Talk:Sleep disorder

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Sleep Medicine[edit]

There is a missuse of the word plethora which implies too many. —Preceding unsigned comment added by 124.191.89.173 (talk) 10:24, 30 November 2009 (UTC)

Sleepwalking[edit]

There is enough information and enough of interest about the phenomenon sleepwalking to have a separate article (IMO). --Daniel C. Boyer 19:28 19 Jul 2003 (UTC)

Why is sleepwalking the only sleep disorder that redirects to here? --Miguel 19:24, 17 August 2003
Okay, made sleepwalking a seperate article. I don't know why it redirected to here originally. The article is rather stubbish, so feel free to expand. —Frecklefoot 14:35, 18 Aug 2003 (UTC)

REM deprivation[edit]

Deleted reference to REM sleep in the first sentence. It simply is not true. In fact, REM deprivation is a common side effect of antidepressant use (some attribute their effects to REM deprivation). REM deprivation may affect memory negatively...but so does sleep fragmentation and total sleep deprivation. --MrSandman 19:25, 23 September 2005

Insomnia[edit]

Okay, I'm thoroughly confused here. In the common sleep disorders list, Insomnia is like the third one down... but in the Insomnia page, it states: "Many believe that insomnia is a sleep disorder, but it is not. It is a symptom, as insomniacs typically complain of being unable to close their eyes or 'rest their mind' for more than a few minutes at a time. As opposed to being a sleep disorder, insomnia is most often caused by sleep disorders, though they are not the only causes."

Which is true? Is Insomnia a sleeping disorder, or is it not?

--70.95.59.46 07:30, 26 February 2006

Of course insomnia is a sleep disorder. JFW | T@lk 10:03, 21 July 2008 (UTC)
Primary insomnia is a sleep disorder. "Insomnia" is also used to describe difficulty falling asleep or maintaining sleep due to a whole host of (other) causes. --Hordaland (talk) 15:53, 21 July 2008 (UTC)
This article should be changed to reflect that then, either that or the Insomnia article should be changed. This is indeed confusing and should not need resolving via the discussions page —Preceding unsigned comment added by Uberangryghost (talkcontribs) 08:01, 5 July 2009 (UTC)

Depends on what context it is used. Insomnia is a symptom. For example you could have insomnia the night before exams or insomnia after taking too much caffeine or after breaking up with a girlfriend etc. However, chronic insomnia is a sleep disorder. If it is chronic it is a disorder. If it is transient it is a symptom.--Literaturegeek | T@1k? 18:17, 21 July 2008 (UTC)

Can't Sleep[edit]

In summertime I find my self up til 2AM trying to sleep, sume times 3, once 4. Now I can but it takes a while. --Realg187 17:06, 18 October 2006 (UTC)

Sudden infant death = parasomnia[edit]

Maybe its worth mentioning SIDs as a "sleep disorder". But is it really classified as a parasomnia? "characterized by partial arousals during sleep" - given that it's sudden and fatal, SIDs couldn't involve multiple arousals. This just seems silly. --Sourcejedi 14:26, 22 June 2007 (UTC)

u are not currently logged in. Editing this way will cause your IP address to be recorded publicly in this page's edit history. If you create an account, you can conceal your IP address and be provided with many other benefits. Messages sent to your IP can be viewed on yo —Preceding unsigned comment added by 121.1.53.7 (talk) 11:20, 16 February 2008 (UTC)

I also don't believe that SIDs is a parasomnia - in fact I don't think half of these things in this list are parasomnias.

Sleep medicine in USA[edit]

I have changed this section to "history" (as it is essentially historical) but it should be expanded to include specific developments in other countries. I need to find out the UK situation, but to my knowledge it is vastly underdeveloped in this country. JFW | T@lk 10:03, 21 July 2008 (UTC)

I changed it back. I ain't done with it yet. Hope to make it eventually worldwide and current, then move the section to Sleep medicine. (And my OR shows that it varies widely from place to place in UK. Some districts happily send patients to London, some don't!) --Hordaland (talk) 15:57, 21 July 2008 (UTC)

more than less[edit]

I think that I counted six "more" and one "less" but only two "than". Shouldn't "möre" and "less" be always comparative ? Jclerman (talk) 14:57, 22 July 2008 (UTC)

Always? Often implied, as in "For more information, see ..." But I fixed a couple, both mine and others'.---Hordaland (talk) 17:43, 22 July 2008 (UTC)

Automatism (medicine)[edit]

Automatism (medicine) should be mentioned somewhere on this page to open a path there.76.97.245.5 (talk) 08:15, 27 February 2009 (UTC)

Awake but unable to move[edit]

There is a disorder, I believe, were the sleeper wakes and is fully conscious but is not yet able to move. Any one know what this one is? Should it be added? —Preceding unsigned comment added by 62.232.250.50 (talk) 10:11, 17 November 2010 (UTC)

That is called sleep paralysis. It is relatively common. It can be, but doesn't have to be, a symptom of a disorder. I experience it a few times a year, and I've found it interesting, not scary. Some people find it scary. It is already mentioned in the article. --Hordaland (talk) 10:26, 17 November 2010 (UTC)

Types[edit]

There needs to be improvements to the formatting of types rather than a series of bullet points. It is difficult to follow and the structure is extremely distracting. I completely agree with the above statement. It is kind of disjointed and although it allows for a comprehensive view of all of the different types there are, it allows for no elaboration in regards to each specific one and their specific treatments, diagnoses, etc. I think it would be a good idea for each different type of disorder to have its own section, that way it will allow for much more elaboration for each specific one, as a broad characterization of "treatment" is pretty much useless as each disorder is so unique. Hannahsandy (talk) 15:13, 8 March 2016 (UTC)HannahSandy For example, a Cochrane article talks about treatment for Obstructive Sleep Apnoea but it would be too specific to put under the general header of "Treatment" [1] Hannahsandy (talk) 15:25, 8 March 2016 (UTC)HannahSandy

Reference

  1. ^ Mason, M., Welsh, E., & Smith, I. (2013). Drug therapy for obstructive sleep apnoea in adults. Cochrane Database of Systematic Reviews. Retrieved March 08, 2016, from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003002.pub3/full
HannahSandy, you wrote "I completely agree with the above statement." What statement? The sections above are from 2010 and earlier.
IMO there's no need (and no space) for "much more elaboration" in this article. Elaboration is found at (most of) the many linked articles. There are a lot of blue links! --Hordaland (talk) 07:23, 11 March 2016 (UTC)

________________________

I would recommend adding a brief mention of the fact that there are varying classification systems for sleep disorders, and talk about the various features of each, including how the diagnoses were formulated (a panel of general mental health experts, a panel of sleep experts, systematic reviews?) In particular, I would mention the DSM 5 classifications and compare them to the ICSD-3 classifications, as these seem to be the fore running classification systems in sleep research that I've come across, though there are many others. It would be useful to have visual representations (a table, especially) comparing and contrasting the differing systems, as it would allow for a quick and balanced comparison. [1] [2] Ogjuarez (talk) 04:32, 8 March 2016 (UTC)

References

  1. ^ American Academy of Sleep Medicine. International classification of sleep disorders, revised: Diagnostic and coding manual. Chicago, Illinois: American Academy of Sleep Medicine, 2001.
  2. ^ American Psychiatric Association (2013). Sleep-wake disorders. In Diagnostic and Statistical Manual of Mental Disorders. doi:10.1176/appi.books.9780890425596.dsm12
That sounds like a good idea, Ogjuarez. I hope you will be working on it. :) --Hordaland (talk) 07:23, 11 March 2016 (UTC)

Treatment[edit]

There is no mention of specific medicinal treatments and their effectiveness. A possible addition would be a study on melatonin, which would fit under a subheading under treatment for "Specific medicinal treatments." The link is here[1]

I am trying to include information about Melatonin but I'm not sure whether I should include it under Treatments (where hypnosis is) or under medicine? It's more like a sleep vitamin... Any advice? Hannahsandy (talk) 14:00, 8 March 2016 (UTC)HannahSandy

Reference

  1. ^ Ferracioli-Oda E, Qawasmi A, Bloch MH (2013) Meta-Analysis: Melatonin for the Treatment of Primary Sleep Disorders. PLoS ONE 8(5): e63773. doi: 10.1371/journal.pone.0063773
Melatonin is a hormone and not at all a vitamin; it is produced in our brains at specific times of day/night. It happens to be available OTC in the US (& Canada) because the US FDA considers it a "food supplement", which is ridiculous. In most or all other countries it is considered a drug and requires a prescription if it is available at all. --Hordaland (talk) 06:27, 11 March 2016 (UTC)

Treatment[edit]

There is no mention of how treatments are performed to reach an ideal amount of sleep for each age. A chart with this information would fit under a subheading under treatment for "Recommended amount of sleep." The like is here http://www.cdc.gov/sleep/about_sleep/how_much_sleep.htm (2013) Centers for Disease Control and Prevention.Tlharris1000 (talk) 01:58, 29 November 2015 (UTC)Thomas Harrison


It is important that evidence based treatments are also presented relative to certain age groups. While the general description covers treatment more generally with a focus on adults, I would suggest adding specific treatment information relevant to children and adolescents. The following article is a Clinical Practice Guideline published in 2011. CPG's can be described as ‘systematically developed recommendations for helping professionals and patients to make decisions about the most appropriate healthcare and select the most appropriate diagnostic or therapeutic options when dealing with a health problem or specific clinical condition.' This particular CPG relates specifically to the diagnoses, assessment, and treatment (among other factors) of childhood and adolescent sleep problems; I would recommend either making a separate page for pediatric and adolescent sleep disorders, or incorporating them throughout this page. [1]

REFERENCE

  1. ^ Agency for Healthcare Research and Quality (AHRQ). (2011). Clinical practice guideline on sleep disorders in childhood and adolescence in primary care. Retrieved March 2, 2016, from National Guideline Clearinghouse, https://www.guideline.gov/content.aspx?id=47594

Ogjuarez (talk) 04:27, 8 March 2016 (UTC)

Diagnosis[edit]

A diagnosis section should be added. Moreover, there needs to be clarification of whether age plays a factor in diagnoses. For example, uresis, which is common in children, is not common in adults. Actual sleep disorders, then, are different based on age. A possible meta-analysis on healthy sleep over time is sourced here.[1]

REFERENCE

  1. ^ Ohayon, Maurice, & colleagues (2004) Meta-Analysis of Quantitative Sleep Parameters from Childhood to Old Age in Healthy Individuals: Developing Normative Sleep Values Across Human Lifespan. Sleep 27(7) pp.1255-1273

Comorbidities[edit]

I'd like to suggest Comorbidities as a separate and distinct section, as well as distinct subheadings that clarify whether the Comorbidities apply to adult or child and adolescent populations. The following study is a review of medical comorbities in children with sleep disorders from 2012, which would get one section started, though more citations would be necessary. [1]

Reference

  1. ^ Lazaratou, H., Soldatou, A., & Dikeos, D. (2012). Medical comorbidity of sleep disorders in children and adolescents. Current opinion in psychiatry, 25(5), 391-397.

Ogjuarez (talk) 04:40, 8 March 2016 (UTC)

Epidemiology Section[edit]

I suggest adding an Epidemiology section to this article to describe the prevalence of various sleep disorders based on different populations. My sandbox has what I'm planning on adding to the article. So far, there are subsections on youth and young adults, insomnia, obstructive sleep apnea, sleep paralysis, and restless leg syndrome. I have been sticking to meta-analyses/systematic reviews and found the best quality of information on the previously listed topics. Let me know if there are more possibilities for me to add. CarsWiski (talk) 17:58, 27 November 2017 (UTC)