Sleep Disorders: The Clinician's Guide to Diagnosis and Management

ISBN : 9780195389739

Ruth Benca
240 ページ
129 x 203 mm

Millions of people complain of sleep problems, from insomnia to excessive daytime sleepiness, to chronic fatigue and the irritability associated with unsatisfactory sleep. Sleep problems are an important aspect of several psychiatric disorders, notably mood and anxiety disorders. Sleep deprivation has also been identified as a factor in numerous other medical conditions, including diabetes and impaired immune function. No matter what its specific medical source, sleep deprivation possesses high societal costs-impaired driving, work-related accidents and chronically poor work performance. In terms of specific sleep disorders, sleep apnea is becoming increasingly prevalent with the advent of chronic obesity. Despite the importance of sleep deprivation, education in the diagnosis and treatment of sleep disorders is often neglected in undergraduate and post-graduate medical training. As a result, many physicians are uncomfortable assessing or treating even common sleep problems. Part of the Oxford American Neurology Library, this concise, portable guide provides an essential reference on current, evidence-based medical approaches for effective diagnosis and long term management of common sleep disorders. The volume includes chapters on all major sleep disorders; each chapter describes the disorder and its symptoms, suggests diagnostic criteria and recommends methods of evaluation and treatment options. In addition, it features such useful tools and resources as a sleep diary, instructions for commonly used behavioral techniques, and helpful guidelines for the implementation of sleep disorder behavioral treatments.


Chapter 1 Normal Sleep
Chapter 2 Clinical Evaluation of Sleep Disorders
Chapter 3 Insomnia
Chapter 4 Sleep Apnea and Related Disorders
Chapter 5 Excessive Sleepiness and Narcolepsy
Chapter 6 Circadian Rhythm Sleep Disorders
Chapter 7 Parasomnias
Chapter 8 Sleep Related Movement Disorders
Appendix 1 Helpful websites for patients and health care providers
Appendix 2 Insomnia algorithm
Appendix 3 ICSD-2 Diagnoses with ICD numbers
Sleep Measures
Appendix 4 Berlin questionnaire for sleep apnea
Appendix 5 Epworth Sleepiness Scale
Appendix 6a Two Week Sleep Diary from AASM
Appendix 6b National Sleep Foundation Sleep Diary
Appendix 7 Insomnia Severity Index
Appendix 8 Pittsburgh Sleep Quality Index
Appendix 9 Morning Eveningness Questionnaire
Appendix 10 BMI table (from NHLBI)
Appendix 11 Center for Epidemiologic Studies Depression Scale (CES-D), NIMH


Ruth Benca, MD, PhD, is Professor, Departments of Psychology and Psychiatry at University of Wisconsin, School of Medicine and Public Health in Madison, Wisconsin.