RBD patients waiting years before seeing a physician

People with REM sleep behavior disorder wait an average of nearly nine years before getting diagnosed, a new study reported. REM sleep behavior disorder occurs when a sleeping person acts out vivid dreams. These dreams are often filled with action, and may even be violent.

A study out of Scotland looked at 30 REM sleep behavior disorder patients. The patients were asked why they took so long to see a physician. Most (59 percent) said they didn’t think the symptoms were serious enough. Nearly as many (56 percent) said their REM sleep behavior disorder was mild or infrequent. Other patients (47 percent) believed the symptoms would go away or they simply didn’t know enough about REM sleep behavior disorder to seek help.

The patient’s bed partner was an important influence. The decision to seek treatment for REM sleep behavior disorder was made jointly by patient and partner in 47 percent of the cases. The study appeared in the April issue of the Journal of Clinical Sleep Medicine.

REM sleep behavior disorder episodes tend to get worse over time. Early episodes may involve mild activity. Later episodes can be more violent. At some point it is likely to result in an injury. Either the person dreaming or the bed partner may be hurt.

REM sleep behavior disorder can be confused with sleepwalking and sleep terrors. Learn more about REM sleep behavior disorder and other sleep disorders. For treatment, or if you need any help sleeping, locate an accredited sleep center near you.

Image courtesy Jeezny

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Getting spouses involved may improve CPAP compliance

Having a CPAP user’s spouse involved may improve adherence. A study in the April issue of the Journal of Clinical Sleep Medicine followed 23 married men who were treated with continuous positive airway pressure. CPAP is the first-line treatment for sleep apnea. The men reported that when their spouse’s assisted them with CPAP, they were more likely to use the treatment.

Researchers looked at whether the spouses were encouraging or negative about their husband’s using CPAP, and whether they collaborated or were demanding. When spouses worked with their husbands, there was a moderate influence improving CPAP adherence. When spouses were negative or demanding, or even encouraging, there was no effect on CPAP compliance. The study suggested that physicians could improve CPAP compliance by teaching spouses how to become involved.

Visit the Your Sleep website to find out if you are at risk for sleep apnea and learn more about CPAP. For help with treating sleep apnea, locate an AASM-accredited sleep center near you.

Image courtesy Anthony Citrano

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Study shows high rate of truckers with undiagnosed sleep apnea

Truck drivers are not the best judges at diagnosing their own sleep apnea, a new study reports. Research showed that self-diagnosis and symptom reports fell far short of determining sleep apnea when compared to home testing. Only 4 percent of 517 commercial vehicle drivers in Australia reported an earlier diagnosis of sleep apnea. The study found another 41 percent when drivers were tested with home monitors.

Obstructive sleep apnea (OSA) has been associated with a higher risk of motor vehicle crashes. In December, the Federal Motor Carrier Safety Administration (FMCSA) announced new rules for the maximum hours of work per shift and mandatory rest periods for truck drivers. The FMCSA reduced by 12 hours the maximum number of hours a truck driver. Truck drivers also were mandated a break of at least 30 minutes after every eight hours worked.

The truckers in the Australian study worked an average of 65 hours a week. When surveyed, 40 percent of the drivers said they had trouble staying awake while driving in the last month. Of the commercial operators diagnosed with sleep apnea, less than half used continuous positive airway pressure (CPAP) therapy. CPAP is the first-line treatment for sleep apnea.

The study appears in the April edition of the journal SLEEP. Visit the Your Sleep website to find out if you are at risk for sleep apnea. Get help for sleep apnea at an AASM-accredited sleep center.

Image Courtesy KOMUnews

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Sleep-disordered breathing linked with depression

Snorting, gasping or stopping breathing while asleep has been associated with nearly all depression symptoms. The Centers for Disease Control and Prevention (CDC) surveyed 9,714 Americans for a new study appearing in the April issue of SLEEP. The CDC determined that the likelihood of depression increased with the frequency of sleep-disordered breathing.

Symptoms reported included feelings of hopelessness and feeling like a failure. The association was made regardless of factors like weight, age, sex or race. The CDC study is the first nationally representative sampling to look at obstructive sleep apnea (OSA) and depression. Similar links have been made in previous studies, but in samples that were much smaller and more specific.

The study’s authors suggested that physicians screen for depression in the presence of sleep-disordered breathing, or vice versa. The said such screenings could help reduce the high incidence and under-diagnosis of both of these disorders.

Read more blog posts about sleep and depression. Or learn more about insomnia, or take a short quiz to test how well you sleep.

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Children’s books for sale in New York museum gift shop

Two children’s picture books published by the American Academy of Sleep Medicine (AASM) in 2011 are available at the Children’s Museum of Manhattan. The Animals Sleep: A Bedtime Book of Biomes and I See the Animals Sleeping: A Bedtime Story emphasize the importance of sleep for both animals and children.

The books are written in rhyme and feature colorful illustrations. They explore the sleep habitats of various animals, from the familiar to the more exotic. In all cases, children are encouraged to get a good night sleep. The Children’s Museum of Manhattan is currently exhibiting “EatSleepPlay™: Building Health Every Day.”

The Animals Sleep: A Bedtime Book of Biomes can be purchased from Amazon or directly from the AASM. Also available from the AASM is I See the Animals Sleeping: A Bedtime Story. Learn more about these books and find other educational resources at SleepEducation.com.

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Insomnia a risk for chronic obstructive pulmonary patients

Insomnia is highly prevalent in patients with chronic obstructive pulmonary disease (COPD), a new study shows. A group of 72 military veterans in Tucson with COPD were studied for a week. Researchers determined that 27 percent of them had insomnia. Smokers and those experiencing sadness and/or anxiety had higher odds.

Patients with insomnia had a worse quality of life and a higher incidence of daytime sleepiness. They slept for less hours and less efficiently. COPD patients who used oxygen, however, had a lower risk for developing insomnia. The study was published in the March edition of the journal SLEEP.

Learn more about insomnia due to a medical condition or sleeping short of the average hours for an age group. Or read additional blog posts about insomnia.

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Getting older means you sleep better, not worse, study shows

Older people often complain about sleeping poorly as a sign of aging. Turns out that sleep improves during an adult’s lifetime. A new study in the March edition of SLEEP analyzed 150,000 responses to questions about sleep issues. The adults with the least complaints about sleep disturbances and daytime tiredness were in their 80s. Sleep complaints in general declined over the years, with a slight uptick in middle age.

Researchers said the results challenge conventional beliefs. They said physicians tend to ignore sleep complaints among older adults as a normal part of aging. Granted, there are contributing factors like illness and depression that affect slumber. But those things aside, older folks should be feeling good about their sleep, the study said. If not, they need to talk to their doctor.

Read more blog posts about sleep issues with older adults. Or learn more about sleep and growing older.

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