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operational definition of sleep

April 02, 2023
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The best predictor was the number of ES episodes within the same day followed by frequency per week of moderate to severe sleepiness (Table 3). Ohayon MM, Caulet M, Philip P, Guilleminault C, Priest RG. WebSleep scientists have explored these changes in depth, and their definition of sleep is tied to characteristic patterns of brain waves and other physiological functions. View Source That amount also changes with age. The final sample included 15 929 individuals representative of the general population of these states (138 million). Interestingly, multiple episodes of sleepiness within the same day were reported by half the individuals reporting ES. Spiegel, K., Tasali, E., Leproult, R., & Van Cauter, E. (2009). 2022 Jul;33(3):169-179. doi: 10.1111/2047-3095.12345. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Nonetheless, these data provide essential information to refine the nosology of hypersomnia disorders by specifying the range and frequency of symptoms together with the threshold of frequency associated with clinically significant impairment, distress, and comorbidities. Although some concepts, like height or age, are easily measured, others, Approximately half the sample (53.5%) were married (or living with a domestic partner), 28.7% were single, 10% were divorced/separated, and 7.8% were widowers. In multivariate models, the number of ES episodes per day and severity of ES were identified as the best predictors for impairment/distress. English, To determine the importance of ES definition, measurement, and prevalence in the general population, together with its coexisting conditions. 2015;1(4):233243. The effects of sleep deprivation and sleep deficiency can be serious and far-reaching. Results were based on weighted numbers and percentages. Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. 2011;173(3):300309. Ohayon MM. As the nations health protection agency, CDC saves lives and protects people from health threats. Accessed 2 Mar. When ES symptoms are added and the definition is restricted to recurrence within the same day accompanied by normal sleep duration, a minimum frequency of 3 times per week, and duration of ES of at least 3 months, the prevalence drops to 4.7% and further to 1.5% after applying the differential diagnosis (ie, eliminating sleep disorders that could be responsible for ES). Excessive sleepiness was accompanied by the presence of naps in 28% of cases (7.8% of the sample). The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. in the United States alone. Presentation of articles according, Figure 3. We only cite reputable sources when researching our guides and articles. One limitation of this study is that the results are based on subjective reports. This habit exacts a high price; many of these people struggle with ES when they should be fully awake. Grandner, M. A., Alfonso-Miller, P., Fernandez-Mendoza, J., Shetty, S., Shenoy, S., & Combs, D. (2016). Multiple factors can cause or contribute to sleep deprivation including poor sleep hygiene, lifestyle choices, work obligations, sleep disorders, and other medical conditions. Nearly 60% were working; 16.9% were retired. Trusted Source 2012 Jan; 69(1): 7179. A member of our medical expert team provides a final review of the content and sources cited for every guide, article, and product review concerning medical- and health-related topics. More observably, the eyes close and the brain enters into a state of unconsciousness, either completely or partially. Variables lacking significant association with a positive diagnosis of hypersomnia disorder included most medical diseases (with the exception of the 4 mentioned in the preceding paragraph), some anxiety disorders (simple phobia, social phobia, agoraphobia, and panic disorder), caffeine intake, drug intake, psychotic disorders, eating disorders, and adjustment disorders. Sleep Health. 2017 Apr;28(2):76-87. doi: 10.1111/2047-3095.12124. The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Objective: to present the knowledge produced about sleep and Acute Coronary Syndrome in order to assist in the elaboration of the operational and This terminology can be distinct from everyday conversation in which the term sleep deprivation may be used with a wider meaning that refers to poor sleep overall and not just total sleep duration. To avoid these problems, its important to avoid sleep deprivation. Respondents with insomnia disorder, obstructive sleep apnea syndrome, restless legs syndrome, or circadian rhythm sleep disorders were more likely to have a positive diagnosis of hypersomnia disorder. greater overall risk of death daily life? Table 5 presents crude and adjusted odds ratios for disorders significantly associated with a positive diagnosis of hypersomnia disorder. official website and that any information you provide is encrypted The study was approved by the Stanford University Institutional Review Board. At Sleep Foundation, we personally test every product featured in our reviews and guides. If you're ready for more, sign up to receive our email newsletter! Naps and the number of naps within the same day were not retained by the exhaustive CHAID procedure. Does improving sleep lead to better mental health? Generally, operational definitions are concrete and measurable. With the DSM-IV definition, which used only excessive quantity of sleep, we would have a prevalence of 0.5% for hypersomnia disorder. Alves DS, Pavarini SCI, Luchesi BM, Ottaviani AC, Cardoso JFZ, Inouye K. Rev Lat Am Enfermagem. Sleep-EVAL, Knowledge Based System for the Diagnosis of Sleep and Mental Disorders. Another 17% of individuals with ES (4.7% of the sample) reported falling asleep easily or without warning. Trusted Source Pflugers Archiv : European journal of physiology, 463(1), 121137. Sleep is the state of rest of the brain and body where physiological processes take place. Quantity and quality of sleep and incidence of type 2 diabetes: a systematic review and meta-analysis. National Heart, Lung, and Blood Institute (NHLBI). Some guides and articles feature links to other relevant Sleep Foundation pages. 137172)., Retrieved from. Read our full, National Library of Medicine, Biotech Information. People who work multiple jobs or extended hours may not have enough time for sufficient sleep. As a result, while a number of subjective and objective measurement tools have been developed to measure sleepiness, each only captures a limited aspect of an otherwise heterogeneous entity. Middle English slepe, from Old English slp; akin to Old High German slf sleep and perhaps to Latin labi to slip, slide, before the 12th century, in the meaning defined at sense 1, before the 12th century, in the meaning defined at intransitive sense 1. Trusted Source Based on information from Lee, 2003. All scientific data and information must be backed up by at least one reputable source. 'Hiemal,' 'brumation,' & other rare wintry words. Trusted Source During that period, the affected individual appears to be awake, but behavior may be very inappropriate, with memory deficits, disorientation in time and space, and slow mentation and speech. Carskadon MA, Dement WC, Mitler MM, Roth T, Westbrook PR, Keenan S. Guidelines for the multiple sleep latency test (MSLT): a standard measure of sleepiness. Bassetti C, Aldrich MS. Idiopathic hypersomnia: a series of 42 patients. The project manager or the team leaders also telephoned nearly all participants who completed the interview to evaluate the quality of the collected information. Work obligations are another common contributor to sleep deprivation. Features in this section describe and explain the significance of typical sleep patterns, as well as a variety of factors that disrupt these patterns. We must therefore content ourselves with a phenomenological definition of depression as a syndrome. Almost everyone has encountered a zombie-like feeling after a night of minimal or no sleep. Another recent study published in Cell Metabolism that controlled for exercise, Before we went to her house, Hannah told us her aunt was a. Sleep. Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/sleep. Ohayon MM. This pattern appears to be a stronger indicator of a hypersomnia disorder, especially when sleep duration is within a normal range. Ohayon MM, Priest RG, Zulley J, Smirne S, Paiva T. Prevalence of narcolepsy symptomatology and diagnosis in the European general population. Trusted Source Construction and validation of conceptual and operational definitions of the defining characteristics of the nursing diagnosis "Ineffective health self-management" in people living with HIV/AIDS. Your doctor can assess your situation and recommend treatment that best suits your needs. Clipboard, Search History, and several other advanced features are temporarily unavailable. Information on race/ethnicity was obtained from the participants. Trusted Source Students represented 6.4% of the participants; 4% were unemployed and 13.2% were homemakers. An interview could be completed with more than 1 telephone call when it exceeded 60 minutes or at the request of the participant. According to Wu, there are two main processes that regulate sleep: circadian rhythms and sleep drive. Circadian rhythms are controlled by a biological clock located in the brain. One key function of this clock is responding to light cues, ramping up production of the hormone melatonin at night, then switching it off when it senses light. These internal links are intended to improve ease of navigation across the site, and are never used as original sources for scientific data or information. built. An operational definition describes how the variables are measured and defined in the study. Just as in previous clinical samples, in our study the disorder affects men and women equally but is more prevalent among younger rather than older individuals. A clarification of the term is necessary to inform patients and healthcare providers, promote consistent theoretical and The full manifestation of hypersomnia disorder (ie, criterion D, after all other sleep disorders that could be responsible for ES were eliminated: differential diagnosis) was observed in 1.5% of the sample (95% CI, 1.3%1.7%). To save this word, you'll need to log in. Portuguese, (2015). Brain basics: Understanding Sleep., Retrieved October 19, 2020, from. eCollection 2020. Test your vocabulary with our 10-question quiz! The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Int J Nurs Knowl. The impact of sleep deprivation on food desire in the human brain. Finally, when all the diagnostic criteria were applied, age was the only characteristic significantly related to hypersomnia disorder. Prevalence and impacts of poor sleep on quality of life and associated factors of good sleepers in a sample of older Chinese adults. Prevalence of hypersomnia disorder was 1.5% of the participants (95% CI, 1.3%1.7%). The second criterion needed for positive diagnosis of ES (B) is hypersomnia occurring at least 3 times per week for at least 3 months despite a primary sleep period lasting at least 7 hours. The presence of an excessive quantity of sleep has usually been assessed by asking participants whether they were getting too much sleep.1719 However, there is only a small association between a positive answer to this question and sleep duration.5, A report of ES accompanied by confusional arousal(sleep drunkenness) was common (4.4%) in our sample. Am J Med. American Academy of Sleep Medicine (AASM). Falling asleep easily and almost everywhere, period(s) of sudden and uncontrollable sleep, or feeling sleepy or drowsy during past month, Frequency (<1, 12, 34, 56 d/wk; daily), Frequency in a day (<1, 23, 45, >5 times/d), Last episode occurrence (past 24 h, past week, past month, past year, >1 y), Timing of occurrence (morning, after meals, afternoon, evening), Situation/environment occurrence: at work, during daily activities, at school, with friends or relatives, during conversation, in quiet situations (watching TV, reading, relaxing), as a car passenger, as a driver, in public transportation, Evolution of sleepiness since it first appeared (decreased, increased, no change), Effect of ES on social and occupational functioning (each of 10 questions answered on a graduated scale: not at all, mild, moderate, severe, very severe), Frequency in a week, in a day (same answer choices as for ES), Duration of naps (<15, 1530, 3045, 4560, >60 min), Mean total sleep duration in a 24-h period, taking into account napping, Whether napping affects ability to fall asleep easily at night, Duration of main sleep period in past year, Confusional arousal in past month (sleep drunkenness): frequency in a week and duration, Hypnagogic and hypnopompic hallucinations (frequency, moment of last episode, terrifying hallucinations, age at onset), Cataplexy and cataplexylike symptoms (body parts involved, frequency, moment of last episode, age at onset, whether witnessed by others, situations triggering an episode), Sleep paralysis at sleep onset (naps or main sleep episode) or on awakening (frequency, age at onset, moment of last episode), Sleep/wake schedule for past week and past year, Medical conditions and pharmacologic treatment (name, indication, dose), Falling asleep easily almost everywhere, times/wk, Periods of sudden and uncontrollable sleep, times/wk, Feeling moderately to severely sleepy during the day, times/wk, Confusional arousal (ie, sleep drunkenness), times/wk, I. Your daily habits and environment can significantly impact the quality of your sleep. Kim, T. W., Jeong, J. H., & Hong, S. C. (2015). Epub 2015 Nov 9. The number of questions used to identify ES is critical because it has many associated symptoms (eg, involuntary naps, drowsiness in inappropriate or unsafe situations, and unrefreshing prolonged main sleep episodes). The interview begins with a series of questions asked of all participants. HHS Vulnerability Disclosure, Help Epidemiologic study of sleep disturbances and psychiatric disorders: an opportunity for prevention? The final sample included 21.4% unlisted telephone numbers. Select which best describes your sleep challenges or goals: What elements of your sleep environment would you like to improve? Presentation of articles according to study title, methodological design, and objective. This result is not surprising because the number of naps within the same day was closely correlated with the number of episodes of ES within the same day. View Source Sleep deprivation and sleep insufficiency may be categorized in different ways depending on a persons circumstances. Lack of sleep directly affects how we think and feel. doi: 10.1590/1518-8345.4269.3439. Chronic sleep deprivation can contribute to a wide range of health problems. Trusted Source Improving decisionmaking processes with the fuzzy logic approach in the epidemiology of sleep disorders. Risk of napping. doi: 10.1590/0034-7167-2019-0684. National Center for Biotechnology Information, Best Anti-Snoring Mouthpieces & Mouthguards, https://pubmed.ncbi.nlm.nih.gov/30452725/, https://pubmed.ncbi.nlm.nih.gov/29073412/, https://www.nhlbi.nih.gov/health-topics/sleep-deprivation-and-deficiency, https://pubmed.ncbi.nlm.nih.gov/23008180/, https://linkinghub.elsevier.com/retrieve/pii/S1389945716301368, https://pubmed.ncbi.nlm.nih.gov/22942500/, https://www.ninds.nih.gov/health-information/public-education/brain-basics/brain-basics-understanding-sleep, https://journals.lww.com/co-cardiology/Abstract/2016/09000/Sleep__important_considerations_for_the_prevention.12.aspx, https://www.nature.com/articles/nrendo.2009.23, https://www.nature.com/articles/ncomms3259, https://link.springer.com/article/10.1007/s00424-011-1044-0, https://pubmed.ncbi.nlm.nih.gov/25861266/, https://pubmed.ncbi.nlm.nih.gov/28928187/, https://pubmed.ncbi.nlm.nih.gov/19910503/, https://pubmed.ncbi.nlm.nih.gov/22709334/, https://www.cdc.gov/sleep/about_sleep/drowsy_driving.html, https://www.ncbi.nlm.nih.gov/books/NBK19958/, https://pubmed.ncbi.nlm.nih.gov/28983434/, Link Between Sleep Apnea and Heart Disease. Persistent insomnia is associated with mortality risk. For example, sleep apnea, a breathing disorder that induces dozens of nightly awakenings, may hinder both sleep duration and quality. If you have ongoing or worsening problems with insufficient sleep or daytime sleepiness, working with your doctor is a good first step to getting relief. Martikainen K, Hasan J, Urponen H, Vuori I, Partinen M. Daytime sleepiness: a risk factor in community life. We report our analysis of a large epidemiologic data set collected from a representative sample of the US population. Poudel, G. R., Innes, C. R., Bones, P. J., Watts, R., & Jones, R. D. (2014). Human brain other rare wintry words normal range sleep duration is within a normal.... Sleep Foundation pages providing access to biomedical and genomic information daily habits environment... Exhaustive CHAID procedure persons circumstances, Inouye K. Rev Lat Am Enfermagem jobs. Encrypted the study, Partinen M. 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