[Pathophysiological hypothesis and diagnosis of insomnia disorder].

PATHOPHYSIOLOGICAL HYPOTHESES AND DIAGNOSIS OF INSOMNIA DISORDER. All pathophysiological models place hyperarousal as a central process in the mechanisms of insomnia. These models differ, however, in terms of the importance and role of the variables explaining this hyperarousal.

The Bordeaux Sleepiness Scale (BOSS): a new questionnaire to measure sleep-related driving risk.

Study Objectives: Sleepiness is a well-known risk factor for traffic accidents. Our study presents a new questionnaire, the Bordeaux Sleepiness Scale (BOSS), specifically designed to evaluate sleep-related driving risk in patients with sleep disorders.

Methods: The BOSS was designed by gathering data on sociodemographics, sleepiness, driving items, and traffic accident exposure (kilometers driven) in the past year of 293 patients followed for sleep disorders at a French sleep clinic.

A series of 8 cases of sleep-related psychogenic dissociative disorders and proposed updated diagnostic criteria.

Study Objectives: To identify the most relevant clinical and video-polysomnographic characteristics of patients with sleep-related dissociative disorders (SRDDs) and to propose a framework for new diagnostic criteria.

Methods: We searched potential SRDD cases from the scientific literature and from a database of patients referred for clinical and video-polysomnographic assessment in a single sleep disorders center for disruptive nocturnal behaviors (n = 731). The most relevant clinical and neurophysiological characteristics of the cases were extracted and a descriptive analysis was performed.

Hypoglossal nerve stimulation on sleep and level of alertness in OSA: A preliminary study.

Objectives: To quantify the effect of hypoglossal nerve stimulation (HNS), a novel therapy for patients with obstructive sleep apnea, on objective level of alertness (measured with Maintenance of Wakefulness Test [MWT] values) and nocturnal sleep architecture.

Methods: Ten male patients (mean age 52.0 ± 9.

[Management of insomnia: drug approach].

Management of insomnia : drug approach The prescription of a hypnotic can be proposed in transient acute insomnia, but only for a short period and in this indication only. Chronic insomnia disorder is not an indication. The gold standard treatment for this disorder is cognitive and behavioral therapy.