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• W2343533900 abstract "Partial sleep deprivation, or insufficient sleep, has occurred for millennia . Physicians, particularly physicians in training, lose a great deal of sleep. Soldiers suffer partial sleep deprivation during military campaigns; indeed, the military science of sleep logistics involves balancing the cost of man-hours lost to sleep against the beneficial effects of sleep on performance and morale [23]. Insufficient sleep has accompanied pregnancy, child-rearing, and chronic illness throughout humanity's existence . Insufficient sleep is probably more common in the twentieth century than in earlier times. By some estimates, the average person sleeps about one hour less now than in 1910. A major factor contributing to the reduction in sleep hours is the ready availabil ity of electrical power and artificial light. Electric light bulbs and television contribute to later hours of wakefulness at home and electric power for factories permits greater use of shift work and night work, all of which lead to a reduction in sleep hours. Annual work hours increased by about 10% between 1969 and 1987, and the proportion of the population involved in shift work is probably higher now than ever before [5, 31]. As a result, there is less time for sleep: working adults sleep 7-8 hours/night on average, compared to 89 hours for working adults 40-50 years ago, and feel substantially less rested in the morning [5]. Thus, many otherwise healthy adults accumulate a sleep debt as a result of chronically insufficient amounts of sleep [36]. With the development of clinics devoted specifically to diagnosis of sleep disorders, it became apparent that some of the patients who complain of excessive sleepiness and of repeated episodes of falling asleep during the have neither narcolepsy nor other pathological sleep disturbances ; instead, they are chronically short of sleep. Recognition of such patients led to the formal definition of the insufficient sleep syndrome (ISS) in the diagnostic classification of sleep and arousal disorders published by the Association of Sleep Disorders Centers in 1979 [2]. The current version of this classification, the International Classification of Sleep Disorders [18] includes ISS as an extrinsic sleep a that originates or develops from causes outside the body and defines it as a disorder that occurs in an individual who persistently fails to obtain sufficient nocturnal sleep required to support normally alert wakefulness....The individual engages in voluntary, albeit unintentional, chronic sleep deprivation. [11]. A further requirement for diagnosis is that the person is unaware that increased sleep would alleviate symptoms. Actually there are two definitions of ISS. One definition requires a complaint of excessive sleepiness in an individual with persistently insufficient sleep to support full alertness [23], and so limits the to patients with a complaint of sleepiness . A broader definition requires only chronically insufficient sleep to support full alertness, and so includes millions of persons who suffer without realising it from sleepiness due to chronic insufficient sleep at night. These persons either assume that afternoon or evening sleepiness is normal or do recognise it as a problem. The demands of modem life (work, school, family, recreation), the pressure to get ahead in one's career, the feeling of not enough hours in the day all lead to insufficient sleep." @default.
• W2343533900 created "2016-06-24" @default.
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• W2343533900 date "2003-01-01" @default.
• W2343533900 modified "2023-09-27" @default.
• W2343533900 title "Chapter 27 Insufficient sleep syndrome" @default.
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