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Excessive Daytime Sleepiness

Year 2016, , 114 - 132, 24.01.2016
https://doi.org/10.18863/pgy.10797

Abstract

Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, with prevalence in the community estimated to be as high as 18%. Patients with excessive daytime sleepiness may exhibit life threatening road and work accidents, social maladjustment, decreased academic and occupational performance and have poorer health than comparable adults. Thus, excessive daytime sleepiness is a serious condition that requires investigation, diagnosis and treatment primarily. As with most medical condition, evaluation of excessive daytime sleepiness begins a precise history and various objective and subjective tools have been also developed to assess excessive daytime sleepiness. The most common causes of excessive daytime sleepiness are insufficient sleep hygiene, chronic sleep deprivation, medical and psychiatric conditions and sleep disorders, such as obstructive sleep apnea, medications, and narcolepsy. Treatment option should address underlying contributors and promote sleep quantity by ensuring good sleep hygiene

References

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Gündüz Aşırı Uykululuğu

Year 2016, , 114 - 132, 24.01.2016
https://doi.org/10.18863/pgy.10797

Abstract

Gündüz aşırı uykululuğu en sık görülen uyku ile ilişkili belirti olup, toplum içindeki tahmini yaygınlığı %18’e kadar çıkabilmektedir. Gündüz aşırı uykululuğu olan kişiler yaşamı tehdit eden yol veya iş kazaları, sosyal uyumsuzluk, akademik veya mesleki performansta düşme yaşayabilir ve daha düşük sağlık standartlarına sahip olabilirler. Bu yüzden gündüz aşırı uykululuk incelenmesi, tanısı ve tedavisi öncelikle yapılması gereken önemli bir durumdur. Çoğu tıbbi durumda olduğu gibi, gündüz aşırı uykululuğunun değerlendirilmesi titiz bir öyküyle başlar ve bunun için çeşitli öznel ve nesnel araçlar da geliştirilmiştir. Gündüz aşırı uykululuğunun en sık sebepleri uyku hijyenine uymama, kronik uyku yoksunluğu, ilaçlar, fiziksel ve psikiyatrik durumlar ve obstruktif uyku apnesi ve narkolepsi gibi uyku bozukluklarıdır. Tedavi seçenekleri iyi uyku hijyeni sağlayarak uyku miktarı ve kalitesini artırmayı amaçlamalıdır.

References

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  • Akerstedt T (1996) Wide Awake at Odd Jours. Shift Work, Time Zones and Burning the Midnight Oil. Uppsala, Swedish Council for Work Life Research.
  • Alexandre C, Andermann ML, Scammell TE (2013) Control of arousal by the orexin neurons. Curr Opin Neurobiol, 23:752–759.
  • Almeida OP, Pfaff JJ (2005) Sleep complaints among older general practice patients: association with depression. Br J Gen Pract, 55: 864-866.
  • AASM (American Academy of Sleep Medicine) (2005) International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd ed. Westchester, Ill, American Academy of Sleep Medicine.
  • AASM (American Academy of Sleep Medicine) (2014) The International Classification of Sleep Disorders, Diagnostic and Coding Manual (3rd ed.) (ICSD-3). Darien, IL, American Academy of Sleep Medicine.
  • APA (American Psychiatric Association) (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Association.
  • Armitage R, Hoffmann R, Conroy DA, Arnedt JT, Brower K.J (2012) Effects of a 3-hour sleep delay on sleep homeostasis in alcohol dependent adults. Sleep, 35:273-278.
  • Arnulf I, Lin L, Gadoth N, File J, Lecendreux M, Franco P et al. (2008) Kleine-Levin syndrome: a systematic study of 108 patients. Ann Neurol, 63:482–493.
  • Benedetto L, Chase MH, Torterolo P (2012) GABAergic processes within the median preoptic nucleus promote NREM sleep. Behav Brain Res, 232:60–65.
  • Billiard M (2008) Narcolepsy: current treatment options and future approaches. Neuropsychiatr Dis Treat, 4:557-566.
  • Billiard M, Besset A, Montplaisir J, Laffont F, Goldenberg, F, Weill JS et al. (1994) Modafinil: a double-blind multicentric study. Sleep, 17(8 Suppl):107-112.
  • Bixler EO, Vgontzas AN, Lin HM, Calhoun SL, Vela-Bueno A, Kales A (2005) Excessive daytime sleepiness in a general population sample: the role of sleep apnea, age, obesity, diabetes, and depression. J Clin Endoc Met, 90:4510-4515.
  • Black J, Guilleminault C (2001) Medications for the treatment of narcolepsy. Expert Opin Emerg Drugs, 6:239–247.
  • Black J, Houghton WC (2006) Sodium oxybate improves excessive daytime sleepiness in narcolepsy. Sleep, 29:939–946.
  • Bonnet MH, Arand DL (2005) Impact of motivation on Multiple Sleep Latency Test and Maintenance of Wakefulness Test measurements. J Clin Sleep Med, 1:386-390.
  • Brower KJ, Hoffmann R, Conroy DA, Arnedt JT, Armitage R (2011) Sleep homeostasis in alcohol-dependent, depressed and healthy control men. Eur Arch Psych Clin Neurosci, 261:559-566.
  • Brower KJ, Perron BE (2010) Sleep disturbance as a universal risk factor for relapse in addictions to psychoactive substances. Med Hypotheses, 74:928-933.
  • Carney CE, Segal ZV, Edinger JD, Krystal AD (2007) A comparison of rates of residual insomnia symptoms following pharmacotherapy or cognitive-behavioral therapy for major depressive disorder. J Clin Psychiatry, 68:254-260.
  • Carter ME, Brill J, Bonnavion P, Huguenard JR, Huerta R, de Lecea L (2012) Mechanism for Hypocretin-mediated sleep-to-wake transitions. Proc Natl Acad Sci USA 109:E2635–E2644.
  • Colrain IM, Campbell KB (2007) The use of evoked potentials in sleep research. Sleep Med Rev, 11:277-293.
  • Colrain IM, Turlington S, Baker FC (2009) Impact of alcoholism on sleep architecture and EEG power spectra in men and women. Sleep, 32:1341-1352.
  • Conroy DA, Arnedt JT (2014) Sleep and substance use disorders: an update. Curr Psychiatry Rep, 16:1-9.
  • Dantz B, Edgar DM, Dement WC (1994) Circadian rhythms in narcolepsy: studies on a 90 minute day. Electroencephalogr Clin Neurophysiol, 90:24–35.
  • Dauvilliers Y, Bassetti C, Lammers GJ, Arnulf I, Mayer G, Rodenbeck A et al. (2013) Pitolisant versus placebo or modafinil in patients with narcolepsy: a double-blind, randomised trial. Lancet Neurol,12:1068-1075.
  • de Lecea L (2012) Hypocretins and the neurobiology of sleep-wake mechanisms. Prog Brain Res, 198:15-24.
  • Dodson ER, Zee PC (2010) Therapeutics for circadian rhythm sleep disorders. Sleep Med Clin, 5:701-715.
  • Drakatos P, Leschziner GD. (2014) Update on hypersomnias of central origin. Curr Opin Pulm Med, 20:572-580.
  • Fava M, Graves LM, Benazzi F, Scalia MJ, Iosifescu DV, Alpert JE et al. (2006) A cross-sectional study of the prevalence of cognitive and physical symptoms during long-term antidepressant treatment. J Clin Psychiatry, 67:1754-1759.
  • Findley LJ, Levinson MP, Bonnie RJ (1992) Driving performance and automobile accidents in patients with sleep apnea. Clin Chest Med,13:427-435.
  • Fort P, Bassetti C, Luppi PH (2009) Alternating vigilance states: new insights regarding neuronal networks and mechanisms. Eur J Neurosci, 29:1741–1753.
  • Fraigne JJ, Peever JH (2013) Melanin-concentrating hormone neurons promote and stabilize sleep. Sleep, 36:1767–1768.
  • Galvao F, Sportiche S, Lambert J, Amiez M, Musa C, Nieto I et al. (2013) Clinical differences between unipolar and bipolar depression: interest of BDRS (Bipolar Depression Rating Scale).Compr Psychiatry, 54:605-610.
  • Gögenur I, Middleton B, Burgdorf S, Rasmussen LS, Skene DJ, Rosenberg J (2007) Impact of sleep and circadian disturbances in urinary 6‐sulphatoxymelatonin levels, on cognitive function after major surgery.J Pineal Res, 43:179-184.
  • Guilleminault C, Brooks SN (2001) Excessive daytime sleepiness, a challenge for the practising neurologist. Brain, 124:1482-1491.
  • Gulec M, Ozcan H, Oral E, Selvi Y, Aydin A (2012) The relationship between insomnia and major depressive disorder: a chicken and egg situation? Journal of Mood Disorders, 2:28-33.
  • Gvilia I, Xu F, McGinty D, Szymusiak R (2006) Homeostatic regulation of sleep: a role for preoptic area neurons. J Neurosci, 26:9426–9433.
  • Hara J, Sakurai T (2011) Interaction between sleep mechanisms and orexin neurons. Sleep Biol Rhythms, 9:38–43.
  • Hassani OK, Henny P, Lee MG, Jones BE (2010) GABAergic neurons intermingled with orexin and MCH neurons in the lateral hypothalamus discharge maximally during sleep. Eur J Neurosci, 32:448–457.
  • Hassani OK, Lee MG, Jones BE (2009) Melanin-concentrating hormone neurons discharge in a reciprocal manner to orexin neurons across the sleep-wake cycle. Proc Natl Acad Sci U S A, 106:2418–2422.
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Details

Primary Language English
Journal Section Review
Authors

Yavuz Selvi

Ali Kandeğer This is me

Ayça Sayın This is me

Publication Date January 24, 2016
Published in Issue Year 2016

Cite

AMA Selvi Y, Kandeğer A, Sayın A. Excessive Daytime Sleepiness. Psikiyatride Güncel Yaklaşımlar. January 2016;8(2):114-132. doi:10.18863/pgy.10797

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