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Index 191 Tranylcypromine, 130 Trazodone, 74, 83, 111, 112, 113, 130, 136, 146, 178 Triazolam, 33, 179, 180 Tricyclic antidepressants, 74, 86, 112, 113, 114, 130, 133, 135, 136, 150, 174, 178 Trimipramine, 112, 178 U Unconditioned stimuli, 156 Urine, 114, 116, 119, 145 V Valerian, 74, 175, 177 Valproic acid, 121 Vigabatrin, 121 W Wake after sleep onset (WASO), 90, 116, 121, 138, 139, 158, 159, 161, 177 Withdrawal, 29, 30, 43, 72, 121, 128, 130, 138, 139, 178, 180, 181, 182, 183 X Xyrem, 150 Z Zaleplon, 17, 74, 86, 111, 146, 180, 181, 182, 183 Zeitgebber, 53 Zolpidem, 17, 58, 74, 83, 85, 101, 103, 111, 130. 131, 138, 146, 180, 181, 182, 183 Zopiclone, 17, 74, 180, 181, 182
Current Clinical Neurology CLINICAL HANDBOOK OF INSOMNIA ISBN: 1-58829-272-X E-ISBN: 1-59259-662-2 humanapress.com CURRENT CLINICAL NEUROLOGY Series Editor: DANIEL TARSY, MD Clinical Handbook of Insomnia Edited by Hrayr P. Attarian, MD Sleep Program in Neurology and Sleep Laboratory of the Clinical Neurophysiology Laboratories, University of Vermont College of Medicine, Burlington, VT Foreword by Mark W. Mahowald, MD Minnesota Regional Sleep Disorder Center, Hennepin County Medical Center and University of Minnesota Medical School, Minneapolis, MN Although insomnia is the second most common complaint, after pain, in the primary care setting, medical texts and reference books often fail to give full treatment to the subject. In Clinical Handbook of Insomnia, expert clinicians and researchers provide practicing primary health care providers the first clinically oriented, comprehensive textbook devoted to the evaluation and treatment of insomnia. Summarizing the latest findings published in a wide variety of medical journals, these experts concisely review the primary insomnias (those in children and adults, psychophysiological and idiopathic insomnia, and sleep state misperception), as well as those caused by medical, neurological, and psychiatric problems. They then fully discuss the latest pharmacological and nonpharmacological treatments for insomnia, illustrating each topic with detailed case studies, algorithms, charts, and graphs to better demonstrate the points presented. Also included is a simple algorithm for the differential diagnosis of insomnia. Comprehensive, easy to read, and up-to-date, Clinical Handbook of Insomnia considers the disorder in all its multiple forms, helping the practicing health care provider to identify the problem early on, to recognize its underlying cause, and to prescribe the most efficacious treatment. � Comprehensive review of insomnia in all its multiple forms and its treatment � Discussion of both pharmacological and nonpharmacological therapies � Detailed differential diagnosis of insomnia in adults and children Features Contents � An easily readable format designed to rapidly help the practicing health care provider � Numerous case studies, algorithms, charts, and graphs Part I: Overview. Defining Insomnia. Epidemiology of Insomnia. Physiological Basis of Insomnia. Differential Diagnosis of Insomnia. Part II: The Primary Insomnias. Insomnia in Children and Adolescents. Psychophysiological Insomnia. Idiopathic Insomnia. Sleep State Misperception. Sleep Hygiene. Part III: The Secondary Insomnias. Insomnia Caused by Medical and Neurological Disorders. Insomnia in Psychiatric Disorders. Insomnia in Primary Sleep Disorders. Part IV: Treatment of Insomnia. Cognitive-Behavioral Therapy for Insomnia. Pharmacological Treatment of Insomnia. Index. 9 781588 292728 90000
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Clinical Handbook of Insomnia Edite
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C URRENT CLINICAL NEUROLOGY Daniel
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© 2004 Humana Press Inc. 999 River
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Series Editor’s Introduction The
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x Foreword nervous system hypersomn
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Contents Series Editor’s Introduc
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Contributors HRAYR P. ATTARIAN, MD
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2 Attarian et al.
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4 Attarian et al. until the 1970s t
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6 Attarian et al. Table 2 Diagnosti
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8 Attarian et al. Duration of Illne
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10 Attarian et al. REFERENCES 1. Ma
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12 Attarian Another study in Austri
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14 Attarian even less well studied.
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16 Attarian communities. A structur
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18 Attarian 5. Sutton, D. A., Moldo
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20 Attarian 53. Kageyama, T., Kabut
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22 Attarian
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24 Bonnet and Arand Table 1 Reporte
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26 Bonnet and Arand On the day spen
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28 Bonnet and Arand SUMMARY These m
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30 Bonnet and Arand chronic caffein
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32 Bonnet and Arand response that a
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34 Bonnet and Arand The Development
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36 Bonnet and Arand ACKNOWLEDGMENT
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38 Bonnet and Arand 45. Bonnet, M.
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40 Attarian Table 1 Types of Insomn
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42 Attarian 15 to 40 seconds. PLMs
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44 Fig. 1. Example of a 1-week slee
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46 Fig. 3. One-week printout of an
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48 Attarian Fig. 4. Algorithm. (Use
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50 Attarian 27. Polo-Kantola, P., E
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52 Garcia
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54 Garcia association is known as s
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56 Fig. 1. A sleep log used in chil
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58 Garcia the reality that the tend
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60 Fig. 2. Actigraph recording in a
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62 Garcia neurodevelopmental disabi
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64 Garcia 35. Czeisler, C., kronaue
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66 Garcia
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68 Attarian showed similar degrees
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70 Attarian agitation and hence the
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72 Attarian Affective disorder is s
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74 Attarian and Drug Administration
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76 Fig. 2. Sleep log after treatmen
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78 Attarian 18. Bonnet, M. H. and A
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80 Attarian 65. Perlis, M., Aloia,
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82 Attarian was confirmed by resear
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84 Attarian times worrying about th
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86 Attarian insomnia or for other s
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88 Attarian
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90 Duntley tion systems found that
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92 Duntley Case 1 A 36-year-old fem
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94 Fig. 2. The objective amount of
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96 Duntley PROGNOSIS AND COMPLICATI
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98 Duntley
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100 Attarian EPIDEMIOLOGY There are
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102 Attarian CLINICAL MANIFESTATION
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104 Attarian DIAGNOSTIC WORKUP The
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106 Attarian 13. Hauri, P. J. (1998
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108 Plotkin
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110 Plotkin quality of sleep. Ultim
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112 Plotkin of the therapeutic effi
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114 Plotkin months or years. The ef
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116 Plotkin associated somatic disc
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118 Plotkin Table 1 Causes of Secon
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120 Plotkin Table 1 (continued) Lew
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122 Plotkin REFERENCES 1. Foley, D.
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124 Plotkin 48. Marchetti, F., Rome
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126 Plotkin
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128 Karaz Table 1 DSM-IV Diagnoses
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130 Karaz poor. Focusing only on th
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132 Karaz He felt hopeless that his
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134 Karaz Table 4 Diagnostic Criter
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136 Karaz complained of feeling anx
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138 Karaz other physicians avoided
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Page 169 and 170: 152 Duntley 34. Cartwright, R. (197
Page 171 and 172: 154 Perlis et al.
Page 173 and 174: 156 Perlis et al. Fig. 1. A schemat
Page 175 and 176: 158 Perlis et al. ditioned arousal
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Page 181 and 182: 164 Perlis et al. Cognitive Therapy
Page 183 and 184: 166 Perlis et al. Table 2 Cognitive
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Page 191 and 192: 174 Attarian Secondary Insomnias Re
Page 193 and 194: 176 Attarian 50 years of age who sl
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Page 197 and 198: 180 Attarian The use of benzodiazep
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Page 201 and 202: 184 Attarian 3. Wyatt, R. J., Engel
Page 203 and 204: 186 Attarian residual sedation foll
Page 205 and 206: 188 Index Clonidine, 183 CNS arousa
Page 207: 190 Index Proton pump inhibitors, 1
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