Sleep Disorders: Diagnosis, Management and Treatment : a Handbook for Clinicians

Sleep Disorders: Diagnosis, Management and Treatment : a Handbook for Clinicians

Sleep Disorders: Diagnosis, Management and Treatment : a Handbook for Clinicians

Sleep Disorders: Diagnosis, Management and Treatment : a Handbook for Clinicians

Synopsis

Patients with sleep disorders are among the most difficult to treat and account for a high percentage of absenteeism in the workplace. This handbook covers the whole area of sleep from treatment to the long-term management of the problem.

Excerpt

Although sleep and dreams have attracted human interest since the dawn of history, it has only been in the last 30 years that physicians have recognized the importance of sleep disorders, and no more than 20 years since objective diagnostic procedures have been routinely employed for their diagnosis. With a growing number of sleep clinics and sleep laboratory evaluations, we are witnessing the emergence of the new field of sleep medicine. This rapidly growing field attracts physicians from diverse disciplines, such as pulmonology, internal medicine, psychiatry, neurology, otolaryngology, paediatrics, and even dentists, all of whom are now becoming 'sleep physicians' after appropriate training. Humans sleep between a quarter and a third of their lives, and many complain of sleep disturbances. The overall prevalence of sleep problems may be as high as 30% in children and adults, and even higher in elderly people. These sleep disorders are diverse, and in order to deal with all of them a systematic classification is required. Over the years, several classifications have been proposed for sleep disturbances, including those based on symptoms, the origin of the disturbance, objective measurements, etc. As this book aims to serve primarily primary care personnel who may need to deal with patients with sleep disorders, we chose to discuss sleep disorders chiefly based on symptoms.

Based on this approach, sleep disturbances can be classified into one of four groups: insomnias, hypersomnias, parasomnias and sleep-wake schedule disorders. Insomnia describes a condition when a patient is

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