
| Actigraphy | 485 | ||
| Polysomnography | 485 | ||
| Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing | 485 | ||
| Other Laboratory Studies and Imaging | 485 | ||
| Treatment options | 486 | ||
| Regular Sleep Schedule | 486 | ||
| Phototherapy | 486 | ||
| Cognitive Behavioral Therapy for Insomnia | 486 | ||
| Chronotherapy | 487 | ||
| Melatonin | 487 | ||
| Further Treatments | 487 | ||
| Summary | 487 | ||
| References | 488 | ||
| Daytime Sleepiness | 491 | ||
| Key points | 491 | ||
| Introduction | 491 | ||
| Patient history | 491 | ||
| Insufficient Sleep Time | 493 | ||
| Insomnia | 493 | ||
| Circadian Rhythm Disorders | 494 | ||
| Restless Leg Syndrome and Periodic Limb Movement Disorder | 494 | ||
| Sleep-Related Breathing Disorders | 495 | ||
| Narcolepsy and Other Hypersomnias of Central Origin | 495 | ||
| Parasomnias | 495 | ||
| Physical examination | 495 | ||
| Additional testing | 496 | ||
| Surveys | 496 | ||
| Actigraphy | 496 | ||
| Laboratory Testing | 496 | ||
| Polysomnography, Multiple Sleep Latency Test, and Maintenance of Wakefulness Test | 496 | ||
| References | 498 | ||
| Snoring, Irregular Respiration, Hypoventilation, and Apneas | 499 | ||
| Key points | 499 | ||
| Introduction | 499 | ||
| Snoring | 499 | ||
| Clinical Evaluation | 500 | ||
| Diagnostic Evaluation | 500 | ||
| Treatment | 500 | ||
| Apnea | 501 | ||
| Obstructive Sleep Apnea | 502 | ||
| Central Sleep Apnea | 502 | ||
| Clinical Evaluation | 503 | ||
| Diagnostic Evaluation | 504 | ||
| Treatment | 504 | ||
| Positive airway pressure | 504 | ||
| Oral appliance | 505 | ||
| Surgical procedures | 505 | ||
| Behavioral therapy | 505 | ||
| Adjunctive therapies | 506 | ||
| Irregular respiration | 506 | ||
| Clinical Evaluation | 506 | ||
| Diagnostic Evaluation | 507 | ||
| Treatment | 507 | ||
| Hypoventilation | 507 | ||
| Clinical Evaluation | 507 | ||
| Diagnostic Evaluation | 508 | ||
| Treatment | 508 | ||
| Summary | 508 | ||
| References | 509 | ||
| Restless Legs | 513 | ||
| Key points | 513 | ||
| Clinical features | 513 | ||
| Epidemiology | 514 | ||
| Cause | 514 | ||
| Clinical evaluation | 515 | ||
| Differential Diagnosis for Restless Legs Syndrome | 515 | ||
| Treatment | 516 | ||
| Nonpharmacological Therapy | 516 | ||
| Iron therapy | 516 | ||
| Pharmacologic Therapy | 516 | ||
| Dopamine agonists | 516 | ||
| Anticonvulsants | 517 | ||
| α-2-δ ligand | 517 | ||
| Opiates | 517 | ||
| Sedative hypnotics | 518 | ||
| Clonidine | 518 | ||
| Amantadine | 518 | ||
| Magnesium | 518 | ||
| Treatment algorithms | 518 | ||
| Treatment of restless legs syndrome in special populations | 519 | ||
| Restless Legs Syndrome Treatment in Pregnancy | 519 | ||
| Restless Legs Syndrome in Hemodiaylsis Patients | 519 | ||
| Refractory restless legs syndrome | 519 | ||
| Summary | 519 | ||
| References | 519 | ||
| Periodic or Rhythmic Movements During Sleep | 523 | ||
| Key points | 523 | ||
| Clinical case | 523 | ||
| Sleep-related rhythmic movement disorder | 523 | ||
| Epidemiology | 524 | ||
| Clinical Evaluation | 524 | ||
| Diagnosis | 524 | ||
| Differential Diagnosis | 525 | ||
| Treatment | 525 | ||
| Clinical case (continued) | 526 | ||
| Periodic limb movements | 526 | ||
| Epidemiology | 526 | ||
| Objective Evaluation | 526 | ||
| Concept of Periodic Limb Movement Disorder | 526 | ||
| Diagnosis | 527 | ||
| Periodic Limb Movement Disorder as an Exclusion Diagnosis | 527 | ||
| Treatment of Periodic Limb Movement Disorder | 528 | ||
| Clinical case (continued) | 529 | ||
| Bruxism | 529 | ||
| Epidemiology | 529 | ||
| Clinical Diagnosis | 529 | ||
| Primary and Secondary Bruxism | 529 | ||
| Diagnostic Evaluation | 530 | ||
| Differential Diagnosis | 531 | ||
| Treatment | 531 | ||
| Clinical case (end) | 531 | ||
| Miscellaneous conditions | 531 | ||
| Hypnagogic Foot Tremor | 531 | ||
| Alternating Leg Muscle Activation | 531 | ||
| Propriospinal Myoclonus | 532 | ||
| References | 532 | ||
| Confusional Arousals, Sleep Terrors, and Sleepwalking | 537 | ||
| Key points | 537 | ||
| Introduction | 537 | ||
| Epidemiology and prevalence | 538 | ||
| Role of Familial Traits and Genetics in Disorders of Arousal | 538 | ||
| Pathophysiology | 538 | ||
| Factors precipitating disorders of arousal | 539 | ||
| Clinical presentation | 540 | ||
| Confusional Arousals | 540 | ||
| Sleepwalking | 540 | ||
| Sleep Terrors | 541 | ||
| Specialized Forms of Disorders of Arousal | 541 | ||
| Sleep-related eating disorder | 541 | ||
| Sleep-related abnormal sexual behaviors | 542 | ||
| Diagnosis | 543 | ||
| Investigations | 544 | ||
| Role of Polysomnography in the Diagnosis of Disorders of Arousal | 544 | ||
| Electroencephalography Findings in Disorders of Arousal | 544 | ||
| Differential diagnosis | 544 | ||
| Management | 546 | ||
| Confusional Arousals | 547 | ||
| Sleepwalking | 547 | ||
| Sleep Terrors | 547 | ||
| Summary | 547 | ||
| Acknowledgments | 547 | ||
| References | 548 | ||
| Jet Lag and Shift Work | 561 | ||
| Key points | 561 | ||
| Introduction | 561 | ||
| Jet lag | 562 | ||
| Diagnosis of Jet Lag Disorder | 562 | ||
| Case Example of Jet Lag Without Jet Lag Disorder | 563 | ||
| Shift work disorder | 563 | ||
| Diagnosis of Shift Work Disorder | 563 | ||
| Case Example of Shift Work Disorder | 564 | ||
| Treatment strategies for jet lag and shift work disorder | 566 | ||
| Phototherapy | 566 | ||
| Jet lag | 566 | ||
| Bright light for jet lag | 566 | ||
| Use of light for shift work | 567 | ||
| Melatonin Supplements | 568 | ||
| Melatonin for shift work | 568 | ||
| Overlap Schedule Versus Full Entrainment for Shift Work | 569 | ||
| Pharmacologic Approaches to Sleepiness | 569 | ||
| Modafinil | 569 | ||
| References | 570 | ||
| Poor Sleep with Age | 571 | ||
| Key points | 571 | ||
| Introduction | 571 | ||
| Sleep changes with aging | 571 | ||
| Sleep Architecture | 571 | ||
| Napping | 572 | ||
| Clinical Evaluation of Sleep Complaints | 572 | ||
| Sleep History | 572 | ||
| Physical Examination | 574 | ||
| Questionnaires and Diagnostic Testing | 574 | ||
| Sleep disorders across the lifespan | 575 | ||
| Children (0–12 Years of Age) | 575 | ||
| Prevalence and characteristics of sleep disorders | 575 | ||
| Management | 576 | ||
| Adolescent (12–18 Years of Age) | 576 | ||
| Prevalence and characteristics of sleep disorders | 576 | ||
| Management | 577 | ||
| Middle-Aged Adults (18–60 Years of Age) | 578 | ||
| Prevalence and characteristics of sleep disorders | 578 | ||
| Management | 579 | ||
| Elderly (﹥60 Years of Age) | 580 | ||
| Prevalence and characteristics of sleep disorders | 580 | ||
| Management | 581 | ||
| Summary | 582 | ||
| References | 582 | ||
| Index | 585 | ||
| A | 585 | ||
| B | 585 | ||
| C | 585 | ||
| D | 585 | ||
| E | 586 | ||
| F | 586 | ||
| H | 586 | ||
| I | 586 | ||
| J | 586 | ||
| L | 587 | ||
| M | 587 | ||
| N | 587 | ||
| O | 587 | ||
| P | 587 | ||
| R | 587 | ||
| S | 588 |