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Sleep disorder 

Overview of sleep disorder

Overview of sleep disorder

Sleep disorders (SDs) are among the most common clinical problems encountered in the field of medicine. Approximately, 10% of adults suffer from pronounced insomnia and another 10% from markedly increased daytime sleepiness.1 

Types of Sleep Disorders

The Second International Classification of Sleep Disorders published in 2005 had classified SDs into four categories:3

  • Dyssomnias: The disorder of initiating and maintaining sleep and the disorder of excessive sleepiness. Few of the common disorders in this category which will be discussed further includes the following:
    • Insomnia
    • Narcolepsy
    • Obstructive sleep apnea
    • Hypersomnia
    • Circadian rhythm SDs
  • Parasomnias: Comprises the disorders of arousal, partial arousal or sleep stage transition, which is not a cause of primary complaint of insomnia or excessive sleepiness. These includes the following:
    • Sleepwalking
    • Sleep bruxism
  • Sleep disorders, which are associated with mental, neurological or other medical disorders, secondary to another condition.
    • Mood disorders
    • Alcoholism
  • Proposed SDs: Disorders with insufficient information to confirm as definitive SDs.
    • Snoring

Insomnia

Insomnia

Insomnia is the most common SD and may be particularlydisabling in the elderly. Individuals with insomnia have impaired next day functioning and increased risk of depression which significantly affects their quality of life.4 Short-

Narcolepsy

Narcolepsy

Narcolepsy is characterized by a tetrad of symptoms that includes excessive daytime sleepiness (EDS), cataplexy, sleep paralysis and hypnagogic hallucinations. This disease affects one in 2000 people in the general   

Obstructive Sleep Apnea

Obstructive sleep apnea

Obstructive sleep apnea (OSA) is a common disorder characterized by repetitive narrowing or collapse of the pharyngeal airway during sleep. This leads to significantly reduced (hypopnea) or complete cessation (apnea) of 

Circadian Rhythm Sleep Disorders

Circadian rhythm sleep disorder

Circadian rhythm refers to a person’s internal sleep and wake-related rhythms that occur throughout a 24-h period. The term circadian rhythm sleep disorder (CRSD) refers to persistent pattern of sleep disruption due to either an altered

Hypersomnia

Hypersomnia

Primary hypersomnia (PH) is a disorder of presumed central nervous system etiology, associated with a normal or prolonged major sleep episode and excessive sleepiness consisting of prolonged (1 or 2 h) episodes of non-REM

Sleep Bruxism

Sleep bruxism

Sleep bruxism (SB) is a sleep-related movement disorder characterized by grinding or clenching of the teeth during sleep. This condition is common among 3 out of every 10 children. The highest prevelance is seen in individuals below

Snoring

Snoring

Snoring is a common disorder, mostly affecting middle-aged men. Apart from causing marital and relationship problems, snoring may cause other effects such as daytime drowsiness, irritability and lack of focus, leading to social

Written by: Healthplus24 team
Date last updated: August 13, 2011

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References 

 

  1. Becker HF, Mayer G, Penzel T. Sleep disorders and sleep-related breathing disorders. Internist (Berl). 2004; 45(1): 57–81.
  2. Let Sleep Work for You. The National Sleep Foundation, 2007.
  3. American Academy of Sleep Medicine. International Classification of Sleep Disorders: Diagnostic and Coding Manual. 2nd edn. Westchester, Ill: American Academy of Sleep Medicine; 2005.
  4. Bhat A, Shafi F, Solh AA. Pharmacotherapy of insomnia. Expert Opin Pharmacother. 2008; 9(3): 351–362.
  5. Wichniak A, Murawiec S, Jernajczyk W. Pharmacological treatment of insomnia. Psychiatr Pol. 2006; 40(3): 563–577.
  6. Wu R, Bao J, Zhang C, Deng J, Long C. Comparison of sleep condition and sleep-related psychological activity after cognitive-behavior and pharmacological therapy for chronic insomnia. Psychother Psychosom. 2006; 75(4): 220–228.
  7. Nishino S. Narcolepsy: pathophysiology and pharmacology. J Clin Psychiatry. 2007; 68(Suppl 13): 9–15.
  8. Roth T. Narcolepsy: Treatment issues. J Clin Psychiatry. 2007; 68(Suppl 13): 16–19.
  9. Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008; 5(2): 144–153.
  10. Bounhoure JP, Galinier M, Didier A, Leophonte P. Sleep apnea syndromes and cardiovascular disease. Bull Acad Natl Med. 2005; 189(3): 445–459; discussion 460–464.
  11. Barion A, Zee PC. A clinical approach to circadian rhythm sleep disorders. Sleep Med. 2007; 8(6): 566–577.
  12. Cardinali DP, Furio AM, Reyes MP, Brusco LI. The use of chronobiotics in the resynchronization of the sleep-wake cycle. Cancer Causes Control. 2006; 17(4): 601–609.
  13. Waterhouse J, Reilly T, Atkinson G, Edwards B. Jet lag: Trends and coping strategies. Lancet. 2007; 369(9567): 1117–1129.
  14. Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001; 119(1): 53–61.
  15. Stuck BA, Maurer JT, Verse T, Hein G, Schiffmann B, Hörmann K. Novel approaches to primary snoring. Otolaryngol Pol. 2004; 58(1): 217–225.
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