scholarly journals Italian Association of Sleep Medicine (AIMS) position statement and guideline on the treatment of menopausal sleep disorders

Maturitas ◽  
2019 ◽  
Vol 129 ◽  
pp. 30-39 ◽  
Author(s):  
R. Silvestri ◽  
I. Aricò ◽  
E. Bonanni ◽  
M. Bonsignore ◽  
M. Caretto ◽  
...  
Author(s):  
S. G. Khachatryan ◽  
M. A. Isayan ◽  
H. A. Hovakimyan

This article represents a brief overview and summary of the main ideas, suggestions, agreements, and conclusions reached during a special round-table discussion held on Oct 10, 2019, at the Armenian National Institute of Health, with the participation of representatives from the Armenian Sleep Disorders Association and the Executive Committee of the Assembly of National Sleep Societies (ANSS) of the European Sleep Research Society. As the pilot activity of the ANSS "Beyond Boundaries" project, it aimed to identify the current needs in the field of sleep medicine in Armenia and to summarize the recommendations to help improving the future multidisciplinary development of this important field in Armenia. The article aims to serve as a guiding point for further collaborations regarding sleep medicine in Armenia. Based on the evaluation of this pilot project, the ANSS will further shape and improve the "Beyond Boundaries" project for further implementation in other European countries that wish to develop knowledge and skills in the field of sleep medicine and research and broaden their international network.


Sleep is one of the key underpinnings of human health, yet sleep disturbances and impaired sleep are rampant in modern life. Healthy sleep is a whole-body process impacted by circadian rhythm, daily activities, and emotional well-being, among others. When properly aligned, these work in concert to produce restorative and refreshing sleep. When not in balance, however, sleep disorders result. Yet too often, the approach to treatment of sleep disorders is compartmentalized, failing to recognize all of the complex interactions that are involved. This text offers a comprehensive approach to sleep and sleep disorders by delineating the many factors that interplay into healthy sleep. Health care providers can learn how to better manage their patients with sleep disorders by integrating complementary and conventional approaches. Using an evidence-based approach throughout, this book describes the basics of normal sleep then delves into the foundations of integrative sleep medicine, including the circadian rhythm, mind/body-sleep connection, light, dreaming, the gastrointestinal system, and botanicals/supplements. Specific sleep issues and disorders are then addressed from an integrative perspective, including insomnia, obstructive sleep apnea, sleep related movement disorders, and parasomnias.


Author(s):  
Kannan Ramar ◽  
Raman K. Malhotra ◽  
Kelly A. Carden ◽  
Jennifer L. Martin ◽  
Fariha Abbasi-Feinberg ◽  
...  

2018 ◽  
Vol 24 (4) ◽  
pp. 273-283 ◽  
Author(s):  
Hugh Selsick ◽  
David O'Regan

SUMMARYSleep medicine is a truly multidisciplinary field that covers psychiatric, neurological and respiratory conditions. As the field has developed it has become increasingly clear that there is a great deal of overlap between sleep and psychiatric disorders and it is therefore essential for psychiatrists to have some knowledge of sleep medicine. Even those disorders, such as obstructive sleep apnoea, that may seem to be outside the remit of psychiatry can have complex and important interactions with psychiatric conditions. In this article we give a brief overview of the range of sleep disorders a psychiatrist might encounter, how they are recognised, investigated and treated, and how they relate to psychiatric conditions.LEARNING OBJECTIVES•Be aware of the range of sleep disorders that might be encountered in psychiatric practice•Understand how these sleep disorders affect mental health•Have a broad understanding of how these disorders are investigated and treatedDECLARATION OF INTERESTH.S. has accepted speaker fees from Janssen Pharmaceuticals.


Author(s):  
David P. Shaha ◽  
Vincent F. Capaldi ◽  
Scott G. Williams ◽  
Beverly Fang ◽  
Emerson M. Wickwire

As evidenced throughout this volume, sleep and psychiatry are deeply intertwined. Sleep and psychiatric processes share multiple biologic underpinnings, and sleep and psychiatric disorders are highly comorbid, with an additive adverse impact. Yet, much remains unknown, and much work remains to optimize treatments of sleep disorders in psychiatric populations. This chapter is to consider these issues with an eye toward the future. The chapter briefly considers sleep medicine education in psychiatry, drug development and novel compounds, consumer wearables, behavioral and complementary approaches, telehealth, and sleep health economics. The authors argue for the need to a value-based approach to sleep and psychiatry.


Author(s):  
Kenneth J. Weiss ◽  
Clarence Watson ◽  
Mark R. Pressman

Patients with sleep disorders can exhibit behavior that includes violent acts. The behavior may occur during various sleep stages, ranges in complexity, and requires an analysis of consciousness. When the behavior harms another person and criminal charges follow, expert testimony will be required to explain the physiology of the disorder and impairments in consciousness that determine criminal culpability, that is, whether there was conscious intent behind the behavior. In this chapter, sleep-related conditions associated with violent behavior are discussed, along with guidelines for presenting scientific testimony in court. These disorders include rapid eye movement (REM) behavior disorder, somnambulism and other non-REM partial awakenings, and hypersomnolence. Feigned symptoms and malingering must be ruled out, and the clinical parameters for them are discussed. While the physiology of sleep disorders has widely been known, admissibility in court is not automatic. Standards for acceptable expert testimony are discussed.


Author(s):  
Paul Reading

Despite major advances in our understanding of its neurobiology, sleep remains an enigma. Its true function and even the amount needed for optimum brain performance remain uncertain (Frank 2006). However, the need to sleep is imperative, reflecting the fact that sleepiness, like hunger and thirst, is a true drive state. Sleepiness can only be satiated by sleep itself. Moreover, severely disordered sleep can profoundly affect cognition, mental health, and physical well-being.Although sleep medicine has a traditionally low profile in neurology teaching and practice, sleep-related phenomena are frequently associated with numerous neurological disorders. Conversely, sleep problems can adversely affect familiar conditions such as headache and epilepsy. Furthermore, in large surveys, sleep-related symptoms are undoubtedly common with 25 per cent of the population reporting problems that significantly and regularly impact on daily activities.


2018 ◽  
Vol 14 (04) ◽  
pp. 679-681 ◽  
Author(s):  
Kannan Ramar ◽  
Ilene M. Rosen ◽  
Douglas B. Kirsch ◽  
Ronald D. Chervin ◽  
Kelly A. Carden ◽  
...  

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