36 Copyright 2001 by the Korean Neurological Association
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1 36 Copyright 2001 by the Korean Neurological Association Leen Kim, M.D.
2 Table Tiredness or fatigue, without true sleepiness 2. Irritability, generally unexplained emotional lability 3. Hypersensitivity to visual, auditory, tactile stimuli 4. Development of paresthesia 5. Unexplained aching of the body, often diagnosed as fibrositis 6. Alternations in body temperature experience 7. Increasing preference for foods high in carbohydrates 8. Difficulty retreiving names of common objects or familiar persons 9. Disruption of ability to concentrate 10. Blurred eyes, burning eyes, puffiness under the eyes Table 2. ICSD Disorder ICD-9-CM code Dyssomnias: Intrinsic sleep disorders Psychophysiologic insomnia Sleep state misperception Obstructive sleep apnea syndrome Central sleep apnea syndrome Periodic limb movement disorder Restless syndrome Dyssomnias: Extrinsic sleep disorders Inadequate sleep hygiene Adjustment sleep disorder Food allergy insomnia Nocturnal eating(drinking) syndrome Hypnotic-dependent sleep disorder Stimulant-dependent sleep disorder Alcohol-dependent sleep disorder Toxin-induced sleep disorder Dyssomnias: Circadian rhythm sleep disorders Time zone change(jet lag) syndrome Shift work sleep disorder Irregular sleep-wake pattern Delayed sleep phase syndrome Advanced sleep phase syndrome Non-24-hour sleep-wake disorder Parasomnia Confusional arousals Sleep terrors Sleepwalking REM sleep behavior disorder Sleep-related abnormal swallowing syndrome nocturnal paroxismal dystonia Primary snoring Sleep disorders associated with medical/psychiatric disorders Mood disorders Anxiety disorders 300 Panic disorders 300 Alcoholism 303 Cerebral degenerative disorder Dementia 331 Sleep-related epilepsy 345 Sleep-related headaches 346 Nocturnal cardiac ischemia Chronic obstructive pulmonary disease Sleep-related asthma 493 Sleep-related gastroesophageal reflux Fibrositis syndrome Proposed sleep disorders Sleep-related neurogenic tachypnea Sleep-related laryngospasm J Kor Neurol Ass / Volume 19 / Sup 1,
3 38 J Kor Neurol Ass / Volume 19 / Sup 1, 2001
4 J Kor Neurol Ass / Volume 19 / Sup 1,
5 40 J Kor Neurol Ass / Volume 19 / Sup 1, 2001 Figure 1. INSOMNIA
6 J Kor Neurol Ass / Volume 19 / Sup 1,
7 42 J Kor Neurol Ass / Volume 19 / Sup 1, 2001
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9 12.,,,. 65~84 11.,, ;31(2): ;4(1): American Sleep Disorders Association(1990): The International Classification of Sleep Disorders; Diagnostic 44 J Kor Neurol Ass / Volume 19 / Sup 1, 2001
10 and Coding Manual. Lawernce, Kansas, Allen Press. 14. Gila Lindsley. Insomnia syndrome. In: Ellison JM, Weistein CS. The Psychotherapist s Guide to Neuropsychiatry. Washington: American Psychiatric Press. 1994; Morin CM. Insomnia; Psychological Assessment and Management. New York, NY, The Guilford Press. 1993; Hauri PJ. Primary insomnia. In. Kryger MH. Principles and Practice of Sleep Medicine. WB Saunders Hauri PJ. Evaluating disorders of initiating and maitaining sleep. In: Guilleminault C. Sleep and Waking Disoders; Indication and Techniques. MA, Butterworth pub, 1987; Bliwise DL. Sleep in normal aging and dementia. S l e e p. 1993;16: Coleman RM, Miles LE, Guilleminault C, Zarcon VP, Van den Hoed J, Dement WC. Sleep-wake disorders in elderly: a polysomnographic analysis. Am, J, Geriatri Soc Williams RL, Karacan I, Hursch CJ. Electroencephalography of Human Sleep; Clin Applications. New York,Wiley Morin CM, Mimeault V, Gagne A. Nonpharmacological treatment of late-life insomnia. J Psychosom Res ; 46(2): Bootzin RR, Epstein D, Wood JM. Stimulus control instructions. In: Hauri P, Case Studies in Insomnia. New York. NY: Plenum, 1991: Bootzin RR, Perlis ML. Nonpharmacologic treatment of insomnia. J Clin Psychiatry 1992;53(6):suppl Chesson Jr AL, Anderson WM, Littner M, Davila D, Hartse K, Johnson S, Wise M, Rafecas J. Practice parameters for the nonpharmacologic treatment of chronic insomnia. Sleep 1999;22(8): Spielman AJ, Saskin P, Thorpy MJ. Treatment of chronic insomnia by restriction of time in bed. Sleep 1987;10: Sloan EP, Hauri P, Bootzin R, Morin C, Stevenson M, Shapiro CM. The nuts and bolts of behavioral therapy for insomnia. J Psychosom Res 1993;37:suppl 1: Lacks P, Morin CM. Recent advances in the assessment and treatment of insomnia. J Consult Clin Psychol 1992; 60(4): Espie. Practical management of insomnia: behavioral and cognitive techniques. BMJ 1993;306(20): Minors DS, Waterhouse JM, Wirz-Justice A. A human phase-response curve to light. Neurosci Lett ; : Campell SS, Dawson D, Anderson MW. Alleviation of sleep maintenance insomnia with timed exposure to bright light. J Am Geriatr Soc 1993;41: Lack L, Wright H. The effect of evening bright light in delaying the circadian rhythms and lengthening the sleep of early morning awakening insomniacs. S l e e p 1993;16(5): Guilleminault C, Clerk A, Black J, Labanowski M, Pelayo R, Claman D. Nondrug treatment trials in psychophysiologic insomnia. Arch Intern Med 1995;155: Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia. Sleep 1999;22(8); Morin CM, Culbert JP, Schwartz SM. Nonpharmacological interventions for insomnia: A metaanalysis of treatment efficacy. Am J Psychiatry 1994;151(8): Morin CM, Gaulier B, Barry T, Kowatch RA. Patients acceptance of psychological and pharmacological therapies for insomnia. Sleep 1992;15(4): J Kor Neurol Ass / Volume 19 / Sup 1,
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Population Authors & year Design Intervention (I) and Comparison (C) Mean age (SD) 1 Gender (%) Delivered to Dosage (total number of sessions) Primary Outcome domain (Measure(s)) Secondary Outcome domain
Minnesota DC:0-3R Crosswalk to ICD Codes
Minnesota DC:0-3R Crosswalk to ICD DC 0-3R 0 Post-Traumatic Stress (this diagnosis must be considered first according to the DC:0-3R decision tree) 150 Deprivation/Maltreatment 200 of Affect 2 Prolonged
What is sleep apnea? 2/2/2010
Outline Nocturia and Sleep Apnea R. Keith Huffaker, MD Introduction Background & Incidence Definitions Differential Diagnosis of Nocturia Risk Factors of OSA Mechanism of OSA-Nocturnal Polyuria Diagnosis
Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem
Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem Nearly 40 million Americans suffer from sleep disorders Greater in women National Sleep Foundation 2010 Sleep in America Poll 25% reported