수면정신생리

수면정신생리 (1권1호 9-19)

Polysomnographic Evauation for Disorders of Initiating and Maintaining Sleep

불면증 평가를 위한 수면다원검사

Kim, Leen;

Department of Neuropsychiatry, Korea University Medical College;

Abstract

Disorders of intitating and maintaining sleep(DIMS : insomnia) may be a symptom of some other disease or the basic, root problem in some patients. DIMS is usually treated by private physicians or psychiatrists, initially. Many physicians can do to improve the quality of life of the sleep disordered patients by appropriate evaluation and management For the effective management of DIMS patients, the accurate differential diagnosis is essential. In polysomnographic evaluation for insomnia, the physician should consider the aspects of cost-effectiveness to provide the maximal benefits for the patients. For the purpose of this, evaluation of DIMS complaints outside the sleep disorder clinic, indication for referral to a sleep disorder clinic, the role of polysomnopraphy in evaluating DIMS, and polysomnographic findings of different types of DIMS are discussed, together with possible way to diagnose them.

Keywords

Disorders of initiating and maintaining sleep(DIMS);Polysomnography;