The Psychiatric Dimensions of Sleep Medicine, An Issue of by Karl Doghramji MD

By Karl Doghramji MD

This factor is the definitive guide at the most crucial psychiatric features of sleep medication. themes comprise a ancient viewpoint of sleep and psychiatry; the psychology of sleep and dreaming; the superiority, effect, pathogenesis, differential analysis, and assessment of insomnia; pharmacological administration of, in addition to nonpharmacological options for, insomnia; over the top daylight hours somnolence and fatigue within the psychiatric sufferer; parasomnias; sleep in temper issues, schizophrenia, and anixiety issues; behavioral sleep problems in youngsters and young people; sleep issues in particular in seniors and in ladies; and seasonal affective affliction and phototherapy.

Show description

Read Online or Download The Psychiatric Dimensions of Sleep Medicine, An Issue of Sleep Medicine Clinics, 1e PDF

Similar pulmonary & thoracic medicine books

Pulmonary Biology in Health and Disease

This new booklet offers an obtainable assessment of the sector of lung biology and disorder geared toward the graduate or clinical scholar and biomedical researcher. The e-book begins via contemplating the anatomy and ultrastructure of the lung and the tracheal and bronchial approach, the keep watch over of breathing in addition to the basics of pulmonary body structure, gasoline trade and stream.

Pulmonary Pathology

Meant for busy practitioners, Pulmonary Pathology is a pithy, pocket-sized consultant to all the key pulmonology entities and diagnoses that pulmonologists see in day-by-day perform. It addresses non-neoplastic stipulations together with Infections, Granulomatous ailments, Acute Lung damage, Idiopathic Interstitial Pneumonias, Vasculitis, Histiocytoses, Lung Pathology in Systemic illnesses, Transplant-Related Lung Pathology, and Miscellaneous Non-Neoplastic stipulations.

Pleural Ultrasound for Clinicians: A Text and E-book

With a wide quantity of ultrasound photos and educating movies, Pleural Ultrasound for Clinicians: A textual content and ebook is a print and interactive electronic source that offers useful tips for all these project pleural ultrasound investigations and systems. With transparent, distinct directions for scientific perform, it's going to aid clinicians: recognize basic anatomy in addition to universal pleural pathologies ideal ideas for ultrasound-guided pleural tactics how you can decide on the right kind ultrasound apparatus for his or her division try their wisdom during the self-assessment and revision sections

Acute Lung Injury and Repair: Scientific Fundamentals and Methods

Acute respiration misery Syndrome (ARDS) is still an enormous reason behind morbidity and mortality around the world, and the occurrence is expected to extend with the getting older inhabitants a number of scientific problems can start up ARDS, together with pneumonia, sepsis, gastric aspiration and trauma yet regardless of severe examine during the last forty years, we nonetheless have an incomplete figuring out of the pathophysiology of the illness and remedy continues to be mostly supportive.

Additional resources for The Psychiatric Dimensions of Sleep Medicine, An Issue of Sleep Medicine Clinics, 1e

Sample text

Sleep Med Rev 1997;1:97–108. Stepanski E, Zorick F, Roehrs T, et al. Daytime alertness in patients with chronic insomnia compared with asymptomatic control subjects. Sleep 1988;11:54–60. Bonnet MH, Arand DL. 24-hour metabolic rate in insomniacs and matched normal sleepers. Sleep 1995;18:581–8. Pavlova M, Berg O, Gleason R, et al. Selfreported hyperarousal traits among insomnia patients. J Psychosom Res 2001;51:435–41. Nofzinger EA, Buysse DJ, Germain A, et al. Functional neuroimaging evidence for hyperarousal in insomnia.

Off-label use Sedating antidepressants The most frequently prescribed medications for the treatment of primary insomnia are sedating antidepressants, trazodone, amitriptyline, and mirtazepine being the leading three [57]. Unfortunately, little is known about their mechanism of action for hypnotic effects or their efficacy and safety as hypnotics. The transmitter systems altered by the three leading sedating antidepressants differ. Trazodone antagonizes serotonin 2a (5HT2a), 5HT2c, and alpha1-adrenergic receptors and also inhibits 5HT reuptake [58,59].

Zolpidem was reported to exacerbate sleep-related eating disorder and in several cases to induce it de novo [46]. In some of these cases doses of zolpidem greater than 10 mg were being used, and in other cases there was use of sedating antidepressants. Sleep-related eating disorder also has been reported with triazolam [47,49]. A common thread links much of this case-report information: excessive hypnotic activity or sleep drive. The excessive hypnotic activity can occur as a result of high doses, clinical doses in vulnerable individuals (ie, those who have a past history of sleep disorders or brain injury), the combination of clinical or high doses with prior sleep deprivation caused by stress or illness, or the combination of clinical or high doses with the prior consumption of alcohol.

Download PDF sample

Rated 4.14 of 5 – based on 19 votes