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Contents

  Learning Objectives
1 Test Your Sleep I.Q.
Sleep I.Q.
Answers to the Sleep I.Q.
2 Brain Basics: Understanding Sleep
Sleep: A Dynamic Activity
How Much Sleep Do We Need?
What Does Sleep Do For Us?
Dreaming and REM Sleep
Sleep and Circadian Rhythms
Sleep and Disease
Sleep Disorders
Insomnia
Sleep Apnea
Restless Legs Syndrome
Narcolepsy
Night Owls & Morning Larks
Dementia-Related Sleep Disorders
The Future
Tips for a Good Night’s Sleep
3 Insomnia: Assessment and Management in Primary Care
Introduction
Definition and Prevalence
Types of Insomnia
Acute Insomnia
Chronic Insomnia
Selected Circadian Rhythm Sleep Disorders
Consequences
Recognition and Assessment
Sleep/Wake Profile
Suggested Questions Following a Complaint of Insomnia
Signs of Sleepiness
Management
Introduction
General Sleep Hygiene Measures
Behavioral Treatment
Pharmacological Treatment
Conclusion
References
Members of the National Heart, Lung, and Blood Institute Working Group on Insomnia
National Institutes of Health Staff
Support Staff
How Do I Cure Insomnia?
Trouble Sleeping? Chill Out
A Drop in Temperature May Help You Fall Asleep
Using Light Therapy to Treat Insomnia
Natural Treatments For Insomnia
Bedroom Inventory
Creating a Peaceful Place
What’s Worrying You?
Melatonin
What is Melatonin?
Why Isn’t Melatonin Considered a Drug?
What Does This Mean to You?
Why Do People Take Melatonin?
Understanding Insomnia
For More Information
Stanford Group Therapy Program Aims to Put Insomniacs to Sleep
4 Problem Sleepiness
Introduction
Daytime Sleepiness Test
The Epworth Sleepiness Scale Results
Overview of Sleepiness
Defining Sleepiness
Magnitude of Problem Sleepiness
Sleepiness Caused by Sleep Need
Sleepiness Caused by the Biological Clock
Effects of Problem Sleepiness
Reversing Sleepiness
Medications for Sleep and Sleepiness
Shift Workers
Introduction
Magnitude of Problem Sleepiness Among Shift Workers
Causes of Problem Sleepiness in Shift Workers
Consequences of Problem Sleepiness for Shift Workers
Countermeasures for Shift Worker Sleepiness
Adolescents and Young Adults
Introduction
Magnitude of Problem Sleepiness Among Adolescents and Young Adults
Causes of Problem Sleepiness in Adolescents and Young Adults
Consequences of Problem Sleepiness for Adolescents and Young Adults
Countermeasures for Problem Sleepiness in Adolescents and Young Adults
Conclusion
References
Acknowledgments
5 Narcolepsy
What Is Narcolepsy?
When Should You Suspect Narcolepsy?
How Common Is Narcolepsy?
Who Gets Narcolepsy?
What Happens in Narcolepsy?
How Is Narcolepsy Diagnosed?
How Is Narcolepsy Treated?
What Is Being Done To Better Understand Narcolepsy?
How Can Individuals and Their Families and Friends Cope With Narcolepsy?
References
Resources
Organizations
6 Restless Legs Syndrome
What Is Restless Legs Syndrome?
Common Characteristics of Restless Legs Syndrome
What Causes It?
Who Gets RLS?
How Is It Diagnosed?
How Is It Treated?
Where Can I Get More Information?
7 Sleep Apnea
Sleep Apnea Defined
Sleep Apnea Fact Sheet
Symptoms of Sleep Apnea
Risk Factors for Sleep Apnea
Treatments for Sleep Apnea
Personal Experiences
Sleep Apnea and Driving
Having Your Child Evaluated for Obstructive Sleep Apnea
Choosing a CPAP
Choosing a Mask and Headgear
Considering Surgery for OSA?
Sleep Apnea and Same-Day Surgery
Considering Surgery for Snoring?
8 Women and Sleep
Women’s Unique Sleep Experiences
Understanding Your Monthly Cycle
Tips That May Help Sleep
Pregnancy: Sleeping for Two
Snoring and Severe Daytime Sleepiness
Restless Legs and Poor Sleep
Sleep Tips for Pregnant Women
Understanding Menopause
Most Common Sleep Problems In Women
Insomnia
Sleep Apnea
Narcolepsy
Nocturnal Sleep-Related Eating Disorder
Pain and Sleep
Shift Work
Travel and Sleep
When to See a Doctor
Post Test