Schlafstörungen bei Verschiebungen des Schlaf-Wach-Zyklus

Knauth, Peter; Rutenfranz, J.

doi:10.1007/978-3-642-75733-4_8

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…This is for example the case in jet lag, but also in shift workers and in relatively rare disorders of the sleep‐wake rhythm, such as phase advance or phase delay of the sleep period. Also the insomniac problems of blind patients fall into this category (for an overview on this topic, see [39, 72]).…”

Section: Sleep‐wake Rhythm Disordersmentioning

confidence: 99%

“…Pharmacologically, melatonin may be helpful in overcoming jet lag-related problems (see meta-analysis by the Cochrane Collaboration [31]). 2) Sleep questionnaires SF-B (Sleep questionnaire-B) [22] PSQI (Pittsburgh Sleep Quality Index) [14] German version: [55] 3) Scales for daytime sleepiness ESS (Epworth Sleepiness Scale) [36] SSS (Stanford Sleepiness Scale) [31] 4) Sleep diaries SF-A (Sleep questionnaire-A) [22] VIS-A/VIS-M (Visual Analogue Scales evening/morning) [51] Evening/Morning Protocols [32,39] Non-restorative sleep in shift workers is more complex and warrants a thorough psychosocial/professional case history. Chronobiological research indicates that human beings per se are not perfectly suited for working during the night and being fully alert during that time period.…”

Section: Sleep-wake Rhythm Disordersmentioning

confidence: 99%

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The Guidelines for 'Non-Restorative Sleep': Relevance for the Diagnosis and Therapy of Insomnia. Die Leitlinie "Nicht-erholsamer Schlaf": Relevanz fur Diagnostik und Therapie der Insomnie

Riemann

Fischer

Mayer³

et al. 2003

Somnologie

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Summary Concerning the diagnosis and therapy of insomnia, a shift of paradigm has taken place in recent years. Traditionally, treatment has focused on improving night sleep, i. e. shortening sleep latency and prolonging total sleep time. Modern approaches aim at improving or restoring the recuperative value of sleep and ensuing daytime functioning on a social, psychological and professional level. Based on the guidelines for ‘non‐restorative sleep’ of the German Society of Sleep Research and Sleep Medicine, this article presents a clinical algorithm for the diagnosis and therapy of non‐restorative sleep with predominant insomnia. ‘Non‐restorative sleep’ refers to the failure of sleep to be recuperative and the resulting daytime functioning impairment of the individual afflicted with insomnia.  Main aspects for physicians and psychotherapists in the diagnosis and therapy of non‐restorative sleep are underlying organic/psychiatric‐psychological factors and/or secondary psychiatric sequelae of chronic primary insomnias. For primary, organic and psychiatric insomnias, a broad spectrum of psychopharmacological and cognitive behavioural methods can meanwhile be applied as monotherapy or in combination.

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Section: Sleep‐wake Rhythm Disordersmentioning

confidence: 99%

Section: Sleep-wake Rhythm Disordersmentioning

confidence: 99%

The Guidelines for 'Non-Restorative Sleep': Relevance for the Diagnosis and Therapy of Insomnia. Die Leitlinie "Nicht-erholsamer Schlaf": Relevanz fur Diagnostik und Therapie der Insomnie

Riemann

Fischer

Mayer³

et al. 2003

Somnologie

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“…Dies ist z. B.der Fall bei ᭤Jetlag (d. h. Folge von Zeitzonenflügen), aber auch bei Schichtarbeitern und bei relativ seltenen Störungen des Schlaf-Wach-Rhythmus, wie dem "phase advance" oder "phase delay".Auch die Schlafstö-rungen der Blinden fallen in diese Kategorie (zum Überblick [38,71]). …”

Section: Schlaf-wach-rhythmusstörungenunclassified

Nichterholsamer Schlaf und Insomnie

2003

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Over the last few years, a shift in paradigm has taken place in the diagnosis and therapy of insomnia. Traditionally, treatment focused on improving night sleep, i.e. shortening sleep latency and prolonging total sleep time. Modern approaches aim at improving or restoring the recuperative value of sleep and ensuring daytime functioning on a social, psychological and professional level. Based on the guidelines "Non-restorative Sleep" of the German Society of Sleep Research and Sleep Medicine, this article presents a clinical algorithm for the diagnosis and therapy of non-restorative sleep with predominant insomnia. The term "non-restorative sleep" permits us to view the restorative value of sleep and the resulting daytime functioning of the individual afflicted with insomnia as the focus for the diagnosis of and therapy for insomnia. This algorithm is suitable for the clinical practice of outpatient psychiatric and psychotherapeutic services as well as for psychiatric inpatients. The main features for psychiatrists and psychotherapists in the diagnosis and therapy of non-restorative sleep are underlying psychiatric-psychological factors or secondary psychiatric sequelae of chronic primary insomnias. For primary, organic and psychiatric insomnias, a broad spectrum of psychopharmacological and cognitive behavioral methods can be applied either alone or in combination.

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