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Health Archives
April 2003

Sleep Tips for Coping
with Times of Crisis

As Americans prepare for military action, sleep disturbances may increase as they respond to and cope with the related stress and anxiety. Sleep disturbances may be acute or chronic and encompass all disorders, including insomnia, excessive daytimes sleepiness, and difficulty falling asleep.

The consequences of sleep disturbances can have profound effects on an individual's ability to effectively function in everyday capacities and to cope with stress-related situations. "Our ability to think clearly and process the emotional aspects of the conflict can be compromised by inadequate sleep," said Michael Sateia, M.D., director of the Sleep Disorders Center at Dartmouth-Hitchcock Medical Center. "In short, when we most need to draw on inner resources to cope effectively - in times of conflict and crisis - sleep deprivation may compromise our ability to do that.”

According to a study published in the March issue of the medical journal SLEEP, individuals who sleep just 4-6 hours per night - instead of the recommended 8.16 hours - show significant cognitive performance deficits that equal three nights of total sleep deprivation. This finding exposes the dangers individuals face as cognitive abilities, including attention span and reaction time, diminish with a moderate reduction in sleep.

Dr. Sateia says individuals should dismiss the myth that sleep disturbances related to stress and anxiety cannot be treated. "There is a widespread misconception that there is not much one can do about stress-related sleep problems, and that is simply not true," he said. "Stress-reduction techniques, good sleep practices and specific behavioral measures, can reduce or reverse the impact of stress on sleep."

For individuals suffering from sleep deprivation due to stress, Dr. Sateia offers the following advise: “Get out of bed and do something quiet and relaxing when you can't sleep. Lying in bed for more than 20 minutes, especially when your mind is overactive, can worsen the problem. Maintain a regular sleep-wake schedule. Spend quiet time during the day addressing the issues causing stress and consider what measures could be taken to relieve worry. Talk out problems and concerns with family, friends and neighbors. Minimize caffeine consumption and do not consume alcohol. And, exercise regularly, but not close to bedtime.”

For more information about sleep disorders visit the American Academy of Sleep Medicine website, www.aasmnet.org.

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