Abstract:
:Among the range of primary insomnia subtypes, those assigned such labels as subjective insomnia or sleep state misperception historically have been among the most intriguing yet challenging to understand and manage clinically. Such patients who produce seemingly normal polysomnograms often present rather compelling and, at times, dramatic sleep complaints. Our earliest formal sleep nosology included a separate diagnostic category for such individuals, but little research has been devoted to this insomnia subtype in the 20 years since this classification scheme was proposed. As a result, use of diagnoses such as subjective insomnia or sleep state misperception have remained controversial. The current article reviews this controversy and highlights the major criticisms forged against subdividing primary insomnia into objective and subjective subtypes. Subsequently, the relative merits of these criticisms are considered in view of early and recent findings vis-à-vis the subjective/objective insomnia dichotomy. Although available data are not conclusive, there appears to be sufficient evidence to suggest subjective and objective insomnia subtypes may suffer from distinctive forms of sleep-related pathophysiology. We conclude by advocating continued study of the subjective insomnia phenomenon and by providing specific directions for relevant future research.
journal_name
Sleep Med Revjournal_title
Sleep medicine reviewsauthors
Edinger JD,Krystal ADdoi
10.1053/smrv.2002.0253subject
Has Abstractpub_date
2003-06-01 00:00:00pages
203-14issue
3eissn
1087-0792issn
1532-2955pii
S1087079202902534journal_volume
7pub_type
杂志文章,评审abstract::Sleep disordered breathing (SDB) is a common disorder in both adults and children and is caused by the obstruction of the upper airway during sleep. Unlike adults, most cases of paediatric SDB are due to the presence of enlarged tonsils and adenoids, thus the main treatment option is adenotonsillectomy (T&A). It is we...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2012.04.004
更新日期:2013-02-01 00:00:00
abstract::There is considerable research evidence suggesting that sleep is biologically linked to mood disorders in adults. However, polysomographic and neuroendocrine studies in children and adolescents have not found consistent changes in sleep architecture paralleling adult major depression. This review provides a detailed d...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2004.09.006
更新日期:2005-04-01 00:00:00
abstract::Polysomnography has been accepted by many as a "gold standard" for the diagnosis of the Obstructive Sleep Apnoea/Hypopnoea Syndrome (OSAHS). Although polysomnography is a good method for diagnosing OSAHS, there is no evidence that the results of polysomnography more accurately identify patients with the syndrome than ...
journal_title:Sleep medicine reviews
pub_type: 评论,杂志文章,评审
doi:10.1053/smrv.2001.0205
更新日期:2003-02-01 00:00:00
abstract::Chronically painful conditions are frequently associated with sleep disturbances, i.e. changes in sleep continuity and sleep architecture as well as increased sleepiness during daytime. A new hypothesis, which has attracted more and more attention, is that disturbances of sleep cause or modulate acute and chronic pain...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2005.08.001
更新日期:2006-10-01 00:00:00
abstract::Based on 339 cases this review identifies, quantifies and compares 4 clinical forms of recurrent hypersomnia (1) Kleine-Levin syndrome (KLS) (239 cases), (2) Kleine-Levin syndrome without compulsive eating (KLS WOCE) (54 cases), (3) Menstrual related hypersomnia (MRH) (18 cases) and Recurrent hypersomnia with comorbid...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2010.08.001
更新日期:2011-08-01 00:00:00
abstract::During the last decade, many clinical and pathophysiological aspects of sleep-related epileptic and non-epileptic paroxysmal behaviors have been clarified. Advances have been achieved in part through the use of intracerebral recording methods such as stereo-electroencephalography (S-EEG), which has allowed a unique "i...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2015.05.002
更新日期:2016-02-01 00:00:00
abstract::The objective of this systematic review and content analysis was to identify and quantify the concepts contained in patient-administered health status measures in sleep medicine practice and research using the International Classification of Functioning, Disability and Health (ICF) as a reference. Both generic and con...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2010.07.001
更新日期:2011-02-01 00:00:00
abstract::Previous research has identified insomnia as a predictor for the onset of depression. The aim of this meta-analysis is to investigate whether insomnia also predicts the onset of other mental disorders. Longitudinal studies were eligible for inclusion if they investigated insomnia at baseline (including nighttime- and ...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,meta分析
doi:10.1016/j.smrv.2018.10.006
更新日期:2019-02-01 00:00:00
abstract::Problems with sleep are reported to be common after stroke but the incidence and prevalence of insomnia and insomnia symptoms following stroke is not yet established. The aim of this review was to conduct a systematic review and meta-analysis of the incidence and prevalence of insomnia and insomnia symptoms in individ...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2019.101222
更新日期:2020-02-01 00:00:00
abstract::Sleep and sleep disorders are complex and highly variable phenotypes regulated by many genes and environment. The catechol-O-methyltransferase (COMT) gene is an interesting candidate, being one of the major mammalian enzymes involved in the catabolism of catecholamines. The activity of COMT enzyme is genetically polym...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2014.10.006
更新日期:2015-08-01 00:00:00
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journal_title:Sleep medicine reviews
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.smrv.2013.06.001
更新日期:2014-08-01 00:00:00
abstract::Sleep and circadian rhythmicity both influence the 24-h profiles of the main pituitary and adrenal hormones. From studies using experimental strategies including complete and partial sleep deprivation, acute and chronic shifts in the sleep period, or complete sleep-wake reversal as occurs with transmeridian travel or ...
journal_title:Sleep medicine reviews
pub_type: 杂志文章
doi:10.1016/s1087-0792(98)90051-x
更新日期:1998-02-01 00:00:00
abstract::In addition to its role in vision, light exerts strong effects on behavior. Its powerful role in the modulation of mood is well established, yet remains poorly understood. Much research has focused on the effects of light on circadian rhythms and subsequent interaction with alertness and depression. The recent discove...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2011.09.002
更新日期:2012-10-01 00:00:00
abstract::Dopaminergic drugs have been widely used over the last decades for the treatment of restless legs syndrome (RLS)/Willis-Ekbom disease (WED). While the majority of studies show an initial improvement in symptoms, longer studies and clinical experience show that either treatment efficacy decreases with time, and/or augm...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2018.01.001
更新日期:2018-10-01 00:00:00
abstract::One of the most common sleep-related disorders is obstructive sleep apnea, characterized by a reduction of airflow while breathing during sleep and cause significant health problems. This disorder is mainly diagnosed in sleep labs with polysomnography, involving high costs and stress for the patient. To address this s...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2018.02.004
更新日期:2018-10-01 00:00:00
abstract::Sleep is important for the development of preterm infants. During sleep, neural connections are formed and the development of brain regions is triggered. In general, various rudimentary sleep states can be identified in the preterm infant, namely active sleep (AS), quiet sleep (QS) and intermediate sleep (IS). As the ...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2016.03.005
更新日期:2017-04-01 00:00:00
abstract::Numerous studies have explored the effect of sleep on memory. It is well known that a period of sleep, compared to a similar period of wakefulness, protects memories from interference, improves performance, and might also reorganize memory traces in a way that encourages creativity and rule extraction. It is assumed t...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2017.09.001
更新日期:2018-06-01 00:00:00
abstract::Sleep disturbances during menopause are often attributed to nocturnal hot flashes and 'sweats' associated with changing hormone patterns. This paper is a comprehensive critical review of the research on the relationship between sleep disturbance and hot flashes in women. Numerous studies have found a relationship betw...
journal_title:Sleep medicine reviews
pub_type: 杂志文章
doi:10.1016/j.smrv.2004.07.005
更新日期:2004-12-01 00:00:00
abstract::The proportion of children who are overweight or obese has risen steadily in recent decades and approaches a quarter of all children in Western countries. This global epidemic of excess weight and adiposity in humans is associated with increased morbidity and mortality, especially related to diabetes and poor cardiova...
journal_title:Sleep medicine reviews
pub_type: 评论,杂志文章,评审
doi:10.1016/j.smrv.2008.04.008
更新日期:2008-10-01 00:00:00
abstract::Restless legs syndrome (RLS) is a complex multifactorial disorder whose aetiology has yet to be fully elucidated. Some of the features of RLS, such as processing of sensations and activation of movement, may result from a dysfunction in spinal processing giving rise to a state of spinal hyperexcitability. In the curre...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2019.05.005
更新日期:2019-10-01 00:00:00
abstract::On-call work is becoming an increasingly common work pattern, yet the human impacts of this type of work are not well established. Given the likelihood of calls to occur outside regular work hours, it is important to consider the potential impact of working on-call on stress physiology and sleep. The aims of this revi...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2016.06.001
更新日期:2017-06-01 00:00:00
abstract::Large elastic arteries and smaller muscular conduit arteries become stiffer with ageing, a process that is accelerated in the presence of cardiovascular disease (CVD). In recent years, numerous techniques have been developed to measure arterial stiffness, either in single vessels or in entire muscular arterial trees. ...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2012.03.002
更新日期:2013-02-01 00:00:00
abstract::To date, continuous positive airway pressure (CPAP) is the most effective intervention in the treatment of obstructive sleep apnoea, but adherence to this treatment is often less than optimal. A variety of factors and interventions that influence and improve CPAP use have been examined. There is increasing recognition...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2013.03.002
更新日期:2014-04-01 00:00:00
abstract::This review covers the literature on behavioural and cognitive-behavioural treatments for sleep disturbance in infants, pre-school, and school-age children. Treatment areas are dyssomnias (disorders of initiating, maintaining, or excessive sleep) and parasomnias (behaviours which occur predominantly during sleep). Int...
journal_title:Sleep medicine reviews
pub_type: 杂志文章
doi:10.1053/smrv.1999.0082
更新日期:1999-12-01 00:00:00
abstract::The process of falling asleep can best be measured by considering a convergence of behavioural, EEG, physiological and subjective information. Doing so allows one to see sleep processes as they unfold, but relying on any single sleep index can bias the description of this complex process. The studies reviewed do not s...
journal_title:Sleep medicine reviews
pub_type: 杂志文章
doi:10.1053/smrv.2001.0145
更新日期:2001-06-01 00:00:00
abstract::Women's sleep quality has been reported to change during pregnancy; prevalence estimates of poor sleep quality during pregnancy vary widely. To further understand the observed variation of findings, we conducted a meta-analysis to quantify the prevalence of poor sleep quality during pregnancy. Articles (N = 24) that r...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.smrv.2017.06.005
更新日期:2018-04-01 00:00:00
abstract::Based on electrophysiological, neurochemical, genetic and neuropharmacological approaches it is currently accepted that serotonin (5-HT) functions to promote waking (W) and to inhibit rapid-eye movement sleep (REMS). The serotonin-containing neurons of the dorsal raphe nucleus (DRN) provide part of the serotonergic in...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2009.10.003
更新日期:2010-10-01 00:00:00
abstract::Cognitive deficits and cardiovascular disease (CVD) are comorbid conditions frequently associated with obstructive sleep apnea (OSA). Oxygen free radical release and its differential regulation of cytokine synthesis and immune modulation resulting from OSA-related hypoxic events have been hypothesized as the underlyin...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2005.04.004
更新日期:2005-12-01 00:00:00
abstract::In the recent years intensive research has revealed numerous negative consequences of obstructive sleep apnea (OSA) for the cardiovascular system. The pathophysiological interaction between OSA and coronary artery disease is complex and comprises neural, humoral, mechanical and haemodynamic components. One of the most...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2007.08.002
更新日期:2008-02-01 00:00:00
abstract::Aim of the present systematic review was to evaluate whether children and adolescents with attention-deficit/hyperactivity disorder (ADHD) are at greater chance of developing bruxism compared to individuals without this disorder. Observational studies that evaluated the occurrence of bruxism in children and adolescent...
journal_title:Sleep medicine reviews
pub_type: 杂志文章,评审
doi:10.1016/j.smrv.2020.101330
更新日期:2020-10-01 00:00:00