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Sleep Deprivation: Practical and Philosophical Considerations

Chapter

Abstract

Understanding the subjective and objective consequences of sleep deprivation has relevance for many aspects of health and performance. The collection of topics in this book explores areas of particular interest. Despite major advances in the field of sleep deprivation, especially in clinical sleep medicine, it is important to remain mindful that much uncertainty remains. The definitions of normal sleep, the consequences of impaired sleep quality or quantity, and the manner in which sleep is quantified in health and disease are all moving targets and actively debated. It is especially challenging to maintain a balanced approach in the field of sleep deprivation, when personal experience may provide stronger valence and face validity than might be typical in other medically relevant subspecialties. This chapter outlines various challenges and uncertainties, with the hope that improved recognition of uncertainties will aid in future advancements.

Keywords

Obstructive Sleep Apnea Sleep Deprivation Sleep Duration Total Sleep Time Short Sleep Duration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dement WC, Vaughan CC. The promise of sleep: a pioneer in sleep medicine explores the vital connection between health, happiness, and a good night’s sleep. New York: Delacorte; 1999.Google Scholar
  2. 2.
    Kroker K. The sleep of others and the transformations of sleep research. Toronto: University of Toronto Press; 2007.Google Scholar
  3. 3.
    Ekirch AR. At day’s close: night in times past. 1st ed. New York: Norton; 2005.Google Scholar
  4. 4.
    Horne J. The end of sleep: ‘sleep debt’ versus biological adaptation of human sleep to waking needs. Biol Psychol. 2011;87(1):1–14.PubMedCrossRefGoogle Scholar
  5. 5.
    Anderson C, Horne JA. Do we really want more sleep? A population-based study evaluating the strength of desire for more sleep. Sleep Med. 2008;9(2):184–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Ioannidis JP. Why most published research findings are false. PLoS Med. 2005;2(8):e124.PubMedCrossRefGoogle Scholar
  7. 7.
    Rattenborg NC, Lesku JA, Martinez-Gonzalez D, Lima SL. The non-trivial functions of sleep. Sleep Med Rev. 2007;11(5):405–9; author reply 411–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Rial RV, Nicolau MC, Gamundi A, et al. The trivial function of sleep. Sleep Med Rev. 2007;11(4):311–25.PubMedCrossRefGoogle Scholar
  9. 9.
    Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI. Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Med Rev. 2010;14(4):239–47.PubMedCrossRefGoogle Scholar
  10. 10.
    Buysse DJ, Grunstein R, Horne J, Lavie P. Can an improvement in sleep positively impact on health? Sleep Med Rev. 2010;14(6):405–10.PubMedCrossRefGoogle Scholar
  11. 11.
    Epstein LJ, Kristo D, Strollo Jr PJ, et al. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;5(3):263–76.PubMedGoogle Scholar
  12. 12.
    Benbadis SR, Mascha E, Perry MC, Wolgamuth BR, Smolley LA, Dinner DS. Association between the Epworth sleepiness scale and the multiple sleep latency test in a clinical population. Ann Intern Med. 1999;130(4 Pt 1):289–92.PubMedCrossRefGoogle Scholar
  13. 13.
    Chervin RD, Aldrich MS. The Epworth Sleepiness Scale may not reflect objective measures of sleepiness or sleep apnea. Neurology. 1999;52(1):125–31.PubMedCrossRefGoogle Scholar
  14. 14.
    Gottlieb DJ, Whitney CW, Bonekat WH, et al. Relation of sleepiness to respiratory disturbance index: the Sleep Heart Health Study. Am J Respir Crit Care Med. 1999;159(2):502–7.PubMedCrossRefGoogle Scholar
  15. 15.
    Eiseman NA, Westover MB, Mietus JE, Thomas RJ, Bianchi MT. Classification algorithms for predicting sleepiness and sleep apnea severity. J Sleep Res. 2012;21(1):101–12.PubMedCrossRefGoogle Scholar
  16. 16.
    Budhiraja R, Budhiraja P, Quan SF. Sleep-disordered breathing and cardiovascular disorders. Respir Care. 2010;55(10):1322–32. discussion 1330–1322.PubMedGoogle Scholar
  17. 17.
    Brown LK. Quantum physics and polysomnography: can we prevent the act of measuring sleep from changing sleep? J Clin Sleep Med. 2005;1(2):133–5.PubMedGoogle Scholar
  18. 18.
    McCall C, McCall WV. Objective vs. subjective measurements of sleep in depressed insomniacs: first night effect or reverse first night effect? J Clin Sleep Med. 2012;8(1):59–65.PubMedGoogle Scholar
  19. 19.
    Horne J. Sleep debt—Where is the answer—in or outside the laboratory? Biol Psychol. 2011;87(2):314–5; author reply 316.PubMedCrossRefGoogle Scholar
  20. 20.
    Bianchi MT, Wang W, Klerman EB. Sleep misperception in healthy adults: implications for insomnia diagnosis. J Clin Sleep Med. 2012;8(5):547–54.PubMedGoogle Scholar
  21. 21.
    Van Dongen HP, Maislin G, Mullington JM, Dinges DF. The cumulative cost of additional wakefulness: dose–response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep. 2003;26(2):117–26.PubMedGoogle Scholar
  22. 22.
    Vgontzas AN, Fernandez-Mendoza J, Liao D, Bixler EO. Insomnia with objective short sleep duration: the most biologically severe phenotype of the disorder. Sleep Med Rev. 2013;17(4):241–54.PubMedCrossRefGoogle Scholar
  23. 23.
    Bliwise DL, Young TB. The parable of parabola: what the U-shaped curve can and cannot tell us about sleep. Sleep. 2007;30(12):1614–5.PubMedGoogle Scholar
  24. 24.
    Cappuccio FP, Cooper D, D’Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J. 2011;32(12):1484–92.PubMedCrossRefGoogle Scholar
  25. 25.
    Bonnet MH, Arand DL. Hyperarousal and insomnia: state of the science. Sleep Med Rev. 2010;14(1):9–15.PubMedCrossRefGoogle Scholar
  26. 26.
    Shekleton JA, Rogers NL, Rajaratnam SM. Searching for the daytime impairments of primary insomnia. Sleep Med Rev. 2010;14(1):47–60.PubMedCrossRefGoogle Scholar
  27. 27.
    Daan S, Spoelstra K, Albrecht U, et al. Lab mice in the field: unorthodox daily activity and effects of a dysfunctional circadian clock allele. J Biol Rhythms. 2011;26(2):118–29.PubMedCrossRefGoogle Scholar
  28. 28.
    Harvey AG, Tang NK. (Mis)perception of sleep in insomnia: a puzzle and a resolution. Psychol Bull. 2012;138(1):77–101.PubMedCrossRefGoogle Scholar
  29. 29.
    Fichten CS, Creti L, Amsel R, Bailes S, Libman E. Time estimation in good and poor sleepers. J Behav Med. 2005;28(6):537–53.PubMedCrossRefGoogle Scholar
  30. 30.
    Bliwise DL, Friedman L, Yesavage JA. Depression as a confounding variable in the estimation of habitual sleep time. J Clin Psychol. 1993;49(4):471–7.PubMedCrossRefGoogle Scholar
  31. 31.
    Chaput JP, Despres JP, Bouchard C, Tremblay A. Longer sleep duration associates with lower adiposity gain in adult short sleepers. Int J Obes (Lond). 2012;36(5):752–6.CrossRefGoogle Scholar
  32. 32.
    Huck S. Statistical misconceptions. New York: Routledge; 2008.Google Scholar
  33. 33.
    Huff D. How to lie with statistics. New York: W. W. Norton; 1993.Google Scholar
  34. 34.
    Cohen J. The earth is round (p<0.05). Am Psychol. 1994;49(12):997–1003.CrossRefGoogle Scholar
  35. 35.
    Westover MB, Westover KD, Bianchi MT. Significance testing as perverse probabilistic reasoning. BMC Med. 2011;9:20.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Sleep Medicine, Department of NeurologyMassachusetts General HospitalBostonUSA

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