Abstract
Background
Sleep is a naturally reversible process that plays an essential role in human wellbeing. Sleep enables optimal functioning of physical and mental health and contributes to quality of life and safety. There are many individuals among the general public who do not realize they are sleep deficient and are not aware of the effects of sleep deprivation on their health and on the safety of their peers. The National Highway Traffic Safety Administration estimates that drowsy drivers cause between 10 and 30% of all traffic accidents.
Purpose
Many believe that sleep is a luxury and that by decreasing sleep they can maximize their productivity. In this article, we emphasize that sleep is a necessity and the only way to pay the sleep debt is to sleep. This review article aims to increase awareness of early signs of sleep deficiency, consequences of poor sleep, and proper sleep hygiene for healthcare professionals to influence practice in educating patients about needed changes in sleep behaviors.
Conclusions
Sleep deficiency not only has side effects on the personal level, but also can cause harm on a larger scale through chronic disease, motor vehicle accidents, and workplace accidents. A better understanding of sleep and its effects encourages a better quality of life and fewer hazardous behaviors.
Clinical implications
Sleep is an active state of recovery during which the optimal function of all body systems is reinstated. Sleep repairs and prevents occurrence of chronic diseases such as cancer, diabetes, and obesity.
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References
Altevogt BM, Colten HR (2006) Sleep disorders and sleep deprivation: an unmet problem health problem. National Academies Press, Washington DC
American Sleep Association (2007) Sleep hygiene tips. Accessed from https://www.sleepassociation.org/patients-general-public/insomnia/sleep-hygiene-tips/
American Sleep Apnea Association (2013) The economical and clinical impact of sleep apnea. http://www.sasw2012.org/. Accessed 26 Mar 2016
Astill RG, Van der Heijden KB, Van IJzendoom MH, Van Someren EJW (2012) Sleep, cognition, and behavioral problems in school-age children: a century of research meta-analyzed. Psychol Bull 138(6):1109
Ballard ED, Voort JLV, Bernert RA, Luckenbaugh DA, Richards EM, Niciu MJ, Zarate Jr CA (2016) Nocturnal wakefulness is associated with next-day suicidal ideation in major depressive disorder and bipolar disorder. J Clin Psychiatry 77(6):825–831
Baum KT, Desai A, Field J, Miller LE, Rausch J, Beebe DW (2014) Sleep restriction worsens mood and emotion regulation in adolescents. J Child Psychol Psychiatry 55(2):180–190
Bixler EO, Vgontzas AN, Lin HM, Ten Have T, Rein J, Vela-Bueno A, Kales A (2001) Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med 163:608–613. doi:10.1164/ajrccm.163.3.9911064
Bootzin RR, Perlis ML (1992) Nonpharmacologic treatments of insomnia. J Clin Psychiatry 53:37–41
Browman CP, Winslow DH (1989) Determination of sleep latency in polysomnographic evaluation of daytime somnolence in patients with sleep apnea and patients with narcolepsy. Clin Electroencephalogr 20:45–8. doi:10.1177/155005948902000110
Brown FC, Buboltz WC, Soper B (2002) Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med 28(1):33–38. doi:10.1080/08964280209596396
Buboltz Jr WC, Soper B, Brown F, Jenkins S (2002) Treatment approaches for sleep difficulties in college students. Couns Psychol Q 15(3):229-237
Cain N, Gradisar M (2010) Electronic media use and sleep in school-aged children and adolescents: a review. Sleep Med 11(8):735–742
Campos-Rodriguez F, Martinez-Garcia MA, de la Cruz-Moron I, Almeida-Gonzalez C, Catalan-Serra P, Montserrat JM (2012) Cardiovascular mortality in women with obstructive sleep apnea with or without continuous positive airway pressure treatment: a cohort study. Ann Intern Med 156(2):115–122
Centers for Disease Control and Prevention (CDC) (2011) Unhealthy sleep-related behaviors--12 States, 2009. MMWR 60(8):233, http://www.cdc.gov/mmwr/pdf/wk/mm6008.pdf. Accessed 29 March 2016
Centers for Disease Control and Prevention (CDC) (2015) Insufficient sleep is a public health epidemic. http://www.cdc.gov/features/dssleep/. Accessed 29 Mar 2016
Dement WC (1994) Wake up America: a national sleep alert: executive summary and executive report, report of the national commission on sleep disorders research. National Institutes of Health, US Department of Health and Human Services, Washington, DC
El-Sheikh M, Erath SA, Keller PS (2007) Children’s sleep and adjustment: the moderating role of vagal regulation. J Sleep Res 16(4):396–405
El-Solh A, Sikka P, Bozkanat E, Jaafar W, Davies J (2001) Morbid obesity in the medical ICU. Chest 120:1989–1997. doi:10.1378/chest.120.6.1989
Gamaldo AA, McNeely JM, Shah MT, Evans MK, Zonderman AB (2015) Racial differences in self-reports of short sleep duration in an urban-dwelling environment. J Gerontol Ser B Psychol Sci Soc Sci 70(4):568–575
Gold DR, Rogacz S, Bock N, Tosteson TD, Baum TM, Speizer FE, Czeisler CA (1992) Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. Am J Public Health 82(7):1011–1014. doi:10.2105/AJPH.82.7.1011
Grandner MA (2014) Addressing sleep disturbances: an opportunity to prevent cardiometabolic disease? Int Rev Psychiatry 26(2):155–176
Gregory AM, O’Conner TG (2002) Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. J Am Acad Child Adolesc Psychiatry 41(8):964–971
Gregory AM, Sadeh A (2012) Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Med Rev 16(2):129–136
Guilleminault C, Brooks CN (2001) Excessive daytime sleepiness: a challenge for the practicing neurologist. Brain 124(8):1482–1491. doi:10.1093/brain/124.8.1482
Harman E, Wynne JW, Block AJ, Malloy-Fisher L (1981) Sleep-disordered breathing and oxygen desaturation in obese patients. Chest 79(3):256–60. doi:10.1378/chest.79.3.256
Hicks RA, Lucero-Gorman K, Bautista J, Hicks GJ (1999) Ethnicity, sleep hygiene knowledge, and sleep hygiene practices. Percept Mot Skills 88(3):1095–1096. doi:10.2466/pms.1999.88.3c.1095
Hossain JL, Shapiro CM (2002) The prevalence, cost implications, and management of sleep disorders: an overview. Sleep Breath 6(2):85–102. doi:10.1055/s-2002-32322
Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH (2015) The role of sleep hygiene in promoting public health: a review of empirical evidence. Sleep Med Rev 22:23–36
Ivanenko A, Crabtree VM, Gozal D (2005) Sleep and depression in children and adolescents. Sleep Med Rev 9(2):115–129
Kaida K, Niki K, Born J (2015) Role of sleep for encoding of emotional memory. Neurobiol Learn Mem 121:72–79
Kouros CD, El-Sheikh M (2015) Daily mood and sleep: reciprocal relations and links with adjustment problems. J Sleep Res 24(1):24–31
Krishnan V, Collop NA (2006) Gender differences in sleep disorders. Curr Opin Pulm Med 12(6):383–9. doi:10.1097/01.mcp.0000245705.69440.6a
Lacks P, Rotert M (1986) Knowledge and practice of sleep hygiene techniques in insomniacs and good sleepers. Behav Res Ther 24(3):365–368. doi:10.1016/0005-7967(86)90197-X
Lau EYY, Eskes GA, Morrison DL, Rajda M, Spurr KF (2013) The role of daytime sleepiness in psychosocial outcomes after treatment for obstructive sleep apnea. Sleep Disord. doi:10.1155/2013/140725
Lemola S, Perkinson-Gloor N, Brand S, Dewald-Kaufmann JF, Grob A (2015) Adolescents’ electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age. J Youth Adolesc 44(2):405–418
Liu X, Buysse DJ, Gentzler AL, Kiss E, Mayer L, Kepornai K (2007) Insomnia and hypersomnia associated with phenomenology and comorbidity in childhood depression. Sleep 30(1):83–90
Lockley S W, Cronin J W, Evans E E, Cade B E, Lee C J, Landrigan C P, … & Aeschbach D (2005) Effect of reducing interns’ weekly work hours on sleep and attentional failures. Obstetrical & Gynecological Survey 60(4): 226–228. doi:10.1097/01.ogx.0000157053.65669.09
Lovato N, Gradisar M (2014) A meta-analysis and model of the relationship between sleep and depression in adolescents: recommendations for future research and clinical practice. Sleep Med Rev 18(6):521–529
Luckhaupt SE, Tak S, Calvert GM (2010) The prevalence of short sleep duration by industry and occupation in the National Health Interview Survey. Sleep 33(2):149–159
Macmillan P, Halsey D (1984) Macmillan dictionary for students. Simon & Schuster Books For Young Readers, p. 936
Malik V (2015) Sleep and circadian rhythms in the ICU. Crit Care Clin 31(3):xiii–xiv
Martínez-García MÁ, Soler-Cataluña JJ, Ejarque-Martínez L, Soriano Y, Román-Sánchez P, Illa FB (2009) Continuous positive airway pressure treatment reduces mortality in patients with ischemic stroke and obstructive sleep apnea: a 5-year follow-up study. Am J Respir Crit Care Med 180(1):36–41
McCurry SM, Logsdon RG, Vitiello MV, Teri L (1998) Successful behavioral treatment for reported sleep problems in elderly caregivers of dementia patients: a controlled study. J Gerontol B Psychol Sci Soc Sci 53(2):122–129. doi:10.1093/geronb/53B.2.P122
Morin CM, Culbert JP, Schwartz SM (1994) Nonpharmacological interventions for insomnia. Am J Psychiatry 151(8):1172. doi:10.1176/ajp.151.8.1172
Murtagh DR, Greenwood KM (1995) Identifying effective psychological treatments for insomnia: a meta-analysis. J Consult Clin Psychol 63(1):79. doi:10.1037/0022-006X.63.1.79
National Highway Traffic Safety Administration (NHTSA) (2013) Drowsy driving and automobile crashes. NCSDR/NHTSA Expert Panel on Driver Fatigue and Sleepiness. https://www.nhlbi.nih.gov/files/docs/resources/sleep/drsy_drv.pdf. Accessed 29 Mar 2016
National Sleep Foundation (2016) How much sleep do we really need? https://sleepfoundation.org/how-sleep-works/how-much-sleep-do-we-really-need. Accessed 29 Mar 2016
Pagel JF (2007) Obstructive sleep apnea (OSA) in primary care: evidence-based practice. J Am Board Fam Med 20(4):392–398. doi:10.3122/jabfm.2007.04.060201
Piroddi IMG, Karamichali S, Barlascini C, Nicolini A (2015) Obesity and breathing related sleep disorders: concise clinical review. SM J Pulm Med 1(1):1002, http://smjournals.com/pulmonary-medicine/fulltext/smjpm-v1-1002.pdf. Accessed 29 March 2016
Samkoff JS, Jacques CH (1991) A review of studies concerning effects of sleep deprivation and fatigue on residents’ performance. Acad Med 66(11):687–693, http://journals.lww.com/academicmedicine/Abstract/1991/11000/A_review_of_studies_concerning_effects_of_sleep.13.aspx. Accessed 29 March 2016
Schwartz AR, Patil SP, Laffan AM, Polotsky V, Schneider H, Smith PL (2008) Obesity and obstructive sleep apnea: pathogenic mechanisms and therapeutic approaches. Proc Am Thorac Soc 5(2):185–192. doi:10.1513/pats.200708-137MG
US Department of Transportation, Federal Motor Carrier Safety Administration (2013) Sleep apnea and commercial drivers. Retrieved from http://www.fmcsa.dot.gov/safety-security/sleep-apnea/industry/Commercial-Drivers.aspx. Accessed 29 Mar 2016
Zhang B, Wing YK (2006) Sex differences in insomnia: a meta-analysis. Sleep 29(1):85–93, https://www.researchgate.net/profile/Bin_Zhang62/publication/7320234_Sex_differences_in_insomnia_A_meta-analysis/links/547c78300cf27ed9785f58e2.pdf. Accessed 29 March 2016
Acknowledgements
The authors would like to thank A. T. Still University of Health Sciences for assistance with this manuscript.
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Filip, I., Tidman, M., Saheba, N. et al. Public health burden of sleep disorders: underreported problem. J Public Health 25, 243–248 (2017). https://doi.org/10.1007/s10389-016-0781-0
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DOI: https://doi.org/10.1007/s10389-016-0781-0