General sleep assessments Sleep diary SF-12, SF-36 Daytime sleepiness Epworth Sleepiness Scale [34] Stanford Sleepiness Scale [35] Functional Outcomes of Sleep Questionnaire [36] OSA Berlin Questionnaire [37] STOP-BANG Questionnaire [38]…
Wide neck circumference: Men > 17 in. Women > 16 in. Enlarged nasal turbinates Deviated nasal septum Midfacial hypoplasia Narrow mandible or maxilla Dental overjet/retrognathia or micrognathia Crossbite and dental malocclusion (class 2) High…
The parasomnias Parasomnias associated with non-REM sleep (or “disorders of arousal”) • Confusional arousals • Sleep terrors • Sleepwalking (somnambulism) • Sleep-related eating disorder Parasomnias associated with REM sleep •…
Fig. 11.1 Schematic representation of the primary CRSWDs Circadian rhythms are endogenous and genetically regulated and persist in the absence of external time cues with a period of approximately 24…
Fig. 10.1 Example of a typical sleep diary Symptom inventories provide clinicians with dimensional measures of frequency and severity, which provide necessary information to inform accurate diagnosis and assessment of…
Measure Outcome Insomnia Severity Index Insomnia symptoms General Sleep Disturbance Scale General sleep issues with subscales for sleep quality, daytime function, and sleep aid use Pittsburgh Sleep Quality Index Sleep…
Medical sleep disorders as common causes of the sleepless child Behavioral sleep disorders as common causes of the sleepless child Restless legs syndrome Sleep-onset association disorder Circadian rhythm disorder—delayed-sleep phase…
Fig. 12.1 Periodic limb movements (PLMS): Polysomnogram and electromyogram report showing periodic limb movements (red arrows) in both lower extremities (“LLEG” and “RLEG”). In order to define the intermittent movements…
Fig. 9.1 Example of a sleep diary (a) and actigraphy (b) for patient with insomnia due to delayed sleep phase disorder Bedtime Sleep onset latency (SOL)—time taken to fall asleep…
Fatigue or malaise Cognitive impairment (attention, concentration, memory issues) Poor work or school performance Mood disturbance or irritability Daytime sleepiness Decreased work performance Lack of motivation or initiative reduction Errors…
