The Psychiatric Dimensions Of Sleep Medicine, An Issue Of Sleep Medicine Clinics (the Clinics: Internal Medicine)

This issue is the definitive handbook on the most important psychiatric aspects of sleep medicine. Topics include a historical perspective of sleep and psychiatry; the psychology of sleep and dreaming; the prevalence, impact, pathogenesis, differential diagnosis, and evaluation of insomnia; pharmacological management of, as well as nonpharmacological strategies for, insomnia; excessive daytime somnolence and fatigue in the psychiatric patient; parasomnias; sleep in mood disorders, schizophrenia, and anixiety disorders; behavioral sleep disorders in children and adolescents; sleep disorders specifically in seniors and in women; and seasonal affective disorder and phototherapy. 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 History of Sleep Medicine -- William C. Dement The Contribution of the Psychology of Sleep and Dreaming to Understanding Sleep-Disordered Patients -- Rosalind Cartwright Insomnia : Prevalence, Impact, Pathogenesis, Differential Diagnosis, and Evaluation -- Evelyn Mai, Daniel J. Buysse Efficacy and Safety of Sleep-Promoting Agents -- Thomas Roth, Timothy Roehrs Nonpharmacologic Strategies in the Management of Insomnia: Rationale and Implementation -- Paul B. Glovinsky, Chien-Ming Yang, Boris Dubrovsky, Arthur J. Spielman Sleepiness and Fatigue in Patients with Psychiatric Disorders -- Chad C. Hagen, Jed E. Black Parasomnias : Psychiatric Considerations -- David T. Plante, John W. Winkelman Sleep in mood disorders -- Michael J. Peterson, Ruth M. Benca Sleep in schizophrenia -- Kathleen L. Benson Sleep and Anxiety Disorders -- Thomas A. Mellman Behavioral sleep Disorders in Children and Adolescents -- Lisa J. Meltzer, Jodi A. Mindell Sleep and Its Disorders in Seniors -- Carl J. Stepnowsky, Sonia Ancoli-Israel Sleep Disturbances in Women: Psychiatric Considerations -- Claudio N. Soares, Brian J. Murray Seasonal Affective Disorder and Light Therapy -- Brenda Byrne, George C. Brainard. A handbook on the psychiatric aspects of sleep medicine. It covers such topics as: a historical perspective of sleep and psychiatry; the psychology of sleep and dreaming; pharmacological management of insomnia; excessive daytime somnolence and fatigue in the psychiatric patient; parasomnias; and, sleep in mood disorders and anxiety disorders.