• 수면정신생리
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• 제13권1호
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• pp.11-14
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• 2006

Sleep-related behaviors observed in parasomnias can result in serious injuries of patients and/or spouses. Parasomnia is defined as undesirable physical or behavioral phenomenon occurring during sleep. If these disorders are accurately diagnosed, effective treatments are available. Often, these disorders can be even cured. Environmental management for patient and/or spouse safety and good sleep hygiene are the most recommended for individuals behaving abnormally during sleep. The aim of this article is to review the clinical features, diagnosis and treatment of several sleep-related behavior disorders.

• 수면정신생리
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• 제2권1호
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• pp.3-12
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• 1995

In the International Classification of Sleep Disorders(ICSD), REM sleep behavior disorder(RBD) and nightmares are classified as 'parasomnias usually associated with REM sleep'. RBD can be defined as the intermittent absence of REM sleep EMG atonia and the appearance of the elaborate motor activity associated with dream mentation. Bilateral pontine tegmental lesions in cats induce RBD-like behavior, but in human cases, more than 60% are idiopathic. Polysomnograpy shows characteristic findings in REM sleep and treatment with clonazepam is highly effective. With nightmares as long, frightening dream decreasing with age, their persistence or apperance in adults is related with certain drugs, trauma, personality and psychotic episode. Psychotherapy, behavior techniques or medication is used for treatment, but all of nightmares do not require treatment.

• Osong Public Health and Research Perspectives
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• 제9권6호
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• pp.299-308
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• 2018

Objectives: We aimed to examine health-related nutritional knowledge and dietary behavior related to caffeine intake among high school students (n = 310) in the Yongin region of Korea. Methods: Data were collected using a face-to-face survey, and analyzed using chi-square test, t- test, and logistic regression analysis. Results: The level of caffeine intake in respondents was divided into low (< 30 mg/d; n = 208) and high caffeine intake groups (> 30 mg/d; n = 102). Total nutritional knowledge related to bone disease was higher in the low intake group (score 2.75) than the high intake group (score 2.39; p < 0.05). The high intake group had lower scores for nutritional knowledge (score 0.70; p < 0.05) related to how caffeinated beverages affect sleep and for dietary behavior (score 3.25; p < 0.001), based on "I avoid caffeinated foods before sleep," than the low intake group (nutritional knowledge score, 0.80; dietary behavior score, 3.76). Conclusion: In the overall analysis, the low caffeine intake group had better nutritional knowledge related to bone and sleep health, and healthier dietary behavior related to sleep health compared with the high intake group.

• 아동학회지
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• 제38권3호
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• pp.33-48
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• 2017

Objective: This study examined the relationships among sleep problems, executive function and social behavior during the preschool period. In addition, the mediating role of executive function between sleep problems and social behavior was investigated. Methods: A total of 304 preschool children participated in this study. The data were collected through maternal reports. Results: First, preschoolers' sleep problems were found to be significantly related to overt aggression and prosocial behavior. Second, preschoolers with sleep problems displayed lower levels of executive function. Third, preschoolers' executive function was significantly associated with social behavior. Lastly, preschoolers' executive function fully mediated the relationship between sleep problems and overt aggression, and between sleep problems and prosocial behavior. That is, preschoolers' sleep problems had effects on overt aggression and prosocial behavior, only through the effects on executive function. Conclusion: This study contributes to the sleep literature by examining the role of executive function and emphasizes the importance of forming a healthy sleep habit during the preschool period.

• 수면정신생리
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• 제6권2호
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• pp.102-109
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• 1999

Headaches and sleep problems are common complaints in clinical practice. The relationship of sleep and headache has been extensively studied. Brain systems involved in the regualtion of sleep may also play a role in the initiation of vascular headache. Some of the physiological alterations in sleep, particularly REM sleep, are similar to those described in vascular headache. Clinical studies have documented an association between vascular headache and sleep, and headache is a common symptom of sleep disorders. Sleep and headache are known to be interrelated in several ways. It can be summarized as follows: 1) sleep-related headaches, 2) sleep phase-related headaches, 3) length of sleep(excess, lack, and disruption) and headaches, 4) headache related to sleep associated behavior, 5) sleep disorders and headaches, 6) effects of headaches on sleep, and 7) dreams and headaches. Several mechanisms can be proposed to explain the relationship between sleep and headaches.

• 수면정신생리
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• 제18권1호
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• pp.5-9
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• 2011

Sleep-related eating disorder (SRED) is a newly recognized parasomnia that describes a clinical condition of compulsive eating under an altered level of consciousness during sleep. Recently, it is increasingly recognized in clinical practice. The exact etiology of SRED is unclear, but it is assumed that SRED might share features of both sleepwalking and eating disorder. There have been also accumulating reports of SRED related to the administration of various psychotropic drugs, such as zolpidem, triazolam, olanzapine, and combinations of psychotropics. Especially, zolpidem in patients with underlying sleep disorders that cause frequent arousals, may cause or augment sleep related eating behavior. A thorough sleep history is essential to recognition and diagnosis of SRED. The timing, frequency, and description of food ingested during eating episodes should be elicited, and a history of concurrent psychiatric, medical, sleep disorders must also be sought and evaluated. Interestingly, dopaminergic agents as monotherapy were effective in some trials. Success with combinations of dopaminergic and opioid drugs, with the addition of sedatives, has also been reported in some case reports.

• 한국보육지원학회지
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• 제14권1호
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• pp.109-128
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• 2018

Objective: This study examined the relationships among mothers' marital satisfaction, parenting behavior, and preschoolers' sleep problems. Methods: Three hundred mothers of preschoolers completed questionnaires on three research variables. Data were analyzed by correlation analyses and regression analyses. Results: First, mothers' marital satisfaction was negatively related to preschoolers' sleep problems. Second, mothers' marital satisfaction was positively associated with warmth and reasoning, while mothers' marital satisfaction was negatively associated with intrusiveness, coercion, and neglect. Third, mothers' warmth and reasoning were negatively linked to preschoolers' sleep problems, but mothers' coercion was positively linked to preschoolers' sleep problems. Lastly, mothers' warmth partially mediated the relationship between mothers' marital satisfaction and preschoolers' sleep problems. Conclusion/Implications: This study confirmed that mothers' marital satisfaction and parenting behavior had an influence on preschoolers' sleep problems. These findings highlight the importance of the family context for preschoolers' healthy sleeping habits.

• 정신신체의학
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• 제30권2호
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• pp.112-118
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• 2022

연구목적 졸피뎀은 세계적으로 불면증에서 널리 쓰이고 있는 약물이다. 그러나 졸피뎀을 복용한 환자에게서 중추 신경계 부작용이나 수면 연관 행동을 보인다는 여러 보고가 있다. 본 연구는 입원 환자를 대상으로 졸피뎀 복용 후 나타나는 수면 연관 행동에 영향을 미치는 위험요인을 조사하기 위해 시행되었다. 방 법 2019년 1월 1일부터 2019년 12월 31일까지 인하대학교 병원에 입원한 졸피뎀을 복용한 환자들의 의무기록을 후향적으로 검토하였다. 졸피뎀 사용 후 나타나는 수면 연관 행동의 유무, 나이, 성별, 기저 질환, 투약력, 졸피뎀의 용량, 졸피뎀의 종류를 조사하였다. 결 과 졸피뎀을 복용한 907명의 환자 중 수면 연관 행동을 보인 환자는 102명(11.2%)이고, 65세 이상(OR 2.681, 95% CI 1.677-4.287, p<0.001), 남성(OR 1.556, 95% CI 1.007-2.404, p=0.046), 항정신병제 복용(OR 3.305, 95% CI 1.577-6.925, p=0.002), 항정신병제와 벤조디아제핀 동시 복용(OR 3.792, 95% CI 1.677-8.572, p=0.001)한 경우 수면 연관 행동이 발생할 확률이 유의하게 높았다. 결 론 졸피뎀 사용 후 생기는 수면 연관 행동의 위험 요소는 성별, 고령, 항정신병제 병용 투약, 항정신병제와 벤조디아제핀 동시 병용 투약 여부로 추정된다.

• 한국보건간호학회지
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• 제19권2호
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• pp.305-315
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• 2005

Purpose: The purpose of this study was to investigate the relationships among depression, sleep patterns and health promoting behavior in female college students. Methods: The subjects of this study consisted of 350 college students. The data was collected through self-administered questionnaires from November to December of 2004. The data was analyzed via the SPSS computer program by using descriptive statistics, t-tests, ANOVA and Pearson's correlation coefficients. Results: There are significant differences and impacts on depression according to the amount of coffee consumed, the time spent on computer and the amount of smoke inhaled. Sleep patterns differ depending on one's college major, the time spent on computer, and the amount of smoke inhaled. Health promotion behavior was shown to be significantly different according to the living style, college major and how much TV was watched The mean scores for depression, sleep patterns, health promoting behavior were 1.45 (on a 3 points scale), 2.71 (on a 4 points scale), and 3.03 (on a 5 point scale), respectively. There was a significant positive correlation between sleep patterns and health promoting behavior, and there was negative correlation between depression and health promoting behavior, and between depression and sleep patterns in college students. Conclusion: The findings of this study give useful information to create further studies on intervention programs related to health promoting behavior for college female students.

• 수면정신생리
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• 제1권1호
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• pp.99-106
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• 1994

The authors report a case of REM sleep behavior disorder which occurred in a 69-year-old business man. He began experiencing episodic "acting out" behavior of his dream at the age of 66. The episodes tended to be associated with dream contents, mainly being chased or threatened. Before that, his sleep was relatively quiet despite occasional nightmares, midsleep arousal, and shallowness. Injuries resulted from leaping out of bed, jumping onto furnitures, and grabbing and biting the spouse's arm. Most recent dream-incurred laceration of chin required 5 sutures. Medical and psychiatric history revealed no significant findings except that he had been overanxious all his life within himself with others' reputation of himself as pleasant and easy-going. A nocturnal polysomnogram showed repeatedly intermittent increase of chin and/or leg muscle tones during otherwise characteristic REM sleep period. The overnight video recording revealed head lifting and limb movements during REM sleep periods. Brain MRI and EEG were normal. Job-related stress was presumed to be an etiological possibility. Clonazepam 0.25-0.5mg nightly almost completely relieved the symptoms.