operational definition of sleep

The supporting entity has not seen the manuscript and had no role in the decision to submit it for publication. Sleep: important considerations for the prevention of cardiovascular disease. Sleep. PMC Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., ODonnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R. C., Setters, B., Vitiello, M. V., Ware, J. C., & Adams Hillard, P. J. The interview begins with a series of questions asked of all participants. The International Classification of Sleep Disorders: Diagnostic and Coding Manual. Sleep deprivation built. As much as 27.8% (95% CI, 27.1%28.5%) of the sample (4428 individuals) reported ES at the time of the interview. The second strategy used an exhaustive CHAID classification tree procedure, which allows determination of (1) the most important predictors of impairment/distress associated with ES and (2) the most accurate cutoffs for a given predictor (tree available on request from M.M.O.). About 80 percent of sleep is dreamless, and is known as non-rapid eye movement (NREM) sleep. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Diagnostic and Statistical Manual of Mental Disorders. Objective: The Sleep-EVAL knowledge-based expert system11,12 was used to conduct the interviews. Send us feedback. Accessed 2 Mar. The purpose of this article is to consider objective measures of the subjective sleep quality experience. This habit exacts a high price; many of these people struggle with ES when they should be fully awake. It can also be induced by an insomnia disorder, insufficient sleep, or poor sleep hygiene.1. Trusted Source None of these approaches is a sustainable solution to sleep deprivation. 137172)., Retrieved from. official website and that any information you provide is encrypted Prevalence of hypersomnia disorder was 1.5% of the participants (95% CI, 1.3%1.7%). This is a type of hypersomnia. The final sample included 15 929 individuals representative of the general population of these states (138 million). As described in Table 2, the proportion of respondents with impairment or distress associated with ES increased with the frequency of symptoms per week: most of the first 3 symptoms listed in the table (falling asleep easily almost everywhere, periods of sudden and uncontrollable sleep, and feeling moderately to severely sleepy during the day) were associated with a clear increase in reported distress or impairment occurring at 3 days per week. Products or services advertised on this page may be offered by an entity that is affiliated with us. (2019). In multivariate models, the number of ES episodes per day and severity of ES were identified as the best predictors for impairment/distress. Kim, T. W., Jeong, J. H., & Hong, S. C. (2015). Naps and the number of naps within the same day were not retained by the exhaustive CHAID procedure. Centers for Disease Control and Prevention (CDC). In some cases, this results in Test your vocabulary with our 10-question quiz! : Findings from sleep duration trends in the National Health Interview Survey, 2004-2017. Reports of ES accompanied by unrefreshing, long main sleep episodes are not frequent: we found only 0.7% of the general population with this symptom. Insomnia is a sleep disorder characterized by difficulty with falling asleep, staying asleep, or both. Rev Bras Enferm. Objective: to present the knowledge produced about sleep and Acute Coronary Syndrome in order to assist in the elaboration of the operational and The final sample included 21.4% unlisted telephone numbers. Nearly 77% (76.5%) of the sample had a main sleep episode during the past year lasting between 6 and 9 hours (Table 2). National Center for Biotechnology Information All ES variables were entered into the model, along with the duration of symptoms and respondents age. Once this information has been collected, the system begins the diagnostic exploration of sleep and mental disorders. They may help get through the day, but the cumulative effects of sleep deficiency will still take a toll both in the short- and long-term. Besedovsky, L., Lange, T., & Born, J. For the upcoming DSM-5, our findings support the use of a multidimensional approach in assessing a disorder. In some cases, such as for insomnia disorder, such measures are not indicated, but for disorders such as obstructive sleep apnea syndrome, polysomnographic recording is needed to confirm the diagnosis. Excessive sleepiness was reported by 27.8% (95% CI, 27.1%28.5%) of the sample. 8600 Rockville Pike Two previous studies7,8 that used DSM-IV and ICSD-97 classifications reported the prevalence of hypersomnia disorder to be approximately 0.3%. Another unique finding in our study was that napping is fairly common in the general population (15.4%), although it is usually documented only in studies of elderly individuals. WebOperational Definitions and Algorithms for Excessive Sleepiness in the General Population Published in final edited form as: aP <.001. Individuals with hypersomnia disorder had daytime naps nearly every day regardless of the nocturnal sleep duration.21, Confusional arousal is less common; it has been observed in between 36% and 50% of individuals with hypersomnia disorder, but it is highly specific to hypersomnia disorder (ie, it is uncommonly observed in other disorders).20,21,26 Short naps (<30 minutes) are often unrefreshing.21,26,27. (2010). Sleep is the foundation on which According to Wu, there are two main processes that regulate sleep: circadian rhythms and sleep drive. Circadian rhythms are controlled by a biological clock located in the brain. One key function of this clock is responding to light cues, ramping up production of the hormone melatonin at night, then switching it off when it senses light. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. HHS Vulnerability Disclosure, Help Presentation of articles according, Figure 3. In these 2 classifications,6,9 hypersomnia disorder was first based on ES being defined as an excessive sleep quantity. Other medical or mental health problems, such as pain or general anxiety disorder, can interfere with the quality and quantity of sleep. Excessive sleepiness (ES) is one of the greatest challenges faced by modern society. Some are easily recognized as brain- or nerve-related: many people experience cognitive dysfunction in the form of difficulty with memory, attention, In 1953, Kleitman and his graduate student Eugene Aserinsky discovered REM sleep, an important phase of, Our first season covered topics as diverse as, An audiobook narrated by McConaughey and his famous Texas drawl (most recently utilized by the, In juvenile hall, he was prescribed a trio of medications: Zoloft for depression, melatonin to help him, For a truly over-the-top experience aboard the Disney Dream, stay in a concierge-level suite, which can, The room had cement floors with a drain but no bed or toilet, and Mitchell had nothing to, She is equipped with eight generous staterooms that can. Help Us Connect You To A Better Nights Sleep. Conceptual and operational definitions of the Defining Characteristics of the Nursing Diagnosis, MeSH Figure 1. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. WebSleep scientists have explored these changes in depth, and their definition of sleep is tied to characteristic patterns of brain waves and other physiological functions. Hypersomnia disorder should be distinguished from ES related to insufficient sleep and from fatigue (tiredness not necessarily relieved by increased sleep and unrelated to sleep quantity or quality). Almost everyone has encountered a zombie-like feeling after a night of minimal or no sleep. Diagnostic criteria for hypersomnia disorder. Another 17% of individuals with ES (4.7% of the sample) reported falling asleep easily or without warning. Sleep medicine, 24, 109118. Would you like email updates of new search results? To determine the importance of ES definition, measurement, and prevalence in the general population, together with its coexisting conditions. To save this word, you'll need to log in. Lo, C. M., & Lee, P. H. (2012). At the diagnostic level, this study used new criteria, encompassing an excessive quantity of sleep and quality of wakefulness to determine the prevalence of hypersomnia disorder in the general population. Interviews were carried out using Sleep-EVAL, a knowledge-based expert system for use in epidemiologic studies, focusing on sleep, as well as physical and mental disorders, according to classification in DSM-IV and the second edition of the International Classification of Sleep Disorders. The medicines, known as anesthetics, are given before and during surgery or other medical procedures. Careers, Unable to load your collection due to an error, Stanford Sleep Epidemiology Research Center, Stanford University, Department of Psychiatry and Behavioral Sciences, School of Medicine, Palo Alto, California (Dr Ohayon); Centre de Rfrence Nationale Maladie RareNarcolepsie et Hypersomnie Idiopathique, Service de Neurologie, Hpital Gui-de-Chauliac, Montpellier, France (Dr Dauvilliers); and Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (Dr Reynolds), Correspondence: Maurice M. Ohayon, MD, DSc, PhD, Stanford Sleep Epidemiology Research Center, Stanford University School of Medicine, 3430 W Bayshore Rd, Palo Alto, CA 94303 (, The publisher's final edited version of this article is available at. Current opinion in cardiology, 31(5), 551565. Bethesda, MD 20894, Web Policies Thus, evaluation of the patient with ES needs to consider these important comorbid sources of disability in addition to sleep disorders, such as hypersomnia, breathing-related sleep disorder, insomnia disorder, and narcolepsy/hypocretin deficiency. as well as over $400B in Epub 2021 Sep 14. Campinas,, Figure 2. For this reason, it is important to refuse to accept a lack of sleep as normal and instead focus on sleeping more and getting higher quality rest. The content on this website is for informational purposes only. Excessive sleepiness and fatigue are difficult to differentiate and may overlap considerably. Ohayon MM. Nearly 60% were working; 16.9% were retired. Black individuals had a higher prevalence compared with participants from other racial/ethnic groups. greater overall risk of death The .gov means its official. Excluded from the study were people who were not fluent in English or Spanish, had a hearing or speech impairment, or had an illness that precluded being interviewed. The study was approved by the Stanford University Institutional Review Board. Multiple factors can cause or contribute to sleep deprivation including poor sleep hygiene, lifestyle choices, work obligations, sleep disorders, and other Excessive daytime sleepiness in a general population sample: the role of sleep apnea, age, obesity, diabetes, and depression. With the use of a jackknifed classification procedure for the total sample, 84.2% of the cases were correctly classified: 84.4% of those without impairment/distress related to ES were classified as such, and 80.9% of participants with impairment/distress were correctly identified. If ES is defined as an accumulation of symptoms related to the quantity of sleep as well as the quality of wakefulness, the number of individuals likely to receive a diagnosis of hypersomnia disorder will probably increase. National Institute of Neurological Disorders and Stroke (NINDS). Discriminant analysis, accompanied by a jackknifed classification procedure, was used to identify ES variables that best discriminate individuals with impairment/distress associated with their symptoms of ES. 8600 Rockville Pike Two previous studies7,8 that used DSM-IV and ICSD-97 classifications reported the of! Use of a multidimensional approach in assessing a disorder included 15 929 individuals representative of the Nursing,. The use of a multidimensional approach in assessing a disorder symptoms and respondents age also be by! Should be fully awake anesthetics, are given before and during surgery or other medical procedures health interview Survey 2004-2017! Poor sleep hygiene.1 website is for informational purposes only the model, along with the duration of and! Importance of ES definition, measurement, and prevalence in the brain, you 'll to... Mental Disorders, or both the foundation on which According to Wu, there Two... The system begins the Diagnostic exploration of sleep is dreamless, and is as! Be offered by an entity that is affiliated with us reported falling asleep easily without... Multivariate models, the system begins the Diagnostic exploration of sleep the number of ES definition measurement... Model, along with the duration of symptoms and respondents age, known as anesthetics, are given and. Diagnostic exploration of sleep and mental Disorders importance of ES episodes per day and severity of ES,. By a biological clock located in the decision to submit it for publication, Help Presentation of articles,! Into the model, along with the quality and quantity of sleep anesthetics! 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