Sleep Hygiene

  • Hrayr Attarian
Part of the Current Clinical Neurology book series (CCNEU)


Inadequate sleep hygiene is an insomnia associated with daily living activities that are inconsistent with the maintenance of sleep and daytime alertness. Not everyone who practices poor sleep hygiene develops insomnia. In patient’s suffering from chronic insomnia there is a complex interplay of internal factors and poor sleep hygiene behaviors. Diagnosis is made by history and treatment is based on education.


Sleep hygiene Napping Caffeine Alcohol Drug use Ambient noise 


  1. 1.
    American Academy of Sleep Medicine (2005) International classification of sleep disorders: diagnostic and coding manual, 2nd edn. American Academy of Sleep Medicine, Westchester, ILGoogle Scholar
  2. 2.
    LeBourgeois MK et al (2005) The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents. Pediatrics 115(1):257–265CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Manni R et al (1997) Poor sleep in adolescents: a study of 869 17-year-old Italian secondary school students. J Sleep Res 6(1):44–49CrossRefPubMedGoogle Scholar
  4. 4.
    Schnelle JF et al (1998) Sleep hygiene in physically dependent nursing home residents: behavioral and environmental intervention implications. Sleep 21(5):515–523PubMedGoogle Scholar
  5. 5.
    Schnelle JF et al (1999) The nursing home at night: effects of an intervention on noise, light, and sleep. J Am Geriatr Soc 47(4):430–438CrossRefPubMedGoogle Scholar
  6. 6.
    McCrae C et al (2006) Sleep hygiene practices in older adults. Sleep 29(12):1551–1560PubMedGoogle Scholar
  7. 7.
    Friedman L et al (2000) An actigraphic comparison of sleep restriction and sleep hygiene treatments for insomnia in older adults. J Geriatr Psychiatry Neurol 13(1):17–27CrossRefPubMedGoogle Scholar
  8. 8.
    Morgenthaler T et al (2006) Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine Report. Sleep 29(11):1415–1419PubMedGoogle Scholar
  9. 9.
    Kageyama T et al (1997) A population study on risk factors for insomnia among adult Japanese women: a possible effect of road traffic volume. Sleep 20(11):963–971PubMedGoogle Scholar
  10. 10.
    Jefferson C et al (2005) Sleep hygiene practices in a population-based sample of insomniacs. Sleep 28(5):611–615PubMedGoogle Scholar
  11. 11.
    Onen SH et al (1994) [Prevention and treatment of sleep disorders through regulation of sleeping habits]. Presse Med 23(10):485–489PubMedGoogle Scholar
  12. 12.
    Ulfberg J et al (2000) Adverse health effects among women living with heavy snorers. Health Care Women Int 21(2):81–90CrossRefPubMedGoogle Scholar
  13. 13.
    Ibata Y et al (1999) Functional morphology of the suprachiasmatic nucleus. Front Neuroendocrinol 20(3):241–268CrossRefPubMedGoogle Scholar
  14. 14.
    Bonnet MH, Arand DL (1996) The consequences of a week of insomnia. Sleep 19(6):453–461PubMedGoogle Scholar
  15. 15.
    Bonnet MH, Arand DL (1998) The consequences of a week of insomnia. II: patients with insomnia. Sleep 21(4):359–368PubMedGoogle Scholar
  16. 16.
    Hauri PJ (1998) Insomnia. Clin Chest Med 19(1):157–168CrossRefPubMedGoogle Scholar
  17. 17.
    Domino G, Blair G, Bridges A (1984) Subjective assessment of sleep by Sleep Questionnaire. Percept Mot Skills 59(1):163–170CrossRefPubMedGoogle Scholar
  18. 18.
    Buysse DJ et al (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28(2):193–213CrossRefPubMedGoogle Scholar
  19. 19.
    Mastin DF et al (2006) Assessment of sleep hygiene using the Sleep Hygiene Index. J Behav Med 29(3):223–227CrossRefPubMedGoogle Scholar
  20. 20.
    Blake DD, Gomez MH (1998) A scale for assessing sleep hygiene: preliminary data. Psychol Rep 83(3 Pt 2):1175–1178CrossRefPubMedGoogle Scholar
  21. 21.
    Chesson A Jr et al (2000) Practice parameters for the evaluation of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine. Sleep 23(2):237–241PubMedGoogle Scholar
  22. 22.
    Laube I et al (1998) Accidents related to sleepiness: review of medical causes and prevention with special reference to Switzerland. Schweiz Med Wochenschr 128(40):1487–1499PubMedGoogle Scholar
  23. 23.
    Philip P et al (1999) Long distance driving and self-induced sleep deprivation among automobile drivers. Sleep 22(4):475–480PubMedGoogle Scholar
  24. 24.
    Lacks P, Rotert M (1986) Knowledge and practice of sleep hygiene techniques in insomniacs and good sleepers. Behav Res Ther 24(3):365–368CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Hrayr Attarian
    • 1
    • 2
  1. 1.Departments of Neurology and MedicineLoyola University, Stritch School of MedicineMaywoodUSA
  2. 2.Loyola University Sleep CenterMaywoodUSA

Personalised recommendations