The Psychiatric Dimensions of Sleep Medicine

Cover......Page 1
Foreword......Page 2
Preface......Page 4
History of Sleep Medicine......Page 6
Professional organizations......Page 11
Discipline identity and discipline overlap......Page 12
References......Page 14
A brief history......Page 16
Current theories of dreaming and the psychology of sleep circa 2007......Page 17
What makes a sleepwalker walk?......Page 18
Sleepwalking in obstructive sleep apnea......Page 20
Dream enactment in rapid eye movement behavior disorder......Page 21
Summary......Page 22
References......Page 23
Insomnia prevalence......Page 26
Insomnia and medical conditions......Page 28
Patient interview......Page 29
Summary......Page 31
References......Page 32
Efficacy and Safety of Sleep-Promoting Agents......Page 34
Therapeutic end points......Page 35
Psychomotor impairment......Page 36
Cognitive impairment......Page 37
Liability for abuse......Page 38
Idiosyncratic side effects......Page 39
On-label use......Page 40
Sedating antidepressants......Page 41
Herbals......Page 42
Alcohol and substance abusers......Page 43
References......Page 44
Nonpharmacologic Strategies in the Management of Insomnia: Rationale and Implementation......Page 47
Neurophysiologic models of insomnia......Page 48
Dysfunctional sleep cognitions......Page 49
The 3P model of insomnia......Page 50
Evaluation of insomnia......Page 52
Sleep hygiene education......Page 54
Sleep restriction therapy......Page 55
Relaxation training......Page 56
Chronotherapy......Page 57
Light therapy......Page 58
References......Page 60
Sleepiness and Fatigue in Patients with Psychiatric Disorders......Page 63
Attention Deficit-Hyperactivity Disorder (ADHD)......Page 64
Dementia......Page 65
Depression......Page 66
Post traumatic stress disorder......Page 68
Psychiatric medications......Page 69
References......Page 71
Parasomnias: Psychiatric Considerations......Page 74
Non-rapid eye movement parasomnias: disorders of arousal......Page 75
Sleep terrors......Page 77
Evaluation and treatment of non-rapid eye movement parasomnias......Page 78
Rapid eye movement behavior disorder......Page 79
Nightmare disorder......Page 80
Sleep-related eating disorder......Page 81
Sleep-related hallucinations......Page 82
References......Page 83
Classification and diagnosis of mood disorders......Page 87
Epidemiology of sleep disturbance and mood disorders......Page 89
Comorbidity of primary sleep disorders and mood disorders......Page 90
Polysomnographic and architectural sleep changes......Page 91
Power spectral analysis......Page 93
Topography of sleep electroencephalogram activity......Page 94
Neurotransmitters......Page 95
Endocrine changes......Page 96
Treatment of sleep disturbance and mood disorders......Page 97
Summary......Page 100
References......Page 101
Schizophrenia: a brief overview......Page 106
Objective assessment......Page 107
Measures of sleep-related brain wave activity......Page 108
Biologic correlates......Page 109
Antipsychotic medications: their effects on sleep patterns......Page 110
Somnambulism and sleep-related eating disorder: two parasomnias......Page 111
References......Page 112
Sleep and Anxiety Disorders......Page 116
Acknowledgments......Page 117
Sleep in posttraumatic stress disorder......Page 118
Sleep anxiety symptoms and sleep apnea......Page 119
Treatment and prevention......Page 120
References......Page 121
Assessment of sleep disorders......Page 124
Behavioral sleep disorders......Page 125
Combined type......Page 126
Insufficient sleep and inadequate sleep hygiene......Page 127
Circadian rhythm disorder, delayed sleep phase type......Page 128
Attention-Deficit-Hyperactivity Disorder......Page 129
Autism......Page 130
References......Page 131
Sleep and aging......Page 135
Circadian rhythm disturbances......Page 136
Depression......Page 137
Cognitive behavioral therapy......Page 138
Pharmacologic interventions......Page 139
Sleep-related breathing disorder......Page 140
Rapid eye movement sleep behavior disorder......Page 142
Sleep in institutionalized elderly......Page 143
References......Page 144
Insomnia in women: prevalence, risk factors, and clinical characteristics......Page 148
Perimenstrual changes, premenstrual syndrome, and premenstrual dysphoric disorder......Page 149
Perinatal changes......Page 150
Menopausal transition, mood symptoms, and sleep disorders......Page 151
Diagnosis and management of sleep disturbances in women: clinical considerations......Page 152
Summary......Page 155
References......Page 156
Acknowledgments......Page 160
Epidemiology of SAD......Page 161
Pathogenesis of SAD......Page 162
Light therapy......Page 163
Risks and side effects......Page 164
Other strategies of SAD treatment......Page 165
References......Page 166