TAILIEUCHUNG - Chapter 028. Sleep Disorders (Part 7)

Psychophysiologic Insomnia Persistent psychophysiologic insomnia is a behavioral disorder in which patients are preoccupied with a perceived inability to sleep adequately at night. This sleep disorder begins like any other acute insomnia; however, the poor sleep habits and sleep-related anxiety ("insomnia phobia") persist long after the initial incident. Such patients become hyperaroused by their own efforts to sleep or by the sleep environment, and the insomnia becomes a conditioned or learned response. Patients may be able to fall asleep more easily at unscheduled times (when not trying) or outside the home environment. Polysomnographic recording in patients with psychophysiologic insomnia reveals. | Chapter 028. Sleep Disorders Part 7 Psychophysiologic Insomnia Persistent psychophysiologic insomnia is a behavioral disorder in which patients are preoccupied with a perceived inability to sleep adequately at night. This sleep disorder begins like any other acute insomnia however the poor sleep habits and sleep-related anxiety insomnia phobia persist long after the initial incident. Such patients become hyperaroused by their own efforts to sleep or by the sleep environment and the insomnia becomes a conditioned or learned response. Patients may be able to fall asleep more easily at unscheduled times when not trying or outside the home environment. Polysomnographic recording in patients with psychophysiologic insomnia reveals an objective sleep disturbance often with an abnormally long sleep latency frequent nocturnal awakenings and an increased amount of stage 1 transitional sleep. Rigorous attention should be paid to improving sleep hygiene correction of counterproductive arousing behaviors before bedtime and minimizing exaggerated beliefs regarding the negative consequences of insomnia. Behavioral therapies are the treatment modality of choice with intermittent use of medications. When patients are awake for 20 min they should read or perform other relaxing activities to distract themselves from insomnia-related anxiety. In addition bedtime and wake time should be scheduled to restrict time in bed to be equal to their perceived total sleep time. This will generally produce sleep deprivation greater sleep drive and eventually better sleep. Time in bed can then be gradually expanded. In addition methods directed towards producing relaxation in the sleep setting . meditation muscle relaxation are encouraged. Adjustment Insomnia Acute Insomnia This typically develops after a change in the sleeping environment . in an unfamiliar hotel or hospital bed or before or after a significant life event such as a change of occupation loss of a loved one illness or .

• Y học thường thức
• Sleep Disorders
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Dental management
• Sleep related breathing disorders
• Dental conditions related
• Human sleep
• ABC of sleep medicine
• Sleep medicine
• Normal versus abnormal sleep
• Diagnosing sleep disorders
• Excessive daytime sleepiness
• Sleep apnoea syndromes
• BMC Pulmonary Medicine
• Lung neoplasm
• Sleep related disorders
• Sleep related hypoxaemia
• Lung cancer
• Sleep apnea
• BMC Pediatrics
• Sleep Disturbance Scale for Children
• Cerebral palsy
• Sleep wake transition
• Maturation of Sleep
• CIRCADIAN DYSRHYTHMIAS
• Nonobstructive Sleep
• Neurological Perspective
• Evaluation by the dentist
• Surgical treatment
• Positive airway pressure therapy
• Sleep disordered breathing
• Sleep health
• Odds ratios
• Pediatric Sleep Questionnaire
• BMC Musculoskeletal Disorders
• Sleep quality
• Sleep disturbances
• Cardiorespiratory fitness
• Intermittent training
• Rheumatoid arthritis
• Diabetic complication
• Older patients
• Type 2 diabetic patients
• Poor sleep quality
• BMC Anesthesiology
• Disruptive environment
• Normal sleep habits
• Hypnotic potency
• BMC Geriatrics
• Geriatric depression
• Catastrophizing pain
• Musculoskeletal disorders
• Physical workload
• Psychological stress
• Hospital workers
• Normal Sleep
• Sleep Deprivation
• CIRCADIAN RHYTHM
• Movement Sleep
• Neurophysiologic Mechanisms
• Clinical Pharmacology
• BMC Cancer
• Prostate cancer
• Cohort study
• Disrupted sleep rhythms
• Osteogenesis imperfecta
• PAP therapy
• Obstructive sleep apnea
• Sleep disturbance
• Chronic pain
• Post traumatic stress disorder