ITEMS IN AFP WITH KEYWORD:
Sleep disorders are common in the general adult population and are associated with adverse effects such as motor vehicle collisions, decreased quality of life, and increased mortality. Patients with sleep disorders can be categorized into three groups: people with problems falling asleep, people wit...
This study suggests that listening to music, especially sedative music, can improve sleep quality in older adults, but the underlying data are limited and of mixed quality.
In patients with clinical insomnia and chronic pain, CBT for insomnia delivered via telephone over six sessions leads to relief of sleeplessness that is sustained for at least one year. In this study, general education also provided insomnia relief to many patients.
Childhood sleep disorders can disrupt family dynamics and cause cognitive and behavior problems. Early recognition and management can prevent these complications. Behavior subtypes of childhood insomnias affect 10% to 30% of children and result from inconsistent parental limit-setting and improper s...
Chronic insomnia is a common sleep disorder that causes impairment, and treatment historically has been limited to sleep hygiene recommendations. The American Academy of Sleep Medicine has updated its clinical practice guidelines on behavioral treatments for chronic insomnia disorder.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Oct 01, 2021 Issue
Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea [Cochrane for Clinicians]
Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.
Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.
Because an increasing percentage of patients are surviving to intensive care unit (ICU) discharge and require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for common post-ICU complications. Patients should be screened for physical and psychological complications, such as weakness, cognitive impairment, depression, anxiety, and posttraumatic stress disorder, and treated when indicated.
Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.