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Sleep hygiene

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and patients to avoid the recommendation of sleep hygiene as this can cause a "delayed implementation of effective therapies with continued or worsening insomnia symptoms" and furthermore may demotivate patients from "undergoing other treatments based on their experience using an ineffective intervention". It was also impossible to conduct a network analysis of the efficacy of specific items of sleep hygiene due to the wide heterogeneity and lack of systematic reporting of content and delivery methods.
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too hard to fall asleep. There is a lack of evidence for the effects of certain sleep hygiene recommendations, including getting a more comfortable mattress, removing bedroom clocks, not worrying, and limiting liquids. Other recommendations, such as the effects of napping or exercise, have a more complicated evidence base. The effects of napping, for example, seem to depend on the length and timing of napping, in conjunction with how much cumulative sleep an individual has had in recent nights.
437:(ICSD) introduced the diagnostic category Inadequate Sleep Hygiene. Inadequate sleep hygiene was a subclassification of Chronic Insomnia Disorder in the ICSD-II published in 2005; it was removed from the 2014 ICSD-III along with two other classifications. The term “chronic insomnia disorder” is used for all subtypes of chronic insomnia and inadequate sleep hygiene is no longer required to diagnose any sleep disorder, including insomnia and insufficient sleep syndrome. 324:
disrupt the body's natural circadian rhythm. In low SES populations, irregular and long work hours may force an individual to attempt to sleep during the day. This will significantly disrupt the physiological benefits that come from sleep. Additionally, urban neighborhoods will likely have greater night noise, crime, and violence. In these neighborhoods, the body will be in a constant state of survival, releasing cortisol and adrenaline, which interfere with sleep.
470: 456: 221:, leading to sleep fragmentation and nocturnal restlessness. Both consumption of a large meal just before bedtime, requiring effort to metabolize it all, and hunger have been associated with disrupted sleep; clinicians may recommend eating a light snack before bedtime. Limiting intake of liquids before bedtime can prevent interruptions of sleep due to urination. 176:, under normal conditions naps may be detrimental to nighttime sleep. Negative effects of napping on sleep and performance have been found to depend on duration and timing, with shorter midday naps being the least disruptive. There is also focus on the importance of awakening around the same time every morning and generally having a regular sleep schedule. 192:
Similarly, good sleep hygiene involves minimizing time spent thinking about worries or anything emotionally upsetting shortly before bedtime. Trying purposefully to fall asleep may induce frustration that further prevents falling asleep, so in such situations a person may be advised to get out of bed and try something else for a brief amount of time.
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Sleep hygiene studies use different sets of sleep hygiene recommendations, and the evidence that improving sleep hygiene improves sleep quality is weak and inconclusive as of 2014. Most research on sleep hygiene principles has been conducted in clinical settings, and there is a need for more research
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cycle, meaning that more stress will lead to more sleep disturbances. The data points to an inverse relationship: lower SES will result in insufficient sleep and a decline in sleep quality compared to high SES. Light and noise will significantly impact one's sleeping patterns. Exposure to light will
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released in 2021 a meta-analysis on behavioral therapies concluding that they "did not favor the use of sleep hygiene as a stand-alone therapy for chronic insomnia" since "recent evidence shows that it is no longer supported as a single-component therapy". They further recommend educating clinicians
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in the hours before bedtime is recommended by most sleep hygiene specialists, as these substances activate neurobiological systems that maintain wakefulness. Alcohol near bedtime is frequently discouraged by clinicians, because, although alcohol can induce sleepiness initially, the arousal caused by
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have difficulty maintaining a healthy sleep-wake schedule due to night or irregular work hours. Shift workers need to be strategic about napping and drinking caffeine, as these practices may be necessary for work productivity and safety, but should be timed carefully. Because shift workers may need
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Practice of sleep hygiene and knowledge of sleep hygiene practices can be assessed with measures such as the Sleep Hygiene Index, Sleep Hygiene Awareness and Practice Scale, or the Sleep Hygiene Self-Test. For younger individuals, sleep hygiene can be assessed by the Adolescent Sleep Hygiene Scale,
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Long and irregular work hours contribute to the sleep health disparity in the US. Local governments could regulate business hours for those that employ high rates of low-income families. Additionally, access to care is often determined by that individual's occupation. Clinicians in the communities
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College students are at risk of engaging in poor sleep hygiene and also of being unaware of the resulting effects of sleep deprivation. Because of irregular weekly schedules and the campus environment, college students may be likely to have variable sleep-wake schedules across the week, take naps,
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The strength of research support for each recommendation varies; some of the more robustly researched and supported recommendations include the negative effects of noisy sleep environments, alcohol consumption in the hours before sleep, engaging in mentally difficult tasks before sleep, and trying
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One set of recommendations relates to the timing of sleep. For adults, getting less than 7–8 hours of sleep is associated with a number of physical and mental health deficits, and therefore a top sleep hygiene recommendation is allowing enough time for sleep. Clinicians will frequently advise that
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often determines access to care leading to a downward trajectory in health. Those with lower SES have limited access to quality living conditions. Economic status can contribute to tremendous stress. Sleep is the primary mechanism in biological and psychosocial stressors that can help one recover
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is an activity that can facilitate or inhibit sleep quality; people who exercise experience better quality of sleep than those who do not, but exercising too late in the day can be activating and delay falling asleep. Increasing exposure to bright and natural light during the daytime and avoiding
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may experience additional barriers to quality sleep that can be addressed by specific variations of sleep hygiene recommendations. Difficulty with breathing can cause disruptions to sleep, reducing the ability to stay asleep and to achieve restful sleep. For individuals with allergies or asthma,
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Activities that reduce physiological arousal and cognitive activity promote falling asleep, so engaging in relaxing activities before bedtime is recommended. Conversely, continuing important work activities or planning shortly before bedtime or once in bed has been shown to delay falling asleep.
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and the Division of Sleep Medicine at Harvard Medical School, both of which have created public websites with sleep hygiene resources, such as tips for sleep hygiene, instructional videos, sleep hygiene self-assessments, poll statistics on sleep hygiene, and tools to find sleep professionals. A
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Arranging a sleep environment that is quiet, very dark, and cool is recommended. Noises, light, and uncomfortable temperatures have been shown to disrupt continuous sleep. Other recommendations that are frequently made, though less studied, include selecting comfortable mattresses, bedding, and
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can be a useful treatment for individuals with depression and circadian rhythm disturbances. Not only can morning bright light therapy help establish a better sleep-wake schedule, but it also has been shown to be effective for treating depression directly, especially when related to
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additional considerations must be given to potential triggers in the bedroom environment. Medications that might improve ability to breathe while sleeping may also impair sleep in other ways, so there must be careful management of decongestants, asthma controllers, and
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Radwan A, Fess P, James D, Murphy J, Myers J, Rooney M, Taylor J, Torii A (2015). "Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; systematic review of controlled trials".
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Sleep hygiene strategies include advice about timing of sleep and food intake in relationship to exercise and sleeping environment. Recommendations depend on knowledge of the individual situation; counselling is presented as a form of patient education.
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However, as of 2021, the empirical evidence for the effectiveness of sleep hygiene is "limited and inconclusive" for the general population and for the treatment of insomnia, despite being the oldest treatment for insomnia. A systematic review by the
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Generally, for people experiencing difficulties with sleep, spending less time in bed results in deeper and more continuous sleep, so clinicians will frequently recommend eliminating use of the bed for any activities except sleep or sex.
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may be likely to have behaviors that are counter to good sleep hygiene, such as taking naps during the day, consuming alcohol near bedtime, and consuming large amounts of caffeine during the day. In addition to sleep hygiene education,
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As attention to the role of sleep hygiene in promoting public health has grown, there has been an increase in the number of resources available in print and on the internet. Organizations running public health initiatives include the
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Assessing sleep hygiene is important to determine whether an individual has inadequate sleep hygiene disorder. The diagnostic assessment is usually conducted using clinical interview and supplemented by self-report questionnaires and
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to sleep while other individuals are awake, additional sleeping environment changes should include reducing disturbances by turning off phones and posting signs on bedroom doors to inform others when they are sleeping.
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Centers for Disease Control and Prevention (CDC) recommendations for the amount of sleep needed decrease with age. While sleep quantity is important, good sleep quality is also essential to avoid sleep
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There is support showing positive sleep outcomes for people who follow more than one sleep hygiene recommendation. There is however no evidence that poor sleep hygiene can contribute to insomnia.
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metabolizing alcohol can disrupt and significantly fragment sleep. Smoking tobacco products before bed is also thought to reduce one's quality of resting by decreasing the time spent in
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Gigli GL, Valente M (30 June 2012). "Should the definition of "sleep hygiene" be antedated of a century? A historical note based on an old book by Paolo Mantegazza, rediscovered".
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is a promising approach proposed to reduce barriers to sleep health care. This eliminates transportation challenges for underserved populations and is more cost-effective.
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drink caffeine or alcohol near bedtime, and sleep in disruptive sleeping environments. Because of this, researchers recommend sleep hygiene education on college campuses.
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can provide a cost-effective method to diagnose sleeping disorders. Neighborhoods can be improved by updating urban planning. Noise population can be reduced by promoting
102:, limiting worry, limiting exposure to light in the hours before sleep, getting out of bed if sleep does not come, not using bed for anything but sleep and sex, avoiding 444:
was included in early sets of recommendations, but as more drugs to help with sleep have been introduced, recommendations concerning their use have become more complex.
1930:"Efficacy of light therapy versus antidepressant drugs, and of the combination versus monotherapy, in major depressive episodes: A systematic review and meta-analysis" 2327: 1644:
Brown FC, Buboltz WC, Soper B (January 2002). "Relationship of Sleep Hygiene Awareness, Sleep Hygiene Practices, and Sleep Quality in University Students".
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Edinger JD, Arnedt JT, Bertisch SM, Carney CE, Harrington JJ, Lichstein KL, Sateia MJ, Troxel WM, Zhou ES, Kazmi U, Heald JL, Martin JL (1 February 2021).
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Jaehne A, Loessl B, Bárkai Z, Riemann D, Hornyak M (October 2009). "Effects of nicotine on sleep during consumption, withdrawal and replacement therapy".
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may require other or additional treatment approaches, and continuing difficulties with sleep may require additional assistance from healthcare providers.
1981:, Wisner KL, Nemeroff CB (April 2005). "The efficacy of light therapy in the treatment of mood disorders: a review and meta-analysis of the evidence". 163:
Clinicians choose among recommendations for improving sleep quality for each individual and counselling is presented as a form of patient education.
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Last Reviewed: September 14, 2022. Source: National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health.
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A number of foods and substances have been found to disturb sleep, due to stimulant effects or disruptive digestive demands. Avoiding
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de Biase et al. Sleep Hygiene. Chapter 27 in Sleepiness and human impact assessment. Eds. Garborino LN et al. Springer Milan, 2014.
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Sin CW, Ho JS, Chung JW (January 2009). "Systematic review on the effectiveness of caffeine abstinence on the quality of sleep".
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Hauri, P. (2011). Sleep/wake lifestyle modifications: Sleep hygiene. In Barkoukis TR, Matheson JK, Ferber R, Doghramji K, eds.
267:, some research studies have shown improvement in insomnia for patients who receive sleep hygiene education in combination with 1802:"Influence of socioeconomic status on objective sleep measurement: A systematic review and meta-analysis of actigraphy studies" 427:. In this book Hauri outlined a list of behavioral rules intended to promote improved sleep. Similar concepts are credited to 188:
bright light in the hours before bedtime may help promote a sleep-wake schedule aligned with nature's daily light-dark cycle.
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is a behavioral and environmental practice developed in the late 1970s as a method to help people with mild to moderate
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pillows, and eliminating a visible bedroom clock, to prevent focusing on time passing when trying to fall asleep.
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these hours of sleep be obtained at night instead of through napping, because while naps can be helpful after
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Mastin DF, Bryson J, Corwyn R (24 March 2006). "Assessment of Sleep Hygiene Using the Sleep Hygiene Index".
2617: 2545: 2390: 423:, a book published in 1977 by psychologist Peter Hauri introduced the concept within the context of modern 268: 2750: 1688: 342: 2612: 240:
of studies on mattresses concluded that medium-firm, custom-inflated mattresses were best for pain and
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Specific sleep hygiene recommendations have changed over time. For example, advice to simply avoid
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Doghramji K (2003). "Treatment strategies for sleep disturbance in patients with depression".
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While there is inconclusive evidence that sleep hygiene alone is effective as a treatment for
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Stepanski EJ, Wyatt JK (June 2003). "Use of sleep hygiene in the treatment of insomnia".
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Stepanski EJ, Wyatt JK (June 2003). "Use of sleep hygiene in the treatment of insomnia".
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Handbook of Assessment and Treatment Planning for Psychological Disorders, Second Edition
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from moderate stress. However, the stress level will affect the brain by disrupting the
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among communities. Walkability is only possible when neighborhood safety is optimized.
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Division of Sleep Medicine at Harvard Medical School and WGBH Educational Foundation.
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concluded that clinicians should not prescribe sleep hygiene for insomnia due to the
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should advocate insurance coverage and access to care for sleep-related services.
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the Children's Sleep Hygiene Scale, or Tayside children’s sleep questionnaire.
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Sleep 101: Harvard Freshmen Required To Take Sleep Course Before School Begins
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who published a related original book in 1864. The 1990 publication of the
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Light exposure when sleeping has been shown to cause ocular fatigue.
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of people with insomnia and other conditions, such as
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NIOSH: Workplace Safety and Health 1435: 728: 726: 667: 665: 224: 1616:Caruso, Claire C (August 2, 2012). 810:Health and Quality of Life Outcomes 13: 1983:The American Journal of Psychiatry 1840: 624:Journal of Clinical Sleep Medicine 385:American Academy of Sleep Medicine 276:American Academy of Sleep Medicine 158: 124:American Academy of Sleep Medicine 14: 3069: 2321: 1852:Billings M (September 29, 2020). 723: 676:Insomnia: Diagnosis and Treatment 662: 364: 166: 2511:Obesity hypoventilation syndrome 2506:Central hypoventilation syndrome 1385:Xie H, Kang J, Mills GH (2009). 1245:10.1111/j.1365-2702.2008.02375.x 847: 468: 454: 419:was first introduced in 1939 by 247: 2666:Periodic limb movement disorder 2633:Non-24-hour sleep–wake disorder 2258: 2183: 2161: 2139: 2112: 2090: 2063: 1970: 1921: 1894: 1731: 1682: 1568: 1514: 1478: 1429: 1378: 1345: 1304: 1269: 1224: 1052: 1003: 904: 1903:Journal of Clinical Psychiatry 855: 804:Cho S, Kim GS, Lee JH (2013). 797: 763:Journal of Behavioral Medicine 698: 132:delaying of adequate treatment 130:of its efficacy and potential 1: 2938:Biphasic and polyphasic sleep 2746:Nocturnal clitoral tumescence 2608:Advanced sleep phase disorder 1717:10.1016/s1087-0792(98)90004-1 499: 331:and energy, individuals with 253:on non-clinical populations. 179: 141: 2618:Delayed sleep phase disorder 2546:Excessive daytime sleepiness 1012:"Sleep: A Health Imperative" 917:Sleep and Biological Rhythms 672:Sateia MJ, Buysse D (2010). 269:cognitive behavioral therapy 7: 2751:Nocturnal penile tumescence 2623:Irregular sleep–wake rhythm 2099:"National Sleep Foundation" 2097:National Sleep Foundation. 1870:10.1016/j.chest.2020.09.249 1352:Barlow D, Durand M (2012). 1233:Journal of Clinical Nursing 733:Antony M, Barlow D (2011). 517:"How Much Sleep Do I Need?" 447: 343:seasonal affective disorder 10: 3074: 2613:Cyclic alternating pattern 2039:10.1016/j.jaci.2012.06.026 1995:10.1176/appi.ajp.162.4.656 1947:10.1016/j.smrv.2019.101213 1818:10.1016/j.sleh.2021.05.005 1744:Frontiers in Public Health 1500:10.1016/j.sleh.2015.08.001 1436:Park CY (September 2018). 1290:10.1016/j.smrv.2008.12.003 998:Therapy in Sleep Medicine. 929:10.1007/s41105-022-00420-6 580:10.1016/j.smrv.2014.10.001 410: 2856: 2829:Behavioral sleep medicine 2816: 2764: 2694: 2646: 2638:Shift work sleep disorder 2594: 2586:Sleep state misperception 2536: 2476: 2467: 2404: 2375: 2328:Steps for improving sleep 2236:10.1007/s10072-012-1140-8 1660:10.1080/08964280209596396 1454:10.3346/jkms.2018.33.e257 775:10.1007/s10865-006-9047-6 376:National Sleep Foundation 63: 49: 37: 32: 2386:Rapid eye movement (REM) 1757:10.3389/fpubh.2020.00231 1594:10.1093/sleep/29.11.1398 1209:10.1093/sleep/29.11.1398 823:10.1186/1477-7525-11-213 83:. Clinicians assess the 2707:Exploding head syndrome 2516:Obstructive sleep apnea 1330:10.1093/sleep/27.6.1181 1124:10.1101/sqb.2007.72.064 327:Due to symptoms of low 3022:Sleeping while on duty 2571:Idiopathic hypersomnia 1934:Sleep Medicine Reviews 1705:Sleep Medicine Reviews 1535:10.1053/smrv.2001.0246 1523:Sleep Medicine Reviews 1278:Sleep Medicine Reviews 1169:10.1053/smrv.2001.0246 1157:Sleep Medicine Reviews 1073:10.1053/smrv.2000.0110 1061:Sleep Medicine Reviews 568:Sleep Medicine Reviews 27: 2844:Neuroscience of sleep 2576:Night eating syndrome 2561:Kleine–Levin syndrome 2224:Neurological Sciences 880:10.1093/jpepsy/jsq119 138:should be preferred. 24: 2998:Sleep and creativity 2284:10.7759/cureus.30928 338:bright light therapy 316:Socioeconomic status 200:Foods and substances 2993:Sleep and breathing 2449:Sensorimotor rhythm 1647:Behavioral Medicine 283:Special populations 128:evidence of absence 44:Clinical psychology 3003:Sleep and learning 2756:Nocturnal emission 2656:Nightmare disorder 2521:Periodic breathing 1028:10.5665/sleep.1846 421:Nathaniel Kleitman 301:Harvard University 28: 3035: 3034: 3013:Sleep deprivation 2852: 2851: 1564:978-88-470-5388-5 868:J Pediatr Psychol 637:10.5664/jcsm.8988 462:Psychology portal 238:systematic review 225:Sleep environment 174:sleep deprivation 74: 73: 3065: 3008:Sleep and memory 2948:Circadian rhythm 2695:Benign phenomena 2597:Circadian rhythm 2474: 2473: 2358: 2351: 2344: 2335: 2334: 2315: 2314: 2304: 2286: 2262: 2256: 2255: 2219: 2206: 2205: 2203: 2202: 2195:Sleep Foundation 2187: 2181: 2180: 2178: 2176: 2165: 2159: 2158: 2156: 2154: 2143: 2137: 2136: 2134: 2132: 2127:on 15 April 2018 2123:. Archived from 2116: 2110: 2109: 2107: 2105: 2094: 2088: 2087: 2067: 2061: 2060: 2050: 2018: 2007: 2006: 1974: 1968: 1967: 1949: 1925: 1919: 1918: 1898: 1892: 1891: 1881: 1864:(3): 1232–1240. 1849: 1838: 1837: 1797: 1788: 1787: 1777: 1759: 1735: 1729: 1728: 1700: 1691: 1686: 1680: 1679: 1641: 1630: 1629: 1627: 1625: 1613: 1607: 1606: 1596: 1587:(11): 1398–414. 1572: 1566: 1556: 1547: 1546: 1518: 1512: 1511: 1482: 1476: 1475: 1465: 1442:J Korean Med Sci 1433: 1427: 1426: 1416: 1406: 1382: 1376: 1375: 1359: 1349: 1343: 1342: 1332: 1308: 1302: 1301: 1273: 1267: 1266: 1256: 1228: 1222: 1221: 1211: 1202:(11): 1398–414. 1187: 1181: 1180: 1152: 1137: 1136: 1126: 1102: 1093: 1092: 1056: 1050: 1049: 1039: 1007: 1001: 994: 959: 958: 948: 908: 902: 901: 891: 859: 853: 852: 851: 845: 835: 825: 801: 795: 794: 758: 749: 748: 730: 721: 720: 702: 696: 695: 679: 669: 660: 659: 649: 639: 615: 602: 601: 591: 559: 532: 531: 513: 489:Circadian rhythm 478: 473: 472: 471: 464: 459: 458: 457: 429:Paolo Mantegazza 67:edit on Wikidata 59: 30: 29: 3073: 3072: 3068: 3067: 3066: 3064: 3063: 3062: 3038: 3037: 3036: 3031: 2926:Procrastination 2879:Four-poster bed 2848: 2812: 2806:Polysomnography 2784:Sleep induction 2760: 2731:Sleep paralysis 2690: 2642: 2601: 2598: 2590: 2532: 2491:Mouth breathing 2469:Sleep disorders 2463: 2400: 2391:Quiescent sleep 2371: 2369:sleep disorders 2362: 2324: 2319: 2318: 2263: 2259: 2220: 2209: 2200: 2198: 2189: 2188: 2184: 2174: 2172: 2166: 2162: 2152: 2150: 2144: 2140: 2130: 2128: 2121:"Healthy Sleep" 2117: 2113: 2103: 2101: 2095: 2091: 2068: 2064: 2019: 2010: 1975: 1971: 1926: 1922: 1899: 1895: 1850: 1841: 1798: 1791: 1736: 1732: 1701: 1694: 1687: 1683: 1642: 1633: 1623: 1621: 1614: 1610: 1573: 1569: 1557: 1550: 1519: 1515: 1483: 1479: 1434: 1430: 1383: 1379: 1372: 1350: 1346: 1309: 1305: 1274: 1270: 1229: 1225: 1188: 1184: 1153: 1140: 1103: 1096: 1057: 1053: 1008: 1004: 995: 962: 909: 905: 860: 856: 846: 802: 798: 759: 752: 745: 731: 724: 717: 703: 699: 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314:Additionally, 284: 281: 249: 246: 242:neutral spinal 226: 223: 201: 198: 181: 178: 168: 167:Sleep schedule 165: 160: 157: 143: 140: 72: 71: 64: 61: 60: 53: 47: 46: 41: 35: 34: 15: 9: 6: 4: 3: 2: 3070: 3059: 3056: 3054: 3051: 3049: 3046: 3045: 3043: 3028: 3025: 3023: 3020: 3018: 3014: 3011: 3009: 3006: 3004: 3001: 2999: 2996: 2994: 2991: 2989: 2986: 2984: 2981: 2979: 2976: 2974: 2971: 2969: 2966: 2964: 2961: 2959: 2956: 2954: 2951: 2949: 2946: 2944: 2941: 2939: 2936: 2932: 2929: 2927: 2924: 2923: 2922: 2919: 2917: 2914: 2912: 2909: 2907: 2904: 2900: 2897: 2895: 2892: 2890: 2887: 2885: 2882: 2880: 2877: 2875: 2872: 2870: 2867: 2866: 2865: 2862: 2861: 2859: 2855: 2845: 2842: 2840: 2837: 2835: 2832: 2830: 2827: 2825: 2822: 2821: 2819: 2815: 2807: 2804: 2803: 2802: 2799: 2795: 2792: 2790: 2787: 2786: 2785: 2782: 2780: 2779:Sleep hygiene 2777: 2775: 2772: 2771: 2769: 2767: 2763: 2757: 2754: 2752: 2749: 2747: 2744: 2742: 2739: 2737: 2736:Sleep inertia 2734: 2732: 2729: 2727: 2724: 2722: 2718: 2715: 2713: 2710: 2708: 2705: 2703: 2700: 2699: 2697: 2693: 2687: 2686:Sleep-talking 2684: 2682: 2681:Sleep driving 2679: 2677: 2674: 2672: 2669: 2667: 2664: 2662: 2659: 2657: 2654: 2653: 2651: 2649: 2645: 2639: 2636: 2634: 2631: 2629: 2626: 2624: 2621: 2619: 2616: 2614: 2611: 2609: 2606: 2605: 2603: 2600: 2593: 2587: 2584: 2582: 2579: 2577: 2574: 2572: 2569: 2567: 2564: 2562: 2559: 2557: 2554: 2552: 2549: 2547: 2544: 2543: 2541: 2539: 2535: 2529: 2526: 2522: 2519: 2517: 2514: 2512: 2509: 2507: 2504: 2502: 2499: 2498: 2497: 2494: 2492: 2489: 2487: 2484: 2483: 2481: 2479: 2475: 2472: 2470: 2466: 2460: 2457: 2455: 2454:Sleep spindle 2452: 2450: 2447: 2445: 2442: 2440: 2437: 2435: 2432: 2430: 2427: 2425: 2422: 2420: 2417: 2415: 2412: 2411: 2409: 2407: 2403: 2397: 2394: 2392: 2389: 2387: 2384: 2383: 2381: 2379: 2374: 2370: 2366: 2359: 2354: 2352: 2347: 2345: 2340: 2339: 2336: 2329: 2326: 2325: 2312: 2308: 2303: 2298: 2294: 2290: 2285: 2280: 2276: 2272: 2268: 2261: 2253: 2249: 2245: 2241: 2237: 2233: 2230:(5): 755–60. 2229: 2225: 2218: 2216: 2214: 2212: 2196: 2192: 2186: 2171: 2164: 2149: 2142: 2126: 2122: 2115: 2100: 2093: 2085: 2081: 2077: 2073: 2066: 2058: 2054: 2049: 2044: 2040: 2036: 2032: 2028: 2024: 2017: 2015: 2013: 2004: 2000: 1996: 1992: 1989:(4): 656–62. 1988: 1984: 1980: 1973: 1965: 1961: 1957: 1953: 1948: 1943: 1939: 1935: 1931: 1924: 1916: 1912: 1908: 1904: 1897: 1889: 1885: 1880: 1875: 1871: 1867: 1863: 1859: 1855: 1848: 1846: 1844: 1835: 1831: 1827: 1823: 1819: 1815: 1811: 1807: 1803: 1796: 1794: 1785: 1781: 1776: 1771: 1767: 1763: 1758: 1753: 1749: 1745: 1741: 1734: 1726: 1722: 1718: 1714: 1711:(2): 117–28. 1710: 1706: 1699: 1697: 1690: 1685: 1677: 1673: 1669: 1665: 1661: 1657: 1653: 1649: 1648: 1640: 1638: 1636: 1619: 1612: 1604: 1600: 1595: 1590: 1586: 1582: 1578: 1571: 1565: 1561: 1555: 1553: 1544: 1540: 1536: 1532: 1529:(3): 215–25. 1528: 1524: 1517: 1509: 1505: 1501: 1497: 1493: 1489: 1481: 1473: 1469: 1464: 1459: 1455: 1451: 1447: 1443: 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Retrieved 2197:. 2021-10-01 2194: 2185: 2173:. Retrieved 2163: 2151:. Retrieved 2141: 2129:. Retrieved 2125:the original 2114: 2102:. Retrieved 2092: 2078:(6): 415–9. 2075: 2071: 2065: 2030: 2026: 1986: 1982: 1972: 1937: 1933: 1923: 1906: 1902: 1896: 1861: 1857: 1809: 1805: 1747: 1743: 1733: 1708: 1704: 1684: 1651: 1645: 1624:December 14, 1622:. Retrieved 1611: 1584: 1580: 1570: 1526: 1522: 1516: 1491: 1488:Sleep Health 1487: 1480: 1448:(38): e257. 1445: 1441: 1431: 1394: 1390: 1380: 1355: 1347: 1320: 1316: 1306: 1281: 1277: 1271: 1239:(1): 13–21. 1236: 1232: 1226: 1199: 1195: 1185: 1160: 1156: 1114: 1110: 1064: 1060: 1054: 1019: 1015: 1005: 997: 920: 916: 906: 871: 867: 857: 813: 809: 799: 766: 762: 734: 706: 700: 675: 627: 623: 571: 567: 528: 520: 494:Dark therapy 439: 432: 416: 414: 397:Telemedicine 393: 372: 368: 347: 326: 313: 305: 297: 286: 273: 262: 259: 255: 251: 235: 232: 228: 203: 194: 190: 183: 170: 162: 153: 145: 120: 114:, and other 106:(as well as 76: 75: 18: 2983:Second wind 2958:Dream diary 2834:Sleep study 2774:Sleep diary 2726:Hypnopompia 2721:Sleep onset 2712:Hypnic jerk 2551:Hypersomnia 2501:Catathrenia 2496:Sleep apnea 2406:Brain waves 2376:Stages of 2175:14 December 2153:14 December 2131:14 December 2104:14 December 1654:(1): 33–8. 1254:10397/18014 405:walkability 306:Similarly, 291:. Specific 271:practices. 244:alignment. 236:In 2015, a 3042:Categories 3017:Sleep debt 2963:Microsleep 2943:Chronotype 2857:Daily life 2741:Somnolence 2717:Hypnagogia 2648:Parasomnia 2566:Narcolepsy 2478:Anatomical 2459:Theta wave 2429:Gamma wave 2424:Delta wave 2414:Alpha wave 2201:2024-04-09 1940:: 101213. 1397:(2): 208. 816:(1): 213. 500:References 484:Chronotype 401:Actigraphy 333:depression 219:deep sleep 214:stimulants 180:Activities 142:Assessment 116:stimulants 92:depression 57:D000070263 26:disorders. 3053:Self-care 3027:Sleepover 2978:Power nap 2973:Nightwear 2839:Melatonin 2801:Somnology 2766:Treatment 2599:disorders 2538:Dyssomnia 2444:PGO waves 2439:Mu rhythm 2434:K-complex 2419:Beta wave 2396:Slow-wave 2293:2168-8184 1964:204244335 1826:2352-7218 1766:2296-2565 1391:Crit Care 937:1446-9235 574:: 23–36. 354:allergies 321:circadian 39:Specialty 2894:Mattress 2869:Bunk bed 2789:Hypnosis 2581:Nocturia 2556:Insomnia 2311:36337802 2244:22752854 2084:19123431 2057:22867694 2003:15800134 1979:Suppes T 1956:31600678 1915:14658932 1909:: 24–9. 1888:33007324 1834:34266774 1784:32626678 1725:15310506 1676:45735065 1668:12244643 1603:17162986 1543:12927121 1508:29073401 1472:30220898 1423:19344486 1339:15532213 1298:19345124 1263:19120728 1218:17162986 1177:12927121 1133:18419318 1089:20809909 1081:12531177 1046:22654183 955:38468908 946:10899986 898:21227912 842:24359272 791:12044837 783:16557353 656:33164741 598:25454674 525:Archived 448:See also 383:and the 265:insomnia 210:caffeine 206:nicotine 185:Exercise 112:caffeine 108:nicotine 81:insomnia 3058:Hygiene 2921:Bedtime 2916:Bedroom 2911:Bedding 2906:Bed bug 2889:Hammock 2794:Lullaby 2628:Jet lag 2528:Snoring 2486:Bruxism 2302:9626376 2252:8607322 2048:3576835 1879:7525655 1775:7314918 1750:: 231. 1463:6137033 1414:2689451 1037:3353049 889:3146754 833:3905101 647:7853211 589:4400203 521:CDC.gov 411:History 104:alcohol 100:bedtime 88:hygiene 2988:Siesta 2874:Daybed 2702:Dreams 2309:  2299:  2291:  2271:Cureus 2250:  2242:  2082:  2055:  2045:  2001:  1962:  1954:  1913:  1886:  1876:  1832:  1824:  1782:  1772:  1764:  1723:  1674:  1666:  1601:  1562:  1541:  1506:  1470:  1460:  1421:  1411:  1368:  1337:  1296:  1261:  1216:  1175:  1131:  1087:  1079:  1044:  1034:  953:  943:  935:  896:  886:  840:  830:  789:  781:  741:  713:  688:  654:  644:  596:  586:  350:asthma 3048:Sleep 2931:Story 2884:Futon 2817:Other 2365:Sleep 2248:S2CID 1960:S2CID 1858:Chest 1672:S2CID 1581:Sleep 1317:Sleep 1196:Sleep 1085:S2CID 1016:Sleep 787:S2CID 85:sleep 65:[ 2367:and 2307:PMID 2289:ISSN 2240:PMID 2177:2014 2155:2014 2133:2014 2106:2014 2080:PMID 2053:PMID 1999:PMID 1952:PMID 1911:PMID 1884:PMID 1830:PMID 1822:ISSN 1780:PMID 1762:ISSN 1721:PMID 1664:PMID 1626:2014 1599:PMID 1560:ISBN 1539:PMID 1504:PMID 1468:PMID 1419:PMID 1366:ISBN 1335:PMID 1294:PMID 1259:PMID 1214:PMID 1173:PMID 1129:PMID 1077:PMID 1042:PMID 951:PMID 933:ISSN 894:PMID 838:PMID 779:PMID 739:ISBN 711:ISBN 686:ISBN 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Index


Specialty
Clinical psychology
MeSH
D000070263
edit on Wikidata
insomnia
sleep
hygiene
depression
naps
bedtime
alcohol
nicotine
caffeine
stimulants
American Academy of Sleep Medicine
evidence of absence
delaying of adequate treatment
cognitive behavioral therapy for insomnia
sleep diaries
sleep deprivation
Exercise
nicotine
caffeine
stimulants
deep sleep
systematic review
neutral spinal
insomnia

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