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Sleep Medicine Clinics

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https://www.readbyqxmd.com/read/30098760/sleep-and-women-s-health-across-the-lifespan
#1
EDITORIAL
Kathryn Aldrich Lee, Fiona C Baker
No abstract text is available yet for this article.
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098759/impact-of-poor-sleep-on-physical-and-mental-health-in-older-women
#2
REVIEW
Katie L Stone, Qian Xiao
Many aspects of sleep and circadian rhythms change as people age. Older adults usually experience decrease in sleep duration and efficiency, increase in sleep latency and fragmentation, high prevalence of sleep disorders, and weakened rest-activity rhythms. Research evidence suggests that women are more likely to report aging-related sleep problems. This review presents epidemiologic and clinical evidence on the relationships between sleep deficiency and physical and mental outcomes in older women, explores potential mechanisms underlying such relationships, points out gaps in the literature that warrant future investigations, and considers implications in clinical and public health settings...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098758/sleep-and-sleep-disorders-in-the-menopausal-transition
#3
REVIEW
Fiona C Baker, Laura Lampio, Tarja Saaresranta, Päivi Polo-Kantola
The menopausal transition is associated with an increase in insomnia symptoms, especially difficulty staying asleep, which negatively impacts quality of life. Vasomotor symptoms are a key component of sleep disruption. Findings from polysomnographic studies are less consistent in showing disrupted sleep in menopausal transition independent of aging; further prospective studies are needed. Hormone therapy alleviates subjective sleep disturbances, particularly if vasomotor symptoms are present. However, because of contraindications, other options should be considered...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098757/sleep-disorders-in-women-veterans
#4
REVIEW
Jennifer L Martin, M Safwan Badr, Salam Zeineddine
Sleep disorders are common among women veterans and contribute to poor functioning and quality of life. Studies show that women veterans are particularly prone to insomnia, sleep-disordered breathing, and insufficient sleep. Standard cognitive behavioral therapy for insomnia (CBT-I) should be viewed as first-line therapy for insomnia disorder, and women veterans should be screened and treated for sleep-disordered breathing. Behavioral and lifestyle factors contributing to insufficient sleep should also be addressed...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098756/impact-of-traumatic-stress-on-sleep-and-management-options-in-women
#5
REVIEW
Ihori Kobayashi, Mary Katherine Howell
After exposure to traumatic stress, women are at greater risk than men for developing symptoms of some psychiatric disorders, including insomnia and nightmares. Sleep disturbance is one of the most refractory symptoms of posttraumatic stress disorder. Women were included in a few studies that examined efficacy of psychological or pharmacologic interventions for trauma-related sleep disturbances. Studies demonstrated preliminary evidence for efficacy of cognitive behavioral therapy for insomnia, imagery rehearsal therapy, and combinations of these techniques in treating insomnia and nightmares in trauma-exposed women...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098755/effects-of-exercise-on-sleep-in-women-with-breast-cancer-a-systematic-review
#6
REVIEW
Ellyn E Matthews, Dalton W Janssen, Dilorom M Djalilova, Ann M Berger
Sleep deficiency is common and distressing for women with breast cancer throughout the care continuum. This article describes the scope and quality of evidence related to exercise interventions to improve sleep in women with breast cancer. Fifteen studies met the criteria and 12 were judged to be excellent quality. The most frequent intervention was walking, primarily during the time of chemotherapy. Eleven studies reported postintervention improvement in sleep deficiency. Most yoga, qigong, and dance intervention studies reported no differences between groups...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098754/sleep-in-women-with-chronic-pain-and-autoimmune-conditions-a-narrative-review
#7
REVIEW
Joan L Shaver, Stella Iacovides
Chronic pain and sleep disturbances are intricately intertwined. This narrative review provides comments on observations related to pain, stress-immunity, and sleep. Sleep evidence is reviewed from studies of select conditions involving pain (ie, functional somatic syndromes and autoimmune) that are predominant in women. Chronic pain and poor sleep encompass persistent stress-immune activation with systemic inflammation, cellular oxidative stress, and sick behavior indicators that increase morbidity and threaten quality of life...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098753/the-role-of-circadian-rhythms-in-postpartum-sleep-and-mood
#8
REVIEW
Kari Grethe Hjorthaug Gallaher, Anastasiya Slyepchenko, Benicio N Frey, Kristin Urstad, Signe K Dørheim
Women often experience sleep disturbances and worsening sleep quality throughout pregnancy and postpartum. Circadian rhythms are closely linked to sleep problems and mood disorders. This systematic review provides a summary of studies of circadian rhythms and associated sleep problems and maternal distress, among postpartum women. Articles were idenitfied through a systematic literature search. Circadian rhythm disturbances were strongly correlated with depression, social factors and mothers`s exposure to light postpartum...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098752/sleep-disordered-breathing-in-pregnancy
#9
REVIEW
Lakshmy Ayyar, Fidaa Shaib, Kalpalatha Guntupalli
Sleep-disordered breathing (SDB) in pregnancy can present as snoring and/or obstructive sleep apnea (OSA), and the prevalence is increasing due to the increase in maternal obesity. Pregnant women often present with fatigue and daytime sleepiness rather than the classic symptoms. Habitual snoring, older age, chronic hypertension, and high prepregnancy body mass index are reliable indicators of increased risk for SDB and should trigger further testing. The gold standard for diagnosis of OSA is an overnight laboratory polysomnography...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098751/management-strategies-for-restless-legs-syndrome-willis-ekbom-disease-during-pregnancy
#10
REVIEW
Corrado Garbazza, Mauro Manconi
Restless legs syndrome/Willis-Ekbom disease is a common disorder during pregnancy that may significantly impact on the health of affected women, leading to negative consequences in the short and long term. An accurate diagnosis helps to recognize the syndrome and choose the optimal therapeutic strategy, based on the characteristics and needs of the patient. This article summarizes the main treatment options recommended by the consensus clinical guidelines of the International Restless Legs Syndrome Study Group and provides a short guide to the management of restless leg syndrome during pregnancy in clinical practice...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098750/sleep-health-in-pregnancy-a-scoping-review
#11
REVIEW
Clare Ladyman, T Leigh Signal
Using scoping review methodology, this article investigates the literature on sleep duration, continuity/efficiency, timing, daytime sleepiness/alertness, and perceived sleep quality in each trimester of a healthy pregnancy. Data suggest significant variability in sleep between women, with less evidence to support major changes in sleep health across trimesters. There is a need for further research on this topic to better inform women and their health providers.
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098749/impact-of-shift-work-on-the-circadian-timing-system-and-health-in-women
#12
REVIEW
Laura Kervezee, Ari Shechter, Diane B Boivin
Women who do shift work are a sizable part of the workforce. Shift workers experience circadian misalignment due to shifted sleep periods, with potentially far-reaching health consequences, including elevated risk of sleep disturbances, metabolic disorders, and cancer. This review provides an overview of the circadian timing system and presents the sex differences that can be observed in the functioning of this system, which may account for the lower tolerance to shift work for women compared with men. Recent epidemiologic findings on female-specific health consequences of shift work are discussed...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/30098748/menstrual-cycle-effects-on-sleep
#13
REVIEW
Fiona C Baker, Kathryn Aldrich Lee
Subjective and objective sleep changes occur during the menstrual cycle. Poorer sleep quality in the premenstrual phase and menstruation is common in women with premenstrual symptoms or painful menstrual cramps. There is increased sleep spindle activity from follicular to luteal phase, potentially progesterone related. Luteal phase changes also include blunted temperature rhythm amplitude and reduced rapid eye movement sleep. Women with polycystic ovary syndrome should be screened for sleep disordered breathing...
September 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759278/medications-and-their-effects-on-sleep-and-wake
#14
EDITORIAL
Johan Verbraecken, Jan Hedner
No abstract text is available yet for this article.
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759277/effects-of-chronic-opioid-use-on-sleep-and-wake
#15
REVIEW
Michelle Cao, Shahrokh Javaheri
Chronic use of opioids negatively affects sleep on 2 levels: sleep architecture and breathing. Patients suffer from a variety of daytime sequelae. There may be a bidirectional relationship between poor sleep quality, sleep-disordered breathing, and daytime function. Opioids are a potential cause of incident depression. The best therapeutic option is withdrawal of opioids, which proves difficult. Positive airway pressure devices are considered first-line treatment for sleep-related breathing disorders. New generation positive pressure servo ventilators are increasingly popular as a treatment option for opioid-induced sleep-disordered breathing...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759276/hypnotic-discontinuation-in-chronic-insomnia
#16
REVIEW
Jonathan P Hintze, Jack D Edinger
Patients with chronic insomnia are commonly prescribed hypnotic medications. The long-term effects of chronic hypnotics are not known and discontinuation is encouraged but often difficult to achieve. A gradual taper is preferred to abrupt cessation to avoid rebound insomnia and withdrawal symptoms. Written information provided to the patient about medication discontinuation may be helpful. Cognitive behavioral therapy or behavioral therapies alone can improve hypnotic discontinuation outcomes. There is limited evidence for adjunct medications to assist in hypnotic cessation for insomnia...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759275/sleep-related-drug-therapy-in-special-conditions-children
#17
REVIEW
Nicholas-Tiberio Economou, Luigi Ferini-Strambi, Paschalis Steiropoulos
Sleep disorders in children may lead to neurodevelopmental and neurocognitive deficits; it is important to diagnose and treat them properly. Apart from the existing challenges in diagnosis, another drawback is that few therapies are currently approved. In this article, a comprehensive summary of the most common pediatric sleep disorders, along with the various pharmacologic and nonpharmacologic approaches for their management, is presented. Special attention has been paid to the currently available treatment options for pediatric insomnia, obstructive sleep apnea, parasomnias, narcolepsy, and restless legs syndrome, and comparisons are made with the corresponding treatment options for sleep disorders in adults...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759274/pharmacologic-treatment-of-sleep-disorders-in-pregnancy
#18
REVIEW
Laura P McLafferty, Meredith Spada, Priya Gopalan
Pregnancy often predisposes women to new-onset sleep disturbances, as well as exacerbations of preexisting sleep disorders. The goals of treating perinatal sleep disorders include the promotion of restorative sleep and the benefits it brings to both mother and fetus. The prescribing of any sleep aid in pregnancy must include consideration of the risks and benefits for both the patient and her fetus. Although data on the perinatal use of sleep aids is limited, there may be effects on fetal development, timing and duration of delivery, and postnatal outcomes...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759273/drugs-used-in-circadian-sleep-wake-rhythm-disturbances
#19
REVIEW
Helen J Burgess, Jonathan S Emens
This article focuses on melatonin and other melatonin receptor agonists, and specifically their circadian phase shifting and sleep-enhancing properties. The circadian system and circadian rhythm sleep-wake disorders are briefly reviewed, followed by a summary of the circadian phase shifting, sleep-enhancing properties, and possible safety concerns associated with melatonin and other melatonin receptor agonists. The recommended use of melatonin, including dose and timing, in the latest American Academy of Sleep Medicine Clinical Practice Guidelines for the treatment of intrinsic circadian rhythm disorders is also reviewed...
June 2018: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/29759272/pharmacologic-and-nonpharmacologic-treatment-of-restless-legs-syndrome
#20
REVIEW
Galia V Anguelova, Monique H M Vlak, Arthur G Y Kurvers, Roselyne M Rijsman
This article provides an updated practical guide for the treatment of primary restless legs syndrome (RLS). Articles that appeared after the American Academy of Neurology guideline search were reviewed according to the same evidence rating schedule. We found limited evidence for nonpharmacologic treatment options. In moderate to severe primary RLS, pharmacologic options may be considered, including iron suppletion, an α2δ ligand, a dopamine agonist, a combination of an α2δ ligand and a dopamine agonist, or oxycodone/naloxone...
June 2018: Sleep Medicine Clinics
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