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Distúrbios do sono, sintomas de ansiedade e de depressão e qualidade de vida em trabalhadores rurais em período de entressafra cafeeira; Sleep disorders, symptoms of anxiety, depression and quality of life in rural laborers between coffee harvests

Lima, Joseane Mendonça Monteiro de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 26/02/2010 PT
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INTRODUÇÃO: O desemprego e o trabalho precário podem alterar o sono e comprometer a qualidade de vida e a saúde mental do trabalhador. O trabalho por safra na colheita de café expõe o trabalhador às condições climáticas, ao excesso de atividade física, ao ganho por produtividade e à falta de garantia de estabilidade do trabalho. São elementos que podem acarretar doenças e aumentar a busca por atendimento médico e psicológico, sobrecarregando os serviços de saúde. OBJETIVOS: 1) avaliar o padrão e a qualidade do sono de trabalhadores rurais safristas; 2) investigar a presença e o nível dos sintomas de ansiedade e de depressão; 3) avaliar a percepção da qualidade de vida (QV); 4) verificar possíveis associações entre o trabalho temporário e a presença de sintomas de ansiedade e de depressão e o prejuízo no sono; 5) comparar o padrão e a qualidade do sono, sintomas de ansiedade, de depressão e QV do grupo-estudo com os resultados do grupo-controle. MÉTODOS: O grupo-estudo foi composto por 40 pacientes, com idade média 37,43 (DP= 10,68), sendo sete homens e 33 mulheres, trabalhadores rurais safristas na agricultura cafeeira. Como grupo-controle 40 pacientes trabalhadores rurais fixos. Os dois grupos foram escolhidos entre agricultores do Sul de Minas...

Diagnóstico dos transtornos do sono relacionados ao ritmo circadiano; Diagnosis of circadian rhythm sleep disorders

Martinez, Denis; Lenz, Maria do Carmo Sfreddo; Menna-Barreto, Luiz Silveira
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
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Queixas de insônia e sonolência excessiva são comuns na investigação dos distúrbios respiratórios do sono; os transtornos do sono relacionados ao ritmo circadiano talvez sejam as causas mais freqüentemente esquecidas no diagnóstico diferencial destes sintomas. Estes transtornos se manifestam por desalinhamento entre o período do sono e o ambiente físico e social de 24 h. Os dois transtornos do sono relacionados ao ritmo circadiano mais prevalentes são o de fase atrasada (comum em adolescentes) e avançada do sono (comum em idosos), situações nas quais o período de sono se desloca para mais tarde e mais cedo, respectivamente. As possíveis confusões com insônia e sonolência excessiva tornam importante ter sempre em mente estes transtornos. Entretanto, há nove possíveis diagnósticos, e todos são de interesse clínico. Como a luz é o principal sinal para sincronizar os relógios biológicos, pessoas cegas e trabalhadores em turnos e noturno são os mais propensos a desenvolver transtornos do sono relacionados ao ritmo circadiano. Neste artigo, revisa-se a nova classificação internacional dos transtornos do sono relacionados ao ritmo circadiano.; Insomnia and excessive sleepiness are common in the investigation of sleep-disordered breathing. Circadian rhythm sleep disorders are perhaps the most often overlooked conditions in the differential diagnosis of these symptoms. Circadian rhythm sleep disorders manifest as misalignment between the sleep period and the physical/social 24-h environmental cycle. The two most prevalent circadian rhythm sleep disorders are delayed sleep phase (common in adolescents) and advanced sleep phase (common in the elderly)...

Sleep disorders and starting time to school impair balance in 5-year-old children

Moran,Cristiane Aparecida; Carvalho,Luciane B.C.; Prado,Lucila B.F.; Prado,Gilmar F.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2005 EN
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OBJECTIVE: To verify if sleep disorders and differents starting time to school have impaired motor skills in 5-year-old children. METHOD: Cross-sectional design consisting of 132 children with sleep disorders and 136 normal controls of the public school in the city of São Paulo. The group with sleep disorders was identified based on a questionnaire, and motor tests for global motor coordination, fine motor coordination, perceptual-motor coordination, and static and dynamic balance were applied in all children. RESULTS: In the static balance test, more specifically in the sharpened Romberg (Tandem) test, 34% of boys from the study group, who studied in the morning, failed the test (p < 0.05). In the single leg stance test, 62% of boys from the study group who studied in the morning failed (p< 0.05). CONCLUSION: This study suggests that sleep disorders may interact with the school period and alter motor performance, especially in boys studying in the morning.

Sleep disorders are associated with impulsivity in school children aged 8 to 10 years

Medeiros,Marilaine; Carvalho,Luciane B.C.; Silva,Tatiana A.; Prado,Lucila B.F.; Prado,Gilmar F.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2005 EN
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CONTEXT: Sleep has an important function in the physical and emotional development of children. Some studies suggest an association between impulsivity and sleep disorders. However, little is known about this association in schoolchildren aged 8 to 10 years. METHOD: We studied 1180 children, 547 with sleep disorders (SD) and 633 without SD (control group), classified with SD questionnaires. Within the SD group, 53 children with sleep-related respiratory disorders (SRRD) and 521 children with non-respiratory sleep disorders (NRSD) were analyzed. We acessed emotional indicators of impulsivity with Bender test. RESULTS: More SD children presented impulsivity than control group (p<0.05). More NRSD and 10 years old children presented impulsivity than control group of the same age (p=0.001). Impulsivity and SRRD were associated with 8 years old children (p<0.05). CONCLUSION: Children with SD, 8 years old children with SRRD, and 10 years old children with NRSD presented higher proportion of impulsivity than control children.

Prevalence of sleep disorders in children of a public hospital in São Paulo

Potasz,Clarisse; Juliano,Maria Ligia; Varela,Maria José; Ferraz,Patrícia Gouveia; Carvalho,Luciane Bizari de; Prado,Lucila Fernandes do; Prado,Gilmar Fernandes do
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2010 EN
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OBJECTIVE: To investigate the prevalence of sleep disorders in a sample of children from a public hospital in the city of São Paulo, Brazil. METHOD: 330 children, who came to the clinical laboratory, were consecutively investigated for sleep disorders, using the sleep disturbance scale for children. Gender, age, and social/economical classification were considered. RESULTS: Sleep disordered breathing (SDB) showed higher prevalence in our sample (55%) than in data found in the literature. Prevalence of sleep hyperhydrosis (SHY) was 27% considering the whole sample. Boys and children in age range 7.1 to 11 years old showed higher prevalence for SDB as well as children belonging to lower social/economic classifications who were also more prevalent for disorders in the transition of sleep-wakefulness. CONCLUSION: Sleep disorders were highly prevailing in our study, mostly SDB and SHY which were exceedingly more prevalent in boys in relation to international literature.

Sleep disorders in high school and pre-university students

Rocha,Célia R.S.; Rossini,Sueli; Reimão,Rubens
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2010 EN
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66.43%
Adolescence is a period in which youngsters have to make choices such as applying for university. The selection process is competitive, and it brings distress and anxiety, risk factors for the appearance of sleep disorders. OBJECTIVE: To verify the occurrence of sleep disorders in third-year high school and pre-university students. METHOD: This cross-sectional descriptive study comprised a sample of 529 students (M=241, F=288) from three public schools, four private schools and two pre-university courses - a middle-class neighborhood in the city of São Paulo - aged between 16 and 19 years old. We used the Pittsburgh Sleep Quality Index (PSQI) - a standardized questionnaire. RESULTS: The participants (52.9%) took about 30 minutes to fall asleep, with an average of 306.4 minutes asleep, moderate daytime sleepiness (n=243, 45.9%) and indisposition (n=402, 75.9%) to develop the activities. The scores (M and F) were similar regarding problems that affect sleep. CONCLUSION: The investigated population showed sleep disorders and poor sleep quality.

Sleep disorders in cerebellar ataxias

Pedroso,José L.; Braga-Neto,Pedro; Felício,André C.; Aquino,Camila C.H.; Prado,Lucila B. Fernandes do; Prado,Gilmar Fernandes do; Barsottini,Orlando G.P.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2011 EN
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Cerebellar ataxias comprise a wide range of etiologies leading to central nervous system-related motor and non-motor symptoms. Recently, a large body of evidence has demonstrated a high frequency of non-motor manifestations in cerebellar ataxias, specially in autosomal dominant spinocerebellar ataxias (SCA). Among these non-motor dysfunctions, sleep disorders have been recognized, although still under or even misdiagnosed. In this review, we highlight the main sleep disorders related to cerebellar ataxias focusing on REM sleep behavior disorder (RBD), restless legs syndrome (RLS), periodic limb movement in sleep (PLMS), excessive daytime sleepiness (EDS), insomnia and sleep apnea.

Prevalence and correlates of sleep disorders in Parkinson’s disease: a polysomnographic study

Alatriste-Booth,Vanessa; Rodríguez-Violante,Mayela; Camacho-Ordoñez,Azyadeh; Cervantes-Arriaga,Amin
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2015 EN
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66.39%
Objective Sleep disorders in Parkinson’s disease are very common. Polysomnography (PSG) is considered the gold standard for diagnosis. The aim of the present study is to assess the prevalence of nocturnal sleep disorders diagnosed by polysomnography and to determine the associated clinical factors. Method A total of 120 patients with Parkinson’s disease were included. All patients underwent a standardized overnight, single night polysomnography. Results Ninety-four (78.3%) patients had an abnormal PSG. Half of the patients fulfilled criteria for sleep apnea-hypopnea syndrome (SAHS); rapid eye movement behavior disorder (RBD) was present in 37.5%. Characteristics associated with SAHS were age (p = 0.049) and body mass index (p = 0.016). Regarding RBD, age (p < 0.001), left motor onset (p = 0.047) and levodopa equivalent dose (p = 0.002) were the main predictors. Conclusion SAHS and RBD were the most frequent sleep disorders. Higher levodopa equivalent dose and body mass index appear to be risk factors for RBD and SAHS, respectively.

Sleep disorders, sleepiness and traffic safety: a public health menace

Pandi-Perumal,S.R.; Verster,J.C.; Kayumov,L.; Lowe,A.D.; Santana,M.G.; Pires,M.L.N.; Tufik,S.; Mello,M.T.
Fonte: Associação Brasileira de Divulgação Científica Publicador: Associação Brasileira de Divulgação Científica
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2006 EN
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66.42%
Sleep disorders are not uncommon and have been widely reported throughout the world. They have a profound impact on industrialized 24-h societies. Consequences of these problems include impaired social and recreational activities, increased human errors, loss of productivity, and elevated risk of accidents. Conditions such as acute and chronic insomnia, sleep loss, excessive sleepiness, shift-work, jet lag, narcolepsy, and sleep apnea warrant public health attention, since residual sleepiness during the day may affect performance of daily activities such as driving a car. Benzodiazepine hypnotics and zopiclone promote sleep, both having residual effects the following day including sleepiness and reduced alertness. In contrast, the non-benzodiazepine hypnotics zolpidem and zaleplon have no significant next-day residual effects when taken as recommended. Research on the effects of wakefulness-promoting drugs on driving ability is limited. Countermeasures for excessive daytime sleepiness have a limited effect. There is a need for a social awareness program to educate the public about the potential consequences of various sleep disorders such as narcolepsy, sleep apnea, shift-work-related sleep loss, and excessive daytime sleepiness in order to reduce the number of sleep-related traffic accidents.

Outpatient treatment of sleep disorders in Alzheimer patients

Scoralick,Francisca Magalhães; Camargos,Einstein Francisco; Freitas,Marco Polo Dias; Nóbrega,Otávio Toledo
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
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Sleep disorders are common in patients with Alzheimer dementia and affect the quality of life of patients and of their caregivers. Despite the rising number of studies in the area, almost all of them are about non-pharmacological treatment. Our objective was to review the literature concerning pharmacological and non-pharmacological approaches to treat sleep disorders of elderly patients with Alzheimer dementia in the ambulatory setting. The treatments revised consisted of sleep hygiene and/or use of intense light coupled or not with use of melatonin, cholinesterase inhibitors, antipsychotics, hypnotics or antidepressants. In addition to the non-pharmacological measures, there is evidence that the use of trazodone may aid the treatment of sleep disorders of older individuals with Alzheimer dementia. More studies are necessary to examine the non-pharmacological and pharmacological treatments revised herein.

Practice Parameters for the Clinical Evaluation and Treatment of Circadian Rhythm Sleep Disorders: An American Academy of Sleep Medicine Report

Morgenthaler, Timothy I.; Lee-Chiong, Teofilo; Alessi, Cathy; Friedman, Leah; Aurora, R. Nisha; Boehlecke, Brian; Brown, Terry; Chesson, Andrew L.; Kapur, Vishesh; Maganti, Rama; Owens, Judith; Pancer, Jeffrey; Swick, Todd J.; Zak, Rochelle
Fonte: Associated Professional Sleep Societies, LLC Publicador: Associated Professional Sleep Societies, LLC
Tipo: Artigo de Revista Científica
Publicado em 01/11/2007 EN
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The expanding science of circadian rhythm biology and a growing literature in human clinical research on circadian rhythm sleep disorders (CRSDs) prompted the American Academy of Sleep Medicine (AASM) to convene a task force of experts to write a review of this important topic. Due to the extensive nature of the disorders covered, the review was written in two sections. The first review paper, in addition to providing a general introduction to circadian biology, addresses “exogenous” circadian rhythm sleep disorders, including shift work disorder (SWD) and jet lag disorder (JLD). The second review paper addresses the “endogenous” circadian rhythm sleep disorders, including advanced sleep phase disorder (ASPD), delayed sleep phase disorder (DSPD), irregular sleep-wake rhythm (ISWR), and the non–24-hour sleep-wake syndrome (nonentrained type) or free-running disorder (FRD). These practice parameters were developed by the Standards of Practice Committee and reviewed and approved by the Board of Directors of the AASM to present recommendations for the assessment and treatment of CRSDs based on the two accompanying comprehensive reviews. The main diagnostic tools considered include sleep logs, actigraphy, the Morningness-Eveningness Questionnaire (MEQ)...

Neuroimaging Insights into the Pathophysiology of Sleep Disorders

Desseilles, Martin; Dang-Vu, Thanh; Schabus, Manuel; Sterpenich, Virginie; Maquet, Pierre; Schwartz, Sophie
Fonte: Associated Professional Sleep Societies, LLC Publicador: Associated Professional Sleep Societies, LLC
Tipo: Artigo de Revista Científica
Publicado em 01/06/2008 EN
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Neuroimaging methods can be used to investigate whether sleep disorders are associated with specific changes in brain structure or regional activity. However, it is still unclear how these new data might improve our understanding of the pathophysiology underlying adult sleep disorders. Here we review functional brain imaging findings in major intrinsic sleep disorders (i.e., idiopathic insomnia, narcolepsy, and obstructive sleep apnea) and in abnormal motor behavior during sleep (i.e., periodic limb movement disorder and REM sleep behavior disorder). The studies reviewed include neuroanatomical assessments (voxel-based morphometry, magnetic resonance spectroscopy), metabolic/functional investigations (positron emission tomography, single photon emission computed tomography, functional magnetic resonance imaging), and ligand marker measurements.

Distúrbios do sono em pacientes com transtorno depressivo; Evaluation of sleep disorders complaints in outpatients with depressive disorder

Chellappa, Sarah Laxhmi
Fonte: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Ciências da Saúde; Ciências da Saúde Publicador: Universidade Federal do Rio Grande do Norte; BR; UFRN; Programa de Pós-Graduação em Ciências da Saúde; Ciências da Saúde
Tipo: Dissertação Formato: application/pdf
POR
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To evaluate sleep disorder complaints in outpatients with depressive disorder from a general hospital. Methods: An observational, cross-sectional study was carried out with a study sample composed of 70 patients (44 women and 26 men) with diagnosis of depressive disorder, according to the DSM-IV criteria. The patients were interviewed and evaluated by the Identification Questionnaire, the Sleep Habits Questionnaire and the Beck Depression Inventory (BDI). Results: In this study, 50 (71.3%) patients had recurrence of sleep disorder complaints. Mean BDI score was 35.83+8.85, with significant differences between patients with (38.50+8.70) and without (29.60+7.80) recurrence (p<0.05) and among patients with 1, 2, 3 and >3 episodes (p<0.05). In this study, 49 (70%) patients had insomnia and 21 (30%) had subjective excessive sleepiness. Significant differences were observed between the mean duration in months of the sleep disorders (7.16+2.10) and the depressive disorder (6.12+1.90) (p<0.05). Discussion: In the study sample, recurrence of sleep disorder complaints was high and significantly associated with severe depression. Insomnia was prevalent and the mean duration of sleep disorders was higher in relation to depressive disorder; Identificar e avaliar os transtornos do sono presentes em pacientes ambulatoriais com transtorno depressivo do Hospital Universitário Onofre Lopes...

The economic cost of sleep disorders

Hillman, D.; Murphy, A.; Antic, R.; Pezzullo, L.
Fonte: Amer Academy Sleep Medicine Publicador: Amer Academy Sleep Medicine
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
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Study Objectives: To determine the economic cost of sleep disorders in Australia and relate these to likely costs in similar economies. Design and Setting: Analysis of direct and indirect costs for 2004 of sleep disorders and the fractions of other health impacts attributable to sleep disorders, using data derived from national databases (including the Australian Institute of Health and Welfare and the Australian Bureau of Statistics). Measurements: Direct health costs of sleep disorders (principally, obstructive sleep apnea, insomnia, and periodic limb movement disorder) and of associated conditions; indirect financial costs of associated work related accidents, motor vehicle accidents, and other productivity losses; and nonfinancial costs of burden of disease. These were expressed in US dollars ($). Results: The overall cost of sleep disorders in Australia in 2004 (population: 20.1 million) was $7494 million. This comprised direct health costs of $146 million for sleep disorders and $313 million for associated conditions, $1956 million for work-related injuries associated with sleep disorders (net of health costs), $808 million for private motor vehicle accidents (net of health costs), $1201 million for other productivity losses...

Sleep disorders in climacteric women

Teixeira de Araujo Moraes, Sandra Dircinha; da Fonseca, Angela Maggio; de Moraes, Eli Mendes; Bagnoli, Vicente Renato; Schlechta Portella, Caio Fabio; Abreu, Luiz Carlos; Baracat, Edmundo Chada
Fonte: DRUNPP-SARAJEVO; SARAJEVO Publicador: DRUNPP-SARAJEVO; SARAJEVO
Tipo: Artigo de Revista Científica
ENG
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Introduction: This paper examines the various factors that contribute to the occurrence of sleep alterations during peri and post climacteric and thus produce significant imperil to women's quality of life. Among the probable causes of insomnia or sleep disorders associated to climacteric stand out the occurrence of vasomotor symptoms, depressive state and respiratory distress during sleep, such as sleep apnea, along with chronic pain, although psychosocial factors related to the climacteric bear major influence on such clinical status. Method: The bibliographic analysis was carried out using several electronic data base namely: Cochrane, Medline, Embase, Bni Plus, Biological Abstracts, Psycinfo, Web Of Science, Sigle, Dissertation Abstracts and ZETOC published in English, Spanish and Poruguese. The key terms used were: sleep, REM sleep, slow wave sleep polysomnography; electroencephalogram; sleep disturbances; disturbances of sleep onset and maintenance; excessive somnolence disturbances; climacteric; menopause; depression; neurobiology; biologic models; circadian rhythm; mental health and epidemiology. Case studies and letters to the editor were excluded. The summaries of the identified studies found in the data base were analyzed and assessed...

Sleep disorders and quality of life of harvesters rural labourers

Lima,Joseane; Rossini,Sueli; Reimão,Rubens
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2010 EN
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The various kinds of work may interfere in the laborer's quality of sleep. Among the factors, the unemployment caused by the period between the coffee harvests on the agriculture of South Minas may influence the appearance of anxiety and depression symptoms, and it may cause impairments to the quality of life and changes in the rural laborers' pattern of sleep. OBJECTIVE: To appraise the sleep and the effects on the quality of life in the rural laborers in the period between the coffee harvests. METHOD: In the study-group, 40 patients, rural laborers, were evaluated, and in the control-group, 40 patients, fixed laborers. Instruments used: clinical interview, The Pittsburgh Sleep Quality, Index Beck Anxiety Inventory, Hamilton Depression Rating Scale, and World Health Organization Quality of Life. RESULTS: The study-group showed impairment in the quality of the sleep; anxiety and depression signals and symptoms were high in both groups; being them higher in the harvesters laborers; the quality of life presented good levels in both groups, with losses in the domain "social relationship" between the harvesters; the sleep disturbances influenced the appearance of anxiety and depression signs and symptoms, but they did not interfere in the perception of the quality of life. CONCLUSION: The rural laborers that have fixed labors are less exposed to the symptoms of anxiety and depression - along with sleep disorders - than the harvesters laborers. Thus...

Is the population properly informed about sleep disorders?

Camargo,Eleida Pereira; Carvalho,Luciane Bizari Coin; Prado,Lucila Bizari Fernandes; Prado,Gilmar Fernandes
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2013 EN
Relevância na Pesquisa
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OBJECTIVE: To measure the prior knowledge about sleep disorders and patient's ability to report their problems adequately to health professionals. METHODS: We analyzed 208 patient's records and extracted the following information: date of birth, gender, medical diagnostic hypotheses, patient's primary complaint in their words, considering the most appropriated semantic approximation to the perceptual phenomena, either by their own or by reasoning information from the partner. We compared the agreement (Kappa's test) between patient's complaint and medical diagnosis. The 95% confidence interval was used to analyze proportions. RESULTS: We found strong correlations for bruxism; moderate for snoring, insomnia, nightmares, somniloquy, and restless legs syndrome; fair for excessive movement during sleep (EMDS) and obstructive sleep apnea syndrome (OSA). CONCLUSIONS: The observed correlations were heterogeneous, but important diseases such as OSA and EMDS in children showed fair and weak correlations. This suggests an unsatisfactory knowledge level among the population about these disorders, despite their high prevalence and impact on patient's overall health.

Transtornos do sono em pacientes ambulatoriais com depressão; Sleep disorders in outpatients with depressive disorder

Chellappa, Sarah Laxhmi; Araújo, John Fontenele
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2006 POR
Relevância na Pesquisa
66.46%
CONTEXTO: Os transtornos do sono são uma característica marcante do transtorno depressivo e podem ocorrer nos primeiros estágios da depressão, antecipá-la ou ser um sintoma residual. OBJETIVO: Avaliar as queixas de transtornos do sono em pacientes ambulatoriais com transtorno depressivo de um hospital geral. MÉTODOS: Foi realizado um estudo observacional, transversal, com uma amostra de 70 pacientes (44 mulheres e 26 homens) com diagnóstico de transtorno depressivo, segundo os critérios da DSM-IV. Os pacientes foram entrevistados e avaliados por meio da ficha de identificação do questionário de hábitos de sono e do Inventário de Depressão de Beck (IDB). RESULTADOS: Neste estudo, 50 (71,3%) pacientes apresentaram recorrência das queixas de transtornos do sono. A média dos escores obtida no IDB foi 35,83±8,85, com diferenças significativas entre os pacientes com (38,50±8,70) e sem (29,60±7,80) recorrência (p < 0,05) e entre pacientes com 1, 2, 3 e >; 3 episódios (p < 0,05) de transtornos do sono. Neste estudo, 49 (70%) pacientes apresentaram insônia e 21 (30%), sonolência excessiva subjetiva. Houve diferença significativa entre a duração média em meses dos transtornos do sono (7,16±2,10) e do transtorno depressivo (6...

O sono e os transtornos do sono na depressão; Sleep and sleep disorders in depression

Chellappa, Sarah Laxhmi; Araújo, John Fontenele
Fonte: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria Publicador: Universidade de São Paulo. Faculdade de Medicina. Instituto de Psiquiatria
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2007 POR
Relevância na Pesquisa
66.51%
BACKGROUND: Sleep disorders are usually associated with a wide range of psychiatric disorders, and are regarded as acharacteristic feature of depression. OBJECTIVES:To reportthe current state-of-the-artin sleep research in depression and to present some of the principal theoretical models that explain these sleep disturbances. METHODS: Literature review was carried out in the ISI and Medline databases. RESULTS: Several studies have indicated alterations in sleep electroencephalographic patterns in subjects with depression. Some of the most frequent findings are disorders affecting the continuity and duration of sleep, reduction of phases 3 and 4 of sleep, decreased REM (rapid eye movements) sleep latency, and prolonged and intense first period of REM sleep. This technique is currently of limited use as a diagnostic tool in depression. CONCLUSIONS: AAlthough the pathophysiological mechanisms of sleep disorders in depression are complex, sleep studies play a key role in investigative research in depression, particularly in areas regarding prediction of responses to treatment, prognosis of relapses, and etiological models regarding depression.; CONTEXTO: Os transtornos do sono são freqüentemente associados a um leque de transtornos psiquiátricos...

Sleep disorders and posttraumatic stress in raped victims

Escobar-Córdoba,Franklin; Folino,orge Oscar; Eslava-Schmalbach,Javier
Fonte: Revista de la Facultad de Medicina Publicador: Revista de la Facultad de Medicina
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2012 EN
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Objective. To determine sleep disorders and posttraumatic stress symptoms in a group of raped female victims and to assess the causal influence by a survey of the association between exposed and unexposed groups and compare those events. Material and Methods. A prospective analytic doublegroup study. Sample of raped women selected according to inclusion and exclusion criteria, which went to a Forensic Medicine Institute. A group of nonexposed women matched by age, gender, socioeconomic status, location, timing, and status was selected. We applied the Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, and the Impact of Event Scale. Results. Data distribution was not normal. Size, weight, and BMI were similar in both groups. We found statistically significant differences in the total score of the sleep quality variables, subjective quality, efficiency and sleep disturbances, awakening early in the morning, not breathing, coughing or snoring, feeling too cold, feeling too hot, nightmares, use of hypnotics, daytime dysfunction and posttraumatic stress symptoms. Conclusions. The presence of sleep disorders and posttraumatic stress symptoms in victims of rape are significant compared with a matched group of nonraped women in Bogotá.