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Even in healthy individuals, partial or total sleep deprivation can lead to significant daytime impairment.
All subjects had the associated complaint of daytime impairment and none had used hypnotics for at least 3 months.
The maternal postpartum period is characterized by sleep fragmentation, which is associated with daytime impairment, mental health disturbances, and changes in melatonin patterns.
Both surveys lacked sufficient information about daytime impairment that is required in the International Classification of Disease, ninth (ICD-9) and tenth (ICD-10) edition and the DSM-IV criteria.
Further, as the daytime consequences vary between different insomnia subtypes [33], and even from person to person [34], it is unlikely that one question could capture all individuals with insomnia causing daytime impairment [34].
"When someone has insomnia -- a long-term sleep difficulty associated with daytime impairment -- the first steps are to look into good sleep practices," Roth said.
Similar(44)
The proxy-gold standard used in this study prerequisite recognition of daytime impairments.
It is possible that healthy, elderly persons perceive disturbed sleep and daytime impairments as related to the advanced age.
It appears reasonable to suggest that the MISS would benefit from adding a fourth item concerning daytime impairments which is among the diagnostic criteria for insomnia [ 3].
The highest proportion of daytime impairments (i.e., daytime sleepiness, feeling physically tired after sleep and reporting sleep difficulties) was found among the 65-74 year olds (7.1%), whereas only 3.8% of the oldest old reported such impairments.
Based on available MISS data we also consider possible developments of the MISS in order to enhance its usefulness, by specifying the response alternatives and add a fourth item comprising daytime impairments.
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