There is a growing concern in relation to the problem of insufficient sleep, particularly in the United States. In the early 1990s a Congressionally mandated commission noted that insufficient sleep is a major contributor to catastrophic events, such as Chernobyl and the Exxon Valdez, as well as personal tragedies, such as automobile accidents. Adolescents appear to be among the most sleep-deprived populations in our society, though they are rarely included in sleep assessments. This book explores the genesis and development of sleep patterns in adolescents. It examines biological and cultural factors that influence sleep patterns, presents risks associated with lack of sleep, and reveals the effects of environmental factors such as work and school schedules on sleep. Adolescent Sleep Patterns will appeal to psychologists and sociologists of adolescence who have not yet considered the important role of sleep in the lives of our youth.
Sleep is not only a biological necessity but also a physiological drive. In today's fast-paced world, though, a good night's sleep is often the first thing to go. The effects of inadequate sleep are more than mere annoyances: they affect our mood and how we perform at school, work, and home and behind the wheel. Lost sleep also accumulates over time; the more "sleep debt" an individual incurs, the greater the negative consequences, according to researchers in the field. Research on adolescents and sleep has been under way for more than two decades, and there is growing evidence that adolescents are developmentally vulnerable to sleep difficulties. To discuss current research in this area and its implications in the policy, public, health, and educational arenas, the Forum on Adolescence of the Board on Children, Youth, and Families held a workshop, entitled Sleep Needs, Patterns, and Difficulties of Adolescents, on September 22, 1999.
Sleep is food for the brain—especially for teens. Based on the most current sleep science and evidence-based cognitive and behavioral interventions to improve sleep, The Insomnia Workbook for Teens helps teens change their sleep habits so that they can feel more alert and ready to face life’s challenges. If you’re like many other teens, you probably aren’t getting enough sleep. And is it any wonder? Between early school start times, social media, electronic devices, extracurricular activities, and late-night homework—teens are at the highest risk of any age group for sleep deprivation. And in the long run, insomnia can lead to a host of health and mental health issues—including diabetes and depression. So, how can you cultivate a healthy sleep routine, so you can be your best? The Insomnia Workbook for Teens offers proven-effective tips and strategies to help you get to sleep and stay asleep. You’ll learn about the different reasons you may experience insomnia, target your own “sleep disrupters” like caffeine and sugar, and discover skills for managing these disrupters so you can stop feeling drowsy and grumpy every day. It’s hard being a teen in today’s fast-paced world. And it’s even harder to reach your goals when you’re feeling tired and run-down. Based on up-to-the-minute science, this workbook will give you real solutions for overcoming insomnia and getting those much-needed zzzs.
This clinical casebook presents a comprehensive review of common sleep problems in adolescents in a concise, easy-to-read format. Each chapter thoroughly addresses a unique sleep disorder in teenagers through illustrative cases, reviews of relevant literature, and pearls of wisdom for both the practicing sleep specialist and other practitioners involved in the care of adolescents. Early chapters address various sleep disorders in detail: parasomnias, narcolepsy, obstructive sleep apnea, and delayed sleep-wake phase disorder, providing clear treatment considerations. Later chapters address sleep when complicated by issues of major depression, PTSD, epilepsy, and Traumatic Brain Injury. In-depth discussions and differential diagnosis engage the reader, and offer a multitude of research-based and clinically guided recommendations for the evaluation and treatment of sleep disorders in the adolescent. An ideal, practical resource for clinicians at all levels, Sleep Disorders In Adolescents provides a valuable contribution to adolescent care.
Walk into any first-period high school classroom and it's obvious: teenagers are exhausted. Sleep deprivation is an epidemic as widespread as obesityâ€"and just as damaging. Fortunately, science has answers and Dr. Helene Emsellem has solutions that all parents can use. Affecting the lives of more than 41 million adolescents in the United States alone, sleep deprivation is a chronic problem for kids today. We know this intuitively as we watch teenagers frantically juggle a hectic social calendar with the overwhelming demands of school, work, and chores. School performance around the country is sufferingâ€"but it's not just grades that are at risk. Sleep deprivation has been found to affect nearly every aspect of a teenager's life, from emotional stability and behavioral issues to physical well-being and the potential for drug and alcohol abuse. For years, we've blamed many of these adolescent characteristics on the natural maturing process or changing hormones. And while chemicals do surge through the body creating strong effects, sleepâ€"the right amount and the right kindâ€"has now been targeted for its prime importance in overall success and well-being.
This practical manual presents an innovative modular treatment for adults and adolescents with a wide range of sleep and circadian rhythm problems, such as insomnia, daytime sleepiness, poor sleep quality, and irregular sleep-wake schedules. The treatment applies broadly to all individuals with sleep problems, including those with psychiatric disorders. It is grounded in a cutting-edge understanding of sleep health and integrates elements of cognitive-behavioral therapy for insomnia (CBT-I), interpersonal and social rhythm therapy (IPSRT), and other evidence-based therapies. Each module is described in detail, including specific practitioner guidance, sample scripts, developmental adaptations, and tips for enhancing motivation. Purchasers get access to a Web page where they can download and print the book's 17 reproducible client handouts in a convenient 8 1/2" x 11" size.
A compendium of the state-of-the-art for empirically-based basic and applied science and treatment information about infant, child, and adolescent sleep and behavior for behavioral scientists, educators, policymakers, and clinicians.
There are at least four reasons why a sleep clinician should be familiar with rating scales that evaluate different facets of sleep. First, the use of scales facilitates a quick and accurate assessment of a complex clinical problem. In three or four minutes (the time to review ten standard scales), a clinician can come to a broad understanding of the patient in question. For example, a selection of scales might indicate that an individual is sleepy but not fatigued; lacking alertness with no insomnia; presenting with no symptoms of narcolepsy or restless legs but showing clear features of apnea; exhibiting depression and a history of significant alcohol problems. This information can be used to direct the consultation to those issues perceived as most relevant, and can even provide a springboard for explaining the benefits of certain treatment approaches or the potential corollaries of allowing the status quo to continue. Second, rating scales can provide a clinician with an enhanced vocabulary or language, improving his or her understanding of each patient. In the case of the sleep specialist, a scale can help him to distinguish fatigue from sleepiness in a patient, or elucidate the differences between sleepiness and alertness (which is not merely the inverse of the former). Sleep scales are developed by researchers and clinicians who have spent years in their field, carefully honing their preferred methods for assessing certain brain states or characteristic features of a condition. Thus, scales provide clinicians with a repertoire of questions, allowing them to draw upon the extensive experience of their colleagues when attempting to tease apart nuanced problems. Third, some scales are helpful for tracking a patient’s progress. A particular patient may not remember how alert he felt on a series of different stimulant medications. Scale assessments administered periodically over the course of treatment provide an objective record of the intervention, allowing the clinician to examine and possibly reassess her approach to the patient. Finally, for individuals conducting a double-blind crossover trial or a straightforward clinical practice audit, those who are interested in research will find that their own clinics become a source of great discovery. Scales provide standardized measures that allow colleagues across cities and countries to coordinate their practices. They enable the replication of previous studies and facilitate the organization and dissemination of new research in a way that is accessible and rapid. As the emphasis placed on evidence-based care grows, a clinician’s ability to assess his or her own practice and its relation to the wider medical community becomes invaluable. Scales make this kind of standardization possible, just as they enable the research efforts that help to formulate those standards. The majority of Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is devoted to briefly discussing individual scales. When possible, an example of the scale is provided so that readers may gain a sense of the instrument’s content. Groundbreaking and the first of its kind to conceptualize and organize the essential scales used in sleep medicine, Rating Scales in Sleep and Sleep Disorders:100 Scales for Clinical Practice is an invaluable resource for all clinicians and researchers interested in sleep disorders.
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
