Sleep Deprivation

Clete A. Kushida

Evaluation of Sleep Loss. Questionnaires and Rating Scales. Multiple Sleep Latency Test. Maintenance of Wakefulness Test. Psychomotor Vigilance Performance: Neurocognitive Assay Sensitive to Sleep Loss. Major Sleep Disorders. Medical Conditions and Diseases. Neonates. Inadequate Sleep in Children and Adolescents. Pregnancy and Postpartum. Epidemiologic Health Impact. Societal and Economic Impact of Sleep Loss and Sleepiness. General Occupational Implications of Round-the-Clock Operations. Impact on Self-Reported, Performance, Effort, and Motivation. Driving Performance. Commercial and Public Transportation Impact. Military Operational Effectiveness. Athletic Performance. Medical Resident/Physician Performance. Legal Implications. Stimulants. Behavioral and Environmental Countermeasures. Naps. Sleep Restriction as Therapy for Insominia. Recovery from Sleep Deprivation. Sleep Length. The Role of Endogenous Sleep-Promoting Substances. Role of Pharmacology Interventions for Sleep Deprivation. Eliminating Cumulative Sleep Debt and Sleep Satiation. A Concluding Note on Sleep Deprivation and Sleep Mechanisms.