Trauma-Associated Sleep Disorder
Trauma-associated sleep disorder (TASD) is a recently described parasomnia that develops following a traumatic event. It consists of trauma-related nightmares, disruptive nocturnal behaviors, and autonomic disturbances, and shares similarities with post-traumatic stress disorder and rapid eye movement behavior disorder. The underlying pathophysiology of TASD and how it relates to other parasomnias are still not entirely understood; proposed treatment is similarly nebulous, with prazosin at the forefront along with management of comorbid sleep disorders. The purpose of this article is to characterize and highlight the clini...
Source: Sleep Medicine Clinics - November 23, 2023 Category: Sleep Medicine Authors: Daniel A. Barone Source Type: research

Sleep-Related Dissociative Disorders
In sleep-related dissociative disorders, phenomena of the psychiatrically defined dissociative disorders emerge during the sleep period. They occur during sustained wakefulness, either in the transition to sleep or following an awakening from sleep. Behaviors during episodes vary widely, and can result in injury to self or others. Daytime dissociative episodes and a background of trauma are almost always present; there is typically major co-existing psychopathology. Diagnosis is based on both clinical history and polysomnography; differential diagnosis primarily involves other parasomnias and nocturnal seizures. Informatio...
Source: Sleep Medicine Clinics - November 22, 2023 Category: Sleep Medicine Authors: Alan S. Eiser Source Type: research

Rapid Eye Movement Sleep Behavior Disorder
Rapid eye movement (REM) sleep behavior disorder (RBD) classically presents with repetitive complex motor behavior during sleep with associated dream mentation. The diagnosis requires a history of repetitive complex motor behaviors and polysomnographic demonstration of REM sleep without atonia (RSWA) or capturing dream enactment behaviors. RSWA is best evaluated in the chin or flexor digitorum superficialis muscles. The anterior tibialis muscle is insufficiently accurate to be relied upon solely for RBD diagnosis. RBD may present with parkinsonism or cognitive impairment or may present in isolation. Patients should be moni...
Source: Sleep Medicine Clinics - November 15, 2023 Category: Sleep Medicine Authors: Brandon M. Jones, Stuart J. McCarter Source Type: research

Forensic Implications of the Parasomnias
This article reviews the phenomena of SRV and SBS and guides evaluators in the forensic considerations relevant to parasomnias. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - November 15, 2023 Category: Sleep Medicine Authors: Brian Holoyda Source Type: research

Nightmare Disorder
This article presents a comprehensive review of nightmare disorder, covering diagnosis, treatment approaches, guidelines, and considerations. It begins with an introduction, defining the disorder and addressing its prevalence and psychosocial implications. The article explores assessment tools for diagnosis and then delves into psychological and pharmacologic treatment modalities, examining their efficacy and side effects. Considerations for optimizing therapeutic outcomes are highlighted, including medication versus psychotherapy, co-morbidities, cultural implications, and the use of technology and service animals. The re...
Source: Sleep Medicine Clinics - November 15, 2023 Category: Sleep Medicine Authors: Victoria R. Garriques, Deepali M. Dhruve, Michael R. Nadorff Source Type: research

Sleep-Related Urologic Dysfunction
This article reports on the epidemiology, prevalence, and physiopathology of sleep-related urinary dysfunction, a new syndromic category proposed by the recently revised ICSD-3-TR classification. Sleep enuresis, whether primary or secondary, monosymptomatic or plurisymptomatic, will be reviewed in terms of risk factors, comorbidity, and diagnostic and therapeutic indications. A definition of nocturia and its impact on patients ’ health, quality of life, and mortality will follow. Finally, the impact of urge incontinence on various medical and neurologic disorders will be discussed. Special emphasis will be placed on the ...
Source: Sleep Medicine Clinics - November 13, 2023 Category: Sleep Medicine Authors: Rosalia Silvestri Source Type: research

Somnambulism
, also called sleepwalking, classified as a non-rapid eye movement sleep parasomnia, encompasses a range of abnormal paroxysmal behaviors, leading to sleepwalking in dissociated sleep in an altered state of consciousness with impaired judgment and configuring a kind of hierarchical continuum with confusional arousal and night terror. Despite being generally regarded as a benign condition, its potential severity entails social, personal, and even forensic consequences. This comprehensive review provides an overview on the current state of knowledge, elucidating the phenomenon of somnambulism and encompassing its clinical ma...
Source: Sleep Medicine Clinics - November 2, 2023 Category: Sleep Medicine Authors: Ramona Cordani, Regis Lopez, Lucie Barateau, Sofiene Chenini, Lino Nobili, Yves Dauvilliers Source Type: research

Sleep Deficiency in Pregnancy
Sleep is a critical aspect of one ’s daily life for overall health, with a recommended 7 to 9 hours in adulthood (ages 26–64). Up to a third of women do not sleep sufficiently, and pregnant women are at an increased risk for sleep deficiency. Throughout pregnancy, sleep is affected in differing ways. For example, in the first tr imester, hormones affect sleep cycles, but by the third trimester, physical complaints such as increasing frequent urination and fetal movement create frequent awakenings. Associations between sleep deficiency and gestational diabetes, hypertensive disorders, depression, and some evidence regar...
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Authors: Arlin Delgado, Judette M. Louis Source Type: research

Sleep in Women
SLEEP MEDICINE CLINICS (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Authors: Monica L. Andersen Source Type: research

Copyright
ELSEVIER (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Source Type: research

Forthcoming Issues
The Parasomnias (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Source Type: research

Contributors
TEOFILO LEE-CHIONG Jr, MD (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Source Type: research

Contents
Monica L. Andersen (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Source Type: research

Women ’s Sleep Health
This special issue considers the topic of “Sleep in Women” and looks at a number of important aspects related to women’s sleep health, such as how sleep changes across the lifespan in women and the influence of maternity on sleep, among other topics. It also looks at the results of some preclinical studies, which have potentially sign ificant practical applications. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - October 28, 2023 Category: Sleep Medicine Authors: Monica L. Andersen Tags: Preface Source Type: research

Sleep Disorders and Aging in Women
Women of advancing age can suffer from an array of sleep disorders. We review the changes in sleep architecture, the impact of hormonal changes on sleep, and the various sleep disorders in women of advancing age. A focused history in this population should include the temporal relation to menopause and comorbid conditions. Treatment options should involve patient preference and review of current medications and comorbid conditions to optimize sleep in this population. (Source: Sleep Medicine Clinics)
Source: Sleep Medicine Clinics - August 28, 2023 Category: Sleep Medicine Authors: Ritika Gadodia, Deepika Nandamuru, Wahida Akberzie, Lynn Kataria Source Type: research