This paper presents the case of a patient suffering from atypical depression, with excessive daytime sleepiness, which was a suicidal equivalent. Patients who suffer from depression and sleep disorders can have an increased risk of suicidality, and to them should pay increased attention. Field of suicide as a means of resolving conflicts and unconscious mental escape from the reality of the obs...

OBJECTIVE To evaluate associations between actigraphic sleep patterns, subjective sleep quality, and daytime functioning (ie, sleepiness, symptoms of depression, and delinquency and other conduct problems) in at-risk adolescents. DESIGN Prospective, observational cohort study. SETTING Providence, RI, predominantly home and school and 2 visits to the Brown Center for the Study of Children at...

OBJECTIVE Excessive daytime sleepiness due to any cause can result in various symptoms similar to those used for the diagnosis of attention deficit/hyperactivity disorder (ADHD). A common treatment for children diagnosed with ADHD is methylphenidate which is also used to treat excessive daytime sleepiness. This paper reports on a study which compared the perceived levels of daytime sleepiness a...

OBJECTIVE Sleep problems and depression are common symptoms in dementia with Lewy bodies (DLB), where patients typically experience subjectively poor sleep quality, fatigue and excessive daytime sleepiness. However, whilst sleep disturbances have been linked to depression, this relationship has not received much attention in DLB. The present cross-sectional study addresses this by examining whe...

kidney failure affects different aspects of normal life. among different manifestations, sleep problem can be considered as a common complaint of esrd (end stage renal disease) patients. in this study, we aimed to investigate the interrelationship between sleep disorders in esrd patients and their characteristics. through a cross-sectional study (2010-2011), 88 esrd patients undergoing maintena...

This article looks at the issues of excessive daytime sleepiness and unintended sleep episodes in patients with Parkinson's disease (PD) and explores the reasons why patients might suffer from these symptoms, and what steps could be taken to manage them. During the last decade, understanding of sleep/wake regulation has increased. Several brainstem nuclei and their communication pathways in the...

OBJECTIVE To test the hypothesis that sleep disorders are relevant to the risk of ischaemic stroke and ischaemic heart disease events in older men. DESIGN A cohort study. SETTING The Caerphilly cohort, a representative population sample of older men in South Wales, UK. PARTICIPANTS 1986 men aged 55-69 years completed a questionnaire on sleep patterns with help from their partners. This as...